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

Enhancing quality of life

Sprinkles on the Cookie of Life

Sprinkles on the Cookie of Life

Have you ever been moved by a beautiful piece of music, transfixed by the creative genius of a painting or inspired by evocative imagery in a poem?   This month, I had the gift of a weekend’s immersion in art. On a Friday evening, I attended three

Read more

The Kindness of Strangers

The Kindness of Strangers

  “No act of kindness, no matter how small, is ever wasted.” —Aesop 550 BC.   In a medical setting, kindness is especially welcome and meaningful.   Even when things seem to be going well, healthcare encounters provoke anxiety. You’re going for your annual assessment and you

Read more

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

Read more

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

Read more

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

Read more

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

Read more

Enforced Happiness

Enforced Happiness

‘Tis the season to be jolly. But what if you’re not? I’m revisiting one of my articles from December 2000 this month, because the subject is very much on my mind. Each year, from Thanksgiving until New Year’s Day, we enter the Season of Enforced Happiness. Merchants

Read more

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

Read more

Caregiving Isn’t for Wimps

Caregiving Isn't for Wimps

Caregiving is tough! There are physical, emotional, and spiritual challenges. When one is caring for someone with a prolonged and progressive illness such as dementia, the challenges are magnified. Despite the hardships and sacrifice, there can be blessings in the service. The exemplary physician and philosopher Albert

Read more

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,

Read more
Page 1 of 212

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