Tag: death and dying

Beatrice Preti, MD Beatrice Preti, MD (4 Posts)

Fellow Physician Contributing Writer

Schulich School of Medicine & Dentistry at Western University


Beatrice Preti is a PGY-4 fellow in medical oncology at the Schulich School of Medicine & Dentistry at Western University in London, Ontario.




Early Palliative Care and End-of-Life Planning as a Primary Preventative Intervention During the COVID-19 Pandemic

The novel coronavirus pandemic (COVID-19) has drastically increased the number of critically ill and dying patients presenting for hospitalized management of dyspnea, acute respiratory failure and other serious complications. The emergence and spread of SARS-CoV-2 has created unprecedented demands on all avenues of inpatient hospitalist medicine. One of the many services in high demand includes palliative care, with increased need for complex end of life planning.

Witness

This elderly yet jolly gentleman answers our unending questions about his physical health, but it is his question to us that makes me pause. Do I have time for a poem? This busy clinic day, I stop reflecting on why his heart stopped beating and instead what motivates his heart to beat in the first place.   

Facing the Inevitable: A Resident Physician’s Perspective on the COVID-19 Pandemic

As I check in on my patients each morning, I wonder if some will unexpectedly decompensate and die over the coming weeks. I think about myself and my co-residents who are in the hospital all day swabbing patients for COVID-19 without adequate personal protective equipment. Many of my co-residents are on home isolation as a result of this exposure, waiting for their test results and praying that our government will step up and fund more mask production, or civilians will return the N95s they’ve hoarded, or the set of a TV medical drama will donate their props to us.

Treat Me If You Can: DNR versus Comfort Measures Only

Caffeine’s effect waned, stomachs rumbled, attention spans faded after rounding on nine acutely ill patients on university wards. It was nearing lunch. I was the senior resident, so I chose the order in which we saw patients. As we arrived at our last patient’s room, I snapped out of my under-caffeinated daze and realized I had made the rookie mistake of leaving our newest and sickest patient for last.

Ari Pence, MD Ari Pence, MD (1 Posts)

Resident Physician Contributing Writer

McGaw Medical Center of Northwestern University


Ari Pence is a second year Family Medicine resident at McGaw Medical Center of Northwestern University. She earned her MD from the University of Illinois at Urbana-Champaign. Prior to medical school she worked at the University of Illinois as an instructor in the Department of Interdisciplinary Health Sciences teaching courses on the socioeconomic determinants of healthcare, as well as a lab coordinator in the Department of Psychology and Neuroscience with a focus on the effects of exercise, nutrition and injury on memory and cognition across the human lifespan. She is passionate about the intersections of women's health, mental illness and integrative medicine in the primary care setting, and providing holistic, person-focused care to the most vulnerable and underserved patients.