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When Minutes Matter

When Minutes Matter Opinion A PIECE OF MY MIND The day I realized I had bucket lists all wrong was end-of-life care, including stopping positive pressure Toby C. Campbell, MD, a sunny, warm, Wisconsin summer day. It started with a ventilation. They all cried and felt a sense of control MSCI Division of bike commute through the University of Wisconsin cam- that had previously been absent as they set their Hematology/Oncology, pusalongtheshoresofLakeMendotaenroutetoahome minds to planning one final party during which Keith Department of visit. I first met Keith and his family in the hospital for a would stop his BiPAP. Medicine, University of Wisconsin, Madison; palliative care consultation. Keith, who had lower mo- In a moment alone together before I left, Keith told and School of Nursing, tor neuron disease, had been admitted with hypercar- me, using 3 breaths, “Minutes matter; it’s exhausting.” University of bic respiratory failure following a clavicle fracture sus- As I reflected on the events of the day, and Keith’s final Wisconsin, Madison. tained in a fall from his wheelchair. We decided during comment, I arrived at the startling conclusion that, while the consultation that Keith would not be ventilated and I had cared for many hundreds of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

When Minutes Matter

JAMA , Volume 314 (17) – Nov 3, 2015

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Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2015.9204
pmid
26529156
Publisher site
See Article on Publisher Site

Abstract

Opinion A PIECE OF MY MIND The day I realized I had bucket lists all wrong was end-of-life care, including stopping positive pressure Toby C. Campbell, MD, a sunny, warm, Wisconsin summer day. It started with a ventilation. They all cried and felt a sense of control MSCI Division of bike commute through the University of Wisconsin cam- that had previously been absent as they set their Hematology/Oncology, pusalongtheshoresofLakeMendotaenroutetoahome minds to planning one final party during which Keith Department of visit. I first met Keith and his family in the hospital for a would stop his BiPAP. Medicine, University of Wisconsin, Madison; palliative care consultation. Keith, who had lower mo- In a moment alone together before I left, Keith told and School of Nursing, tor neuron disease, had been admitted with hypercar- me, using 3 breaths, “Minutes matter; it’s exhausting.” University of bic respiratory failure following a clavicle fracture sus- As I reflected on the events of the day, and Keith’s final Wisconsin, Madison. tained in a fall from his wheelchair. We decided during comment, I arrived at the startling conclusion that, while the consultation that Keith would not be ventilated and I had cared for many hundreds of

Journal

JAMAAmerican Medical Association

Published: Nov 3, 2015

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