Sensible Medicine

OCTOBER 6, 2023

As an EBM and diagnostic reasoning obsessive, I often see this as a 2X2 table with the patients knowledge in the columns and the doctors as the rows: Most commonly, both doctor and patient know when the end of life is near — square A. Occasionally, these visits are more difficult and frustrating than sad.

Hospice 91

Hospice Diagnostics Physical Exams Vital Signs 91

Sensible Medicine

OCTOBER 6, 2023

As an EBM and diagnostic reasoning obsessive, I often see this as a 2X2 table with the patients knowledge in the columns and the doctors as the rows: Most commonly, both doctor and patient know when the end of life is near — square A. Occasionally, these visits are more difficult and frustrating than sad.

Hospice 52

Hospice Diagnostics Physical Exams Vital Signs 52

Sensible Medicine

JUNE 30, 2023

She was well hydrated and her vital signs were normal. Knowing what I know now, and having the diagnostic tools that now exist, could I have saved her? He had declined hospice care until the end and would not even accept “do not resuscitate” status. She did not require hospitalization.

Hospital 89

Hospital Vital Signs Scheduling Tests 89