Sensible Medicine

OCTOBER 6, 2023

Sometimes we are initiating hospice; other times the patient is moving to be with family who will take responsibility for end-of-life care. MT’s multiple medical problems and poor functional status made him a poor candidate for any therapy. Occasionally, these visits are more difficult and frustrating than sad.

Hospice 271

Hospice Diagnostics Physical Exams Vital Signs 271

Sensible Medicine

OCTOBER 6, 2023

Sometimes we are initiating hospice; other times the patient is moving to be with family who will take responsibility for end-of-life care. MT’s multiple medical problems and poor functional status made him a poor candidate for any therapy. Occasionally, these visits are more difficult and frustrating than sad.

Hospice 130

Hospice Diagnostics Physical Exams Vital Signs 130

Sensible Medicine

APRIL 4, 2025

There were ST elevations across all the precordial leads and signs of heart failure on physical exam. Even three decades ago when I started medical school, paternalism was a dirty word. Even on the medication, her liver function tests climbed and her kidney function declined. She was admitted to the hospital with an MI.

Transfers 145

Transfers Hospice Physical Exams Hospital 145