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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

This topic came up with Bernie published an article in New England Journal called Deciding for Patients Who Have Lost Decision-Making Capacity Finding Common Ground in Medical Ethics. You write about this, you’ve written this New England Journal article, you’ve written past articles. What words to use?

Family 113
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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. Why is that important in the emergency room?

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

And for this podcast in particular, both Bill and Louise wrote articles that we’re going to be discussing particular patient cases. So while you don’t have to, we’re gonna summarize these articles. If you have a chance to read those articles before you listen to this podcast, I highly recommend that you do.

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Should We Shift from Advance Care Planning to Serious Illness Communication?

GeriPal

It’s not a new debate but has gathered steam at least in palliative care circles since Sean Morrisons published a JPM article titled “ Advance Directives/Care Planning: Clear, Simple, and Wrong.” Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Transcript.

Illness 98
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How to identify a victim of heat exhaustion or heat stroke

Medical Xpress

Wood, director of Northeastern Universitys Extreme Medicine Certificate Program, says its important for people to recognize the signs of heat illness and how quickly heat exhaustion can progress to heat stroke, when immersion in cold water is necessary to save lives. Heat stroke is the most serious heat illness, Wood says.

Illness 53
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‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options

Physician's Weekly

Prior authorization mostly happens behind the scenes, almost always electronically, and nearly all requests are quickly, or even instantly, approved. The Right to Try Act, signed by President Donald Trump in 2018, entitles patients with terminal illnesses to try experimental drugs, but it does not obligate insurance companies to pay for them.