tag:blogger.com,1999:blog-32053362.post7384151905371515731..comments2024-03-29T06:37:18.029-04:00Comments on Not Running a Hospital: Doctor's ordersPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-32053362.post-18395120402522276522010-02-13T12:28:04.416-05:002010-02-13T12:28:04.416-05:00Unfortunately, a recurrant story. A few years ago ...Unfortunately, a recurrant story. A few years ago my father, DNI/DNR, was a victim of the "911 disposal service" reflex that is common among many NH's. For an academic MD the event & the resultant mess was truly Kafka-esque. My sympathies.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-74981030275941051202010-02-09T14:00:48.707-05:002010-02-09T14:00:48.707-05:00From facebook:
Jim: Very sad, my condolences to D...From facebook:<br /><br />Jim: Very sad, my condolences to Dr. Howell and his family. Unfortunately, but understandably, ICUs are often psychologically constructed like trauma units. They have all of the most aggressive life saving techniques, drugs and machines at their fingertips and once trained, doctors and technicians are poised to use them and patients and their families are loathe to interfere. Sadly what we forget in that environment is that the end of life is not a sudden trauma, but a gradual realization even when it appears to be a sudden onset. The paradigm has been shifting, but word is not out everywhere and there is a natural resistance toward letting go. Thanks for sharing this Paul, it helps us to feel empowered by necessity and the recognition that no one is immune.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-57524501606868798502010-02-09T09:05:50.565-05:002010-02-09T09:05:50.565-05:00My sympathies, as well. This happens so often. It ...My sympathies, as well. This happens so often. It happened to my Dad in 2007. Here's where I wrote about his story and the role of digital directives in iHealthBeat: http://www.ihealthbeat.org/Perspectives/2007/Digital-Directives-Could-Aid-EndofLife-Care.aspx<br />Paul, thanks for raising this issue yet again. JaneJane Sarasohn-Kahnhttps://www.blogger.com/profile/14265810833411077447noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-26190215912488141052010-02-09T08:57:23.708-05:002010-02-09T08:57:23.708-05:00This is the second story in 24 hours I have heard ...This is the second story in 24 hours I have heard regarding NH's ignoring DNR orders. Could this be another manifestation of defensive medicine? Consider the Medicare costs it is generating....<br /><br />nonlocalAnonymousnoreply@blogger.com