Extreme Measures: Finding a Better Path to the End of Life By Jessica Nutik Zitter M.D.

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For readers of Being Mortal and Modern Death, an ICU and Palliative Care specialist offers a framework for a better way to exit life that will change our medical culture at the deepest level In medical school, no one teaches you how to let a patient die. 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. In our current medical culture, the old and the ill are put on what she terms the End-of-Life Conveyor belt. They are intubated, catheterized, and even shelved away in care facilities to suffer their final days alone, confused, and often in pain. In her work Zitter has learned what patients fear more than death itself: the prospect of dying badly. She builds bridges between patients and caregivers, formulates plans to allay patients’ pain and anxiety, and enlists the support of loved ones so that life can end well, even beautifully. Filled with rich patient stories that make a compelling medical narrative, Extreme Measures enlarges the national conversation as it thoughtfully and compassionately examines an experience that defines being human.

At this time of writing, The Mobi Extreme Measures: Finding a Better Path to the End of Life has garnered 10 customer reviews with rating of 5 out of 5 stars. Not a bad score at all as if you round it off, it’s actually a perfect TEN already. From the looks of that rating, we can say the Mobi is Good TO READ!

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I had placed this book on my wish list. I was sure I should read it. I was not sure I wanted to read it. Without divulging my own history, allow me to say that I am a lifelong skeptic in so far as the value of medical treatment for any but the most common human conditions. At the same time I have the highest respect for the sacrifices made by nurses and physicians. In the end, I clicked on the wrong button and ended up with a complete copy in my Kindle.The first time I attempted to read it the early history of author and ancestors caused buyers remorse. The second time I started with chapter 2 and was immediately engrossed. That was because it validated nearly all my firmly held convictions about just how badly so many people end their lives in the ICU. Please consider that living in Brazil and traveling in much of latin america opened my eyes to pain, suffering, and death many years ago. Inflicting it in the ICU seems much worse, however.My parents are deceased. In the ten years following the death of one, management of death had improved remarkably for the other. With the passage of death with dignity here in Colorado, I see a glimmer of hope that death may come to be viewed as merely the end of life. For many it will merely become a release without the fears of anguish so frequently dispensed in the ICU.

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