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
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
Of course! the second of my two posts (as well as the longer explanation on IG) mention those situations… when a discussion/answer is urgent. :)
February 4, 2025 at 5:26 AM
Some of the times I’ve missed the mark the worst in serious illness conversations over the years have been when I barged into a new topic without specifically asking permission first. #hapc
February 4, 2025 at 2:07 AM
In situations where a patient says they can’t handle a pressing diagnosis/decision that needs urgent action, I ask if there’s a family member they trust to handle the info and decision, if not, I try to give them some control over details of how info is shared before proceeding. #hapc
February 4, 2025 at 2:07 AM
Historically on Twitter and IG, still fairly active on Instagram:
www.instagram.com/inkvessel/
December 21, 2024 at 4:05 AM
:) Yes, definitely!! (I think real empathy is often a driver, Just never want the tissues to become a disruption rather than a kindness… have witnessed some very silly situations where the whole moment was railroaded by clinicians like myself jumping around try to find them!)
December 11, 2024 at 12:13 PM
Thanks so much for the kind words!! Makes me happy to hear the art is useful!
December 11, 2024 at 1:17 AM
Hooray! You’re here too!!! Thanks for saying “hi!”
December 11, 2024 at 1:05 AM
December 11, 2024 at 12:32 AM