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DeliacMD

@deliacmd.bsky.social
1.9K followers 1.2K following 155 posts

Integrative Palliative Physician | Education & support for clinicians and family caregivers of the ill and aging | Author, Coping Courageously | Keynote speaker | Pro vaccines & science | Lover of dogs and deep conversations (she/her) #MedSky #palliative

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DeliacMD @deliacmd.bsky.social · 30/04/2025
Get your loved one’s fingerprint! I’m so glad the funeral home suggested it. That’s my dad’s fingerprint on my necklace - I’m so grateful to have it
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DeliacMD @deliacmd.bsky.social · 17/04/2025
When you experience traumatic grief the grief and trauma get all mushed together. Sometimes the trauma part can make normal grieving harder #grieving #caregiver #endoflife
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DeliacMD @deliacmd.bsky.social · 08/04/2025
Thank you so very much. Sharing and using it to help has been part of making meaning of it all. Thanks for witnessing 💛
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DeliacMD @deliacmd.bsky.social · 08/04/2025
podcasts.apple.com/us/podcast/t...
podcasts.apple.com
A Call for Medical Aid in Dying: A Tale of Autonomy and Desperation
Podcast Episode · The Integrative Palliative Podcast · 03/27/2025 · 18m
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DeliacMD @deliacmd.bsky.social · 08/04/2025
As someone who is actively grieving I appreciate this very much. Thanks!
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DeliacMD @deliacmd.bsky.social · 08/04/2025
I’m grieving my own beloved dad right now. It’s not only sad, it’s also exhausting, complicated, and it makes regular life harder than usual. PSA: give grieving people a lot of slack 💛 #grieving #grief
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Canadian Virtual Hospice @virtualhospice.bsky.social · 07/04/2025
It's #WorldHealthDay! The Canadian Virtual Hospice provides support and personalized information about advanced illness, #PalliativeCare, loss and #Grief to people living with illness, family members, people working in #HealthCare, educators, and researchers.
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DeliacMD @deliacmd.bsky.social · 25/02/2025
@maddow.msnbc.com thank you for bravely speaking the truth and sticking up for your coworkers. I am grateful for your example of how to be a deeply decent human!
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DeliacMD @deliacmd.bsky.social · 19/02/2025
You are so right and that is well put. Even if your advice is great, the negative impact on the relationship isn’t worth it
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DeliacMD @deliacmd.bsky.social · 16/02/2025
I finished recording my audiobook today! (for Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself). I’ve been procrastinating for a year & am so happy to have finally done it! I took 1 tiny step & that got me going. What helps you get unstuck?
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DeliacMD @deliacmd.bsky.social · 13/02/2025
Physicians, even elected ones, should support science. People who are in charge of national healthcare should also support science.
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DeliacMD @deliacmd.bsky.social · 11/02/2025
I think that’s true!
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DeliacMD @deliacmd.bsky.social · 11/02/2025
Does it seem like our nation needs some palliative care? Are we the anxious family with anticipatory grief? #HPM #palliativecare
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DeliacMD @deliacmd.bsky.social · 11/02/2025
If your loved one is aging or seriously ill, don’t mess up your relationship with them by being overly controlling. When time is short, connection matters. #caregiving #cancer #palliativecare
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DeliacMD @deliacmd.bsky.social · 05/02/2025
Think of two buckets. One bucket holds your preparation for what you hope doesn’t happen and the other bucket holds your hope for a good outcome. Usually when I say this I’m taking about serious illness. But right now that’s not the only place that it applies.
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DeliacMD @deliacmd.bsky.social · 02/02/2025
Yes. It all hurts my heart. Thank you for sticking up for what is right!
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DeliacMD @deliacmd.bsky.social · 02/02/2025
The CDC is scrubbing manuscripts of gender affirming language? When being kind to other people has become unacceptable, what have we become? #medsky
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DeliacMD @deliacmd.bsky.social · 29/01/2025
Woo hoo!!!!!!
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DeliacMD @deliacmd.bsky.social · 27/01/2025
Choose your words carefully when you talk to people who have declining function due to age or illness. Don’t say: “oh is it too hard for you to go out? I’ll bring you lunch.” Say this: “I’m happy to bring lunch to you if you’d prefer”
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DeliacMD @deliacmd.bsky.social · 25/01/2025
I love that - human or otherwise 🙂
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DeliacMD @deliacmd.bsky.social · 25/01/2025
Yes! Great one
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DeliacMD @deliacmd.bsky.social · 24/01/2025
When life is tough… - do the next reasonably good thing - breathe slowly and deeply - share the feelings with someone. - go outside - look away from screens - pet your dog - get enough sleep - listen to music that makes your body move - find something that makes you laugh What would you add?
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MedPage Today @medpagetoday.com · 23/01/2025
BREAKING: For the first time in its more than 60-year history, the CDC's Morbidity and Mortality Weekly Report (MMWR) did not go out as scheduled because of a communications pause at federal health agencies issued by the Trump administration. #medsky www.medpagetoday.com/infectiousdi...
medpagetoday.com
Trump's Gag Order Halts CDC Publication
MMWR did not publish as usual at 1 p.m. today
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DeliacMD @deliacmd.bsky.social · 22/01/2025
Courage. When the opportunity arises to be courageous, grab it. Tough conversations? Admitting a mistake? Speaking truth to power? Here’s an example of courage www.threads.net/@meidastouch...
threads.net
MeidasTouch (@meidastouch) on Threads
Wow. Bishop Mariann Edgar Budde fearlessly calls out Trump and Vance to their faces. This is heroic.
