I am a family physician who practices hospice and palliative medicine at the VA Palo Alto in California.  I'm on the faculty of the Hospice and Palliative Medicine fellowship at Stanford University.  I created this blog to share resources, my thoughts, and selected writing.  My interests include pain medicine, human-centered design, medical education. Here is my CV.  


The Insights, Inspirations and Introspections of a palliative care physician

Please reload

Follow Us

In this video, I run through the basic pathophysiology, differential diagnosis, and treatment of nausea and vomiting. Click HERE for PDF summary of this video which I think will be a handy and useful clinical reference.  

I stumbled upon the University of Washington Pain Medicine website a few years ago when working on a quality improvement project in residence.  I re-stumbled upon it again and was reminded what a great resource it is.  The website is full of resources for practitioners...

One of the most infamous treatments in medical care is the morphine drip.  While often associated with end-of-life care, morphine and other opioid infusions have a role in relieving suffering no matter what stage of illness.  They are indicated for severe pain or dyspn...

February 22, 2018

Introducing palliative care to patients poses a challenge.  It’s a service that is unfamiliar or misunderstood by many patients and their families, so first impressions can make a difference on the relationship you develop with the patient and their family.  I struggle...

January 15, 2018

I spend a lot of time on YouTube.  In the small proportion of my hours on the site that I would consider productive, I've found some really helpful medical resources. There is lots more out there too in the realm of Free Open Access Medical Education (FOAMEd).

For Demon...

January 15, 2018

In a typical primary care appointment, you often have only 20 minutes to work with patients not only on the medical details of managing several complex diseases, but also addressing the emotional domain that accompanies illness.  That presents a huge challenge, and oft...

December 18, 2017

Food (and the eating of it) plays a central role in our experience of health and illness.  Think of whatever the latest health food craze is, or a parent feeding chicken soup to a sick child.  Many acute and chronic medical conditions alter a person's natural ability t...

Please reload

  • Facebook Basic Square
  • Twitter Basic Square
  • Google+ Basic Square