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How Doctors die. It’s not like the rest of us (2016)

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81–90 of 170 posts

Re: How Doctors die. It’s not like the rest of us (2016)

#81

Earlier quoted context omitted.

No. I do use the term.

I'm curious where you picked it up originally. I've been mystified why Claude started using it so much.

I’ve been using it in the tech space for many years now, no idea where I picked it up. Also this is the first I’ve heard Claude is using it!

Re: How Doctors die. It’s not like the rest of us (2016)

#82
post #4

> Even when the right preparations have been made, the system can still swallow people up. One of my patients was a man named Jack... He explained to me that he never, under any circumstances, wanted to be placed on life support machines again. > Even with all his wishes documented, Jack hadn’t died as he’d hoped. The system had intervened. One of the nurses, I later found out, even reported my unplugging of Jack to…

> It's interesting that our laws punish homicide with maximum criminal penalties, but the opposite (keeping someone alive against their wishes) seems to be assault and battery at worst, with much much lighter punishment

Is it? One action is reversible and the other is not. And it's not very rare that moral systems treat an action and its opposite in different ways (cooperating with police vs hindering, rendering aid vs withholding aid, etc).

Re: How Doctors die. It’s not like the rest of us (2016)

#83
As a doctor, I think we are prepared for our own death (not so much for illness though). Especially during the last days or months we know exactly what's happening. I agree that the less-care-but-less-side-effects way is chosen much more often by doctors for themselves and their close relatives (I personally administered to my mother opioid to accelerate death due to terminal cancer a couple of days before the expected end that would be tortuous).

For my end stage patients I advise full palliative analgesic and sedative therapy but usually against futile chemos and intubations. There is a discussion where ICU doctors and oncologists have to take part.

Re: How Doctors die. It’s not like the rest of us (2016)

#84

As a doctor, I think we are prepared for our own death (not so much for illness though). Especially during the last days or months we know exactly what's happening. I agree that the less-care-but-less-side-effects way is chosen much more often by doctors for themselves and their close relatives (I personally administered to my mother opioid to accelerate death due to terminal cancer a couple of days before the expect…

> administered to my mother opioid to accelerate death

Isn't that illegal is most countries? Does it not count as doctor assisted suicide?

Re: How Doctors die. It’s not like the rest of us (2016)

#85
post #84

As a doctor, I think we are prepared for our own death (not so much for illness though). Especially during the last days or months we know exactly what's happening. I agree that the less-care-but-less-side-effects way is chosen much more often by doctors for themselves and their close relatives (I personally administered to my mother opioid to accelerate death due to terminal cancer a couple of days before the expect…

> administered to my mother opioid to accelerate death Isn't that illegal is most countries? Does it not count as doctor assisted suicide?

What are you hoping to get out of asking this question? It sounds like you already know the answer.

Re: How Doctors die. It’s not like the rest of us (2016)

#86
post #85
post #84

Earlier quoted context omitted.

> administered to my mother opioid to accelerate death Isn't that illegal is most countries? Does it not count as doctor assisted suicide?

What are you hoping to get out of asking this question? It sounds like you already know the answer.

I don't know, that's why I'm asking! If I'm in that situation I hope this option is available to me, and want to know what to ask for.

If the answer is that it's illegal I'd know I can't ask this directly/explicitly (but maybe there's a "secret handshake" way of asking for it). If it is I'd know I can. I wish no harm to OP.

Re: How Doctors die. It’s not like the rest of us (2016)

#87

On the spectrum or go gentle vs fight, I'd have to say, now is the time is history where "fight" makes the most sense. This is not abstract for me. I have not one, but two forms of cancer. Both were considered incurable when I was diagnosed. Both have treatments now that, IN SOME PEOPLE, lead to remission. I still don't know which group I am, but I'd be dead from either one by now, if I hadn't elected to treat. New t…

Lots of people will take any treatment offered. Indeed I would. That's a perfectly acceptable approach. Yes, medical treatments are improving and hanging on is a good approach cause something may be around the corner. I don't think the article is advocating for no treatment ever. I think it is advocating for a balanced understanding of what treatment looks like, and balances that with quality of life. And indeed bala…

The father of a good friend passed away recently from a brain cancer. He was a doctor, but atypically accepted every treatment available. His last 3 years were spent in surgery or sick from chemo, did not have one good day after his initial diagnosis. If he could have gone back I'm sure he would have decided not to be treated.

Re: How Doctors die. It’s not like the rest of us (2016)

#88
post #86
post #85

Earlier quoted context omitted.

What are you hoping to get out of asking this question? It sounds like you already know the answer.

I don't know, that's why I'm asking! If I'm in that situation I hope this option is available to me, and want to know what to ask for. If the answer is that it's illegal I'd know I can't ask this directly/explicitly (but maybe there's a "secret handshake" way of asking for it). If it is I'd know I can. I wish no harm to OP.

I believe it varies by state but typically must be administered by a doctor or hospice nurse.

Re: How Doctors die. It’s not like the rest of us (2016)

#89
post #84

As a doctor, I think we are prepared for our own death (not so much for illness though). Especially during the last days or months we know exactly what's happening. I agree that the less-care-but-less-side-effects way is chosen much more often by doctors for themselves and their close relatives (I personally administered to my mother opioid to accelerate death due to terminal cancer a couple of days before the expect…

> administered to my mother opioid to accelerate death Isn't that illegal is most countries? Does it not count as doctor assisted suicide?

The patient must be hospitalised and the administration is justified as an analgesic, sedative and for heart failure when pressure, pulse and breath start to reduce. I believe any doctor whould agree after discussion with the relatives. The problem is the doctors rarely bring it to surface and the people don't know to demand it.

Re: How Doctors die. It’s not like the rest of us (2016)

#90
post #2

> Many people think of CPR as a reliable lifesaver when, in fact, the results are usually poor. I’ve had hundreds of people brought to me in the emergency room after getting CPR. Exactly one, a healthy man who’d had no heart troubles (for those who want specifics, he had a ‘tension pneumothorax’), walked out of the hospital. This point has been made by many medically trained people over decades. It's a very energetic…

If CPR is done right ~10% will walk out of the hospital. But that's a big if! Must be near a trained bystander. AED is much better on shockable rhythms, ~70%. Unfortunately most out-of-hospital cardiac events occur in homes which rarely have access to a device. In 2021, a drone-delivered AED was used to successfully shock a 71-year-old man back into a stable rhythm in Sweden. The drone delivered the AED in just over…

AED: automated external defibrillator.
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