Decisions at the End of Life

Abstract
In the more than 30 years that I have been practicing medicine, the most difficult task for me has been speaking to the family members of patients whose health is failing. In the 1970s, there was less medical technology that I could use to help my patients, but I usually knew the patients, their families, and their mutual wishes. At that time, physicians generally took the lead in deciding what to do, but when we had done all we could do that was consistent with both our own sense of the best options and our understanding of what the patient . . .

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