PDF-(READ)-Extreme Measures: Finding a Better Path to the End of Life

For readers of Being Mortal and Modern Death an ICU and Palliative Care specialist offers a framework for a better way to exit life that will change our medical culture at the deepest levelIn medical school no one teaches you how to let a patient dieJessica Zitter became a doctor because she wanted to be a hero She elected to specialize in critical careto become an ICU physicianand imagined herself swooping in to rescue patients from the brink of death But then during her first code she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life She began to question her choice Extreme Measures charts Zitters journey from wanting to be one kind of hero to becoming anothera doctor who prioritizes the patients values and preferences in an environment where the default choice is the extreme use of technology In our current medical culture the old and the ill are put on what she terms the EndofLife Conveyor belt They are intubated catheterized and even shelved away in care facilities to suffer their final days alone confused and often in pain In her work Zitter has learned what patients fear more than death itself the prospect of dying badly She builds bridges between patients and caregivers formulates plans to allay patients pain and anxiety and enlists the support of loved ones so that life can end well even beautifullyFilled with rich patient stories that make a compelling medical narrative Extreme Measures enlarges the national conversation as it thoughtfully and compassionately examines an experience that defines being human. 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