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Extreme Measures: Finding a Better Path to the End of Life
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Extreme Measures: Finding a Better Path to the End of Life
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business account Hardcover: 352 pages Publisher: Avery; 1 edition (February 21, 2017) Language: English
ISBN-10: 1101982551 ISBN-13: 978-1101982556 Product Dimensions: 6.3 x 1.2 x 9.4 inches Shipping
Weight: 1.2 pounds (View shipping rates and policies)
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Book Description
For readers of Being Mortal and Modern Death, an ICU and Palliative Care specialist 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.

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