Meredith Levine

My experience is that clinicians believe they have to get a court involved to give them permission to remove a bad actor. They are acting from a position of fear.

Every flight I’ve taken for the last few months has been horribly delayed. It’s been such a drag.

This is one reason I miss Portland

New York's MAID Law Earns Only a B- Grade Last year, in this JAMA article, I evaluated the accessibility of MAID in statutes and bills from more than 20 U.S. jurisdictions. I evaluated them along four dimensions: (1) types of clinicians authorized, (2) length of waiting period, (3) state residency requirements, and (4) transparency of conscience based refusals.   Using these criteria, I recently awarded Delaware's Ron Silverio/Heather Block End of Life Options Law a B grade. While not yet finally approved, I now award New York's Medical Aid in Dying Act a B- grade. Interestingly, its strengths and weaknesses are the opposite of Delaware's.     Clinicians: New York earns an D on this measure. Unlike most West Coast MAID states that permit APRNs or PAs, New York permits only physicians to participate with providing MAID.  Residency: New York earns an A on this measure. Like Oregon and Vermont, New York does not require state residency. But this requirement may be short lived in other states. Its constitutionality is being evaluated right next door in New Jersey by the U.S. Court of Appeals for the Third Circuit. And an identical case is pending in the U.S. District Court for the District of Colorado. Waiting Period: New York earns an A on this measure. Like most West Coast MAID states, New York eschews the traditional 15-day waiting period between separate requests for MAID. Significant data shows that many patient cannot wait that long. Transparency: New York earns a D on this measure. Unlike California, Colorado, and Washington, New York does not require opting out facilities to provide notice to the public. 

ICYMI:

"As a society, we must invest in the well-being of vulnerable older adults."

This Viewpoint explores how long-term care planning and essential community resources can benefit older adults who wish to stay in their homes. ja.ma/4juQj8D

Thank you for presenting with us!

We discuss how Trauma-Informed Care can be applied to home visits & End Of Life Care for Older Adults, the universal nature of trauma, and the need for a consistent approach. Guests Mariah Robertson, Kate Duchowny, & Ashwin Kotwal.

Ep bit.ly/GeriPalEp344 - hosted by Drs. Alex Smith and Eric Widera

Thank you for writing and sharing this beautiful tribute to Milo and reflecting on the different types of grief your family experienced while saying goodbye. I hope you will update us in a few months about how you’ve chosen to do good in his memory.

I was a #refugee. English was my 2nd language. I am an #NIH funded #physician-researcher who believes in science & human compassion. I am a #childlesscatlady. I am well aware that I am everything this administration hates, and I have no intention of going quietly into the night. #medsky

"Health disparities research" is a field of study where researchers look at how things like race, ethnicity, gender, socioeconomic status can influence health outcomes. Now any gov't website about this says "page not found".

This is a dystopia that I did not imagine that we'd be living through.

BMJ Christmas edition: MOCA scores of different large language models.
www.bmj.com/content/387/...

“Do not mourn the dead too much who bear no knowledge, have no need or fear of pain, and who never again must see death come upon what does not wish to die” - AR Ammons

Welcome to Medicare: Now draw a clock. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

A Venn diagram of Palliative and Hospice Care. It shows each service’s distinct aspects, as well as their shared qualities in the middle.

One of the barriers to getting #palliativecare involved earlier in a patient’s care is the mistaken assumption that Palliative & Hospice are the same. While they share qualities, they are quite distinct. This Venn diagram is helpful!

#medsky #hapc #mythbustinmonday
#spiritualcare

This is great - we need HCPs included in medical records. The onus is often placed on families to try to locate copies. I often see this in the midst of an older adult experiencing a medical crisis, and the family is already feeling overwhelmed.

This was flagged as adult content! I love Archipelago Books, btw

Dr Phil will be nominated for which position?

But was Dr. Rivera also a celebrated tv host?!

Dear followers,
If you can help... LIKE and REPOST.
Many thanks!

#PalliativeCare #HAPM #HPM #HAPC #Hospice

This is the third tv host he’s appointed 👍🏻

Good to see you here. I think we’ll start to see more journals joining

Would love to be included!