Mike Cafarchio

@SeanDreyer I remember an intern presenting in GI rounds his patient with “ma-LEE-na” when all the other docs, including GI, said mel-A-na. I pulled him aside and corrected him so he could stop embarrassing himself. Turns out his pronunciation was correct according to Merriam-Webster online!

What medical word did you butcher until someone corrected you? As an intern I pronounced Golytely "golly telly" and rounds halted for the team to laugh

@BenWThompson At my hospice IPU generally not. When working as a palli consultant, I feel it is important to explain both to the pt/family, RN and primary team the intention of the orders. I tend to use it more for patients who seem reluctant to take meds but benefiting greatly from them.

@MCafarch Thanks Mike! Glad you're providing care that's patient focused. Wondering if you have been met with any pushback from nursing?

Outpatient pain management orders and inpatient pain management orders should be different. PRN medications can be taken within seconds of the request at home, but can take an hour to receive in the hospital. I've started scheduling some "PRN" meds (case dependent) 1/2

@BenWThompson I’ve had a similar practice for some time now Ben. I will explain it to my patients that the nurse will bring you your medication every __ hours and you can decide to “opt out” if you don’t want your medication at that time. Rather than having to “opt in” and wait for an hour….

2/2 on the longer side of the PRN (Q6 if I'd write Q4-6 at home) and instructing patients that they can decline the medication when it's brought. Am I crazy??#PatientCenteredCare #hapc #medtwitter

@HopkinsNCCU Thank you for having me! Always love teaching about hospice and palliative care especially for this important patient population with neurocritical illness #hpm #hospice

On behalf of our NeuroICU fellowship, thank you @MCafarch and the JH PC team for a highly instructive and needed lecture on #hospice in the #neuroICU as part of the Johns Hopkins PC/NeuroICU integration program.

@KyleBrandt Another CORRECT Hot take by Kyle.

I’m not saying it’s better than Mariah Carey’s song. It’s not. But “Underneath The Tree” by Kelly Clarkson can at least put up a fight. Love this song.

@BenWThompson @rabrazzak This year, I drafted J.K. Dobbins AND Gus Edwards, thinking I was so smart to have a handcuff. They were both out before the season even started. 🤦🏻‍♂️

@rabrazzak @MCafarch Oh and Ridley

Lesson learned… never sit Tyreek Hill! #FantasyFootball

@BenWThompson @rabrazzak I had CMC last year and was praying not to get the first pick cuz I don’t know if I coulda drafted him again

@rabrazzak @MCafarch Try having Russel Wilson and CMC on your team...

@rabrazzak @BenWThompson Wait, who did you play instead of Hill?

@BenWThompson 11 receptions. 186 yards. 3 TDs! And a total 47.6 points in #fantasy.

@JenniferLeahMD Struggling with this feeling of being “enough.” I feel satisfied taking care of my patients and my family- just wondering if I will regret not playing the academic game down the road.

@rabrazzak Giants fans not too happy with Eagles and Cowboys after that trade 😬

@MCafarch Great pick! I was hoping the giants could pick him up but had a feeling he was going to be picked up. He’s a star. Congrats!

@rabrazzak didn’t know you were so into #NFLDraft2021 . How you like my #Eagles turning the 6th pick into the Heisman trophy winner+ another first round pick next year?!?

#hapc #hpm #PalliativeCare #DoctorsDay

bit.ly/31cuftJ For Doctor’s Day, a little glimpse of why I LOVE my job as a hospice and palliative med doc fb.watch/4zrT_jQmpl/

@PeteCoaching #hpm #hapc #PalliativeCare

My guest this week, @MCafarch, shares his journey of how he arrived at his calling in life.

@lolosuru Too true. My other “fave” is pt has been hospitalized for months, is now s/p trach, PEG, SP cath....and now team wants initial palliative consult for GOC conversation 🙄

@SoniaMKhunkhun Probably THE biggest public misperception about hospice. So often patients and families ask me day 1 or 2 of hospice admission- when is the morphine gtt gonna start? We use the LEAST amount of medication you need to be comfortable and live the best you can as long as you can!

The practice of morphine drips in every end of life patient needs to stop. We need to tailor care of #endoflife #hospice patients toward what their needs are. And not every patient needs a morphine drip. In fact, this “one box fits all” approach amplifies fear. #hapc

Some of our brilliant #CombinedClinicians working together to improve #hapc across the age spectrum! @AAHPM #pedpc #aya 🌉 @ZRtheDr @KateMcKillipMD

Loving 10 questions with @KyleBrandt. @sarahchalke essay crushed it! This is the GOAT interview/quiz show!