DeliacMD

@deliacmd.bsky.social

Integrative Palliative Physician | Education & support for clinicians and family caregivers of the ill and aging | Author, Coping Courageously | Keynote speaker | Pro vaccines & science | Lover of dogs and deep conversations (she/her) #MedSky #palliative

I finished recording my audiobook today! (for Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself). I’ve been procrastinating for a year & am so happy to have finally done it! I took 1 tiny step & that got me going. What helps you get unstuck?

Think of two buckets. One bucket holds your preparation for what you hope doesn’t happen and the other bucket holds your hope for a good outcome. Usually when I say this I’m taking about serious illness. But right now that’s not the only place that it applies.

Choose your words carefully when you talk to people who have declining function due to age or illness. Don’t say: “oh is it too hard for you to go out? I’ll bring you lunch.” Say this: “I’m happy to bring lunch to you if you’d prefer”

When life is tough… - do the next reasonably good thing - breathe slowly and deeply - share the feelings with someone. - go outside - look away from screens - pet your dog - get enough sleep - listen to music that makes your body move - find something that makes you laugh What would you add?

For oncology & palliative care physicians/clinicians: I'm creating a program called Healing the Heart of the Healer for those who feel depleted, disillusioned, or worn out. For now, here's a free 7 step guide to improve wellbeing in clinicians who care for the ill or aging. Link in comments.🌺

Your cognitively intact elderly parent may make decisions that you disagree with. They may even make decisions that could shorten their life. They have the right to make these decisions. It’s OK for you to not like this and also not try to control or change it. #palliativecare #medsky

A few important nots: - hospice is not a place - palliative care is not hospice - talking about death does not make people give up or die - at the end of life food does not make you stronger - taking morphine for advanced cancer pain does not mean you’re dying/an addict/giving up #palliativecare

Any physicians who have experience writing USMLE style questions? In the med ed side of my work I am looking to hire some contractors to write Qs. Flexible, remote. Reach out if interested (and tell your friends!)

I had some meaningful conversations this week with an aging parent and with my young adult daughters. It took courage, vulnerability and an open-hearted approach. Is there a conversation that you’ve been meaning to have?

This week's podcast: The Tyranny of Expectations. Holidays are packed w/ expectations. We create expectations like "everyone will get along and be pleasant over holiday break," get disappointed when our expectation aren't met & create unnecessary negativity & suffering. #holidaystress Link below

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I see palliative care as symptom management + avoiding regret. ...decisions you made or didn't make ...relationships that you didn't mend. ...important conversations that you never got around to having. I talk about avoiding regret on The Integrative Palliative this week (link in comments).

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If someone you love is seriously ill and cure isn’t an option, consider making avoiding regret (things unsaid, fights about dumb things, etc) one of your primary goals