@luthercollege (BA), @MCWMedSchool (MD), @KUMedicine (IM), @StanfordMed (#hpm). Palliative physician and Hospitalist @MedicalCollege.

Milwaukee
Joined May 2014
Significant ethical point from today's #greatlakespalliative23 workshop clinical ethicist: Losing capacity does not mean losing autonomy... Consider whether the patient has 'capacity for preferences' Great approach to include non-decisional patients in GOC discussions. #hapc
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Happy Birthday to Us! The Medical College of Wisconsin's Palliative Care Program is 30 years old today! Keep on palliating, friends! #palliativecare #hpm #mcw @peltier_wendy @KatieRecka @AlexJBear @AdrienneKlement @postscriptmd @drosielle @TurpenJen @JordanDBauman @klmlu
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Interested in more great talks? Want to visit balmy WI? Join us for the Great Lakes PC Conf May 4-5 ocpe.mcw.edu/11thGreatLakesP… #hapc #hapc23
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Same. – at Wauwatosa, WI
Replying to @mmteacherdoc
I don’t think we’ve ever met in person. Part of me thinks that your tweets are written by my just waking subconscious self. About a 99+% concordance rate. Outside of the running tweets. Question: is @PaulNWilliamz a real person? Or do I need a break from my phone?
@AdrienneKlement discussing the pitfalls of “Goals of Care” #hapc #greatlakespalliative22 @CareMcw @DeptVetAffairs #zablockivamc
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How do we avoid the pitfalls of the phrase “goals of care” when it is difficult (impossible?) to measure? 🤔 #hapc #greatlakespalliative22
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@AdrienneKlement proposing a Unified Definition of what we intend when when we say “Goals of Care” #hapc #greatlakespalliative22
Dr. Renee Kursel reviewing Palliative Care Discussions in Advanced Heart Failure Patients at the 10th Annual Great Lakes Palliative Care Conference - so thankful for great AHF colleagues @MedicalCollege @MCWcardiology #hapc #greatlakespalliative22
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“An LVAD is like a parachute - you want to use it early as heart failure progresses - it won’t do any good if you use it when you’re 20 feet off the ground” - Dr. Kursel from @MCWcardiology #hapc #greatlakespalliative22
1 in 4 caregivers report a negative health impact of providing care to loved ones at end-of-life #hapc #greatlakespalliative22
Caregivers at end-of-life - in addition to be spouses and children, they have to be nurses, pharmacists, nutritionists and housekeepers - 60% perform technical tasks @JessicaZitter #hapc #greatlakespalliative22
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Caregivers at end-of-life - in addition to be spouses and children, they have to be nurses, pharmacists, nutritionists and housekeepers - 60% perform technical tasks @JessicaZitter #hapc #greatlakespalliative22
Starting our day with a plenary from @JessicaZitter - so grateful she joined us for the 10th Annual Great Lakes Palliative Care Conference to speak about the crisis of caregiving for patients at end-of-life #hapc #greatlakespalliative22
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🤔 “I think of emotion like pus under pressure…” @TobyCampbellMD #greatlakespalliative22
When communicating with patients and families, make sure you’re talking to the right organ - the head vs the heart. @TobyCampbellMD #greatlakespalliative22
“Yes, but…” how midwesterners say no. @TobyCampbellMD #greatlakespalliative22
Kicking off the 10th Annual Great Lakes Palliative Care conference with a communication session with a workshop on communication and another on palliative emergencies - so great to be back in person! #greatlakespalliative22
Or as I tell rotators - you can be stably dead
Stable is a relative term in medicine. Stable on pressor(s)? Stable on ECMO? Gotta be more specific
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#StanDOM's @ShireenNHeidari is named the new #Hospice & #PalliativeMedicine Fellowship director. We offer our congratulations to Shireen & our thanks to VJ Periyakoil (@palliator) who helped develop the current program.
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Thanks to all who attended our 9th Annual Great Lakes Palliative Care (Virtual) Conference! Special thanks to our plenary speakers Sallie Tisdale @roneetE @mlmcpherson @NathanAGray who made it a fantastic conference! #greatlakespalliative21 #hpm #hapc @CareMcw @MedicalCollege
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How often have you used, or read, these words when discussing prognosis? What do they truly mean to patients and families? A graphic representation from @NathanAGray #greatlakespalliative21 #hpm #hapc @CareMcw @DukePallCare
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"All care provided to patients with ESLD is palliative until transplant..." The challenge is when should specialty palliative care be initiated? A challenge recognized by hepatologists and #hapc providers alike. #greatlakespalliative21 #hpm @CareMcw @MedicalCollege
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