A surgeon and writer, Dr. In his article Dr. Gawande explains that expense is the reason that end-of-life medical care has become a topic of discussion. However, if the disease worsens, treatment escalates, and cancer-related expenses create a U-shaped curve. As Dr. But, ultimately, death comes, and no one is good at knowing when to stop.
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Alex Smith said… Thanks Helen and Wendy. I would like to see more about the role of the primary care physician. Would be great if the New Yorker picked a primary care doc next Jerome Grupman is a neurologist, and Atul Gawande is a surgeon. For those of you interested in hearing more from Atul Gawande on this subject, he will be interviewed by Terri Gross today Thursday.
One thing that struck me was how young patients were. The firefighter was Ms Cox was the only one who was older at Clearly not a representative sample of the dying folks in America.
It could be that stories of dying young people are much more But it seems important to note for this community. It more or less did to me, until I actually had a chance to see what hospice was. Her medical team asked if they could get palliative care involved.
She was adamantly against it. I wonder how people learn about palliative care. From personal experience with friends and family? From news media? When I first learned about palliative care through the Internet it was very clear that it included the relief of pain and suffering during non-terminal illnesses.
This woman, consciously or not, is dealing with the nearness of death. So for her, palliative care means giving up. A patient with a different prognosis may have a different understanding.
A friend of mine died last year after living with a diagnosis of leukemia for a year and a half. I watched her oscillate between strongly fighting the disease and wanting to make peace with her death.
It was a roller coaster. I assume patients with a terminal illness would have different attitudes towards palliative care depending on their state of mind.
Atul Gawande: Letting Go Essay
Alex Smith said… Thanks Helen and Wendy. I would like to see more about the role of the primary care physician. Would be great if the New Yorker picked a primary care doc next Jerome Grupman is a neurologist, and Atul Gawande is a surgeon. For those of you interested in hearing more from Atul Gawande on this subject, he will be interviewed by Terri Gross today Thursday. One thing that struck me was how young patients were. The firefighter was
Atul Gawande: “Letting Go: What Should Medicine Do When It Can’t Save Your Life?”
Save Story Save this story for later. When I was in fourth grade, my class took a field trip to the American Tobacco plant in nearby Durham, North Carolina. There we witnessed the making of cigarettes and were given free packs to take home to our parents. Then I mention the smoking lounge at my high school. In fact, it was just the opposite. I did. Then I ran to the kitchen and drained a carton of orange juice, drinking so furiously that half of it ran down my chin and onto my shirt.
Shopping For all but our most recent history, dying was typically a brief process. Whether the cause was childhood infection, difficult childbirth, heart attack, or pneumonia, the interval between recognizing that you had a life-threatening ailment and death was often just a matter of days or weeks. Consider how our Presidents died before the modern era. George Washington developed a throat infection at home on December 13, , that killed him by the next evening.