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jbriscoe.bsky.social
Hospice and Palliative Care Physician #MedPsych #MedSky #HAPC #Bioethics Writing @ Notes from a Family Meeting: https://familymeetingnotes.substack.com
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I don’t believe that getting better at taking standardized tests is vital to life success. #EdChat #EduSky

The AMA adopted a policy supporting the use of palliative care in serious medical illness (whether it's primary or specialty palliative care). A step in the right direction to affirming the duty of *all* clinicians in providing palliative care. www.jpsmjournal.com/article/S088... #hapc #medsky

"If palliative care clinicians walk the line between security and vulnerability, then they must expect to misstep sometimes." This Viewpoint explores why palliative care clinicians may be at increased risk for dismissal. #MedSky https://ja.ma/42bomND

Following pandemic-era changes, many ICU outcome measures returned to prior levels. The rates of mechanical ventilation have declined even further, while vasopressor use remained elevated above 2010s rates. #MedSky https://ja.ma/42Jl3NO

Wow. This is definitely not my experience. I ask my patients, “What have the docs told you what to expect with this treatment?” The very common answers: “I don’t know,” “They didn’t say,” “It’s treatable, but that’s it.” #medsky #hapc

Fictional examples in medicine (vs. the historical case report) serve important and unique functions. When we know the case is fictional, we’re freer to play and play is critical to education, reflection, and community building. #medsky #meded

open.substack.com/pub/familyme... Is coping just a matter of preference, or is there more to it than that?

Therapists at Kaiser went on a hunger strike in Los Angeles to protest "factory" like working conditions and the automation of healthcare. I went down to the picket line on the last day to talk to the workers, some of whom hadn't eaten for 100 hours. www.bloodinthemachine.com/p/therapists...

Ambients scribing "is the greatest unanimous adoption of technology by health systems...since the electronic health record." You think being harassed by coders is bad now? Just wait until they hear all your convos... familymeetingnotes.substack.com/p/where-the-... #medsky #AI #mlsky

Is deactivating a pacemaker at the end of life just like the withdrawal of any other life-sustaining therapy? familymeetingnotes.substack.com/p/of-pacemak... #medsky #bioethics #hapc

“How do we know where to draw the line, and when it is time to resist? The touchstone must be science, the evidence from rigorous, published, peer-reviewed research. We must draw the line when the science is clear that a policy will increase the risk of disease, complications, or premature death.”

A tricky thing about modern society is that no one has any idea when they don’t die. Like, the number of lives saved by controlling air pollution in America is probably over 200,000 per year, but the number of people who think their life was saved by controlling air pollution is zero.

my HORRIFYING cartoon for this week’s @theguardian.com books

"To the typical physician, my illness is a routine incident in his rounds, while for me it’s the crisis of my life. I would feel better if I had doctor who at least perceived this incongruity." - Anatole Broyard www.thriftbooks.com/w/intoxicate... #medsky #meded

This statement is unwittingly emblematic of the deformation of medical practice in Canada: “In her medical bag she also has a stethoscope. "Strangely, these days I use it more to determine if someone has no heartbeat rather than if they do.” www.bbc.com/news/article... #medsky #assisteddying

Thought provoking questions from the other place on safety from Dan Hitchens for @kimleadbeatermp.bsky.social on #assistedsuicide #assisteddying bill in UK

www.bbc.com/news/article... "Whether you're for or against the proposed new Westminster law, the death of a loved one is a deeply personal and emotional time for a family. Each death leaves an imprint, as will Wayne's." All deaths are personal; all deaths are not personalized. #medsky #assisteddying

I am one of the authors whom Meta stole (sorry, ‘scraped’) from, by using their books to train Libgen. So I’m biased. But this from @mscaitlinmoran.bsky.social is👌

A former French military base, Vauban is a thriving neighbourhood of 5,500 residents connected to Freiburg town centre by bus and light rail. Built in the late 1990s as a radical experiment in low-car living, it forgoes virtually all on-street parking in favour of active, green, and social spaces. 🧵

open.substack.com/pub/familyme... #medsky #AI

open.substack.com/pub/familyme... Is a future with #AI scribes progress for medicine? #medsky

One of the best features of the Internet is the hyperlink. It makes the act of citing one’s sources seamless and helps point the reader to the origin of one’s thoughts. It is a technology that is aligned with a culture of attribution.

open.substack.com/pub/familyme... #medsky #AI

What will become of the clinical encounter when we fully adopt #AI scribes? open.substack.com/pub/familyme... #medsky

The torment nexus factory is at it again

www.theintrinsicperspective.com/p/welcome-to... from @erikhoel.blogsky.venki.dev

Maybe we won’t even need surrogate decision makers: open.substack.com/pub/familyme...

Another way of framing this is that Bill Gates does not want your kid to grow up to be a doctor. Or anything else, for that matter. In Gates's future, we're all supposed to spend our time developing and selling AI apps to each other.

It’s patently false, but notice that “humans won’t be needed” to these people is identified as the desired future rather than the deeply dystopian vision that it actually is.

open.substack.com/pub/familyme... #medsky #bioethics #assisteddying #maid