Fabrizio Motta

Hospice & Palliative Medicine (#hpm #hapc ) physician. Life with my wonderful wife Jess, Giulio, baby Max and our puppy Olney. DC/Baltimore sports, mostly #Nats

[Fabrizio Motta @cinghio81]

We are not medical professionals because we prescribe what the patient wants, we are medical professionals because we think, ponder and then have the courage to explain our decisions to the patient, even the hardest ones. #hpm https://t.co/lbZwNhnJmd

[Jeff Cohn @DrPosDev]

This one burns me up. Using these drugs outside of a clinical trial for those with a disease w/no known benefit is medical cowardice, IMO. ‘Desperation Oncology’: When Patients Are Dying, Some Cancer Doctors Turn to Immunotherapy https://t.co/dOAqQNOyAs

[Fabrizio Motta @cinghio81]

Savigliano al 112esimo posto, solo dietro Torino ed Alessandria in Piemonte... https://t.co/WQdUMv63yw

[Fabrizio Motta @cinghio81]

#QoL

[Irene Soave @irene_soave]

anni Venti, un'istantanea (@RichardLayard su @FT)

[Fabrizio Motta @cinghio81]

Much simpler times...

[R.E.M. HQ @remhq]

On This Day: From the Rock ‘n’ Roll Inaugural Ball on January 20, 1993. "One" performed by Automatic Baby at the Washington Convention Center.
https://t.co/EzDOUCsG7L

[Fabrizio Motta @cinghio81]

@marco_vergano I agree, in emergency gotta act fast and achieve symptom control asap, trying to communicate as we act, especially in the home setting where relatives are right there with you. Glad we got to discuss this, hope to see you again soon

[Fabrizio Motta @cinghio81]

That's how palliative sedation should NOT be done. Wrong drug, wrong communication, wrong preparation. Seriously, if anyone even remotely believes that this is palliative sedation I am not surprised that lots of colleagues think it's the same as euthanasia...

[Marco Vergano @marco_vergano]

Beautiful (and brutal) piece about palliative sedation

[Fabrizio Motta @cinghio81]

@MichiIntrona @marco_vergano Thank you!

[Fabrizio Motta @cinghio81]

@marco_vergano Btw, I'd love to talk about this in person, or over the phone, even in Italian if you want... Hahaha

[Fabrizio Motta @cinghio81]

@marco_vergano I agree on that, that's why PS discussion should be as early as possible, especially when refractory symptoms are expected

[Fabrizio Motta @cinghio81]

@MichiIntrona @marco_vergano I don't have experience with propofol, as we can't use it in hospice and especially home hospice setting. TCI pumps would be very helpful, but we often use less controlled systems, even subcutaneously when an IV access is not available

[Fabrizio Motta @cinghio81]

@marco_vergano I don't consider that euthanasia, i just think that a badly done and badly explained PS makes people confuse it with euthanasia. And in Palliative Care communication is not an optional, it's as important as the drugs

[Fabrizio Motta @cinghio81]

@marco_vergano I don't think it's about being picky, but these articles are very dangerous because they can't nvey the idea to the general population (and even worse to the healthcare professionals) that palliative sedation is just a more elegant way to say euthanasia

[Fabrizio Motta @cinghio81]

@marco_vergano And many more reasons...
https://t.co/U0RylGMVHo

[Fabrizio Motta @cinghio81]

@marco_vergano Morphine has never been the drug of choice for palliative sedation, midazolam is. Morphine should've been titrated to control pain/breathlessness not administered randomly. Sedation isn't unilaterally decided by the MD, it's a shared decision by the healthcare team w/ the patient

[Fabrizio Motta @cinghio81]

That's how palliative sedation should NOT be done. Wrong drug, wrong communication, wrong preparation. Seriously, if anyone even remotely believes that this is palliative sedation I am not surprised that lots of colleagues think it's the same as euthanasia

[Fabrizio Motta @cinghio81]

Le Cure Palliative durante il Covid. Grazie @marisozzi https://t.co/T39b2TsKGJ

[Fabrizio Motta @cinghio81]

I also got "He's not in pain so he does not need Palliative Care"... #hapc

[Fabrizio Motta @cinghio81]

Assessing Caregiver availability, training and supporting him/her are the biggest tasks a Home Palliative Care has to face. Experience and teamwork make the difference in this very hard but highly rewarding task #hpm

[Leslie Blackhall @BlackhallLeslie]

My patients and their families are often shocked when they realize how little help there is for caregiving and how much is expected of family members. This is only getting worse and is not sustainable https://t.co/DPvugKixDL via @voxdotcom

[Fabrizio Motta @cinghio81]

"We turn on the lights to see if it's dark" = #Palliative Care research at its best #hapc #hpm

[Tony Duffy @Existential_Doc]

Palliative care research
A light hearted approach