NEJM Voices brings together expert contributors to share informed opinions and personal perspectives on medicine, health, and patient care. https://www.nejm.org/browse/voices-series/michelle-kittleson NEJM Group Sat, 20 Jun 2026 01:26:56 GMT 2026 NEJM Group en-us 1440 A heart transplant patient taught Dr. Michelle Kittleson that symptoms aren’t always medical. https://www.nejm.org/doi/full/10.1056/VOICESpost2600017?rss=searchAndBrowse https://www.nejm.org/doi/full/10.1056/VOICESpost2600017 Michelle Kittleson 2026-06-09 Life Is a Series of Dogs Clinical decisions should be driven by the patient’s medical needs, not by physician concerns about their status, expectations, or perceptions. https://www.nejm.org/doi/full/10.1056/VOICESpost2600016?rss=searchAndBrowse https://www.nejm.org/doi/full/10.1056/VOICESpost2600016 Michelle Kittleson 2026-05-26 Very Important Patients A cardiologist learns that end-of-life care is an iterative process that begins with honesty and trust. https://www.nejm.org/doi/full/10.1056/VOICESpost2600009?rss=searchAndBrowse https://www.nejm.org/doi/full/10.1056/VOICESpost2600009 Michelle Kittleson 2026-05-12 The Right Approach — For Whom? The joys of outpatient medicine are earned one patient encounter at a time. https://www.nejm.org/doi/full/10.1056/VOICESpost2600006?rss=searchAndBrowse https://www.nejm.org/doi/full/10.1056/VOICESpost2600006 Michelle Kittleson 2026-04-28 Earning the Joys of Outpatient Medicine A patient’s reference to a late-70s country hit inspires a framework for shared decision-making. https://www.nejm.org/doi/full/10.1056/VOICESpost2600003?rss=searchAndBrowse https://www.nejm.org/doi/full/10.1056/VOICESpost2600003 Michelle Kittleson 2026-04-14 Kenny Rogers and the Art of Shared Decision-Making