Hospice was never built for kids.

And every night, families are absorbing the consequences of that design choice.

🧵

As a palliative care physician, I’m nervous about the Medicare infusion of $100 million for ‘functional or lifestyle medicine’ MAHA ELEVATE could open a federal funding pipeline to interventions that can't survive contact with a plausibility filter.

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

Twitter at the AAHPM Annual Assembly in Austin A website by clinicians dedicated to hospice and palliative care research, news and opinion.

Flashback to 2009 when medical professionals live posting from a national conference was not a thing yet.

Here is the @pallimed.org
post I wrote that made #HAPC09 the fist multi-user live posting medical conference.

#HAPC26 #MedSky

www.pallimed.org/2009/03/twit...

Next talk:

Caring through Complexity: Developing a Palliative Care Opioid and Stimulant Use Disorder Workflow

presented by Nicole Dussault, MD MS

I'm so glad this session has a full hour to unpack this important and complex topic.

#HAPC26

#PalliativeCare

UCSF–Mt. Sinai P01 Dementia Research Grant Renewed for Five Years | Geriatrics A large P01 program project grant collaboration between UCSF and Mt. Sinai, led by Ken Covinsky, MD, MPH, was successfully renewed for another 5 years. This program supports a range of research on…

The UCSF–Mt. Sinai P01 Dementia Research Grant, led by Ken Covinsky, MD, MPH, has been renewed for another 5 years! #geriatrics #HPM #palliativemedicine #ucsf

tiny.ucsf.edu/qRCjhY

A soul filling Day 2 of #hapc26, celebrating #hpm innovations for #dementia patients, connecting with #mentees and fellow #SoMe partners and seeing innovative #pallonc approaches to education. You all fill my cup!

@aahpm.bsky.social
@pallidad.bsky.social
@rabrazzak.bsky.social

Four people outside in San Diego eating lunch at the AAHPM conference

People outside in San Diego smiling

Two smiling people (recent fellowship alumni) standing in front of poster at conference

Stanford HPM Fellowship and team reunion dinner in San Diego

This was a hard week to be Iranian-American. There was also connection, joy, reunions, collaboration w/many incredible hospice & palliative people from across country & world. Soaking up joy alongside sorrow, & hoping to be small part of creating a kinder more compassionate world. #hapc #hpm #hapc26

A big thank you to all the attendees of #hapc26 - your enthusiasm and participation made the conference a huge success! Dive back into the amazing content on the Assembly platform until June 30 and keep the learning journey alive.

So great to see the @capcpalliative.bsky.social crew at #hapc26 @aahpm.bsky.social

Read a summary of the study's results: www.mcknights.com/news/goals-o...

Advance Care Planning: How Can We Improve Access and Uptake? | Podcast | ASCO Publications Dr. Chino welcomes Dr. Yael Schenker to discuss a new clinical trial testing the best way of engaging patients with Advance Care Planning (ACP), the process of understanding personal values, life…

Dr. Yael Schenker was interviewed about advance care planning on the AJCO Oncology Practice Podcast. Listen here: ascopubs.org/do/advance-c...

Title: BRINGING CARE WHERE IT'S NEEDED: IMPLEMENTATION OF TELEPALLIATIVE CARE FOR RURAL HOSPITALS. Title: EXPLORING ONCOLOGIST PARTICIPATION IN AN ONCOLOGY NURSE-LED PRIMARY PALLIATIVE CARE INTERVENTION Title: IT’S NOT THE OPIOIDS - ADDRESSING STIMULANT MISUSE AND USE DISORDERS IN PALLIATIVE CARE AND HOSPICE Title: ETHICAL CONSIDERATIONS FOR END-OF-LIFE CARE FOR PSYCHIATRICALLY INCAPACITATED PATIENTS: A SYSTEMATIC REVIEW Title: PALLIATIVE CARE CLINICIANS' ROLE IN THE FORCED CARE OF PSYCHIATRICALLY INCAPACITATED PATIENTS Title: LEVERAGING POPULATION HEALTH MANAGEMENT TO INCREASE SHARED DECISION MAKING IN KIDNEY CARE Title: EXAMINING ADVANCED CARE PLANNING FOR OLDER ADULTS IN PRIMARY CARE IN A LARGE PUBLIC HEALTHCARE SYSTEM Title: PAUSING BEFORE SURGERY IN ESKD PATIENTS ON HEMODIALYSIS TO ENSURE PATIENT-CENTERED CARE

