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with the people they want to be with. ""The last thing we want to do is remove hope," says Gottlieb. "But there are times when people are going to Puma Rihanna Creepers

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"To say to somebody, 'you'll be dead in a month' that can kill them. " A good physician, he says, knows and explains that statistics are not about individuals. "This is not about lying to people. It's how you present the truth. It's about saying to the patient, 'even if only one out of 100 lived, do you want to make the effort?' " And when the patient's body can no longer make that effort, to know what to say next. Siegel first wrote books about trying to help .

rgeries, they won't spend what time they have left recovering from useless tests and painful invasive procedures that will simply result in more time in the hospital rather than Puma Creepers Grey Suede

die. Our hope is that they have a peaceful, graceful death. "Patients and particularly their loved ones may need time to get used to the idea, says Elstad. But when a physician talks through what can be done and what it's likely to yield, most soon shift expectations to providing comfort and an easier exit. "They understand if you can't make a loved one better, then the things we do in ICU effectively become torture.

recently reported in the New England Journal of Medicine that found patients want to know the likely burden of any given treatment, so they can weigh it against the possibility that it might extend their life. In their quest to be truthful, doctors need to be careful that a prognosis not include detailed predictions about when the patient might die, says Margaret Battin, University of Utah philosophy professor and an expert on medical ethics. "A fatal Puma Fenty Sneakers White diagnosis is a probabilistic account of likelihood, not a certainty," she says. "I know that I can literally kill people with my words," he said in a recent phone interview.

There's no reachable goal and it just becomes procedure. "And, too, patients want to know how to gauge the realistic outcome of treatments. Gottlieb, who was Winnifred Hsu's physician, points to a study Puma Creepers

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