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Month: July 2020

“Hope is NOT a plan.”

“Hope is NOT a plan.”

It has come to my attention, that often times, we worry that if we were to discuss a poor prognosis or terminal condition, we feel hesitant because we worry that by being upfront we are taking the patient’s hope away. Is that a thing? If a patient wants to know the prognosis and you know the prognosis, do you think sharing that information would harm the patient? Another way to think about it is that if that was you, would…

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“Write Your Last Chapter ?”

“Write Your Last Chapter ?”

I had the absolute privilege of listening to Atul Gawande talk in 2012. This is before he had finished his book “Being Mortal”. He is such a master story teller that I was completely absorbed in his tale of his own father’s mortality and how we fail miserably at listening to patients’ wishes at the end and create a less than ideal medical plan of care that does not offer us a good ending. I remember him saying that, “If…

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