2/2 by ethical treatment I mean "right treatment for right indication, likely to work, and no futile suffering"https://twitter.com/K_G_Spearpoint/status/612203988218454016 …
@jodyaberdein @doctorcaldwell That'll only happen if you fail to have the discussion though - which is all this is about. Why is it so hard?
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@C7RKY@doctorcaldwell which is akin to demanding a non-indicated dangerous treatment, that we then must administer, under duress... -
@jodyaberdein@doctorcaldwell Why is it? This decision is the clinician's alone - as the law makes clear. On paper, pt has no influence here -
@C7RKY@doctorcaldwell I think it's a really good example of an unintended consequence. -
@jodyaberdein@doctorcaldwell Indeed. But an Unintended consequence because of inability to communicate valid reasons for DNACPR. Needs work -
@C7RKY@doctorcaldwell Even better would be a society that recognised we all have to die... -
@jodyaberdein@doctorcaldwell I think we know. We just don't want to feel like anyone has given up on us prematurely. That's the bottom line -
@C7RKY@doctorcaldwell I'm not sure the delicate art of medicine has been enhanced by a blanket legal requirement in this area. -
@jodyaberdein@doctorcaldwell The 'delicate art of medicine' is something I appreciate. Even regard with awe. But it's also riddled with > - 3 more replies
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@C7RKY@doctorcaldwell have you ever led on such a discussion out of interest? -
@jodyaberdein@doctorcaldwell Not being a clinician, no. Familiar with coaching people to handle other such distressing conversations though -
@C7RKY@doctorcaldwell ...as a response to the realisation the end may be approaching (even distantly) -
@jodyaberdein@doctorcaldwell That, I completely understand. But you clearly have good clinical reasons for your decision. How to explain?
End of conversation
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@C7RKY@doctorcaldwell even in the 'best hands' that discussion is a tricky one. And often results in being 'for' when clinically futile.Thanks. Twitter will use this to make your timeline better. UndoUndo
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