Coming up! From 5:30 - 7:30PM MT, poster presenters from PaRC and colleagues at the University of Pittsburgh, Childrens Hospital PGH and the UPMC Palliative and Supportive Institute for the first conference poster session! See below for PaRC-affiliated posters at #hapc25 @aahpm.bsky.social

Over 20 chaplains at the #hapc25 annual assembly. Posters, podiums, and conversations to show up for our shared work of caring for people with serious illness. Looking forward to our engagement during this meeting and planning toward the future with our collaborative efforts. #spiritual care

Great turnout at the Early Career SIG homeroom today—thanks to everyone who joined! If you missed the fun, don’t worry—it’s not too late! Join us tomorrow at 4 PM for mentorship speed dating and at 5 PM for a session on jobs, contracts, and career transitions. See you there! #hapc25

Dr. Richard Payne Remembered The Hastings Center’s staff and board of directors are profoundly saddened by the passing on January 3 of their friend, colleague, and trustee, Richard

Hi #hapc25 and #palliative care community; have you heard about Dr. Richard Payne? He was a true pioneer and paved the way for many of us caring underserved patients in #hpm. A pioneer, IDT mentor and so so much more. Let’s learn and celebrate him. www.thehastingscenter.org/news/dr-rich...

Hello #hapc25 👋

If you are new to Bluesky, I made a tip sheet to get familiar with this new platform.

There is actually a growing #hospice and #PalliativeCare group of people here.

When people ask how I do my job because it’s “so sad” I always tell them about how much joy and laughter there is too. Joy is how we survive horrible things. Joy is part of healing. Joy is part of grief and pain. We will need lots of joy and laughter over the next few years. #pedpc #hapc

Topic 2 for #hapc chat:

Please share some of your favorite tips/feeds/accounts/starter packs/whatever for Bluesky with the #hospice and #PalliativeCare community!

#hapc late to introduce myself:patient partner in this end of life space (along with Health Literacy and Shared Decision Making) It was @ctsinclair.bsky.social and the #hpm chat that got me hooked.

Two tūī (New Zealand native songbirds) sit perched atop a desicated flax flower stem, against a blue sky

Hi 👋🏼 #hapc Bluesky folk. I am a nurse academic interested in improving death, dying & bereavement care in emergency 🚑🏥 settings. Nature photography keeps me sane(ish).

Being flexible and embracing uncertainty- this is what we do #hapc community 💕

Hi everyone, I do Outpatient Palliative Care Clinic, Home Based Palliative Care and Home Hospice. I’ve been practicing for 18 years and happy to say that I graduated my fellowship with Holly Yang, I’m sure many of you know her. #HAPC

#hapc chat Topic #1 -

Not counting work or a close personal experience, where have you been seeing #PalliativeCare values, issues, stories popping up?

Blue background with large white Bluesky icon of a butterfly #hapc chat hospice and palliative care Wednesday November 13, 2024 6p PT / 9p ET Inaugural Bluesky #hapc chat

It is 9p ET and time for #HAPC chat! I will be your host for tonight. If you are joining us for the inaugural chat, please introduce yourself and your connection to #hospice and #PalliativeCare

Equity Informed Palliative Care - The No Barriers Here Approach YouTube video by No Barriers Here

Not everyone receives equitable access to #palliativecare or has the opportunity to think about their future care wishes

Discover how the approach is helping us to listen & understand barriers that people underserved by palliative care & wider healthcare systems experience

youtu.be/vyeEFl_DOHo

In advance of tomorrow's inaugural #hapc #hpm SkyChat, a presentation with an alternate approach to encouraging specialists to engage with #palliativeCare www.crowdcast.io/c/1capzp54uc2f. cc @ctsinclair.bsky.social

Twitter is Dead. Long live Bluesky! Learn how to Bluesky and come to the inaugural Bluesky #hapc chat happening this Wednesday!

Twitter is dead. Long live Bluesky!

Helping the people not here yet, figure out that they need to be here.

We had to blow some dust off the keyboard and switch the computer on and off. But the blog still can post.

www.pallimed.org/2024/11/twit...

#hapc #hospice #PalliativeCare #medsky

Twitter is Dead. Long live Bluesky! Learn how to Bluesky and come to the inaugural Bluesky #hapc chat happening this Wednesday!

Twitter is dead. Long live Bluesky!

Helping the people not here yet, figure out that they need to be here.

We had to blow some dust off the keyboard and switch the computer on and off. But the blog still can post.

www.pallimed.org/2024/11/twit...

#hapc #hospice #PalliativeCare #medsky

For new BlueSky users, please consider flipping the toggle to require Alt Text on all photos that you post. I did it when I started here and it did not take long to get used to it.

It helps to make this community more inclusive.