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Melissa Gaines MD FACP

@mgaines1978

Internal Medicine and Hospice and Palliative Care specialist, world traveler, wife, mother, daughter, and a recovering Pharisee

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13.03.2024
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Latest posts by Melissa Gaines MD FACP @mgaines1978

#hapc
#hapcSOTS23
#HAPCselfie
#HPMparty
#HAPCbaby
#HAPCfoodie
#hpmClassof23
#hapcRookie23
#pedPC
#pallonc
#palneph
#palCV
#Neuropal
#LiverPal
#PrognosisScience

19.09.2025 01:53 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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The Soft Surrender - Trailer This is "The Soft Surrender - Trailer" by Randy Bacon on Vimeo, the home for high quality videos and the people who love them.

vimeo.com/1110046265

19.09.2025 01:53 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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The Soft Surrender Red Carpet Premiere | Gillioz Theatre In "The Soft Surrender," noted filmmaker and photographer Randy Bacon intimately captures the poignant journeys of hospice patients and their caregivers revealing the unexpected beauty, love, hope, pe...

gillioztheatre.com/event/the-so...

19.09.2025 01:49 πŸ‘ 0 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0
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Trailer for β€œThe Soft Surrender” by Randy Bacon.

vimeo.com/1110046265

#hapc
#hapcSOTS23
#HAPCselfie
#HPMparty
#HAPCbaby
#HAPCfoodie
#hpmClassof23
#hapcRookie23
#pedPC
#pallonc
#palneph
#palCV
#Neuropal
#LiverPal
#PrognosisScience

27.08.2025 01:50 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Rocky Mountain Medicine CME Event

Dustin & I have registered and have made our travel arrangements. This is a half day of CME then we are planning a horseback ride and hiking! Bicycle trails are available for all! @ACPMissouri @ACPIMPhysicians @CoxHealth @KUSM_Wichita #cme #health. gcms.us/meetinginfo....

23.03.2025 23:47 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Improving quality of life and end-of-life care: Standardizing goals of care notes in EHRs It is important that a healthcare team is aware of and understands a patient’s goals of care, both medical and personal. But that information, if documented, typically is not placed in a standar...

Improving quality of life and end-of-life car | EurekAlert! www.eurekalert.org/news-release...

23.02.2025 18:53 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Dr Greer describes the pivotal #REACHPC trial showing that #telehealth πŸ’» delievery of #pallonc improves symptoms while increasing access. Amazing to see this grace the Plenary stage of both @aahpm.bsky.social #hapc25 AND @ascocancer.bsky.social #ASCO24. My #supponc heart is full ❀️

07.02.2025 16:32 πŸ‘ 6 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0

Congratulations! Go chiefs!

08.02.2025 18:11 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I want to ask young vs older adults about communication from an Avatar or AI vs video person vs in the room person alas I am not a research expert.

08.02.2025 18:10 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I thought it was funny that the map showed the sight in SW Kansas? 🀣

07.02.2025 22:58 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

We can always invite you to speak again!

01.02.2025 20:49 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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17.08.2024 22:03 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Ageism and Elections: Louise Aronson and Ken Covinsky On this week's podcast we discuss Ageism and Elections with guests Louise Aronson and Ken Covinsky.

Ageism & the elections.Β People are feeling conflicted.Β On one hand, they have concerns about cognitive fitness of candidates for office.Β On the other, they worry about ageism.Β We discuss on this weeks podcast
geripal.org/ageism-and-e...

17.07.2024 16:33 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Lost in the ongoing Trumpapalooza is the excellent news that a malaria vaccination developed at Oxford Univ. over the last 30 years and costing only Β£3 per shot is being unrolled in malaria-prone countries. If it fulfills its promise, this will make an enormous difference to so many lives.

14.07.2024 14:16 πŸ‘ 3725 πŸ” 1140 πŸ’¬ 32 πŸ“Œ 50
Ask Your Representative to Support the Save Medicare Act Medicare Advantage, the privatized option for Medicare, is rampant with fraud and overspending. These private insurers are using billions of dollars of government funding to increase their own profits...

The privatized option for Medicare (Medicare Advantage) is rampant with fraud and overspending that threatens the future of traditional Medicare. Private insurers shouldn’t be able to take billions of dollars in government funding just to increase their own profits.

01.04.2024 21:25 πŸ‘ 11 πŸ” 12 πŸ’¬ 3 πŸ“Œ 0
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Many guidelines about improving communication in the ICU.

I really appreciate this slide showing the idea of clinical inertia in the ICU. From Kruser et a 2017 www.ncbi.nlm.nih.gov/pmc/articles...

#hapc #hapc24 #medsky

23.03.2024 15:57 πŸ‘ 4 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
Bed in direct view of the bathroom commode

Bed in direct view of the bathroom commode

A terry cloth poncho worn by a nurse to demonstrate bathing techniques.

A terry cloth poncho worn by a nurse to demonstrate bathing techniques.

Various feeling blankets and apron’s for occupational therapy and walker for sizing and demonstration

Various feeling blankets and apron’s for occupational therapy and walker for sizing and demonstration

Thankful for touring Hospice of the Valley #Dementia Campus during #hapc24 Design bedroom with the bed in direct view of commode, terry cloth poncho for bathing, #occupational therapy model room to teach ADLs with caregivers. Use warm rice pack to hold in hands, heated room, blow bubbles #hospice

23.03.2024 15:29 πŸ‘ 4 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
Dialectical thinking is 2 things that seem opposite can both be true at the same time. There are always multiple ways to see something and to solve a problem. Change is the only constant and can move between acceptance and change.

Dialectical thinking is 2 things that seem opposite can both be true at the same time. There are always multiple ways to see something and to solve a problem. Change is the only constant and can move between acceptance and change.

Writing a certain narrative can push us into single story which is dangerous for resilience.

Feel seen, validated in challenges and motivation to improve.
Say to yourself-
β€œI don’t like what is in front of me but I have to function/work within it while trying to change it.” #hapc24

23.03.2024 15:18 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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More great outpatient Palliative Care Talks today #hapc24 @ctsinclair.bsky.social

21.03.2024 22:04 πŸ‘ 9 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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Decisiontree for #hospice relatedness regarding interventions and remember to pay the Medicare allowable price if covered. #hapc24

21.03.2024 21:01 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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#hapc24 antiplatelet & anticoagulant decision tool for #palliative patients with 3 month or less prognosis

21.03.2024 17:52 πŸ‘ 6 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Plenary #hapc24 β€œMany times we talk about the glory, but don’t know the story.”

21.03.2024 16:08 πŸ‘ 5 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Watching the storm roll into #phoenix Wednesday after a day of #hospice updates at #hapc24 the lightning was crazy!

21.03.2024 14:57 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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CoxHealth's 36th Annual Geriatric Conference Please join us for the 2024 CoxHealth 36th Annual Geriatric Conference. We have a fantastic line up of speakers!

Join us virtually for the conference. We have a panel discussion about #Parkinson’s disease #geriatric #virtual
www.eventbrite.com/e/coxhealths...

14.03.2024 17:25 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Excited to attend #hapc24

13.03.2024 23:03 πŸ‘ 7 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0