Nathan Gray, MD, FACP
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nathanagray.bsky.social
Nathan Gray, MD, FACP
@nathanagray.bsky.social
Palliative Doc, artist, in Baltimore, MD.
Serious illness care along with some dabbling at the intersection of art and health 🖌️
My Links: https://linktr.ee/NathanGray
What do general pediatrics and outpatient palliative care have in common? (Thoughts from a palliative doc who started medical life thinking he’d be a general pediatrician…)
#hapc
September 10, 2025 at 1:52 AM
And we close with a “top ten” list of cautions and guidance for those encountering humor in clinical work day to day…
July 31, 2025 at 11:31 AM
We listed some examples of how this plays out (using my own art)…
July 31, 2025 at 11:31 AM
In our paper, we suggest the most important thing to consider is the source and the object… who’s making the humor and what is it about?? Some source/object combos are off limits, some high risk, some generally safe.

It may seem obvious, but patients get more leeway than docs!
July 31, 2025 at 11:31 AM
Patients use humor for coping, to communicate around sensitive topics, to build rapport, or to reassert control in scary times…

clinicians also use humor to cope, build rapport, or even lighten the mood. But when’s the wrong time or the right time!?
July 31, 2025 at 11:31 AM
How do those caring for folks with serious illness navigate humor?? Patients and family often bring humor to encounters, and many say they appreciate it from providers…

Happy to have paired up w PC SW Melissa Rizzollo to write some fun guidance for @j-palliativemed.bsky.social #hapc
July 31, 2025 at 11:31 AM
If you get stronger…
#hapc
April 18, 2025 at 11:11 AM
When none of the discharge options fits…
April 8, 2025 at 1:22 AM
I never promise we can make all the pain go away, as there are parts of medical suffering we’ll probably never tame, but I love the wins when we’re able to make a difficult day feel a bit more bearable.
March 25, 2025 at 1:34 AM
Answer data questions with data. Answer emotion and meaning questions with empathy and humility…
March 12, 2025 at 2:00 AM
Magic in the air ❤️💕 Happy Hospital Valentine’s tomorrow!
February 14, 2025 at 12:48 AM
When discussing serious health issues with patients, it’s crucial to ask permission each time a new sensitive topic is broached… people may have specific needs, timing, or preferences they’d like to voice before you “go there.”
February 4, 2025 at 2:07 AM
(Family meeting nemeses...) Reminded of this one rounding on inpatient palliative consults today… the hospital can be a busy, noisy place. ❤️ #hapc
January 14, 2025 at 2:05 AM
My annual holiday greeting for those working the hospital this season… 🎁
December 25, 2024 at 12:13 AM
One of my favorite types of cartoon to draw for a break from a heavy day is “medical-term-brought-to-life…”
December 12, 2024 at 1:18 AM
December 11, 2024 at 12:32 AM
In honor of Bluesky migration, I’m going to try to regularly re-post some of my favs from the archives for those here who don’t know me. This one on a valuable lesson I learned about tissues from @vickieleff.bsky.social (1/2)
#hapc #graphicmedicine
December 11, 2024 at 12:32 AM
Hello! I’m a palliative doc and after-hours cartoon/comic artist using graphic art as a medium for storytelling and advocacy in the serious illness space. May still post in the other place but looking for a less muddled space to share... #hapc #graphicmedicine
November 17, 2024 at 4:32 AM