expert type icon EXPERT

Dr. Jigar Virenbhai Joshi, MD

Internist

Dr. Jigar Joshi is a board certified hospice and palliative medicine physician with primary specialty of internal medicine practicing in Chicago, IL. Dr. Joshi specializes in the medical treatment of adults who have terminal illness(s) from pain and other symptom management, to planning and implementing goals of care for individual health given medical condition, providing compassionate end of life care and caring for families after the loved one has made their final journey.
17 years Experience
Dr. Jigar Virenbhai Joshi, MD
  • Des Plains, IL
  • Seth GS Medical College, Mumbai, India
  • Accepting new patients

What qualifies someone to be put in hospice?

Eligibility of hospice is decided by 2 physicians. The prognosis is 6 months or less if disease runs its usual course. Goals of care needs to be focused around keeping your aunt READ MORE
Eligibility of hospice is decided by 2 physicians. The prognosis is 6 months or less if disease runs its usual course.
Goals of care needs to be focused around keeping your aunt comfortable and not artificially prolonging life.

Why are some elderly patients treated with antipsychotics?

You may want to consult with the respective physician to learn more with respect to individual cases. There could be an approved or off label usage of any medication.

How can I prevent my mom from getting bed sores?

There are many measures that could be simple and able to prevent the pressure ulcers (bed sores) for significant amount of time. Most simple thing that you could do is to change READ MORE
There are many measures that could be simple and able to prevent the pressure ulcers (bed sores) for significant amount of time. Most simple thing that you could do is to change her sides every 1.5 to 2 hours. There are barrier creams available over the counter that could be applied to high pressure areas. You may also want to talk to her provider and she may be able to qualify for home health or hospice. This way you may be able to get specialist guidance at home on how to care for your mother.

When is it the right time to move a loved one to hospice care?

You have not mentioned the type of cancer and stage of cancer. If the cancer is in terminal stages, and plan to not take any further anti-cancer treatments (due to being ineffective READ MORE
You have not mentioned the type of cancer and stage of cancer. If the cancer is in terminal stages, and plan to not take any further anti-cancer treatments (due to being ineffective or causing adverse effects) and the focus of care is to be comfortable, then it is reasonable to consider hospice services.

What can I do to make life comfortable for my mom who is battling cancer?

You may want to have additional professional help to make her comfortable. Hospice services is a reasonable option to consider. Reach out to her primary physician to get more guidance. READ MORE
You may want to have additional professional help to make her comfortable. Hospice services is a reasonable option to consider. Reach out to her primary physician to get more guidance.

Is it safe to use room freshener in a room with a patient?

Please read the safety instructions available with the room freshener before using.

My grandfather has cancer that has spread across his body. Should we put him in hospice?

if the goal is to focus on comfort for your grand father and no further plan to take anti cancer treatment due to having adverse effects or treatment being ineffective then it READ MORE
if the goal is to focus on comfort for your grand father and no further plan to take anti cancer treatment due to having adverse effects or treatment being ineffective then it would be reasonable to consider hospice services.

Why does my mother get lice in her hair even when she's in a hospital?

If she continues to go to the same hospital then you may want to reach out to the team at the hospital to share your concerns. if this happens while she has been to multiple different READ MORE
If she continues to go to the same hospital then you may want to reach out to the team at the hospital to share your concerns.
if this happens while she has been to multiple different hospitals then you may want to reach out to her primary physician to seek further guidance.

What should a caregiver do for a hospitalized patient to prevent infections?

Hand washing is the most important measure that has shown to reduce infection rates significantly. For our loved ones, whatever we do always feels less. Reach out to the providers READ MORE
Hand washing is the most important measure that has shown to reduce infection rates significantly. For our loved ones, whatever we do always feels less. Reach out to the providers at the hospital with your concerns. They will be able to guide you based on the specifics related to your mother's case.

How can I help to manage my brother's Parkinson's disease?

Neurologist clinics would be able to provide you with available resources and guide on how to care for your brother.

What does end-of-life care involve?

There are many aspects involved in end of life care. Involves both patient and their families. It's focused on physical, mental, social, and spiritual wellbeing. Provided in the READ MORE
There are many aspects involved in end of life care. Involves both patient and their families. It's focused on physical, mental, social, and spiritual wellbeing. Provided in the form of durable medical equipment, necessary medications, and interdisciplinary team coverage. For additional details based on what is available in your region, reach out to a hospice provider to have an information session.

What is the best way to prevent cough and cold in the hospital?

There could be various reasons for you to be developing cough and cold. You may want to consult your primary physician.

When would hospice care be used for my grandma?

if the goals is for her to be comfortable and no plan for further anticancer treatments. That would be right time to request for hospice referral. if she is still receiving anticancer READ MORE
if the goals is for her to be comfortable and no plan for further anticancer treatments. That would be right time to request for hospice referral.
if she is still receiving anticancer treatment then consider referral for Palliative care.

How often should feeding tubes be changed for long term patients?

Reach out to the doctors who have placed the feeding tube. based on the type of the tube and condition of the tube they may be able to guide you appropriately.

My mother is experiencing shortness of breath. What is the right way to manage this?

Lung diseases can cause significant distress to the patient and their loved ones. It would be a reasonable option to reach out to the primary physician/lung doctors to guide further READ MORE
Lung diseases can cause significant distress to the patient and their loved ones. It would be a reasonable option to reach out to the primary physician/lung doctors to guide further treatment. if her health continues to decline in spite of optimized the treatment plan then you may want to consider palliative care for symptom management. There is high possibility that your mother may qualify for even hospice.

Are hospice centers still open with COVID-19?

Yes. I am Medical Director with VITAS hospice for the Chicago program. We are accepting all eligible patients like before.

Thank you.