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  • An extreme document for extreme situations

    Increasingly, I'm afraid people get DNRs pushed on them by medical professionals trying to avoid law suits if they make the clinical decision to withhold ANY particular procedure. In many states, without a DNR, they are obligated (or SHOULD be obligated) to use everything but the kitchen sink when the sh|t hits the fan. A DNR is for patients with a TERMINAL DIAGNOSIS and/or a chronic condition causing pain SO SEVERE life is no longer worth living.

    Doctors often cite the statistic that CPR works only 15% of the time in the best of circumstances. The obvious answer to that is: "WHO CARES??" If you're dead, you're dead. The relevant stat is that WHEN IT WORKS, about 50% of the time the patient goes back to his life neither better nor worse for the CPR procedure. If you sign a DNR, you are GIVING UP on that 50% x 15% = 7.5% chance for life. 7.5% of the time, a DNR is tantamount to suicide.

    As I said, I think a DNR is valuable and appropriate in certain circumstances -- terminal diagnosis or excruciating pain. Even then, by all that's moral and holy, the patient must be consulted, even though that's NOT required in every state(!)

    I have neither condition. I have a couple medical problems, but no chronic pain, and no terminal diagnosis. My PCP thinks I could go another 10 years, which would take me to age 75. Yet this doctor, and TWO OTHER medical professionals have brought up the subject of a DNR over the last 5 years. Each time it seemed very aggressive, and nothing negative about the binding DNR agreement was presented whatsoever. When I refused, the subject was brought up more aggressively on the next visit.

    It also should be mentioned that doctors as whole TREAT DNR PATIENTS DIFFERENTLY, even when there's no life threatening condition like a heart attack. For example, one government survey reports that 32% of doctors state they would REFUSE ANTIBIOTICS to any patient flagged with a DNR. This is an extreme document for extreme situations -- not to be entered into lightly.

  • Yes, they end lives early.

    Yes, do-not-resuscitate orders endanger patients, because they prevent patients from getting care when it can save their lives. DNR orders are sometimes used improperly, because then health-care providers have to walk a fine line between providing appropriate care and providing more than the patient or the patient's family wants them to provide.

  • I've seen situations where it could have helped

    If a person is brain dead or old (80+) and has a serious heart attack stoke whatever and it is determined that they are only hanging on by a thread on borrowed time and did not have a DNR signed when they were capable of it. It is cruel and selfish to have the doctors revive them, insert feeding tubes, IVs, or ventilators only to prolong their suffering because you're not ready to let go when they are. I have seen it countless times when I worked in the nursing home. Residents would be sent out with heart attacks strokes and other conditions and died on the table several times and brought back because the family insisted on it. I have seen people who were functional and independent come back on feeding tubes, become bed bound, only to aspirate on their own saliva develop pneumonia and then die weeks or even years after returning to the home moaning in pain the whole time and never getting out of bed. I have seen people lose toes, feet, and entire legs to necrosis caused by lack of blood circulation while they were coding. These are things straight out of a horror film and I've held these people's hand while it was happening to them. At times I could scream when this happened, but I didn't I wiped my tears and hoped they could hear me when I told them it would be ok. So ask yourself how would you want to live or more accurately how would you want to die? Would it be better to go in your sleep remembered for the person you were or have your family watch you writhing in pain only to choke on your own saliva so doped up on drugs you don't even know where our who you are anymore?

  • No, Everyone Has a Right to Die

    Do Not Resuscitate (DNR) orders are an important tool for a person with serious medical issues to control their medical care and choose if and when they are ready to die. If someone has a serious medical problem that is causing suffering and is likely incurable, it is their choice whether or not they want to continue to seek treatment or decide it is time to let things come to their natural conclusion, even if that means death. It is not for anyone to dictate when and how someone else dies, so DNRs need to remain one of many available tools, like living wills, that allow us to have some control over the aggressiveness of the medical treatment we are given in extreme situations.


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