Extreme Measures

Extreme Measures

Finding A Better Path to the End of Life

Book - 2017
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"Jessica Zitter became a doctor because she wanted to be a hero. She elected to specialize in critical care--to become an ICU physician--and imagined herself swooping in to rescue patients from the brink of death. But then during her first code she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life. She began to question her choice. Extreme Measures charts Zitter's journey from wanting to be one kind of hero to becoming another--a doctor who prioritizes the patient's values and preferences in an environment where the default choice is the extreme use of technology."-- Provided by publisher.
Publisher: New York : Avery, an imprint of Penguin Random House, [2017]
ISBN: 9781101982556
1101982551
Characteristics: xiv, 338 pages ; 24 cm

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List - Grief and Dying
Rattusnorvegicus Jun 28, 2017

author, Jessica Nutik Zitter, is a physician who specializes in both critical care medicine and palliative care, the yin and yang of medicine. Critical care specialists are taught to save lives with all the technology and machinery at their disposal. Palliative care specialists need the opposite ... Read More »


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nanckauf
Aug 04, 2017

This is simply the best book I've read concerning choices for end of life. The author writes engaging accounts of her 20 years as a physician in ICUs as well as in palliative care consulting. She presents a comprehensive range of her own experiences with dying patients. She's learned a lot and passes it on to her readers. I highly recommend this book.
That said, the elephant in the living room, a topic she doesn't mention once, is the inordinate cost of unnecessary end of life measures and the ensuing burden on our health care systems. As we as a nation grapple with how we want medicine paid for, whether entirely by private insurance or by a singer payer system, cost cannot be overlooked. At present we want to provide everything. Few people, least of all this author, want to take on how we allocate resources. She's fantastic in terms of letting us know what's involved in specific medical choices, but she neglects the matter of cost. The book will be quite helpful for patient, family, and health provider decisions, but falls short on questions of cost.

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