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I Lied When I Said We Did Everything We Could

doximity.com

181–190 of 337 posts

Re: I Lied When I Said We Did Everything We Could

#181
My grandfather had a do not resuscitate legal order. However, they did not have that at the hospital at the time he had his final trip to the ER.

As a result the man went through a failed code attempt he did not want.

So It is pretty rough to read this article, because It describes the sad experience for the patient in such real detail.

Re: I Lied When I Said We Did Everything We Could

#182

Earlier quoted context omitted.

Something can't be an opinion and a lie by definition. Lying is consciously uttering something you belive to be untrue. It can't be your opinion at the same time. So unless you're planning to insult the people you are talking to by calling them dishonest, you should cease this way of discussing the topic. It's obvious you care greatly about this matter and tempers can understandably get heated, but people calling eac…

Something can be an opinion and a lie by definition. Also, I don't care if I insult people by stating facts, including, "Your opinion is wrong/a lie." Getting upset about a fact is yelling at a cloud. And why is it obvious I care greatly about this matter? Because I've written less than a page's worth of content on the topic? Seems like a weirdly low bar...

> Something can be an opinion and a lie by definition.

Where opinion means "belief held", that's an obvious oxymoron.

> Also, I don't care if I insult people by stating facts, including, "Your opinion is wrong/a lie." Getting upset about a fact is yelling at a cloud.

Let me quote yourself at you:

> Stop trying to interpret my opinions as facts. Are you seriously fooled into thinking what I'm saying here is even arguably fact? Of course it's my opinion...

As another commenter already said, you can't have it both ways. Right now you're directly contradicting yourself.

> And why is it obvious I care greatly about this matter? Because I've written less than a page's worth of content on the topic? Seems like a weirdly low bar...

I said so because that would excuse your uncompromisingly hardheaded and rude conduct towards virtually everyone in this discussion. I often try to think the best of people.

I have a hunch this will go nowhere and I am not going to reply to whatever comes next.

Re: I Lied When I Said We Did Everything We Could

#183

The interesting thing to me is that doctors die very differently from the rest of us. They’re far more likely to setup structures to avoid coding later in their life or when they’re dying.

I'm really curious about this, do you have more about it? It's almost like "what is the best way to go?" and people that are around it all day long probably have a decent idea of what they want

Re: I Lied When I Said We Did Everything We Could

#184

My grandfather had a do not resuscitate legal order. However, they did not have that at the hospital at the time he had his final trip to the ER. As a result the man went through a failed code attempt he did not want. So It is pretty rough to read this article, because It describes the sad experience for the patient in such real detail.

This is very unfortunately a relatively common problem. Fragmented EMRs and lack of interoperability and data sharing are often to blame. So too is not telling your family what you would want.

Re: I Lied When I Said We Did Everything We Could

#186

Earlier quoted context omitted.

> seems to me like it's a cultural thing as well. This is true. I think that it's also a religious thing as well, and almost Christians. Other religions are more accepting of death, but Christianity has taught many to sincerely believe that Jesus himself would step into the room and heal their loved one, therefore every attempt must be made to save them. This is something I've seen first hand in my years as a Paramed…

> This is true. I think that it's also a religious thing as well, and almost Christians. Other religions are more accepting of death, but Christianity has taught many to sincerely believe that Jesus himself would step into the room and heal their loved one, therefore every attempt must be made to save them. Nope. Everybody dies, with rare exception: the Bible is pretty unequivocal on that. I hate to drift so close to…

I was raised evangelical, specifically Southern Baptist. There is a relentless focus on positivity. On prayers being answered. The person, that you're replying to, got it largely correct, at least as my childhood faith goes.

Sure, even the most deluded Baptists realize death is inevitable. And they're not entirely hostile to DNR. But their approach to the sanctity of life, and the countless stories of last minute miracles, means they will take an aggressive approach. "Pulling the plug" was often considered suicide / murder, and many in my church considered it a start to mass euthanasia of the old and chronically infirm.

Perhaps your experience in Christianity is different. But you should educate yourself and realize your experience is far from universal. The brouhaha over Terri Schiavo was not an anomaly in my former faith. The evangelical approach has created much suffering for people in end of life care. I have no qualms about tarring such people for what they perpetuate.

Re: I Lied When I Said We Did Everything We Could

#187

I wish the author would have done more to explain the medical terms. Presumably, the audience is not people who know what sarcoidosis is.

Just the opposite. Doximity is a network for medical professionals; if you Google it they expliticly advertise "no patients, just clinicians".

Re: I Lied When I Said We Did Everything We Could

#188
post #142

I lost my dad recently (he was 84 and lived a wonderful and healthy life, which I consider a huge win for him). He had a terribly bad stroke that left him very much alive, but without the ability to speak, read, or write. He was a professional book reviewer and writer for much of his life, and continued to read, write, and think with voracity up until the minute before his stroke (he was setting up his Series 4 Apple…

A very close relative of mine got a similar massive stroke when he was around 60 that also hit the language center. Even if I was quite young I remember that moment of frustration in the hospital when when he could not talk with either of us. The doctor explained he would unlikely survive the night, and even if he did he would not be able to leave the hospital bed. His daughter did the same however what the person in this article did and demanded full treatment including surgery which the doctor advised against. Against very unlikely odds he recovered. A few years later he was biking to the bank and climbing the cherry tree on the yard. His ability to make himself understood was extremely limited where basically only his daughter sometimes understood him, through writing and reading did very slowly come back to a minor degree many years later. He died less than a year ago at age 93.

I writing this not inject doubt in your decision, and there are many differences, but I would like to share how impossible the decision can be. I read articles like this and acknowledge the massive amount of unnecessary pain many has to go through in their last days, but if I end up having to make a similar decision I don't know what I would do or think.

Re: I Lied When I Said We Did Everything We Could

#189

Earlier quoted context omitted.

You dont seem to understand. There will be no you to have lost it. There was no you to gain it.

What you don't understand is there is a me now, currently, so this comment/argument is completely pointless and generally wrong.

> there is a me now

Like I said, your ego-- the sense of self-- is doing a weird flex. But ok.

Re: I Lied When I Said We Did Everything We Could

#190
This. This is messed up.

Much of our medicine feels like it's not meant for the patient, but for the people around the patient. We struggle to let the person go, regardless of their own - often voiceless - suffering.

We all feel pain. We all fear loss. Whose choice should it be to live or to die?

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