Between Algorithm and Presence: The Future of Palliative Care

A Case That Stayed With Me During a recent clinic, I was asked to urgently see a 65-year-old woman with metastatic lung cancer after multiple lines of therapy. For weeks, she had been declining: confused, exhausted, not eating, losing weight, and no longer sleeping. Her oncologist had decided that further cancer-directed therapy wasn’t feasible. When I walked into the room, she was in her home … Continue reading Between Algorithm and Presence: The Future of Palliative Care

From iPatient to aiPatient: Balancing Algorithms with Empathy

Fifteen years ago, Dr. Abraham Verghese introduced us to the concept of the “iPatient” – digital representations in electronic medical records that were commanding more physician attention than the actual humans in hospital beds. Today, we face something far more profound: the “AI Patient,” where artificial intelligence not only stores data but diagnoses conditions, generates treatment plans, and writes clinical notes. What’s striking is how … Continue reading From iPatient to aiPatient: Balancing Algorithms with Empathy

The Digital Divide: telemedicine and the elderly.

There has been a rather seismic shift to telemedicine across the healthcare in response to the challenges the pandemic brought. I have written about my experience with telemedicine here. Many clinicians wrote back. Not surprisingly, they reported, younger patients seemed to embrace telemedicine more easily and even enthusiastically. Within the right set of circumstances, telemedicine can work really well for most. For example, see this. … Continue reading The Digital Divide: telemedicine and the elderly.