Academic Hospitalist & Hospice and Palliative Medicine Specialist @siusom. Hospice Medical Director. Husband. Dad to 4. Tweets mine
Springfield, IL
Joined November 2013
- Tweets642
- Following3.3K
- Followers915
- Likes3.3K
Jake Varney retweeted
Wonderful piece by Dani Chammas
We've all had patients with serious illness who joke. Should we laugh with them? Does it help them to cope, or feed into denial? Do we need to be serious because the illness is serious?
nejm.org/doi/full/10.1056/NE…
Jake Varney retweeted
Another great 🔥 Updates in Hospital Medicine at #SHMConverge25 - check out the key takeaways, and stay tuned for a more in depth look at the articles. @SocietyHospMed
Jake Varney retweeted
Yesterday, Rubio terminated 5800 USAID contracts – more than 90% of its foreign aid programs – in defiance of the courts.
Here’s a list of just some of the lifesaving awards that were terminated. Nearly all were Congressional mandated. They've saved millions of lives. 🧵
Jake Varney retweeted
"Suffering" is something that needs to be defined by patients (or family), but NOT by clinicians.
Don't say "He/She is suffering" lightly.
It's not for you to decide that.
Jake Varney retweeted
"If you get stronger, we can do further chemo."
This statement is (almost always) true.
But if we think it is unlikely that the patient could "get stronger", probably, the better statement is
"It is unlikely we can do further chemo."
Jake Varney retweeted
We've all been there: a Saturday on call in the hospital, with a list of 30 patients to round on 😵💫
Ward rounding can seem like an endless task - but it doesn't have to be! ⏰
Here are my top 10 tips for ward rounding efficiency 🧵-
Jake Varney retweeted
🎨No better crew to envision a new paradigm in #PalliativeCare than this @Cambia Sojourns crew led by Rachel Rusch & David Wu➡️check out our new @PalliativeMed_j paper: liebertpub.com/doi/10.1089/j… FYI: @pallstoryex @releiter @AlexisDrutchas @lpelzek @CAJonesMD @barbaralnjones
Jake Varney retweeted
If you see an observational study where the drug works immediately for a disease that takes years to develop, throw the study out. Like this study claiming Ozempic reduces risks of Alzheimer’s in diabetics within 30 days of initiation. Junk science
alz-journals.onlinelibrary.w…
Jake Varney retweeted
We’re waiting on pins and needles for @MSpikerMD’s video on chemotherapy induced neuropathy📌
Review the infographic below or at imfastfacts.com!
#MedTwitter #MedStudentTwitter #FastFactsFriday
Jake Varney retweeted
💻@AmericanCancer and CAPC Webinar 'From Early Access to Effective Scaling: The State of the Science in Innovative Palliative Care for Oncology' on July 24 with @ramsedhom, @JuliaFrydman and @MDRoeland
🔗bit.ly/4bDvDHr
CAPC is thrilled to be collaborating with the American Cancer Society to support equitable access to high-quality palliative care services for people living with cancer, and their caregivers.
OPEN TO ALL, register on the ACS website.
Jake Varney retweeted
The Palliative Performance Scale (or PPS) is the MOST used prognostic index on ePrognosis but poorly calibrated (likely b/c developed when PC was "brink of death"). @kara_bischoff published modern validation in JAMA NO and updated ePrognosis.
jamanetwork.com/journals/jam…
eprognosis.ucsf.edu/pps.php?…
Jake Varney retweeted
What an amazing & inspiring 3 days @CancerCareMASCC #MASCC24!
The biggest takeaway from #MASCC24 for me: supportive care IS cancer care, the same as chemotherapy, radiotherapy, immunotherapy, surgery. AND patient/family-centred care must always be at the heart of what we do.
Jake Varney retweeted
Does oncologic treatment for very advanced disease improve survival?
1⃣The study analyzed 78,446 adult patients with six common metastatic solid tumors. It found no significant survival benefit for patients receiving more systemic therapy for very advanced cancer.
2⃣There was no significant difference in survival between patients treated with high and low levels of systemic therapy. Oncologists should focus on honest communication about prognosis rather than offering additional therapy.
3⃣Efforts should help oncologists recognize when additional therapy is futile, improve communication about care goals, and align payment with better end-of-life care. Redirecting funds to home care and hospice services could enhance patient and caregiver satisfaction.
@JAMAOnc @ASCO @myESMO @OncoAlert @tmprowell @NCIDirector @VincentRK @DrChoueiri @GlopesMd @ASCOPres @AmerCancerCEO @FAndreMD #cancer #oncology
doi:10.1001/jamaoncol.2024.1129
Jake Varney retweeted
The length of time to death for most patients once they are comatose or barely rousable is 2 days. However, this study highlights the importance of clinicians acknowledging and conveying uncertainty in prognostic accuracy. #hpm #hapc #palliativecare buff.ly/3WXQzoV
Jake Varney retweeted
Orthostatic Hypotension in Adults With Hypertension: A Scientific Statement From the AHA
Risk stratified by drug class 👇
Jake Varney retweeted
Happy to share our @ASCO E-Book Chapter
"Tumor Is Not the Only Target: Ensuring Equitable Person-Centered Supportive Care in the Era of Precision Medicine" ascopubs.org/doi/10.1200/EDB…
Ft: @jillfeldman4 @fischmd @guptaarjun90 @RonitElk @EnriqueSoto8
Highlights below:
Jake Varney retweeted
Daily recommendation #Palliativecare
Credits to @JakeVarney02 and @realbowtiedoc
pubmed.ncbi.nlm.nih.gov/3214…
@lpetrillz did a phenomenal summary showing that late #IO didn't improve quantity or quality of life but were more often used in ECOG 2+ vs cytotoxic therapy.
Jake Varney retweeted
@lpetrillz did a phenomenal summary showing that late #IO didn't improve quantity or quality of life but were more often used in ECOG 2+ vs cytotoxic therapy.
Jake Varney retweeted
New ASCO Guideline on Palliative Care for Patients with Cancer ascopubs.org/doi/full/10.120…
1. Early referral to SPECIALIZED PC leads to improved QOL, mood, higher likelihood of documenting EOL preferences
2. PC teams are fundamentally interdisciplinary
3. PC benefits caregivers emotionally/psychologically
4. Referral should be "timely" - do not wait until cessation of therapy
5. PC helps pts with hematologic malignancies and those on phase I trials
Jake Varney retweeted
I want to emphasize the early integration of palliative care. Research indicates it significantly improves QoL & well-being, and some studies suggest potentially extending survival. Patients on the road to cure need palliation of symptoms just as much as those w more adv. cancer.
Just issued: Guideline update on #palliativecare for patients with cancer.
Read more: brnw.ch/21wJOHj #pallonc #supponc