The Four Rules

Biren B. Kamdar, Division of Pulmonary, Critical Care, and Sleep Medicine, University of California, San Diego , La Jolla, Adjunct Faculty, Division of Geriatrics, and Palliative Care, La Jolla, Department of Medicine, VA San Diego Healthcare System, La Jolla

American Journal of Hospice and Palliative Medicine®

Published online on June 05, 2025

Abstract

American Journal of Hospice and Palliative Medicine®, Ahead of Print.
Occurring during my third and final year of internal medicine residency, this tough case remains one of the most memorable in my nearly 20 years as a physician. After I wrote this essay for an issue on end-of-life care for my local hospital’s magazine, it ...