17 Comments
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John Stiller's avatar

Nice. You nailed it: “It also means they are receiving the right care in the end—meant to prolong comfort, not suffering.”

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Jeremy Faust, MD's avatar

And on top of that, palliative care sometimes *prolongs life (with comfort), which surprised me.

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John Stiller's avatar

I recall that study and also was pleasantly surprised. I am sure you have read Atul Gawande’s article “Letting Go” on palliative care published in the New Yorker some years ago.

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Jeremy Faust, MD's avatar

Yes. And we will get Atul on here for a Q&A in the coming months!

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John Stiller's avatar

Great

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Michael DAmbrosio's avatar

Your piece in Slate on Ali as fantastic.

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Mary's avatar

Thoughtful articles, both this one and the one you wrote for Slate about the peaceful passing of Muhammad Ali.

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carol Winetsky's avatar

terrific piece on a difficult but very important subject!!

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Jeremy Faust, MD's avatar

Thank you!

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Bryan Sean McKown's avatar

At least as to Medicare Hospice, the actual services provide have been expanded greatly over the years going much further than "the last 2 weeks" out to months to include home nursing, real time monitoring, delivery & recordation of meds & most importantly an intimate gathering of friends & family. Also, possible with private insurance in-hospital even in the last stage of multiple system arophy (MSA).

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Jeremy Faust, MD's avatar

So true. It’s now a spectrum of care which benefits patients at different phases.

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Mimi Nolan's avatar

People still equate Hospice with cancer . I’m hoping Jimmy Carters acceptance of Hospice and news anchors’ explanation of what Hospice is can change the public’s interpretation.

As a hospice nurse for 17 years it amazes me that people continue to not understand the concept of hospice and palliative care .

Thank you for the article .

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Anubeion's avatar

Yes. The "Good Death". Death with dignity, family, and home.

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Jeremy Faust, MD's avatar

The thing that gets me is that gulf between how many want to die at home and how few (still) do.

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Anubeion's avatar

Lots of avoidance and fear.

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Andrew Greene's avatar

Putting on my data-visualization hat, I think reducing this to a pair of pie charts does your readers a disservice. I clicked through on the "data" link and the line chart in Figure 1 there both contained more information and presented it in a much more impactful way.

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Jeremy Faust, MD's avatar

Yeah maybe the line graphs are better.

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