Christian Sinclair

@ctsinclair.bsky.social

4683 Followers 3159 Following

palliative medicine doctor in Kansas City trying to make suburban KC more bike and walk friendly, one city council meeting at a time. | #KCCurrent | #PalliativeCare | #hapc | #boardgames

Overhead graphic of multiple large parking lots surrounding very small commercial retail buildings with a very small loopy pedestrian pathway for people to get run over by all the cars that will be in this area.
Picture of the scoreboard at Kauffman Stadium that is showing San Diego versus KC.
Screenshot of Apple Music for U2's alubm, War. Black and White image of a boy staring right back at you. The boy is no longer a static photo but now a video with the eyes randomly blinking and the camera oddly zooms and pans.
A picture of a French press coffee maker on a counter.
Older white man with gray goatee smiling. He is wearing a USMMT Four Star baseball cap with a green shirt over a yellow shirt. #Canvassing #KSgov #GOTV #Kansas #Democrats Voter contact with your neighbors is one of the best ways to exercise your civic power.
Big gateway in red shaped like a cutout heart. People walking around in grass with soccer jerseys. #kansasCity #wc2026
Obi wan kenobi saying “ that’s a name I’ve not heard in a long time” from the movie Star Wars
An adorable chocolate lab with a sugar face (gray fur on the muzzle) named Spud lies down on some rugs as sun streams through a glass front door into him.
Adults and children riding bikes on the street away from a camera. About 10 riders total.
Screenshot of social media account for Haute & Freddy: Dearest Kansas City Royal Courtiers... It is with deep sadness and lots of thought, that we must reschedule tonight's show. We were so looking forward to prancing together but our health must come first and we want to be able to give thee the full runaway circus with our health at 100% Ticket holders will be emailed with all details on the rescheduled show Thine tickets will be honored We can't wait to return to you and give you the show you deserve
The meme “ everyone liked that” In the background are 2 to 3 story buildings one with the orange awning. It looks a little bit rundown with Green text overlay that reads.” everyone liked that”
Blurry screenshot from a video, showing a person with a white shirt, sunglasses, and a teal and red hat on. The person has their mouth wide open watching Temwa Chawinga play soccer.
The same video replayed four times with multiple zooms on Croix Bethune, Kansas City Current soccer midfielder, recieving a fast pass while spinning to move up field, and kicking the ball up with one foot while bringing it down with the other foot.
Soccer stadium for the Kansas City current women’s soccer team and the NWSL. Thousands of fans, filling the seats with a blue sky with pink cloud above. Kansas City is in their new black jerseys and Houston is in their classic orange.
Pylon of a deck with green grass in the foreground and yellow green hosta leaves growing nicely under the deck. In the dark shadow under the deck you can see the outline of a chocolate Labrador head peeking through. Spud the dog promising he is not trampling his mother’s hosta plants.
Soccer stadium in Kansas City with many butts in seats. A corner kick by NWSL team KC Current is taking place against the Chicago Stars. Blue skies and a freeway in the background because we are in America.
Chocolate Labrador with a sugar face (gray hair on the muzzle) Looking out over a park with green grass
Beautiful feather light petals on a white and pink peony
The back of a truck shaped like a blue cartoon dog with a bone, which is an advertisement for a portable dog wash. The dog has a goofy cartoon dog look that just makes you smile.
It was capitalism all along.
Sidewalk chalk that reads, “YOU DID IT” These words were written as celebration for runners in the neighborhood around the Eugene Marathon finish. I reimagined them as a Scooby Doo ending where the kids caught the old man in the lighthouse posing as a ghost. Also a heart and hopscotch drawing.
A runner giving a high five to a golden retriever puppy
Vancouver whitecaps logo with mountains on top and waves on the bottom that says “save the caps” in the middle of it at the bottom is the sentence that reads “Vancouver is a football city.” Dark blue background with white and light blue is font colors
Dozens of people in line around the corner from where the music store is. Blue skies above and some green grass on the side in front of a Mexican Restaurant.
