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Patricia M. Fogelman is a nurse practitioner.

Why Medicare hospice coverage fails the dying

Patricia M. Fogelman, DNP
Conditions and Diseases
July 24, 2026

Every day in family meetings across the United States, we clinicians are delivering difficult truth to a family: Their loved one is nearing the end of life, and comfort-focused care is the appropriate (and desired) next step. Goals are aligned. The clinical picture is clear. And then the conversation hits a wall that has nothing to do with the practice or the art of medicine: Our patient cannot go home. …

Read more…

Why Medicare hospice coverage fails the dying

What is palliative medicine and why is it so misunderstood?

Patricia M. Fogelman, DNP
Conditions and Diseases
January 16, 2026

After years of leading palliative medicine departments, as a Fellow of the American Academy of Hospice and Palliative Medicine, I’ve had countless conversations that start the same way. A colleague in the hallway says, “Oh, palliative care—that’s so important. You all are so nice.” Or a hospital administrator tells me, “We wish we could give you more, but resources are tight right now.” Or my personal favorite: “Palliative care is …

Read more…

What is palliative medicine and why is it so misunderstood?

A soul that never loses faith

Patricia M. Fogelman, DNP
Conditions and Diseases
February 24, 2022

I am so tired. Not in the usual “hard day at work,” but in a “deep-in-my-soul” tired. I am exhausted.

I am heading into my third year as system medical director, where I lead a system-wide palliative medicine program in rural health.

As in many rural systems, we have issues with broad geographic spread coupled with lower population density and limited resources.

But for those of us working in rural health, there is …

Read more…

A soul that never loses faith

We can’t deny death, even if it’s a colleague

Patricia M. Fogelman, DNP
Conditions and Diseases
March 12, 2020

Does care fall short or go higher when the patient is one of our own?

It depends on who you ask: We, the medical team, believe we try hard for everyone, but go the extra mile when it’s one of our own. Perhaps to family/outsiders, we’re not doing enough.

A recent case illustrates this phenomenon: a gifted physician colleague, a new diagnosis of advanced cancer. Needs control as part of a coping …

Read more…

We can’t deny death, even if it’s a colleague

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  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Doctors’ kids miss them, and the family builds its own fixes [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why acne, chin hair, and irregular cycles are more than an ovary problem [PODCAST]

      The Podcast by KevinMD | Podcast
    • Burnout or job dissatisfaction: 4 causes usually in play

      Diane W. Shannon, MD, MPH | Physician
    • Nurse advocacy: The shackles came off before he died

      Debbie Moore-Black, RN | Conditions and Diseases
  • Past 6 Months

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      Richard A. Lawhern, PhD | Conditions and Diseases
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      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

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    • Doctors’ kids miss them, and the family builds its own fixes [PODCAST]

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    • Observation status is a clinical choice, not a billing one

      Chinyelu E. Oraedu, MD | Physician

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