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A University at Buffalo and The Center for Hospice & Palliative Care Collaboration

Dr. Milch Received Cunniff Dixon Physician Award

The 2010 Hastings Center Cunniff-Dixon Physician Awards in the established physician category honor Robert A. Milch, MD, FACS, a physician at The Center for Hospice and Palliative Care, near Buffalo. Dr. Milch, a surgeon, has been a leader in hospice and palliative care for more than 30 years, almost since its inception in the United States. He was recognized for his longstanding commitment to and excellence in clinical care for patients with advanced illness and for his regional and national leadership in palliative care and surgery.

Dr. Milch's work in hospice care began in 1977, when he came to Hospice Buffalo as the medical director on a voluntary basis, even while working in a large surgical practice. He helped to shape the organization, as well as develop the field of hospice care overall. Dr. Milch was a founding member of the National Association of Hospice Physicians and served as president from 1981 to 1982. He was director of the Palliative Care Service at Buffalo General Hospital from 1980 to 1994. In 1993 he left his surgical practice to become the full-time medical director of Hospice Buffalo, which is now part of The Center for Hospice and Palliative Care.

After retiring as medical director of Hospice Buffalo in 2007, Dr. Milch stayed on as a physician, working with nurses, social workers, clergy and others in the care of patients.

  Dr. Milch Receiving Award

 

Palliative Care in a Changing Healthcare Environment

Conference Registration Now Open!

Friday, October 1st

Palliative Care in a Changing Healthcare Environment, hosted by the Palliative Care Institute at the Millennium Hotel, Buffalo at 2040 Walden Avenue, Cheektowaga, NY.  Featuring plenaries by Charles von Gunten, MD, PhD, FACP,provost and vice president, Institute for Palliative Medicine at San Diego Hospice, a teaching affiliate of the UCSD School of Medicine.  For the list of presenters, panelists, breakout sessions and registration form, click here.

A peek at a few of the presenters:

Dr Patricia Bomba                   Dr Jack Freer                     Dr Amy McDonald

Dr. Patricia Bomba                 Dr. Jack Freer                          Dr. Amy McDonald

Excellus BlueCross                SUNY School of Medicine         VA WNY Health System

BlueShield                              & Biomedical Sciences

 

 

 

WELCOME
 

Welcome to the Palliative Care Institute's website!

This site is dedicated to providing professional resources for anyone working or studying in the field of palliative care. Information will focus around the three pillars of the Institute: education, research and practice.

We invite you to visit often since content will be updated frequently. We also invite you to become a member and in that way enjoy access to professional PowerPoint presentations on a wide range of topics in the field of palliative care.

Each month, a challenging clinical case will be presented and discussed. Cases will be interdisciplinary and represent the best insights and recommendations of our clinical staffs.

We appreciate your questions and comments regarding any material presented and look forward to becoming your primary online resource for current information on palliative care education, research and clinical practice.

 
 

 



Case of the Month

Palliative Care Case of the Month - August 2010

 

Principles of Pain Management

Christopher Kerr M.D., Ph.D.

Timothy Holahan D.O.

 

A 45 year old female sustained a gunshot wound to the neck two years ago, with resultant quadriplegia requiring periodic ventilator support.  She subsequently developed a progressive dysesthetic central pain syndrome, with 10/10 pain described as sharp, jabbing and burning felt mostly in her hands and feet, though at times so severe that it felt her entire body was "covered in hot oil".  The pain was worse with any movement of her extremities and with even light touch. At home she was maintained on oral methadone 17.5 mg three times daily and gabapentin 900 mg three times daily, with little to no effect on her pain.  She also reported anxiety, anorexia and weight loss, deteriorating relationships with her caregivers and friends, and suicidal ideation. She was admitted to the inpatient unit of the Center for Hospice and Palliative Care.

 

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