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She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. I remember there was an Archives article from, or Annals, I forget, it was probably called Archives back then, Resuscitating Advanced Directives. And we see that too in geriatrics.
But when the doctor explained the choices between, you can either have CPR or have a do not resuscitate order, or you can have CPR or allow a natural death. When it was do not resuscitate, fewer people chose it. And we’ve accrued over a hundred different clinicians and we analyzed their language when presenting treatment options.
I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. And I described a code that I led as a senior resident. Alex: Wait, what’s the linkage here? We’re giving some biologic information if they want it.
Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. And he had a deadly fear of being institutionalized, based on his previous present experience. Anyway, we resuscitated him as best we could, stayed in the ICU, and then ended up in a nursing home.
I think this is actually bread and butter geriatrics. And then there’s this other time, and this gets to the geriatric patients, where you’re adapting to change and loss and then it’s a new normal that you’re trying to adapt to. And so, that’s what we learned from them. This is a blind spot for me.
Butstay with us heremight AI help to address some of the major issues present in surrogate decision making? If you look at the recordings of discussions they have with their doctors and even sort of the intonation when they talked about resuscitation, maybe that gives you information you could use to predict.
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