horrible. this country’s turn away from science based medicine in the name of “wellness” is killing children and will kill a lot more. www.propublica.org/article/more...

In case you’re wondering, this is me confirming that I can’t do my job without every single type of these professionals.

<Favorite Rant> You won't be the person who filled out that form. With CMS proposing to tie payment to ACP documentation, we risk measuring paperwork instead of preparation. And preparation is what families actually need when decisions get hard. #PalliativeCare #HAPC #ACP

There was zero productive conversation across divides. That was an obvious lie. In reality, this was a safe space for MAGA disinformation agents to deceive the public.

HAPPENING NOW: Tim Heidecker delivers an update on the future of InfoWars and takes calls from viewers including President Donald J. Trump.

We’re afraid to talk about prognosis because we think it destroys hope. The data say the opposite. Silence does the damage. Hope survives honesty. What patients fear most is abandonment. Thread 🧵⬇️ #PalliativeCare #MedTwitter #SeriousIllness

NGC 4826 - From Judy Schmidt (geckzilla.bsky.social) - https://flic.kr/p/2iEerHS

#AI won’t de‑skill #palliativecare. But it will reveal what we never trained for. Everyone’s arguing about whether AI erodes clinical mastery. That question lands very differently if your core work isn’t pattern recognition.

Got a chance to listen to the new @ama-assn.org podcast today and I think it’s a hit! Quick, well structured, well produced and taught me a few things about protein-maxxing (as the whippersnappers say).

San Diego Hospice didn’t fail because Medicare wanted money back. It failed because leaders made irreversible decisions before they had a number. That distinction matters for palliative care.

Congratulations to Dr. Ian Neel and his co-authors on officially being the first publication in the Proceedings of the @ucsdhealthsci.bsky.social Department of Medicine via @cureusmedical.bsky.social! First but not the last! Cc @ucsdggpc.bsky.social #Geriatrics #Dementia

Since today is First Contact Day (the day in Star Trek when humans meet their first aliens, Vulcans) it’s worth talking about that story a bit and how it can inform our analysis of Artemis. This involves a lot of spoilers from the film Star Trek: First Contact 🖖🏽 en.wikipedia.org/wiki/Star_Tr...

The only thing that has ever made me want to be President is my now-recurring fantasy of personally and manually tearing all of this down.

Despite being assigned a #SadHands photo, I’m thrilled that @statnews.com published my OpEd. “As a #palliative care physician, I’m nervous about the Medicare infusion of $100 million for ‘functional or lifestyle medicine’” www.statnews.com/2026/04/09/p... #HAPC #PalliativeCare

#PalliativeCare lives where certainty goes to die. That’s our strength. It’s also our greatest vulnerability. When medicine pretends there’s no mystery, people flee. When we treat mystery as sacred knowledge, we become a sect. That tension is reshaping serious illness care right now. 🧵

NASA isn't why the US doesn't have universal healthcare, or a social safety net. The US doesn't have those things because politicians with the power to provide them choose specifically not to (with varying levels of support from voters). Enthusiasm for human spaceflight doesn't drive that choice.

Hospice was never built for kids. And every night, families are absorbing the consequences of that design choice. 🧵

If you've been following Artemis II obsessively, you really need to read the Lady Astronaut books by @maryrobinettekowal.com You really do. They are amazingly thorough and accurate about space flight (no, really...you will learn so much!) and also super entertaining w/ deep characterizations. 👩‍🚀 🚀