In a very unsettling development in the COVID-19 pandemic, the Washington Post has an article in its March 25, 2020 edition that reports that some hospital systems in the United States are considering imposing Do Not Resuscitate (DNR) orders on all patients who are admitted with the viral infection.
The implications of this for all of us are worth noting and talking about. If we have advance directives – and we should – and we want all live-saving measures used, including resuscitation, if we are actively dying, the new policy that some hospital systems (in North Carolina, Illinois, and the District of Columbia, so far) are strongly considering will go against our legal and personal wishes.Continue reading →
The author of this book is an doctor who is practiced for years as a PCP and now teaches at Dartmouth. One of his areas of expertise is what the data (and these are extensive research studies) about the results of medical screening show and how the screening causes more harm than good.Continue reading →
After reading Being Mortal by Atul Gawande, I added all his books to my to-read list.
Gawande is not only a conscientious physician, but he is also a thoughtful leader (who admits his own shortcomings and failures) and an excellent writer, and that combination is always appealing to me.Continue reading →
How We Do Harm: A Doctor Breaks Ranks About Being Sick in America, in my opinion, should be on everyone’s to-read list.
Dr. Brawley does an excellent job of showing how American medicine, with profit as the bottom line (propped up by insurance companies, Big Pharma, and often-faulty research that is manipulated to making fear the driving factor for patients), does more harm than good in most cases under the pretense of providing “health” care.Continue reading →
Memory Lessons: A Doctor’s Story by Jerald Winakur is a must-read for all us who are caregivers for loved ones with dementias and Alzheimer’s Disease. Going Gentle Into That Good Night cannot recommend it highly enough.
This is my Goodreads review:
“What an incredible book! Dr. Winakur is a geriatric physician – old-school, steadfastly bucking against the managed care model of the for-profit companies that own medicine in the U.S. and Big Pharma, the for-profit companies who advertise magic-in-a-pill drugs directly to consumers and pay off medical providers to prescribe them – and is/was the son of aging parents, one of whom was his dad, who had dementia.
Dr. Winakur weaves the story of his philosophy as a doctor – do not harm, take the time to listen t0 and to think about each patient, we all forget, in devaluing our elderly population and shuffling them off to care facilities because we’re too busy with our own lives and can’t be bothered, that not only do we owe them our turn in the circle of life, taking care of them when they need us most just as they took care of us when we needed them most, but one day, if we live long enough, we will be them and the examples we set with our own attitudes and behavior toward them are what our children see and what they will, in turn, do to us – with the story of his family and his parents.
It is refreshing, poignant, and from the heart.
A must read!”
This is great book for all of us as caregivers. He is a doctor and a caregiver for his parents. It’s interesting to see how he deals with the same dilemmas and decisions as a son, in spite of being a geriatric physician, that we do as sons, daughters, grandchildren, sons-in-law, daughters-in-law, and spouses of our loved ones.