David Alfandre

Physician, Chief, Ethics Consultation for VA National Center for Ethics; Research #AMADischarges. (Re)Tweets/Follows my own/may not be view of @DeptVetAffairs

[David Alfandre @alfandremd]

#VeteranOfTheDay Army Veteran John H. Horn https://t.co/j8CFPCgI1h

[David Alfandre @alfandremd]

@ProfHolloway For me personally, it was your compelling reasoning at your ASBH plenary years ago!

[David Alfandre @alfandremd]

@medicalaxioms Two observations. 1) nurses are an important part of the team for managing requests to leave AMA. 2) patient requests to leave AMA are a valuable opportunity to find out what patients value while they’re in the hospital.

[David Alfandre @alfandremd]

Eager to hear from my colleagues about their ethical challenges this past year with COVID. Hope you'll join me for this discussion

Will There be Enough Ventilators? Rationing, Scarcity, and Other Ethical Challenges for Hospitalists During the COVID-19 Pandemic #shmconverge

[David Alfandre @alfandremd]

Behind a paywall didn’t read. I guess a successful marriage primarily depends on wealth and power.

[The Washington Post @washingtonpost]

If Bill and Melinda Gates can’t make a marriage work, what hope is there for the rest of us? https://t.co/QFp17InNVC

[David Alfandre @alfandremd]

@HeatherNHofmann @DrSunilKSahai @SocietyHospMed Wait, the cartoons are good aren't they? The books are interminable and meandering. And my kids always caught me when I tried to skip a page.

[David Alfandre @alfandremd]

@HeatherNHofmann @DrSunilKSahai @SocietyHospMed Thank you on behalf of wood splitters across the globe.

[David Alfandre @alfandremd]

No Easy Answers: Case Based Controversies in Ethics #shmconverge

My colleague Cynthia Geppert is the perfect person to give this talk. More collaboration with our c-l psychiatric colleagues can help minimize ethical concerns on the floor.

[David Alfandre @alfandremd]

Circus, Circus!: Navigating the Challenges of Being a Parent and a Hospitalist #shmconverge

So lucky to have worked with such great people on this talk. I'm hoping to see more talks on this topic from my colleagues in the future. #parentinganddoctoring

[Urban Cycling Institute 🚲  @fietsprofessor]

If mobility is human powered we don't need traffic lights.
No technology can match human interaction.

#Groningen

[David Alfandre @alfandremd]

A Shot at Inclusion: Reconsidering Categorical Exclusion of Hospice Patients from COVID Vaccine Allocation https://t.co/wEDodyAj2a

[David Alfandre @alfandremd]

More evidence that the Medicare Hospital Readmission Program may play a role in rising AMA discharge rates in hospitals. Policy-->low value health care practices https://t.co/HMNLrdugvr

[David Alfandre @alfandremd]

Even (and especially) during a pandemic, the integrity of our fundamental communication processes for informed consent remains. Our latest take...
https://t.co/ZGonvwgvGJ

[David Alfandre @alfandremd]

Florida's new law signals an ethically concerning trend in women’s health care that would enable more burdensome and unnecessary written consent processes for a broader range of low-risk interventions.
https://t.co/2MDtfQJdXK

[David Alfandre @alfandremd]

@jbullockruns Better non-gendered advice now? Curious to hear from others.

I might say to a patient, "Leaving the hospital now is not as safe & not what I recommend, but your care should fit with your preferences and I will support you however you choose. I’m here to help.”

[David Alfandre @alfandremd]

@jbullockruns "If a patient is determined to try an improper or dangerous medicine, a physician should refuse his sanction; but he has no right to complain of his advice not being followed.”

[David Alfandre @alfandremd]

@arunimako @jbullockruns Agree! It is hard to envision high quality hospital care without without good coordination with the PCP. Lots of data on timely outpatient f/u linked with reduced 30-day readmits. https://t.co/IBAhnLd0Q0

[David Alfandre @alfandremd]

@WrayCharles @aoglasser @jbullockruns Sharing decisions with pts does not ask MD to withhold their professional judgment or give pts whatever they ask for without regard to accepted standards of care, but rather allows for collaboration on a medically appropriate treatment plan that respects what is important to pts.

[David Alfandre @alfandremd]

Amanda Gorman's incredibly inspiring words at Biden Inauguration "...for there is always light if only we're brave enough to see it, if only we're brave enough to be it."
Our future is bright!
https://t.co/BjxMRjyB20