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While #palliative care is still a relatively new movement, it is deemed the fastest-growing medical specialty in the U.S. bit.ly/2sxmbUT #hpm

Congrats to Dr. McGrane for the award and his efforts in developing the ECMO program here at Vanderbilt Health x.com/VUMC_Anes/stat…

Very helpful interview in JAMA about how to handle a medical emergency on a plane jamanetwork.com/journals/jama/… I wish the last day of medical school had a lecture about what to do when the attendants ask if there's a doctor on board.

Incredibly frustrating when studies of these very expensive peripheral opioid inhibitors compare to placebo instead of maximized traditional laxatives. I want to know if they are better than the cheaper drugs I use now. #hpm x.com/Annals_Oncolog…

Important work in Palliative Medicine about experience after withdrawing artificial hydration and nutrition. The idea of withholding these interventions is often very hard for families to wrap their heads around. This article can help with counseling. #hpm x.com/PalliativeMedJ…

Very important issues to discuss with patients/surrogates when making tough decisions in critical illness. It can be easy to lose focus on these very important long term issues amidst the day to day management of sick patients. x.com/CAPCpalliative…

Interesting research letter in JAMA Oncology about the best way to communicate reasons for stopping screening ja.ma/2MLM2hT May be helpful in other arenas where we communicate that an intervention or test isn't warranted in the #hpm realm.

From JAMA Network Open some empirical backing for the importance two of the major skills in #hpm: attending to emotional response and keeping mouth shut to let people respond. ja.ma/2MSXGaL It's amazing what patients/families tell us when we make room for them

Super important article in ⁦Health Affairs⁩ suggesting variation in end of life care driven by physician knowledge/values more so than patient preference. Important work to be done to increase familiarity w/ #palliativecare #hpm healthaffairs.org/doi/abs/10.137…

Blast from the past from Journal of Trauma and Acute Care Surgery highlights work of Vanderbilt Health investigators Pratik Pandharipande Jennifer Thompson and Wes Ely among others. Remains important article 10 years later. x.com/jtraumacutesur…

Importance of palliative care for ovarian ca curetoday.com/articles/palli… Colleagues from @vumc_obgyn are collaborating in the SCOPE Trial (NCT03436290) to quantify the benefit of early #PalliativeCare for these and other pts having surgery for cancer. #hpm

From JAMA an interesting back and forth about a physician's moral distress in providing end of life care. …work-com.proxy.library.vanderbilt.edu/journals/jama/… The original narrative and the author's response are linked to this letter. #hpm

Study suggesting in patients age 90 and up with #colorectalcancer surgery provides survival advantage. link.springer.com/epdf/10.1007/s… Age alone shouldn't preclude surgery, but need to have thorough assessment of frailty and in depth goals of care talk preop.

Can't wait to hear this discussion at the TNACS Annual Meeting of a very timely topic - Geriatrics and End-of-Life Care in Surgery. Thank you in advance Drs. Shinall , Miller, and Duggan! #TNACS2018 Myrick Shinall, MD, PhD tnacs.org/tnacsannualmee…

Get your copy today! A collection of our popular #NarrativeMatters stories all in one book. Read from a diverse set of authors whose essay's embody a vision for a health care system that centers the humanity of patients and doctors alike. bit.ly/3avwdJz

Very proud to be part of this team with WesElyMD and the CIBS Center. Thanks to all the generous patients participating in our trial.

New in Annals of Surgery using trial data to study psychosocial distress before major operations by Myrick Shinall, MD, PhD Victoria Tang journals.lww.com/annalsofsurger…

Psychosocial Stress Before Major Oncologic Operations: A Qualitative Content Analysis of Palliative Care Provider Documentation journals.lww.com/annalsofsurger…

Honored for our work to be featured in Annals of Surgery and the focus of this commentary. We’re excited to report the trial results soon. CIBS Center @VUMCSurgery Myrick Shinall, MD, PhD WesElyMD @VUMCSurgOnc

End stage liver disease from a #geriatrics and #palliativecare perspective with guests Jen Lai, Ricky Shinall Myrick Shinall, MD, PhD, Nneka Ufere Nneka N. Ufere, MD MSCE, and Arpan Patel Arpan Patel, MD PhD (he/him/his). #hpm Episode bit.ly/GeriPalEp204 - hosts Alex Smith, MD | Eric Widera, MD