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Second opinions: A chance to listen and teach

Lyle Fettig, MD
Physician
June 13, 2013

cancer treatment center of america

You drive down a busy expressway amidst thousands of other vehicles and a billboard jumps out at you.  In the font of confidence, it reads, “The first step in fighting cancer should be a second opinion.”

The billboard informs you of the location of the nearest Cancer Treatment Center of America (CTCA), “only” about 130 miles from the billboard.

When …

Read more…

Second opinions: A chance to listen and teach

Educate the patient about their disease and discharge plan

Lyle Fettig, MD
Physician
December 3, 2010

Have you ever discharged a patient from the hospital and had a gnawing feeling that maybe you could have done more to educate the patient about their disease, medications, and plan of care?

Probably so.  A recent survey published in the Archives of Internal Medicine tells us that this feeling is based in reality (I’m guessing that you already knew this) and that you are not alone.

The …

Read more…

Educate the patient about their disease and discharge plan

How to treat patients who want everything

Lyle Fettig, MD
Patient
July 3, 2010

The Annals of Internal Medicine had a perspective article by palliative medicine communication gurus Drs. Tim Quill, Bob Arnold, and Tony Back which details an approach to discussing treatment preferences with patients who want “everything.”

When I think of a patient requesting “everything,” I typically think of it as a response to a physician who offers the patient the choice of “doing nothing” if the patient’s heart should stop or …

Read more…

How to treat patients who want everything

Palliative care physicians confronting their own mortality

Lyle Fettig, MD
Conditions
April 23, 2010

Dr. Desiree Pardi was the palliative care medical director at Weill Cornell Medical Center in New York. She died of metastatic breast cancer in 2009 at the age of 41.

Her story provides palliative care clinicians an opportunity to reflect on how our own personal mortality interacts with our professional lives.

I did not personally know Dr. Pardi. I write this post knowing that many readers did indeed know her, some …

Read more…

Palliative care physicians confronting their own mortality

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  • Most Popular

  • Past Week

    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Why physicians must reclaim their right to pause [PODCAST]

      The Podcast by KevinMD | Podcast
    • A resident’s first surgery: When the patient teaches the doctor

      Kaylan Baban, MD, MPH | Physician
    • The clash between defensive medicine and value-based health care

      Olumuyiwa Bamgbade, MD | Physician
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      Kelly Dórea França | Education
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Why physicians must reclaim their right to pause [PODCAST]

      The Podcast by KevinMD | Podcast
    • Night shift weight loss: a practical fasting guide for physicians

      Aaron Grubner, MD | Physician
    • Why MRI classification systems improve spinal stenosis care

      Francisco M. Torres, MD & Purab Patel | Conditions
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    • Atypical Parkinson disorders vs. Parkinson disease: key differences

      Jerome Lisk, MD, MBA | Conditions
    • Why clinical medicine is harder than flying a plane

      Olumuyiwa Bamgbade, MD | Physician

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