Articles & Stories

Fatigue is one of the most common symptoms in patients with serious illness. While patients with any disease can experience fatigue, it has been found in as many as 90% of patients with advanced cancer. Fatigue has three main clusters of symptoms: becoming easily tired and reduced ability to maintain performance; generalized weakness; and mental fatigue, including decreased ability to concentrate and memory loss. … Read More

Physicians describe delirium as a medical condition that causes a patient’s mental status to shift back and forth (sometimes explained as “waxing and waning”). Caregivers often think of it as when their family member seems “not themselves,” either in the hospital or after they come home. Sometimes a family member who is seriously ill seems upset, agitated, combative or even psychotic. They may see things that aren’t there or mumble in ways you can’t understand. They may try to climb out of bed or want to walk without assistance, despite being very weak. Other times a family member may seem sluggish, confused or very sleepy. They may not respond to you, or may fall asleep in the middle of a sentence. All of these behaviors can be signs of delirium. … Read More

Rosemary Gibson is author of The Treatment Trap, How the Overuse of Medical Care Is Wrecking Your Health and What You Can Do to Prevent It.

Seventy million CT scans, sometimes called CAT scans, are performed every year. These and other diagnostic imaging tests provide valuable information to doctors about your medical condition and the treatment that is best for you. … Read More

In recent decades many improvements have been made in diagnostic imaging with tests such as CT scans.  They help doctors diagnose serious disease and enable you to receive appropriate treatment.  You can partner with your doctor to ensure you receive only the tests that will benefit you. … Read More

Q. What is an unnecessary surgery?

A. A surgery is unnecessary if it does not have a clear advantage over a less risky alternative. It occurs when an operation does not represent a greater benefit to the patient and he or she will not be better off. … Read More

Many patients with serious illness experience shortness of breath, a symptom that health care professionals call “dyspnea.” Dyspnea can be very frightening to patients and their families. There are literally hundreds of reasons why someone may feel short-of-breath, some more serious than others. The most common causes are due to a problem in the lungs such as pneumonia, bronchitis or emphysema. But problems in other organs including the heart, kidneys or liver can also lead to the sensation that it is hard to breathe. Examples of other common problems that can lead to shortness of breath include anxiety, panic attacks, anemia and even constipation. … Read More

Pain can enter your life for various reasons. Perhaps you have had pain for brief periods due to surgery or an accident – or maybe your pain is more chronic in nature, due to back problems, diabetes or arthritis. … Read More

The Intensive Care Unit can be an intimidating place for families and loved ones. If your loved one is in the ICU, ask for a family meeting. The team will meet with your family to discuss the condition and care of your loved one. … Read More

Many patients facing serious illness suffer from extremely distressing symptoms. Sometimes the only way to provide relief is through sedation. Learn answers to some of the most basic and commonly asked questions.

Q: What is Palliative Sedation?

A: Palliative sedation is a way to minimize pain in seriously ill patients that cannot be relieved in any other way. An infusion of a sedating drug is provided to a point where the person appears to be comfortable and the distressing symptoms are relieved. … Read More

Quality of life issues are getting such focus in medicine these days that it’s easy to assume things were always this way. They weren’t. Patient-centered care was uncommon in most hospital settings even a decade ago.  In the final part of my interview with Dr. Diane Meier, we talk further about the role of palliative care in medicine both now and in the future.
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