I am a fellowship trained and board certified hospice and palliative medicine physician. I practice both hospice and palliative care and I love teaching nursing and medical students as well as residents. I am a medical director of a hospice and see about 30-40 patients a month in their homes, skilled nursing facilities and extended care facilities for the elderly. I’m also a medical director of a palliative care program in a hospital and my team does about 30-40 inpatient consults. I started this blog to share some of my patient experiences, vent my emotional stress and share some insight from a hospice and palliative care point of view. Some blog entries will be emotionally uplifting, some will be more factual and some will even be mildly cynical. Hopefully this blog will help others in coping with this difficult, challenging but yet very rewarding field. Please make any recommendations, thanks for reading.