Rockport Public Library

Extreme measures, finding a better path to the end of life, Jessica Nutik Zitter, MD

eng

Includes bibliographical references (pages 312-324) and index

illustrations

index present

non fiction

Extreme measures

bibliography

956959430

Jessica Nutik Zitter, MD

finding a better path to the end of life

"An ICU and Palliative Care specialist featured in the 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. Butthen duringher first codeshe 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 extremeuse 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."--, Provided by publisher

Alone in the trenches -- The end-of-life conveyor belt -- Abandoned in a sea of options -- The illusion collusion -- Where we come from -- Who we are -- The personal toll -- Sharing the journey -- Epilogue -- Appendix one. A way forward -- Appendix two. Avoiding unnecessary suffering