Articles written by me on Self-care and Palliative Medicine
On Self-Care & Palliative Medicine

End of life care

On a Full Stomach

On a Full Stomach

In the late stages of Alzheimer’s Dementia, patients lose their ability to eat independently. Appetite declines, swallowing becomes difficult, and coordinated use of hands is lost. As brain function continues to shut down, mental and physical functions progressively disappear. By the time the ability to eat is

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Death Expectancy

Death Expectancy

Death, like birth, is a natural event, and like birth, it is often a messy event. Despite this truth, there’s a conundrum in modern medicine. Folks lucky enough to have full access to comprehensive medical care can face a paradoxical dilemma as they near the end of

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Reframing Hope

Reframing Hope

One of the most common reasons doctors give for withholding bad news to a patient or a patient’s family (especially if it’s news about a life-limiting illness) is, “I don’t want them to lose hope,” or “I don’t want to destroy hope.” Interestingly, studies and interviews with

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Preparing for Winter

Preparing for Winter

  There’s a stark beauty to winter trees. I’m fascinated by the intricacy of the branches that begin with thick, central trunks. They branch and soar and branch again, until there are thousands of delicate twigs pricking the chilled sky that surrounds them.   The anatomist in

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Carefully Crafted Goals

Carefully Crafted Goals

“The closing years of life are like the end of a masquerade party, when the masks are dropped.” –Arthur Schopenhauer Fundamental beliefs and core values are important in many major decisions, none more vital than the goals of care we establish for ourselves when experiencing a serious

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My Dad’s Dying

My Dad's Dying

Thornton Wilder wrote, “Even memory is not necessary for love. There is a land of the living and a land of the dead, and the bridge is love, the only survival, the only meaning.” My Dad died by degrees. Similar to many patients with Alzheimer’s Dementia, his

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A Haven in the Storm

A Haven in the Storm

    “Sunset and evening star, And one clear call for me! And may there be no moaning of the bar, When I put out to sea”                                                              Alfred Lord Tennyson     In early 19th century Europe, hospice was a rest house for travelers. Today,

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My Philosophy

(Latin: doceō, I teach) I learned in medical school that the word, doctor, comes from the Latin word for teacher. I hold that thought closely... read more

Hinesights on Health

These are articles I wrote while in private practice in the early 2000’s. These many years later, I still have folks who ask for links, so I’ve kept them active... read more