Info graphic with a quote from Ira Byock, M.D. I have an advanced directive not because I have a serious illness, but because I have a family. At the top it says national healthcare decisions day, April 16 #hapc #palliativecare #medsky
Screen cap of a social media post with AI written over it and a circle in red with a line through it The AI generated picture shows the four astronauts of the Artemis, two mission in a boat in front of the capsule. This never took place because they were always with Navy divers. Also, the large red inflatable balls were always on top of the capsule and never down in the water as they are this picture. Bluesky post Joe Walsh @walshfreedom.bsky.s... Bluesky Elder 7:28 AM • Apr 11, 2026 Everybody can reply
Red grid line drawing of a mountain in a Tron style in background. Lead singer with her hand in the air surrounded by 20+ fans she invited on stage.
Picture of a chocolate lab with a green grass background. His collar is blue with a KU Jayhawk logo. He has a lot of gray in his muzzle which is known as a “sugar face” because no one is allowed to comment on the age of your dog except in the most complimentary of terms.
Video: Michelle Cooper scoring a goal for the KC Current. Captions: Check out the spectacular goal by Michelle Cooper to cap the come from behind win for the Kansas City Current? Let’s rewind that back and listen closer! Listen to the supporter groups. Shout out to Blue Crew, Surface Tension and Undertow. They have a popular chant based on Mac Miller’s song “Knock Knock.” And it is timed to this goal to PERFECTION! Video of Emily Sonnett in slow motion complaining to the ref with the caption "I didn't know they could do that" followed by sad horns. #KCBaby #NWSL #WoSo #KansasCity
Webpage screenshot with: Doximity Logo US News & World Report Logo In order to be eligible for the Best Hospitals survey, physicians must have all of the qualifications in at least one row. Please click to expand. Adult Cancer Cardiology & Heart Surgery Diabetes & Endocrinology Gastroenterology & GI Surgery Geriatrics Obstetrics & Gynecology Neurology & Neurosurgery Ophthalmology Orthopedics Otolaryngology Psychiatry Pulmonology & Lung Surgery Rehabilitation Rheumatology Urology --- #HAPC #Hospice #PalliativeCare #MedSky
Graphic from the ACLU of SoCal (Southern California) Blue circle logo of ACLU SoCal with the words: So you’ve been censored by a government official... Social Media Censorship Toolkit
Screenshot from a spam email contact - at - geriatricreproductiveaddictionstudies - d0t - com Follow Up: Support for Upcoming Issue Release Permit Block (BTW: Please do not click or go to that website.)
White and blue Amazon Drone hovering 50-70 feet oof the ground approximately 400 ft away from me.
A chocolate lab with a sugar face (gray fur around the muzzle) at the park with a shoe next to him and green grass and blue skies. The dog has a University of Kansas collar with a Jayhawk.
Graph showing London has one of the lowest rate of road traffic deaths in the world at 0.8-1.1 per 100,000 daytime inhabitants. I added a big red line at the bottom showing that the USA has 14.2 per 100,000.
Score bug showing Cal Poly 69 - UCSD 72 in Men’s Basketball
Caring through Complexity: Developing a Palliative Care Opioid and Stimulant Use Disorder Workflow Nicole Dussault, MD MS Palliative Care Physician Assistant Professor, Fred Hutchison Cancer Center Co-authors: Talia Bernal MD, Noel Ivey MD, Jessica Ma MD MHSc, Chris Jones MD MBA, Wil L. Santivasi MD Duke University Medical Center
Slide with text showing UPLIFT Intervention Core Intervention Elements  External PC consultations  In-house champions, trained by study team (minimum 2, at least one LPN or RN)  NH staff participation in education  Systematic screening for PC needs Flexible Intervention Elements Visit schedule  Job role of the champions – RN, LPN, social services, or chaplain  Schedule of education topics and format of delivery
Slide with a person in Wheelchair in a picture in lower righ Nursing Homes • >15,000 facilities • Rehabilitation and Long-Term Care • Average of 106 beds; 1.7 million beds • Nearly all Medicare-Medicaid certified • ~$85-100K per year • Medicaid payer for 60% • Plagued by inconsistent quality...
