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View Diary: Science Friday: The Breath of Life (138 comments)

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  •  End of life care (5+ / 0-)
    Recommended by:
    ohwilleke, Hlinko, elfling, Fabian, anais

    will, under any system, be one of the biggest ethical dilemmas.  People use up substantial medical resources in their last 2 years of life.  Clearly that's not an efficient use of resources, but who wants to refuse treatment to some poor old lady?

    The QALY metric seems as humane as any other.  There's a website around somewhere (Harvard School of Public Health, I think, though I haven't found it) listing a few hundred diseases and their associated QALY loss.  Check it out if you're interested in finding where your health conditions fit.

    •  I was forced to resuscitate a 90 year old lady (6+ / 0-)

      TWICE before she finally died after 17 days on life support.

      She was full of cancer, blind, demented, and had refused all healthcare up to the point of her respiratory arrest but her 12 children DEMANDED EVERYTHING and they got everything.

      The hospital was afraid to be assertive with them because it didn't want to get sued.

      I have never been so disgusted with the system; too cowardly to stand up for one patient's dignity against a litigious family..... but at least we provide care to anybody who needs it in addition to this extreme example.

      I don't understand why this is all so different from state to state. Maybe it is the Catholic hospital system I work in? We are not allowed to deny anybody care who needs it and in fact UNINSURED patients get more thorough workups in the hospital than INSURED patients because the insurance company denies our request to run tests.

      FUBAR.

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