Ain't the Way to Die | Eminem/Rihanna Remixed | Make Your End of Life Wishes Known

Рет қаралды 1,187,996

9 жыл бұрын

"Just gonna stand there and watch me burn, end of life and all my wishes go unheard."
Lyrics and more here: zdoggmd.com/aint-the-way-to-die/
Based on the Eminem & Rihanna song, "Love The Way You Lie."
Lyrics by ZDoggMD (Dr. Zubin Damania) and Dr. Harry Duh.
Audio engineering, mixing, production, and chorus vocals by Devin Moore.
Thanks to:
Storyworks Production Company
Director, Michael Shaun Conaway
Producer, Alex Melnyk
Editor, Sean Horvath
Colorist, Mark Anton Read
Your support keeps us independent and mild-to-moderately awesome: zdoggmd.com/supporters
Show, podcast, music, support, shop, social media, and email: lnk.bio/zdoggmd
Special thanks to the residents and staff of the University of Nevada School of Medicine. Mad luv to palliative care, hospice, and end-of-life providers around the world.
Lyrics:
Just gonna stand there and watch me burn
End of life and all my wishes go unheard
They just prolong me and don’t ask why
It’s not right because this ain’t the way to die, ain’t the way to die
Patient:
I can’t tell you what I really want
You can only guess what it feels like
And right now it’s a steel knife in my windpipe
I can’t breathe but ya still fight ‘cause ya can fight
Long as the wrong’s done right-protocol’s tight
High off of drugs, try to sedate
I’m like a pincushion, I hate it, the more I suffer
I suffocate
And right before I’m about to die, you resuscitate me
You think you’ve saved me, and I hate it, wait…
Let me go, I’m leaving you-no I ain’t
Tube is out, you put it right back, here we go again
It’s so insane, ’cause though you think it’s good, I’m so in pain
I’m more machine than man now, I’m Anakin
But no advanced directive, I feel so ashamed
And, crap, who’s that nurse? I don’t even know her name
You lay hands on me, to prolong my life again
I guess you must think that this is livin’…
Just gonna stand there and watch me burn
End of life and all my wishes go unheard
They just prolong me and don’t ask why
It’s my right to choose the way that I should die
Doctor:
You ever love somebody so much, you can barely see when you with ‘em
That they, lay sick and dying but you just don’t wanna let ‘em
Be at peace cause you miss ‘em already and they ain’t gone
Beep beep, the ventilator alarms
I swore I’d never harm ‘em, never do nothing to hurt ‘em
Hippocratic oath primum non nocere now I’m forced just to torture ‘em
They push full code, no one knows what his wishes were
His sister heard him say once, “I don’t wanna be a vegetable”
But no one agrees in the family, his caregiver Kate
Wants him comfort care but Aunt Claire lives so far away
That her guilt eats her like cancer
So she answers, “Wait! I think he’ll wake”
Maam, you ain’t even in the state!
Palliate, relieve pain, get him home, explain
Critical care? Just hypocritical when it’s so insane
But they insist I shock his heart again so I persist
Guess that’s why they say that love is pain.
Just gonna stand there and watch me burn
End of life and all my wishes go unheard
They just prolong me and don’t ask why
It’s my right to choose the way that I should die
The way that I should die

Пікірлер: 948

@staceybaker8122 8 жыл бұрын

I am a paramedic in north Carolina, also coded my own mother...ended up in Neuro icu, with a subarachnoid bleed. Hardest moment of my life but now others live on because she wanted to donated her organs. Her heart is literally still beating, and someone is seeing clearly for the first time in a long time.

@ZDoggMD 8 жыл бұрын

+Stacey Baker Wow. Thanks for sharing this story.

@chapo0815 6 жыл бұрын

Stacey Baker .... thats AMAZING. God bless your mom. Losing your mother is very hard... i lost mine April 23rd 2017 ((hugs)) 🦋

@philbertchow5425 5 жыл бұрын

😰😰😰

@laurasutherland2352 5 жыл бұрын

"Her heart is literally still beating". Beautiful.

@juliesczesny90 Жыл бұрын

Sorry for your pain, and loss. God bless you, for you honoring your mom's wishes. Lost my mum, few months ago, 101 yr old auntie last yr. And a well loved distant relative, today. It never gets easy. But the last three, got to go out the way of their choosing, surrounded by their loved ones - not bleeping machines!

@tanb9304 5 жыл бұрын

I am an active lobbyist for Voluntary Assisted Dying. I have been for a long time. I nursed two parents through horrific cancer/end of life journeys. I've had a 20 year battle with breast cancer and was recently diagnosed as terminal. I still have my humour - am a BIG Eminem fan - and so this "remix" is absolutely bloody awesome and will be shared far and wide.

