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Opinion pitalized with end-stage emphysema and severe pneumonia. The happened shortly after such end-of-life talks were portrayed in the family actively sought hospice care but received no help from her political debate as deciding “when to pull the plug on grandma.” hospital, which transferred her to a nursing home still gasping for What our family did for my grandmothers was the opposite of aban- breath. One evening several days later, my grief-stricken father spot- donment; these were difficult acts of caring and love in the face of ted the words “Palliative Care” on the coat of a physician who was extreme suffering. We clinicians know that more is usually less when leaving another patient’s room. My father begged him to see his patients are near the end of life, and we should better support pa- mother, and the harried physician, after a pause, agreed and went tients and families in making difficult treatment decisions. We owe to see her. He returned a few minutes later and said, “your mother it to our patients, our grandparents, our parents, and ourselves. is dying.” My father, with a mix of sadness and relief, replied, “I’ve I now work in public health, where
JAMA Internal Medicine – American Medical Association
Published: Sep 1, 2014
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