If you have been stranded for the last few weeks on a desert island somewhere with no access to news, social media, or your mom, you may not know about the Ebola scare. Well, it is more than a scare. It is a horrible disease that is killing hundreds of people, primarily in West Africa. There is no vaccine for Ebola and up to 70% of the people who contract the disease die from it. Of course the media is doing it's part to keep us fully stressed about Ebola, but that is the subject of another rant another time.
|This is such a dismal subject, I thought flowers might brighten things up a bit.|
After hearing of the heroic measures being taken since October 4th to keep him alive, dialysis, a ventilator, experimental drugs, I flashed back to heated discussions my Clinical Pastoral Education (CPE) class had in a series of medical ethics seminars we attended. We were given cases to evaluate and determine when someone should just say, "Stop" for the sake of the patient's dignity, as well as the financial burden to the medical facility, insurance companies, and family. For most of us, these were issues we had never considered before. Who does?
The care given to Mr. Duncan may have cost as much as half a million dollars, a bill Texas Health Presbyterian Hospital Dallas is unlikely to ever collect. Wow!
Duncan's could very well be a case to discuss in a medical ethics seminar. Heading the list of factors we were to consider in discussion was the potential outcome of heroic treatment. What are the odds of the patient making a full recovery? With Ebola, those odds are not good, especially once the patient starts on a sharp decline.
Another factor we considered in our debates in class was Stewardship. How is the medical facility using its resources? As cold as it may seem, there are times when money is simply being spent on a case with no hope. I don't know if Presby in Dallas has a medical ethics board. I know we did in Omaha at the hospital where I worked, and I served on that board. When medical staff recognized that a case had crossed over into hopeless, but family was still pushing for extreme measures, we were called in.
Cases like this would be so much easier on all concerned if the patient had an Advanced Directive and a Medical Power of Attorney, and we should all get those. If we don't want to spend the last weeks of our lives in an ICU, hooked to machines, we need to make that known to our families, doctors, and medical facilities near us. That way the burden of those tough decisions are on us, not them.
Now we need some jokes for sure to lighten this blog up. Since we're getting close to Halloween, I thought these from HolidayJokes.com would be fun:
For Halloween I'm going to write "Life" on a plain white T-shirt and hand out lemons to strangers.
Q. Which ghost is the best dancer? A. The Boogie Man!
Thank goodness for Halloween, all of a sudden, cobwebs in my house are decorations!
Q. When do ghouls and goblins cook their victims? A. On Fry Day.
Q. What's a monsters favorite desert? A. I-Scream!
Q. What do you call a dancing ghost? A. Polka-haunt-us
Q: How do you write a book about Halloween? A: With a ghostwriter.
Have you ever thought about medical ethics? Do you think we should go to heroic extremes to save people? Have a favorite Halloween joke?