Dr. Bud Hannah’s is director of respecting choices for Gundersen health system. You know one in seven American men gets prostrate cancer I know you tell me every time we hang out. So here are the problem patients and their doctors most often don’t have conversations about when the burdens of treatment would be so high he wouldn’t outweigh the benefits of the treatment. If you can’t face having an honest conversation about death with your doctor you can end up chasing unnecessary treatments that do very little to prolong your life and just make your final days really uncomfortable.
Now’s the time to make these plans for future healthcare decisions to time to talk with your family about your values your preferences and your goals so they don’t end up guessing when they make your decisions. A lot of people think that but the research is very clear and if you don’t have these conversations family members are no better than strangers and making these decisions they end up guessing and that can be really really hard on them.
Sometimes the problems is so severe I don’t know that the family will ever talk to each other again. That is such a hard conversation have I mean I don’t I don’t know where I would begin. There are three simple questions everyone should consider, the first is if you could make your own decisions who would make decisions on your behalf.
The second is if you suffered a serious and permanent brain injury how bad would it have to be for you to change your goals of care. Well they wouldn’t want to be kept alive if I was brain-dead saying guess right now let be. The third question is do you have any strongly-held values or beliefs that would influence all medical decisions might be delayed. I don’t know honestly these are really tough questions that field right now. Well you’re they are hard to answer that’s why in Lacrosse Wisconsin we decided to approach all of our patients and offer them the opportunity to do this plan that way families have the confidence that they made the right decisions.
Well the decision is yours, we would come to any big decision somehow and we don’t know what to do. Yes will always be a terrible loss but if you can accept its inevitability it makes the whole process a lot easier.
I’m going to die I didn’t want it to be now but it’s going to be. I don’t want to be unconscious on a hospital bed forever and if I leave the decision up to my family you know no matter what he chooses how never feel like you made the right choice. Tonight I was gonna surprise her an :take her to a Ronda Rousey.