Wednesday, January 10, 2007

Doctors and dying...new book

William Grimes, in the New York Times, reviews "Final Exam," a new book written by Pauline W. Chen, M.D. From the review:

Outside the conferences, death is the unwelcome, awkward visitor who stops conversation. Dr. Chen cites a survey showing that one-quarter of oncologists failed to tell their patients that they were suffering from an incurable disease. Nearly half of the doctors in another study rated themselves as “poor” or “fair” in breaking bad news to their patients. Often, with several specialists and sub-specialists assigned to a dying patient, each doctor waits for the other to provide unwelcome information.

Dr. Chen experiences an epiphany when she witnesses a break with tradition. Normally, in a patient’s final hours, doctors close the curtain around the bed and disappear, leaving family members alone with their dying relative. But one doctor, trying to console an elderly woman whose husband is dying, stays with her by the side of the bed. As she holds her husband’s hand, he tells her what the strange sights and sounds on the monitors are saying, and what her husband is experiencing as life ebbs away. That scene of compassion and communication, in the midst of high-tech beepings and buzzings, shows what doctors can do when nothing can be done.
Click here to read the entire review.

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