@amandapapageorgiou3617 4 жыл бұрын

I'm 31 and a covid-19 patient. This gave me the strength to write an advanced directive. Thank you.

@iamJZ 8 жыл бұрын

I am a Paramedic who also happened to call my Mother's code. We teach many things in our profession however what we don't or are unwilling to teach is the compassion of giving others the peace in death that they could not have in life. Thank you.

@ZDoggMD 8 жыл бұрын

+J Zepeda That's the hardest thing in the world to do. Thanks for sharing your story!

@tonyameirhofer6118 7 жыл бұрын

This is what I teach in my DNR discussions class in my facility. As nurses we don't get much on DNR in school or anywhere else. We know what it is, but leave it up to the MDs to start that discussion. That's not the way it should be. Start the discussion at admission, then it's not a surprise if/when the patient codes later on. J Zepeda, so sorry about your mom, but I'm glad she had you there to put a stop to the torture she surely would have suffered had you not been a loving, dedicated son.

@karilehman9882 11 күн бұрын

@@tonyameirhofer6118in my experience nurses tend to have more compassion too - more focus on quality of life, and they don't care about insurance payouts, so with appropriate training I think they're often the best ones to have that discussion with, and MDs can be consulted on specific medical aspects.

@onelifevictoria 9 жыл бұрын

As an Iv nurse who also have worked in the icu, this song hits me hard. Yesterday I put a picc in an elderly icu patient, intubated and afraid . Arms tied to the side so she can't pull out her lines and tubes. Non medical people can't understand this- but we in the medical team feel like we are torturing them to keep them alive, even when their chances of survival are less than 5%.. Thank you so much for reminding us and educating non medical people that there are worse things than death ....

@melindajohnson8064 5 жыл бұрын

I left ICU nursing and went into hospice (non for profit). This video states why i changed over - much better than I could say, sing, scream, cry. With all my heart I would like to thank you for reaching out and hopefully schooling people on: A. The need to have legal end of life wishes...no matter what your age or health. B. How messy and unjust to leave these decisions for your loved ones or worse- NO ONE. C. For illustrating how the patient feels; his body in a cage, strangers constantly doing unto him, a knife down his throat and needles of all descriptions slicing into skin. Year after year of watching this happen. Mutely 'caring' for these people. And worse transferring them to long term care facilities so this existence could continue for on and on and on and......

@croaker260 8 жыл бұрын

I swear this is one of the most moving songs I have ever heard , parady or not. Truth from a 25 yer paramedic.

@croaker260 8 жыл бұрын

+GAMINGBRO: will and David swipe and text from phone gets me every time.

@serenitypoynter5154 8 жыл бұрын

amennnn

@ladywolfe67 7 жыл бұрын

I cannot watch this video and not cry. It hits me very hard.

@ladywolfe67 7 жыл бұрын

GAMINGBRO: REALLY?!?!

@christinashipley5059 7 жыл бұрын

Yup... made me cry after 20 seconds!

@Volgrand 7 жыл бұрын

Holy shit mate. I have been a nurse for 8 years, last 2 in Intensive Care. I had never seen such a.... meaningful definition definition of everything I have ever been ashamed of, as a health carer. So many times I took care of a patient thinking "we should let him go". But yet we don't. Yet the family won't. Yet some doctors will not stop trying. Thank you for this video, and for the song. To be able to put the pain in both sides of the bed, both patient and professionals, has been... touching. I swear I am crying right now. I believe I never had the courage to recognize how ashamed I feel for every patient I didn't let go. I know it was not just on my hands, but that doesn't make it any easier. Thank you, ZdoggMD.

@Volgrand 7 жыл бұрын

Christopher Hughes say what?

@ladywolfe67 7 жыл бұрын

M. Volgrand Don't be ashamed. The family has the final say even if there is a DNR order on file.

@Volgrand 7 жыл бұрын

ladywolfe67 I know, but still I don't feel any better when I have to take part in these sort of acts.

@laurasutherland2352 5 жыл бұрын

@@Volgrand, I hear you.

@NRSNG 9 жыл бұрын

Wow . . . as an ICU nurse myself I can say . . . this was SPOT on perfectly done! Even down to the vent alarms. Beautiful

@spaceycasey871 6 жыл бұрын

I can't focus in ER settings well, but the ICU... The focus is ...well i'm not gonna say easier... still working on that part. Autonomy both a blessing and a curse of the lone ICU Curse..

@theeclecticnurse2485 5 жыл бұрын

The vent sounds get me every time.

