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When the End of Life Is Not.

By Marya Zilberberg So begins this New York Times essay by Peter Bach, MD, where he talks about the inadequacy of resource use at the end of life as a policy metric. Now, I am not very fond of policy...

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How Doctors Die

By KEN MURRAY, MD Years ago, Charlie, a highly respected orthopedist and a mentor of mine, found a lump in his stomach. He had a surgeon explore the area, and the diagnosis was pancreatic cancer. This...

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End of the Line in the ICU

By Kristen McConnell Last year I graduated from nursing school and began working in a specialized intensive care unit in a large academic hospital. During an orientation class a nurse who has worked on...

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Denying Reality About Bad Prognoses

By Bob Wachter, MD The human capacity to deny reality is one of our defining characteristics. Evolutionarily, it has often served us well, inspiring us to press onward against long odds. Without...

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What to Do About Futile Critical Care

By Neil S. Wenger, MD Thanks to extraordinary advances in medicine, critical care providers can save lives even when the cards are stacked against their patients. However, there are times when no...

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