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DeliacMD @deliacmd.bsky.social · 21/01/2025
Yes! Some days more than others
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DeliacMD @deliacmd.bsky.social · 21/01/2025
Denial gets a bad rap. Sometimes it is a helpful, temporary coping strategy #medsky
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DeliacMD @deliacmd.bsky.social · 18/01/2025
If you're a physician or clinician with an inking that you'd like to be an entrepreneur, this episode is for you. podcasts.apple.com/us/podcast/t...
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DeliacMD @deliacmd.bsky.social · 16/01/2025
trainings.integrativepalliative.com/pl/2148314858
trainings.integrativepalliative.com
Healing the Heart of the Healer
This is the waiting list for an upcoming Healing the Heart of the Healer program for oncology and palliative care clinicians created and led by Delia Chiaramonte, MD who is a physician Board-certified...
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DeliacMD @deliacmd.bsky.social · 16/01/2025
For oncology & palliative care physicians/clinicians: I'm creating a program called Healing the Heart of the Healer for those who feel depleted, disillusioned, or worn out. For now, here's a free 7 step guide to improve wellbeing in clinicians who care for the ill or aging. Link in comments.🌺
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DeliacMD @deliacmd.bsky.social · 15/01/2025
You’re right! If it will endanger others (driving for example) then limits are in order. If the risk is just to the person themself then this approach applies
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DeliacMD @deliacmd.bsky.social · 15/01/2025
I’m in this situation now too (as the child). It is hard but it is also important
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DeliacMD @deliacmd.bsky.social · 15/01/2025
🙂
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DeliacMD @deliacmd.bsky.social · 15/01/2025
Exactly! Cognitively intact people have the right to make their own decisions - even bad ones
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DeliacMD @deliacmd.bsky.social · 15/01/2025
Congrats!! Thank you for all that you do
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DeliacMD @deliacmd.bsky.social · 14/01/2025
Your cognitively intact elderly parent may make decisions that you disagree with. They may even make decisions that could shorten their life. They have the right to make these decisions. It’s OK for you to not like this and also not try to control or change it. #palliativecare #medsky
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DeliacMD @deliacmd.bsky.social · 12/01/2025
You are correct that there are many inpatient hospice facilities; however inpatient hospice makes up a tiny percentage of the the hospice care that is provided in the U.S. Most hospice care is provided at home. Hospice is indeed wonderful!
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DeliacMD @deliacmd.bsky.social · 11/01/2025
Thank you! I had fun and look forward to doing it again 🙂
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DeliacMD @deliacmd.bsky.social · 11/01/2025
Thanks so much, my friend!
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DeliacMD @deliacmd.bsky.social · 11/01/2025
Thank you! It was fun 🙂
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DeliacMD @deliacmd.bsky.social · 11/01/2025
Yes! Thanks to Jimmy Carter the idea that hospice is not just for the very end of life has piqued people’s interest 🙂
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DeliacMD @deliacmd.bsky.social · 11/01/2025
A few important nots: - hospice is not a place - palliative care is not hospice - talking about death does not make people give up or die - at the end of life food does not make you stronger - taking morphine for advanced cancer pain does not mean you’re dying/an addict/giving up #palliativecare
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DeliacMD @deliacmd.bsky.social · 10/01/2025
Excited (and a little nervous) to be interviewed on Baltimore’s NPR station about palliative care! #palliativecare #HPM
Image of the WYPR news stationImage of Dr Chiaramonte
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DeliacMD @deliacmd.bsky.social · 10/01/2025
Any physicians who have experience writing USMLE style questions? In the med ed side of my work I am looking to hire some contractors to write Qs. Flexible, remote. Reach out if interested (and tell your friends!)
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DeliacMD @deliacmd.bsky.social · 10/01/2025
I had some meaningful conversations this week with an aging parent and with my young adult daughters. It took courage, vulnerability and an open-hearted approach. Is there a conversation that you’ve been meaning to have?
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DeliacMD @deliacmd.bsky.social · 20/12/2024
podcasts.apple.com/us/podcast/t...
podcasts.apple.com
The Tyranny of Expectations
Podcast Episode · The Integrative Palliative Podcast · 12/19/2024 · 14m
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DeliacMD @deliacmd.bsky.social · 20/12/2024
This week's podcast: The Tyranny of Expectations. Holidays are packed w/ expectations. We create expectations like "everyone will get along and be pleasant over holiday break," get disappointed when our expectation aren't met & create unnecessary negativity & suffering. #holidaystress Link below
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DeliacMD @deliacmd.bsky.social · 14/12/2024
podcasts.apple.com/us/podcast/t...
podcasts.apple.com
Avoiding Regret: 4 Key Steps
Podcast Episode · The Integrative Palliative Podcast · 12/12/2024 · 13m
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DeliacMD @deliacmd.bsky.social · 14/12/2024
I see palliative care as symptom management + avoiding regret. ...decisions you made or didn't make ...relationships that you didn't mend. ...important conversations that you never got around to having. I talk about avoiding regret on The Integrative Palliative this week (link in comments).
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DeliacMD @deliacmd.bsky.social · 11/12/2024
The issue was apparently that the medicine can’t penetrate adequately through the ink so the patient may not get the full effect of the patch. That seems like a patient advocacy issue (if true). Let’s look it up!
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DeliacMD @deliacmd.bsky.social · 11/12/2024
The issue that I learned about is actually the opposite - that extensive tattoos can stop the drug from being fully absorbed. I’m going to see if I can find evidence.
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