Inconsistent Mathematics

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Date of publication: 2017-08-01 16:17

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If the patient wants the treatment, she should have it. But it sounds like the family pushed it. If that is the case, end of life wishes should be established in writing and those should be respected.


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I am a nurse who works at a local VA center and I am assigned to the 8775 locked 8776 dementia unit. It saddens me on a daily basis to see these Veterans suffer with procedures that 8775 prolong 8776 their lives. Men who fought for our freedom and are sent out to the ER over and over at the ages of 75,85,95 + years because their families refuse to sign a DNR and they are 8775 Full Codes 8776 . Saddest is when they can no longer swallow and usually aspirate and we have to send them out. 655% return with feeding tubes because their families are not ready to let go. We continue to do our jobs and care for them as if they are our own parents. When their death does come, our staff is quietly rejoicing for them because we know that they 8767 ll be free of the suffering.

Dear dr. Omron, as a colleague in Intensive Care Medicine I feel that you completely miss the gist of the massage Ken Murray wants to get across. You cannot state that we never miss an opportunity to not act while we could in a hopeless case. I have been a consultant doctor in IC Medicine for 75 years so I feel qualified to have an opinion in this matter and I am very much aware of circumstances in which I failed the patient in favor of pressure from family and other relatives. We can do a lot, but the real art of medicine is when to apply to right care for the right patient.
Kind regards,
Ben van der Hoven

Except, apparently you believe the human involved should not be entitled to an opinion. I applaud the doctor for controlling his own care and encourage others to do likewise in similar situations.

I 8767 d follow up on the incompetent nurse who reported you. But much agreed, as a medic who does a lot of 8775 life saving 8776 procedure while ruining you kitchen, people need a plan for their end of life and wishes expressed. the system also needs to change a bit as well.

Respecting life also means respecting death and the choices our families make when we cannot make them. I hope that if I follow my family path into Alzheimer 8767 s, my husband or kids will have the strength to let me go, and if I linger as my grandmother did, that they will have the ability to make me a delightful gin martini with a little extra on the side, so that I can die with dignity instead of live like the undead.

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But doctors still don&rsquo t over-treat themselves. They see the consequences of this constantly. Almost anyone can find a way to die in peace at home, and pain can be managed better than ever. Hospice care, which focuses on providing terminally ill patients with comfort and dignity rather than on futile cures, provides most people with much better final days. Amazingly, studies have found that people placed in hospice care often live longer than people with the same disease who are seeking active cures. I was struck to hear on the radio recently that the famous reporter Tom Wicker had &ldquo died peacefully at home, surrounded by his family.&rdquo Such stories are, thankfully, increasingly common.

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