Is he still Full Code?” “Is this patient palliative?” “Did you de-escalate the MOLST?” These are common questions in serious illness care, but they can also reveal a misunderstanding of what palliative care is meant to do. Palliative care is not about changing a code status. It is about changing the conversation. What Palliative Care Is Really Meant to Accomplish The success of a palliative care consultation should not be measured by whether a patient becomes DNR or whether a

“It takes a lot of hard work to make something simple.” That idea has always resonated with me, especially in the practice of Geriatrics. Caring for older adults is rarely simple. Multimorbidity, frailty, polypharmacy, cognitive impairment, functional decline, and social circumstances often overlap in ways that make every patient unique. The challenge is not to ignore that complexity. It is to understand it deeply enough to make the path forward clear. Complexity Is Part of t

“Can I challenge this belief for you?” It is one of the questions I often ask when talking with patients, families, and even colleagues. Not because anyone is wrong. But because many of the hardest decisions in medicine, and in life, are shaped by beliefs we have never really examined. Sometimes those beliefs are deeply personal. Sometimes they come from past experiences. Sometimes they come from fear, guilt, or assumptions about what “good care” is supposed to look like. And