A piece I am very proud of - just out in BMJ SPCare! It began in Leb, when I wondered: is withholding truth from patients really a cultural norm, or is it driven by our own fears as clinicians? On culture, religion & serious illness. https://t.co/nDlIKsQei6 #medicine #palliative

We start our third and last day with a hot topic: How do I determine my patient’s prognosis? And how do I answer the burning question: « Doctor, how long do I still have to live? » @ASCO @Balsam_LCPC #asco #ethiopia #ipcc

Never wait until the patient on opioids develops constipation - the hand that prescribes morphine MUST also prescribe a laxative ! @Balsam_LCPC @ASCO #asco

And here is Chadia Fayad, RN from @Balsam_LCPC getting ready to dive into the complexities of constipation management… @ASCO #asco

Today we are discussing in small groups. Time for in-depth discussion on pain management ! @ASCO @Balsam_LCPC #asco

Jessica Geiger reminds us of the pharmacokinetics of the medications we prescribe. Because we want to be safe, and practice evidence-based medicine! @Balsam_LCPC @ASCO #asco

And I am extremely lucky and honored to be sharing the stage with a giant in the world of international palliative care, Dr @frankdferris1 who has been sharing knowledge with more than 38 000 learners over the world, over the last 25 years… @ASCO @Balsam_LCPC #asco

I am with @ASCO and friends from @Balsam_LCPC and the USA in Ethiopia Addis Abeba for another #IPCC course. 52 physicians, nurses and pharmacists are here with us to learn about #palliativecare and make new connections - so exciting ! #asco

We worked with @ASCO and expert trainers to host a palliative care workshop in Senegal last November. Trainer Dr. Joe El Khoury shares his experience in this ASCO Connection feature: https://t.co/sMGFAJEROp

Stepping off the plane in Dakar, I was greeted by two things: a wave of warmth—both from the Senegalese sun and the radiant smiles of everyone I encountered—and a kaleidoscope of bright colors from people’s vibrant clothing. My piece in @ASCO Connection: https://t.co/N81tjHtkmx

One of my recent articles published in Frontiers in Oncology just reached a new impact milestone. Here is the link if you would like to read our study: #MedTwitter #medicine #oncology #radiation #MedX

No illusions, no unnecessary promises. Just the sincere desire to keep moving forward, one day at a time. Today, I hope for the best, but I prepare for the rest. #2025

On this last day of 2024, I stand between what has been and what could be. I look toward 2025 with hope. Hope, but with the lucidity life has imposed on me. Hope, but not false hope. (3)

And sometimes, when you think you’ve hit rock bottom, there are still surprises—often heavy and painful. So today, I do my best to apply what I tell my patients every day: try to make the most of each day, as much as possible. Hope for the best, while preparing for the rest. (2)

As life has been unfolding, I’ve learned to stop judging the years as they pass. Life has shown me, often brutally, that it’s pointless. Nothing can predict whether the future will be gentler or harsher. (1)

Pas d’illusions, pas de promesses inutiles. Juste l’envie sincère de continuer, un jour après l’autre. Aujourd’hui, j’espère le meilleur, mais je me prépare pour le reste. #2025 (4)

En ce dernier jour de l’année 2024, je me tiens entre ce qui a été et ce qui pourrait être. Je regarde vers 2025 avec espoir. Espoir, mais avec cette lucidité que la vie m’a imposée. Espoir, mais pas de faux espoirs. (3)

souvent lourdes et douloureuses. Alors aujourd’hui, je fais de mon mieux pour appliquer ce que je dis à mes patients au quotidien : essayer de profiter de chaque jour, autant qu’on peut. Espérer le meilleur, tout en se préparant au reste. (2)

Au fil des ans, j’ai appris à ne plus évaluer les années qui passent. La vie m’a montré, souvent brutalement, que cela ne sert à rien. Rien ne peut prédire si le futur sera plus doux ou plus rude. Et parfois, quand on pense avoir touché le fond, il reste encore des surprises, (1)

Compliance to international guidelines and rational use of antibiotics in urinary tract infections in a country without national guidance: a cross-sectional study