@Scatterling313 5 жыл бұрын

The Eclectic Nurse same!! I’ve been an ICU patient where patients have died - hello PTSD

@laratheplanespotter 3 жыл бұрын

I know this is 5 years ago but I just wanted to say, those sounds I heard all through my ICU stay 6 years ago. I had PTSD from it for 5 years. But hearing them here has just taught me a lesson. That I’ve just come to terms with it because the recurring nightmare I was having shouting for them to stop but also shouting for help but no one can hear me because I have an ET tube shoved down my throat. I can’t remember the last time I had that dream. I guess I’m whole again so thank you to all HCPs out there that saved me and helped me through the fall out. 💙

@DoctorDaveMH 9 жыл бұрын

This is genius. I'm an ER doc, and I've done CPR on too many people who, had they just understood, would have opted for a DNR and died in a more dignified and humane way. I am all for life-saving measures, but reality is less glamorous and less optimistic than TV makes it out to be. People with advanced illness, or even simply advanced age, should really consider what they expect from their future and weigh that against the idea of being tortured on a gurney with the small chance of survival, only to be miserable in a hospital bed with an even smaller chance of returning to a normal or even fair quality of life. At this point in my life, of course, I would opt for all life-saving measures for myself (though I would rather be dead than be chronically in a vegetative state), but at some point in life, the scales should tip. Ignoring the issue and just accepting the default potentially leads to increased sadness and anguish for yourself and your loved ones down the road.

@haidenmorgan 6 жыл бұрын

Thank you man. As a Cystic Fibrosis patient slowly creeping into major complications this is weighing on me heavy. DNR is something I have recently began to much more seriously consider. At this point I can tell a DNR is gonna be better than ventilator life. I have spent so much time in hospital already that death sounds more like good sleep than something to be afraid of or sad about. I feel for you guys watching yourselves almost torture patients to keep them alive. I can't imagine going home with that burden.

@mamalovesthebeach437 5 жыл бұрын

Thank you for this ... we're dealing with this in our family and the 90-year-old family member is not clear about what measures doctors often take even though there is a DNR in place. What good is a DNR if hospitals and doctors are taking measures for fear of a lawsuit? Any suggestions in how to best handle wish for DNR to be followed through? Thanks so much for doing what you do ... Many, many moons ago ER doctors saved my 18-year-old self from death and from losing a leg and I am forever grateful ...

@jessicaduncan3988 3 жыл бұрын

people just really don't understand what goes into getting someone out of a code situation. It took the ACLS course for it to really sink in for me...good googly what we do to the body just to get it going again is brutal...

@flyorraofficial 2 жыл бұрын

Hi. I love this video because it says "the way that I should die" I have tried to get my advance directives and end of life wishes in Australia but the process is extremely difficult because the paperwork means I have to have two power of attorneys and I have nobody in terms of family who will pull the plug. (I have a long history of suffering from existential thoughts of like "why don't I kill myself". Wanting to die is unhealthy like a cancer that eats at your soul especially because people have asked me to kill myself countless times directly or indirectly) I'm a child of divorce who grew up with a sadistic psychopathic mother. And as victims we are the living dead. I'm 38 years old and people believe that I'm alive. What is the definition of life? Why call two things that are different and call them by the same name life. I'm the living dead. I have not lived at all in 38 years.

@AzFreebird1 Жыл бұрын

I think if more people were aware of the actual things that happen to your body when you don't have a DNR more people would have one. It took a lot of convincing my Mother-in-law to sign a DNR. She had COPD quite bad at the end. My hubby works at a hospital, and when he explained the process, she did a very hard 'pass' on over-the-top life-saving measures. She died peacefully at home with us there with her. No regrets & she died peacefully - which is all any of us can hope for.

@jhudson225 5 жыл бұрын

I’m a pediatric perfusionist and ECMO specialist. I’ve written about 7 paragraphs and erased them so far. There is so much to say about this, but in the end, you’ve said it way better than I can. The way we’re doing it is wrong: for the family, for the staff, and especially for the patient. I hope we can figure out a better way. Great Job, ZDoggMD....

@scarlettbegonia5998 7 жыл бұрын

I'm a hospice nurse, as much as you make me laugh, this one really hit home and brought me to tears. Thanks ZDogg ❤️

@alyssaortega3185 7 жыл бұрын

I've been a Respiratory Therapist for almost five years and it kills me whenever this happens, it's one of the things I hate most about my job... what's worse though is when the patient has made their wishes clear but the scared/guilt ridden decision maker negates the wishes and insists we do everything :(

@missmoxie9188 4 жыл бұрын

Alyssa Ortega oh yes I’m an RRT too

@joshpendl814 9 жыл бұрын

ER resident here - there is a huge public misconception about the success rate of CPR, especially in out-of-hospital arrest. It's hard to call it a "success" when we stabilize a patient in the ER only to watch them wither on an ICU ventilator for another week, or more, before passing. This was a very touching video.

