We have created an unrealistic expectations among our patients. Financial incentives still drive many decisions. I get a lot of criticism from specialists when I get palliative involved in many of MY patients
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Sad difficult truth - just because we can doesn't always mean we always should. Technology is wonderful and has helped so much but....
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Exactly
End of conversation
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Quality of life vs. length of life.
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Most docs are trained to do all they can and fear repercussions if they don't. We need to change the culture. Patients and families need honesty and candor.
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Reminds me of so many similar experiences that U hv shared in yr wonderful book: Being Mortal-Medicine and What Matters in the End. Thro yr writings (& I've read all yr books), U have helped bring the complex world of medicine close to the lay person, with all his/her concerns.
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We need to rethink how we communicate options for patients with emphasis on quality first, quantity second AND the reality of long term care post surgery
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Not to mention the chemo treatments given to end-stage cancer patients (not for palliative care).
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Cataract surgery may be an exception... As far as the patient has a good visual prognosis
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So glad we did not opt for surgery for my mom a peaceful death is a blessing
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Common!! Where is your data on that?
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True. Siblings okd a shunt for 84 year old elder with adult hydrocephalus, decided as first shunt was no longer functional. Not the best of outcomes, passed within a year
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chemotherapy on terminally ill patient, brain surgery on terminally ill lung cancer patents that I saw in last 30 months. one died as predicted, lung cancer patent died early.
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This is all about money and denial.
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Doctors need to be taught to understand this. Many push to give more care rather than less. Patients not medically savvy feel they have to do what the doctor says.
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