Literature Review

Instead of an elegy for my dying brother Santa Cruz Sentinel, by Stephen Kessler; 3/31/24Week before last I wrote about my elder brother Bruce, the racing driver, film director, deep-sea fisher, boat designer and global circumnavigator, who was on the last laps of his extraordinary life. ... I found him at home in hospice care, in a hospital bed by the big slider off the balcony in his seventh-floor apartment in Marina Del Rey with a lovely view of the marina and all its pretty white boats with their slender masts afloat on the dark-blue water. ... 

[Maine] Senate backs safe staffing bill with aim to increase patient safety, decrease nurse burnout Main Morning Star, by Lauren McCauley; 3/27/24 If passed, Maine would be the second state in the country to institute nurse-to-patient ratios. ... Sen. Stacy Brenner (D-Cumberland), who sponsored the bill, shared with the chamber her experience as a nurse and how the stress of being understaffed can contribute to burnout and what she described as “moral distress.” ... Brenner said the bill accomplishes two goals: increasing patient safety and increasing nurse retention. 

Sometimes it is the people no one can imagine anything of who do the things no one can imagine. - Alan Turing

Should we be using palliative care for scleroderma? The Medical Republic, by Karina Bray; 4/2/24Almost three-quarters of systemic sclerosis patients could benefit from specialist palliative care, according to Australian research. The first-of-a-kind study, published in Arthritis Care & Research, set out to examine and quantify the need for palliative care to address high symptom burden as an integrated part of systemic sclerosis management. ... “Almost 75% of SSc patients may benefit from specialist palliative care input to manage specific severe symptoms, and the overlapping nature of such symptoms highlights the complex symptom management needs of SSc patients,” the authors wrote. 

Global Medical Tourism Report 2024: Numbers, prospects and problems Business Wire; 4/1/24 Medical tourism has been touted as the next big thing for many years. ... Medical tourism refers to the practice of individuals traveling across borders to receive medical treatment or healthcare services. ... This global phenomenon has gained significant traction in recent years due to various factors such as cost savings, high-quality healthcare facilities, and accessibility to advanced medical treatments. Editor's Note: The term "medical tourism" appears increasingly in our searches for newsletter articles. Become familiar with this practice as it applies to the patients your organization serves.

Hospital struggles to restore MyChart months after cyberattack Becker's Health IT, by Giles Bruce; 4/1/24 Lurie Children's Hospital of Chicago is still trying to restore its MyChart patient portal two months after a cyberattack took its systems offline. ... The organization was struck by a "known criminal threat actor" and disconnected its IT and phone systems Jan. 31. A hacking group later claimed it sold the hospital's data for $3.4 million. Lurie Children's has since restored its phones, email and EHR, but has been working to reinstate MyChart for weeks.

Some prepaid funeral expenses to southern Colorado funeral home being investigated CBS TV 11 News, by Melissa Henry; 3/29/24A man and his wife wonder whether or not they will ever get more than $7,000 dollars back for prepaid funeral expenses after paying Return to Nature Funeral Home. Jon and Carie Hallford are at the center of an investigation in which they are accused of abuse of a corpse, money laundering, theft, and forgery after officials say 189 bodies were found improperly stored at a building tied to the couple’s business in Penrose.

FTC continues to challenge $320M Novant, CHS deal Becker's Hospital Review; by Naomi Diaz; 3/29/24The Federal Trade Commission filed court documents on March 25 seeking a preliminary injunction to bar Winston-Salem, NC-based Novant Health from its $320 million acquisition of two North Carolina hospitals from Franklin, TN-based Community Health Systems. According to court documents filed in the U.S. District Court for the Western District of North Carolina, the FTC alleged that Novant Health's proposed acquisition ... would "irreversibly consolidate the market for hospital services in the Eastern Lake Norman Area in the northern suburbs of Charlotte."

Palliative and hospice care in hospitals and clinics: the good, the bad, and the ugly MedPageToday's KevinMD.com; by Earl Stewart, Jr., MD and Miguel Villagra, MD; 4/1/24 I walk into the patient’s hospital room during evening rounds. He looks pale and tired, having recently completed a round of chemotherapy for his stage IV pancreatic cancer. His wife is at the bedside, scared and concerned about her husband’s rapid decline. I sit down to discuss goals of care when the patient immediately says, “I can’t do this anymore.” His wife responds immediately to the patient: “Of course you can.” ...

“Personhood,” not “Patienthood”:  Tips on dignity-conserving practice in palliative careIAHPC, by Kim Adzich, MD; 4/1/24 One of Dame Cicely Saunders’ foundational tenets of palliative care is embodied in her words, “You matter because you are you, and you matter until the last moment of your life.” Dignity is the inherent worthiness of being human, of mattering until that last breath. But how do we ensure that we reflect that inherent dignity back to those in our care? Dr. Harvey Max Chochinov, having dedicated decades to researching and teaching dignity-conserving care, ... [offers] a few thoughts on how we can foster that sense of dignity and uniqueness in those we care for as they near the end of life. 

Autism & Grief Project helps autistic adults navigate death and lossCision PRWeb, by Autism & Grief Project; 4/1/24 Launched by the Hospice Foundation of America and supported by the NLM Family Foundation, the project bridges resource gaps for adults on the autism spectrum. The Autism & Grief Project is an online platform supporting autistic adults as they navigate the complexities of grief arising from death and loss. Visitors can access free resources for adults, their families, professional support providers, and clergy members: austismandgrief.org.

Cancer patients often want ‘one more round.’ Should doctors say no? The Washington Post, by Mikkael A. Sekeres, MD; 3/31/24 My patient was in his early 30s and his leukemia had returned again following yet another round of treatment. He was a poster child for the recently reported rise in cancer rates in the young, and had just asked me what chemotherapy cocktail I could devise for him next, to try to rid him of his cancer. I hesitated before answering. Oncologists are notorious for always being willing to recommend to our patients one more course of treatment, even when the chances of success are negligible.  

Interruptions: Bad for hospitalists and their patientsThe Hospitalist, by Larry Beresford; 4/1/24More than 10 years ago this magazine published an article by Winthrop Whitcomb, MD, MHM, a pioneer of hospital medicine and co-founder of the Society of Hospital Medicine, warning of the hazards of workflow interruptions for hospitalists, which he labeled a career satisfaction issue for clinicians but a safety and quality risk for their patients. A decade later, the problem has surely gotten worse as hospital financial pressures and staff shortfalls push caseloads higher and job stresses drive burnout and premature retirement for doctors who have been pulled in too many directions in their work.