“Thanksgiving.” Merriam-Webster’s dictionary defines the word, first, as “the act of giving thanks.” Second, it’s “a prayer of expressing gratitude.” And, third, the word means a public acknowledgment or celebration of divine goodness.
We each have our stories about how a loved one’s life has ended. If we’re lucky, that beloved person had a good death: in sleep, perhaps, or simply of old age with no hospital events or trauma.
Then there are the Rest-of-Us who have the stories of long and painful endings, in institutional settings and costly, futile care.
When you’re already in the situation of making tough health decisions toward the end-of-life, it’s tough, it’s emotional, it’s irrational, it’s energy-draining…it’s the wrong time.
The right time is to have that sensitive, considered, intimate dialogue now, before that inevitable time comes for decision-making. The questions at Engage in Grace dot org, shown in the chart, are a helpful tool to use for that talk. Alexandra Drane, Co-Founder, Board Member, and Chairman of the Board of the Eliza Corporation, knows all about how to have conversations in health: she’s leveraged technology to innovate such conversations. Engage with Grace is Alex’s long-time mission to inspire these conversations within extended families and tight social networks.
The Thanksgiving meal in America is a time where we are surrounded by the people we love most: family, friends, our close-in communities and social networks. Check out these five simple questions; if you haven’t yet covered these with your tribe, Thanksgiving is a wonderful time to do so.
Remember Merriam-Webster’s definition of the noun and holiday we celebrate in America ever fourth Thursday of November, every year.
Give thanks…pray….express gratitude…celebrate divine goodness.




One of the best aspects of my work is collaborating across the health/care ecosystem to address how health citizens can deal with health care costs and and care for families. I'm grateful to have collaborated with Fidelity on their research into this issue,
I'm gratified to be named on
I’m celebrating America’s 250th birthday both patriotically and professionally, honored that the NLM included my 2010 paper, “How Smartphones Are Changing Healthcare for Consumers and Patients” as one of 250 items curated for the digital archive of 250 Years of American Medicine.