Paul S

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

[Palliative Care Program MCW @CareMcw]

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

[Palliative Care Program MCW @CareMcw]

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

[Paul S @postscriptmd]

Interested in more great talks?
Want to visit balmy WI?
Join us for the Great Lakes PC Conf May 4-5 https://t.co/iMtQ6wCqpq #hapc #hapc23

[Palliative Care Program MCW @CareMcw]

You ready for this?! @alexjbear and @KatieRecka in 513def at 230 #hapc #hapc23

[Paul S @postscriptmd]

@VarunPhadke2 @threadreaderapp unroll

[Paul S @postscriptmd]

@PaulNWilliamz @threadreaderapp unroll

[Paul S @postscriptmd]

@YihanYangMD @threadreaderapp unroll

[Paul S @postscriptmd]

@JenniferSpicer4 @VarunPhadke2 @MedEdTwagTeam @CLOSLER @COREIMpodcast @GoldFdtn @HollyGoodMD @MohitHarshMD @AnandJag1 @jenreadlynn @CPSolvers @SarahGoglinMD @threadreaderapp Unroll

[Paul S @postscriptmd]

@JenniferSpicer4 @gradydoctor @VarunPhadke2 @MedEdTwagTeam @ATSMedEd @ChrisDJacksonMD @GStetsonMD @YihanYangMD @Armstrws @IDSAMedEdCOP @ID_fellows @threadreaderapp unroll

[Paul S @postscriptmd]

@SystemSunday @threadreaderapp unroll

[Paul S @postscriptmd]

@QofLMD Could you send my way as well?

[Paul S @postscriptmd]

@threadreaderapp unroll

[Shunichi Nakagawa @snakagawa_md]

I don't care too much about how we call it (ACP, SIC, GOC, etc).

We just need 3 steps, 1)prognosis--> 2)goals/values --> 3)treatment preferences.

2) depends on 1), 3) depends on 2).

If you are healthy, don't worry about 1) and 3), but still you need to talk about 2).

1/

[Paul S @postscriptmd]

Same.

[Marty Muntz 🟧 @mmteacherdoc]

@PaulNWilliamz 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?

[Paul S @postscriptmd]

@CareMcw @EWidera @GeriPalBlog “What’s in the #hapc syringe…that ephemeral piece…therapeutic presence” @EWidera #greatlakespalliative22

[Paul S @postscriptmd]

@CareMcw @EWidera @GeriPalBlog “The only p-value I’ll present today” 🤣

[Paul S @postscriptmd]

@AdrienneKlement proposing a Unified Definition of what we intend when when we say “Goals of Care” #hapc #greatlakespalliative22

[Paul S @postscriptmd]

@AdrienneKlement discussing the pitfalls of “Goals of Care” #hapc #greatlakespalliative22 @CareMcw @DeptVetAffairs #zablockivamc

[Paul S @postscriptmd]

How do we avoid the pitfalls of the phrase “goals of care” when it is difficult (impossible?) to measure? 🤔 #hapc #greatlakespalliative22

[Paul S @postscriptmd]

“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

[Paul S @postscriptmd]

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

[Paul S @postscriptmd]

1 in 4 caregivers report a negative health impact of providing care to loved ones at end-of-life #hapc #greatlakespalliative22

[Paul S @postscriptmd]

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