Uri Goldberg, MD
@HarmonyPall
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I am a hospitalist, internist, and Palliative Care physician and the founder of Harmony Palliative
New York, NY
Joined December 2023
S. 2287 boosts training & resources to tackle real gaps in palliative care. Too many seriously ill patients don’t get the support they need. Kudos to @SenatorBaldwin for leading this long overdue, practical step toward better care for patients & families.
quiverquant.com
We have received text from S. 2287: Palliative Care and Hospice Education and Training Act. This bill was received on 2025-07-15, and currently has 17 cosponsors.Here is a short summary of the bill:...
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A sobering piece by @Louise_m_perry: MAiD isn’t about increasing access to dignified suicide—that’s existed as long as we have. Instead, it leads to more suicides overall, especially among the costliest patients. This isn’t compassion; it’s cost-cutting.
nytimes.com
In an aging world, assisted suicide may look to governments like a cost-saving measure.
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From @kim_fellner, a beautiful reminder that the doctor-patient relationship is a partnership — not always in perfect agreement, but one built on mutual respect. She & her palliative care doctor show how two different people can work together with grace, honesty, and compassion.
"For me, I knew that the threads of personal and political fate were inextricably tied. I had no idea how to proceed.". From Kim Fellner:
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👏 Heartened by this statement from @American_Heart encouraging broader integration of palliative care in cardiovascular disease. While our role in heart failure is well known (hopefully), PC has been underutilized in other cardiac conditions. An important & overdue step forward.
Palliative care (PC) is an interdisciplinary approach aimed at optimizing quality of life and addressing physical, emotional, psychosocial, and spiritual needs. However, despite its benefits, PC remains underutilized during critical cardiovascular illness, limiting its
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I agree with Dr. Dugdale: this bill, though well-intentioned, is deeply flawed. Patients must be screened for depression & psychiatric illness—& seen by palliative care to ensure symptoms are fully managed. Without strong safeguards, vulnerable people may die needlessly.
Dr. Lydia Dugdale, a faculty member of FASPE’s Medical Fellowship program, responds to the recently passed Medical Aid in Dying Act in her latest op-ed piece for The New York Times.
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RT @PalliativeMed_j: @PalliativeMed_j Brief Report: Even when prognosis is short, depression should be routinely screened and promptly asse….
liebertpub.com
Clinically significant depressive symptoms are prevalent in advanced life-limiting illnesses. The assessment and management of such illness can be challenging for clinicians when prognoses are...
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RT @Existential_Doc: Secretions at end of life are a normal part of dying, often indicating the person is very settled and deeply asleep- H….
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@SenatorOrtt @AndreaSCousins – As Senate leaders, it’s crucial to consider the Medical Aid in Dying Act carefully. Without palliative care specialists, patients may suffer needlessly and prematurely choose death, unaware of better options. The risk of coercion is also a concern.
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NY Assembly passed a flawed medical aid in dying bill—no palliative care consult, no real safeguards against coercion. Patients already have the right to end their lives; doctors shouldn’t be asked to facilitate it without strong protections. @GovKathyHochul, please don’t sign.
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Every word of @DrCharlotteG’s piece resonates deeply. We can debate how govt $$ is spent—but the lack of investment in caring for dying patients is unfathomable. When I tell people how little Medicare pays hospices to cover *everything*, they’re stunned. This needs to change.
Hi #medtwitter community, it's been awhile but wanted to share this article I wrote for @Slate about how special and rare inpatient hospice facility care is #hospice #endoflifecare .
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Beautiful piece in @Guardian about a Danish palliative care unit. "There are three things that are important for someone dying to get the opportunity to say. 'Forgive me. I forgive you. And I love you.'” . @irabyock, someone’s been reading your stuff.
theguardian.com
The long read: In a Danish palliative care unit, the alternative to assisted dying is not striving to cure, offering relief and comfort to patients and their families
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Today we remember Rita Levi-Montalcini on her birthday — a trailblazing neurologist who defied fascism, sexism, and exile to uncover the secrets of the brain. From a hidden lab in her bedroom to a Nobel Prize, her legacy is one of courage, brilliance, and resilience. 🧠💪.
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Excellent thread.
Cancer cachexia in palliative care. A Thread 🧵 . The term Cachexia originates from the Greek words Kakos and Hexis and translates to “bad physical state”. It is estimated to be the direct cause of death in up to 20% of cancer patients.
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Great work @SimaPendharkar!.
Thanks for coming out to #netWork at our event last week! We enjoyed seeing each of you and will be announcing the May event shortly #doc #network #connect
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New paper underscores the critical role of palliative care in heart failure—timely evidence as @YaleCardiology, @MHBeasleyMD launch a dedicated palliative HF clinic. The shift toward more holistic, patient-centered care is gaining momentum.
cureus.com
Heart failure (HF) is a multifaceted, severe condition linked to significant emotional, physical, and social challenges that have an immense impact on the patient’s quality of life. Notwithstand...
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RT @realdocspeaks: Today, I saw a Physical Therapist who runs an independent practice. My DPC physician referred him. My DPC physician….
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Membership in this union was mandatory at my residency hospital—dues came out of our paychecks automatically. We always had a sense something was off, but what @mayakauf uncovered is next-level. Hell of a piece.
Last summer, I received an intriguing tip. I heard the largest health care union in the U.S. — 1199SEIU — had spent over $60,000 on travel and lodging for the union president's daughter to accompany him on business trips as his caregiver. Thread incoming. 🧵.
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Early palliative care referrals for cancer patients are becoming more common—a big step forward. But it’s still not standard practice, and too many patients are missing out. .
ascopubs.org
PURPOSEEarly integration of specialized palliative care (PC) is recommended by clinical guidelines for advanced-stage cancers, but real-world evidence of its use is limited. We examined the recent...
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👏 Kudos to @YNHH & @MHBeasleyMD for launching a palliative heart failure clinic! Palliative can be a hard sell at first, but patients quickly see there’s no downside—just better quality of life. Hoping more hospitals follow suit, not just for HF but for all serious illnesses.
A new Yale outpatient palliative care clinic is now providing dedicated, coordinated care for people with end-stage heart failure. Read more: @MHBeasleyMD @SegarNora.
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