More observations based on experience with Covid and palliative care over the last week

1) Some clinicians dislike uncertainty, they want a binary active treatment or palliative care decision (opposite of below modern concept of palliative care)

2) As a geriatrician on Covid ward you may find yourself reversing ceiling of treatment decisions as often as setting ceiling of treatment decisions

3)Also the people you are looking after may be age over 65

But they are much fitter, much more robust, less Polypharmacy, less multimorbidity than our usual “geriatric medicine cohort”