An ICU and palliative care specialist featured in the Oscar-nominated Netflix documentary Extremis 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.
©2017 Jessica Nutik Zitter (P)2017 Penguin Audio
For anyone who wants to know what "the end" really looks like, this book is must reading. In fact, it should be mandatory reading for anyone who is - or is related to anyone who is - mortal. And I think that covers ALL of us. Spoken by the author with visceral compassion, Dr. Zitter compresses her 20+ years in the ICU with so many you-are-there stories of patients and family members in end of life crises, it truly becomes a rallying cry for us to Do Something Now, even beyond Advance Directives. Thank you for telling it like it really is, Dr. Zitter! m
should be read but every family and family member important information on end-of-life care fantastic read this doctor knows her stuff
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