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This narrative reflects on prioritizing patient wishes over aggressive interventions in elderly patients, suggesting ethical considerations in care choices.
We all aware of the rising health care costs and the astronomical premiums that insurance companies charge every day, even though, we as a society may be partly to blame for most of the mischief behind the chaos. A few weeks ago, I was rounding on a 92 year old kindred spirit who was diagnosed with intractable heart failure. As he expressed his wishes for no interventions, no heroic measures, I subconsciously knew this might be his last visit ever to a hospital. "It was a meaningful life," he said smiling, "that's why I have lived so long."
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Awad Magbri (2017) studied this question.
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