Palliative nephrologist. Other things too.
Boston, MA
Joined February 2008
- Tweets272
- Following346
- Followers373
- Likes1.7K
Sam Gelfand retweeted
A beautiful story of KidneyPal and the benefit longitudinal relationships to advocate for patients with empathy and humility as they do it their way in a healthcare system that often asks for immediate decisions. @SammyG @stephbkiser @AlexisDrutchas @VjacksonJackson @nymurakami
Sam Gelfand retweeted
So fun connecting with all the great kidney pall folks at ASN. Feeling recharged and ready to get to work to make some changes!
Sam Gelfand retweeted
Patients with ESKD access hospice care only about half as often as patients in the general Medicare population. This study introduces a Concurrent Hospice and Dialysis Program that improves hospice access by offering palliative dialysis with hospice care bit.ly/j2022010064
ALT Overview of the program. The Program structure and components utilized by the dialysis and hospice teams caring for patients on dialysis who may benefit from concurrent care.
Sam Gelfand retweeted
COVID restrictions should not be viewed as only beneficial. In this study, nursing home residents without personal contact with family/friends had a 35% greater excess mortality early in the COVID-19 pandemic relative to residents who had personal contact. jamda.com/article/S1525-8610… – at Larkspur, CA
Sam Gelfand retweeted
This paper by Susan Wong and colleagues sparkles! As does the terrific accompanying editorial by Drs. Liu and Tamura. Best dataviz I have seen in quite some time! @UWMedicine @UWNephrology @KidneyResInst @SeaDenCOIN @StanfordNeph @kidneycoalition @nwkidney
Systematic review of 41 studies (5102 patients) showed many patients who don't pursue maintenance dialysis survived several years with sustained quality of life. Consistent approaches to the study of outcomes are needed to enhance generalizability. ja.ma/3q3HABm
Sam Gelfand retweeted
Inpatient Kidney Palliative Care for Kidney Transplant Recipients With Failing Allografts
@nymurakami @SammyG @joeladler @anil_chandraker @releiter @sciacca_kate @BWHKidney
#PalliativeCare
Excited about this!
Improving the EOL Experience in #DialysisPatients
Join @JaneSchell11 + @keithlagnese on Monday, Dec 6th - 1PM EST to discuss innovative models of care, concurrent #Hospice + #Dialysis
gwu.webex.com/mw3300/mywebex…
#palliativecare #CKD #kidneydisease #pallneph
Rutland Square
Boston, MA 02118hh maps.google.com?q=Rutland%20…
Proud of this one, v special to write with the doctors I admire most —Ursula, who inspired me to go into nephrology and Amanda, who inspired me to stay.
Combined Nephrology and Palliative Medicine Fellowship Training: A Breath of Fresh AIRE
buff.ly/3Fkm819 (FREE)
@SammyG @koyaljainMD @brewster_ursula
#palliativecare #nephrology
Inflexible + inconsistent hospital visitor restrictions cause anguish for patients/families and moral distress for clinicians. Nearly a year in and I still cannot cope with this aspect of the nightmare. Appreciate @releiter for his tireless alchemy of turning rage into advocacy.
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Sam Gelfand retweeted
Grateful to be featured in another @sciam feature today. The inequities experienced by seriously ill patients living with #kidney disease are enormous. They deserve palliative care but often don't receive this. Gaps in care are larger for minority patients scientificamerican.com/artic…
Important work! So much room for improvement...
Availability, Accessibility, and Quality of Conservative Kidney Management Worldwide @CJASN
cjasn.asnjournals.org/conten…
Sam Gelfand retweeted
Palliative care can occur alongside transplant care. Shout it from the rooftops, say it louder for the folks in the back! #palliativehepatology
Palliative Care in ESLD-Dr. Puneeta Tandon
▪️High symptom burden in pts w/cirrhosis, early palliative care ⬆️symptoms & QoL
▪️All healthcare practitioners need to foster an approach that integrates palliative principles
▪️Palliative care can occur alongside LTx listing
#TLMdX
Sam Gelfand retweeted
Another important study from @LucySchulson highlighting that professional interpreter use is abysmally low at 30% for patients with limited English proficiency in ambulatory care settings
National Estimates of Professional Interpreter Use in the Ambulatory Setting dlvr.it/RksBYB
Sam Gelfand retweeted
Happy Election Day! If you haven't yet voted, you can look up the location of your polling place here: projects.fivethirtyeight.com… Just click on your state and check out the "In-person voting" section.
Sam Gelfand retweeted
.@SammyG @JaneSchell11 @AmakaEMD on the #NephWorkForce Issue
Palliative Care in Nephrology: The Work and the Workforce
ackdjournal.org/article/S154…
I feel strongly that CKM is a valid (sometimes optimal) tx option for kidney failure among the frail or seriously ill.
I feel *even stronger* that complex patients and shared decision-making involving CKM are vulnerable to clinician bias related to ageism, racism, and ableism.
Palliative Care in the Advancing American Kidney Health Initiative: A Call for Inclusion in Kidney Care Delivery Models
buff.ly/3oq4Kj3 (FREE)
@SammyG @ernestimandel
