palliative care

low hanging fruit

Nearly 2 years ago, as my desire to move from whine to action with regard to how we care for patients with end-stage kidney disease grew, I joined the American Society of Nephrology’s (ASN) Dialysis Advisory Group (DAG). This was very much a calculated action.

in case i don’t see you again

In case I don’t get to see you again… I knew only bits about Mr. G. The bits that don’t really matter. I knew what medications he had been prescribed. I knew his blood pressure. I knew his weight. But I knew nothing about the bits that mattered.

old habits are hard to break, part 2

Two months after meeting Mother and Daughter, I was again in the clinic when they returned. This time I acted as supervisor to the fellow, the nephrologist in training.  Fellow came from the exam room to tell me about how Mother had been doing since being seen by my colleague and a different fellow at her last appointment a month prior.