Tag: death and dying

Allison Lyle, MD (2 Posts)

Resident Editor

University of Washington and Seattle Children's Hospital


Allison is a Neonatology Fellow and Clinical Ethics Fellow at the University of Washington and Seattle Children's Hospital. Her interests include narrative medicine, neonatal ethics education, and neonatal palliative care.




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.

Lara K. Ronan, MD Lara K. Ronan, MD (7 Posts)

Attending Physician Guest Writer

Geisel School of Medicine at Dartmouth


Dr. Ronan is an associate professor of neurology and medicine at the Geisel School of Medicine and is the program director of the Dartmouth-Hitchcock Neurology Residency.

Practical Wellness: Perspectives from a Program Director

A program director's perspectives on practical wellness in residency and how graduate medical education leadership can facilitate housestaff resiliency and self-advocacy.