You can do it - you absolutely can in 5 simple steps ..read more

  How do you even start? Here's how ..read more

"That's me in the spot-light... trying to keep up with you" (REM - 'Losing my Religion') I'm grateful to Dr G for the chance to talk about what it was like trying to keep up with Jeanne See more by Kaishauna Guidry,MD,HMDC and Mourning Dove Medical YouTube Dr G on Twitter  Mourning Dove Medical Here are a few related posts about Jeanne  A Death I Nursed David Bowie is helping me grieve Unconditional love Remembering Jeanne today Ice Cream, a Love Story Things that went badly... Part 1 Things that went badly... Part 2 Options for the final disposition of a dead body Understan ..read more

link is here if that doesn't work  ..read more

Four white dudes doing what they do I returned to The Ira and VITAS! Show today for the first time since the 6th, and managed to follow along for another four (4!) of the episode's fifty-one (51!) minutes Here's what I said in the comments this time... OK so today I could handle about 4 minutes I got re-oriented with Ira tossing out some nightmare clinical scenarios like bowel infarct, seizures and status epilepticus, though he didn't mention my personal favorite - massive sudden arterial bleed for tumor and tissue damage in head and neck cancer (dark towels?) - to emphasize the need for ..read more

  Rare shot of Ira with mouth closed Today I celebrated the halfway point of my journey to listen and annotate the GeriPal podcast video talkapalooza from Montreal - this is not a trip for the fainthearted, especially when it comes to air It's not that the air gets thinner with altitude - it's the combination of naivety, bullshit, willful ignorance and detached indifference  Sure, this is a 'professional conference' so the voices of patients and families are notably absent... Which is the whole freaking problem with the same old models we see here, so as long as y'all keep doing ..read more

Don't piss off the puppeteers Time to throw this baby out So I've been slowly making my way through this podcast, because like any good journal article there's a reason (need?) to stop at about every 6th word - either to check out a footnote that turns into a multi-day  rabbit hole, think about what you just read and read it again, or just mutter quietly WTAF? Anyway, the only thing I can manage today is to reflect back on a phrase VITAS dude leaned into right out of the gate - "tax status"  **** I just remembered something VITAS dude said in his first 10 seconds of the podca ..read more

  why are these white dudes smiling? So the latest GeriPal thang took place just a few days ago during the annual AAHPM corporate lovefest and awards ceremony with HPNA tagalong - that's a whole other story I'm taking in this video slowly, in bites - there's a lot to chew on, like a long obituary for a beloved figure who's not quite dead yet I made it 10 minutes in on this first go - we'll see when I have an appetite for more - my first comment: "this is worth line by line analysis, nobody can hide (even though there's abundant Weaselspeak right out of the gate).  VITAS dude is ..read more

  This 10-minute clip is from a project I call, "How to find the best hospice? How to make money in hospice!" It's a working document, the story and pictures are set but the unscripted narration is awkward. There's lots more to the story, including what we can do about the current hospice mess* and how patients, families, caregivers, clinicians and the community can best separate those rare grains of wheat from the overwhelmingly crappy chafe** I'm working on it*** * know more ** demand better *** nobody is coming to save us ..read more

  Press release and stenography here ..read more