Summary of Key Findings 4 sections with icons representing these paragraphs: 95,322 inpatient encounters across 16 hospitals (Apr 2024–Mar 2025) 14% of patients with serious illness received PCC; 55% were timely (within 72 hours) Patients with cancer and dementia had the highest likelihood of timely consultation at 63% and 56% respectively, ESRD had the lowest at 41% Higher Odds of Timely Consult - Emergent Admission - Older age (>80 y/o) - Female - Not “Full Code” code status - Patients with Cancer
Slide with a cell phone being held in the image on the right Symptom monitoring via ePROs associated with better outcomes • Narrative visit notes are lengthy and difficult to review • Large language models (LLMs) can accurately characterize text, but have rarely been used to identify real-world symptom documentation Basch E, et al. JAMA. 2017;318(2),197–198. Hassett M, et al. JCO. 2024;42(16_suppl),11001.
aahpm AMERICAN ACADEMY OF HOSPICE AND PALLIATIVE MEDICINE THE STATE OF THE SCIENCE IN PALLIATIVE CARE RESEARCH MENTORING AWARD Kimberly Johnson, MD MHS
HPNA Distinguished Nursing Research Award Verna Hendricks-Ferguson, PhD, RN, FPCN®, FAAN
Proactive, structured serious illness communication and advance care planning. • Caregiver engagement as a core intervention. • Interdisciplinary, dementia‑capable teams (RN/SW/CNA + clinician expertise). • Non‑pharmacologic approaches embedded in routine care. • Warm handoffs and continuity across settings.
HOV’s Supportive Care for Dementia (SCD) Program Study of first 3 years • Reduction in aggression, agitation, calling out, wandering, insomnia (NPI) (p<.001) • Reduction in caregiver stress (ZBI) (p<.001) • 48% reduction in hospitalizations during program, and 28% reduction after • 25% transition directly from SCD to HOV hospice
IN-PEACE Intervention: Collaborative Care Model Combining Dementia Care Management and Palliative Care Monthly scheduled, proactive phone contact and care assistance from dementia care coordinators (1 RN, 1 SW) • Assessment and management of patients’ symptoms and caregiver distress/depression • Evidence-based protocols to aid in treatment • Disease-specific advance care planning and decision support to help avoid unnecessary hospital use • Education materials and tools to empower and support caregivers providing this care in the home
Slide text: Dementia-specific specialty PC consultation during hospitalization oPrognostic awareness oSymptoms oGoals of care decision-making • Standardized caregiver supportive education • Transitional care oPalliative Care Plan summary oReferrals to community-based support services oFollow-up support calls from PC team Picture in the lower left of a booklet given to patients.
Slide projected in conference hall Dementia-Specific Palliative Care: Integrating Evidence into Clinical Care Across Settings David H. Lynch, BMBS Laura C. Hanson, MD, MPH Greg A. Sachs, MD Maribeth Gallagher, DNP ANNUAL ASSEMBLY HOSPICE & PALLIATIVE CARE
Conference center interior with large concentric circles stretching for a mile.
Picture of a plate with pureed foods that have been shape molded to resemble to food it is. From the website https://pureefoodmolds.com/
Joe receiving the award on stage.
aahpm ® AMERICAN ACADEMY OF HOSPICE AND PALLIATIVE MEDICINE HUMANITIES AWARD Danielle Chammas, MD FAAHPM
aahpm AMERICAN ACADEMY OF HOSPICE AND PALLIATIVE MEDICINE JOSEFINA B. MAGNO DISTINGUISHED HOSPICE PHYSICIAN AWARD David Wensel, DO HMDC FAAHPM
Lynn on stage receiving an award.
Woman (Yuki Noguchi) in a red outfit on stage accepting an award with a man (Arif Kamal) standing nearby Projected on the screen behind them is a slide with her picture and the words “AMERICAN ACADEMY OF HOSPICE AND PALLATHE MEDIONE PRESIDENTIAL CITATION AWARD Yuki E. Noguchi”
Slightly blurry shot of the moon just before lunar eclipse totality over La Jolla. White lines are across the image of birds flying by in the night.
Screenshot of text from an article from the quote post: “The Lincolns were not alone in the presidential box that night. They invited several different couples to attend that evening's performance of Our American Cousin, but all declined in favor of others plans. Finally, U.S. Army Major Henry Rathbone and his fiancée, Clara Harris, accepted the invitation to see the play with President and Mrs. Lincoln. “
Magic Eye poster which looks like just a bunch of squiggles on the screen
A book cover featuring a gently obese pink piggy bank with the words: Limitarianism The Case Against Extreme Wealth By Ingrid Robeyns #Limitarianism