Quote from TakeTwoAspirin
I'm sorry, but there comes a time when the doctor needs to step up, grow a pair, and spell it out to the families real nice and simple! The families need someone to tell them "no" so that they can feel less guilt about not trying everything possible I know, but there really comes a time when we are just torturing these folks.
If only it were so clean and simple.
And for the record, most <--key word, surgeons do "grow a pair" and explain in great and graphic detail the odds of a surgery doing a patient any good. I have stood by with many surgeons and participated in this discussion as support and witness. In fact, it is in a physician's best interest to do so as a way of being able to document that such things were discussed so when it comes time for the heartbroken family to file a law suit (because that is the kind of crazy country we live in) there is documentation stating that risks and benefits were addressed in great detail and the family insisted.
Remember, it takes two to tango and, sadly, due to the rampant nature of lawsuits, etc. many surgeons are trapped into providing care as any delay that could somehow, in some remote fashion, be even kinda sorta tied to the harm of a patient opens them up to having the britches sued off of them.
I am, in no way, saying that I don't agree that there comes a point where it is just time to stop, I am merely pointing out that in many cases, such permission has been given and has just as quickly been discarded.
And this, my friends, is why having advanced directives and your healthcare wishes known is just so vitally important as it is you, the patient, the loved one, giving the ultimate permission to your family to stop.
Now back to your regularly scheduled thread.