Archive | Health Care Reform

Doctor and patient on ventilator in China

Should the Elderly Decline Ventilators?

This post is going to be very grim. I hope you will take it as useful information and food for thought. Despite the call for more ventilators, these breathing machines are not a panacea for elderly patients.  As Coronavirus sweeps the country, and as governors beg for federal assistance, the reality of mechanical ventilation for […]

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Drs. Amanda and Sam Harrington at Yale University Hospital

Redefining medical futility: my thoughts… and yours!

Dear loyal reader, It has been months since I last offered you a musing on medicine. Although dormant, I have not been stagnant. During those months, I have been thinking about my next writing project and here it is. Drum roll, please… “Redefining Medical Futility.” Although the through lines of At Peace; Choosing a Good […]

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When Celebrities Vow to Beat Their Cancer

I can admire celebrities who are willing to be open about their illnesses because it brings important discussions to the fore and offers multiple teaching opportunities. But we need to change the discussion involving advanced cancer from the usual plan to beat the illness to something more nuanced. The most recent example of this is […]

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The year of AT PEACE and what comes next

The year of AT PEACE is coming to a close. For those of you who hope this means I will be changing my email signature promoting my book – think again. No, it means that I will not be scheduling small group talks at churches, libraries and senior living centers. I will be open to […]

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Bad Blood: Worse than deception is false premise that more blood tests prevent disease and death

Debbie and I recently devoured the audio version of this summer’s hottest read: Bad Blood: Secrets and Lies in a Silicon Valley Startup by Pulitzer Prize-winning Wall Street Journal reporter John Carryrou. It’s a mesmerizing business thriller about the rise and fall of blood-testing startup Theranos, a Silicon Valley unicorn with a one-time value of […]

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Sam poster Seattle library

First Dispatch From My “Book Tour”

Sorry for the radio silence since publication day on Feb. 6, 2018 of At Peace: Choosing a Good Death After a Long Life. I’ve been on my “book tour” (please note the small letters and quotation marks). This was not a Book Tour with red carpets, black limos, personal assistants, and the exchange of pleasantries […]

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Double hospital atrium

Dissonance: from middle-of-the-night emergency to an impersonal system

When I was a practicing physician, there was nothing more meaningful or rewarding than a middle-of-the-night emergency endoscopy, usually completed successfully (although occasionally not), when a patient’s esophagus was cleared of obstructing food or a bleeding ulcer was clipped and cauterized. The tension of the scene would dissipate with the team’s collective sigh of relief […]

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