One Year Update, a Rant, and an Invitation

Today marks the one-year anniversary of the official launch of Integrated MD Care (IMDC.)  The practice actually began a few months earlier, when I was still hedging and working at my “job,” but on January 1, 2016, I gave up that safety net and went all in, trusting that people would recognize the benefits of … Continued

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Playing First Base for the Yankees

“Have I told you what I’ll be doing after I die?” she asked me. “No,” I replied. “In the afternoons I’ll be playing first base for the Yankees and in the evenings I’ll be first violinist for the Philharmonic Orchestra.” “That sounds pretty wonderful,” I said. “What will you do in the mornings?” “I’m not … Continued

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There Are Alternatives to Nursing Homes

My mother made me promise that I would never force her to live in a nursing home.  Years before, she made the same promise to her mother.  I grew up with the perception that nursing homes are sad, lonely places where old or sick people were deposited when they had no one to take care … Continued

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Jack Fell Down

The following is a story I wrote a few years back, when I was still practicing as an ER doctor. Clearly, the palliative care/hospice perspective was coming through even then. Last night I helped a family make a very difficult decision.  It was obviously the hardest decision they had ever made, and it was my … Continued

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Have The Difficult Conversations Now, While You Still Can

I was recently involved in a case that demonstrated how critically important it is to talk with your loved ones about what you would (or wouldn’t) want if you became ill or injured and couldn’t make decisions on your own. Accidents happen and illness can strike anyone, at any age.  Setting aside some time to … Continued

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