Maybe I'm wrong, but my instinct as a trainee is that our culture of 6 day weeks, 24-call, 16+hr days, and countless underreported hours during training is a type of intergenerational trauma that we inflict on one another. (1/3)

Palliative consult for cancer pain BUT DONT TALK ABOUT GOALS OF CARE #hpm #hapc

I should never have bought these googly eyes...

nytimes.com/2020/02/03/nyr… "But Ms. Valentin soon ran out of money to pay Ms. De La O and two other attendants." A microcosm of the deficiencies of our non-system of long term care, and how it is held together by kindness and sacrifice, which here had a happy ending.

I feel like I see trainee moral distress expressed in terms of an urgent need to have a "goals of care" conversation with the families (i.e., persuade them to stop treatment), but sometimes I wonder whether we clinicians might benefit from goals of care conversations ouselves.

Great to see U.S. Department of Justice would defend CDC's authority to protect everyone in our nation during a public health crisis. nbcnews.com/politics/justi…

Why are baby pants either 4 inches too short or 2 inches too long, and why is it always the same pair of pants 10 minutes apart?