@ZDoggMD 9 жыл бұрын

Josh Pendl Exactly correct, thanks Josh.

@adobrowolsky13 5 жыл бұрын

Couldn’t agree more. When I learned the resuscitation rate is only 33%, and that doesn’t guarantee no adverse effects from hypoxia, I was shocked. People need to be educated about the realities and limitations of health care.

@maribellalydiatonelli7750 2 жыл бұрын

Agreed, as a previous icu rrt, now a covid rrt, the term " successful " ACLS code is used very loosely. ...

@karilehman9882 11 күн бұрын

I think TV can largely be blamed for the misconception. People have seen far too many actors get "resuscitated", then sit up and thank their savior as if nothing happened. At least now we're seeing more portrayals of different end of life (or possible end) scenarios, but it's stuck in a lot of people's minds and that's hard to overcome.

@brianpeltier2924 9 жыл бұрын

I was really expecting another funny video, but this was profound. I'm an RN with two years in Burn ICU and 10 years in county Trauma 1, here in Houston. Didn't take me very long to realize death isn't the worst outcome. There's many a family I've talked and prayed with in that last hour. And the residents too. They get so lost that first time they realize they can't fix it, whatever "it" is. Mad props zdogg, this one hurt a little, but excellent work.

@ZDoggMD 9 жыл бұрын

Brian Peltier WORD.

@laurasutherland2352 5 жыл бұрын

"death isn't the worst outcome". Excellent.

@michaelwagner4485 8 жыл бұрын

I work in a Catholic Hospital and one day after we coded this person for the third time in 2 hours my manager made a remark that stuck with me. she said "We want everyone to go to heaven, but we just won't let them die to get there."

@trafficjon400 4 жыл бұрын

Steroids kill agony period

@estifanos9981 3 жыл бұрын

What if they were going to hell?

@DelTashlin 9 жыл бұрын

As a terminally ill person, this song hits hard in the soft parts, but in a good way? I try to encourage people to think about what they want, and how their family will feel about that. I am blessed to know that those I have given the power to know exactly what I want.

@ZDoggMD 9 жыл бұрын

Del Tashlin oh Del, mad luv for your comment...thank you.

@katnipg Жыл бұрын

I'm so glad you portrayed this as a young person. So many people assume, hope, believe that a young person should be saved no matter what their condition is.

@MarkRobbins1961a 8 жыл бұрын

ZDOGGMD--- I am a critical care doc in Virginia. Your video is excellent---you got it all right. The importance of family discussions before the crisis cant be overstated. Keep up the good work--- you are a great messenger!

@darkshadow3072 6 жыл бұрын

I'm an RN and have been through this on the nursing side too many times. I cried. Nurses hurt too when this happens. Powerful song ZDogg, thank you.

@ADE330Catons 7 жыл бұрын

I'm a retired attorney and have been trained as a volunteer to do presentations for consumers and health care providers on advance directives/living wills. This video offers an incredible outreach to younger folks, both for themselves and their older family members. The goal is to honor the wishes of the patient once they lose capacity to decide. It doesn't matter whether it would be their choice to "pull the plug" or "keep my heart beating". The point is to do, as much as one could know, what the patient would want, and an important part of the process is having family conversations in advance.

@ZDoggMD 7 жыл бұрын

+Alan Eason spot on! Thanks for the work you do!

@hennesseyvillota4337 7 жыл бұрын

ZDoggMD dddxvc

@NC_SUGAR 9 жыл бұрын

I'm in the medical field and so is my oldest daughter. I am 58. My children know and we have a written agreement that if I ever get to the point of a resuscitation decision being made to please stop and consider what my quality of life would be like. Let me go! I cared for them all their lives and expect them to make 1 unselfish decision for me when it's time to say goodbye. Not to mention resuscitation on a frail fragile body is a brutal act in itself if done properly. Thank you for this video.

@Erin-jm4jm 9 жыл бұрын

I've been 10 years in the trenches of long term care. 'Watch me burn. ' is a great choice of words for the fever that comes at the end that nothing controls, when Mom hasn't eaten for three months because she forgot how to chew, so we put in the feeding tube, but she pulls it out, and we replace it, but she doesn't move any more, so pneumonia sets in, and she stops breathing, we run the code, now there's brain damage and crushed ribs, she's in agony and coming off the bed with every breath and still burning with fever, and family says, "Why aren't you helping her? Can't you see she's suffering? " This needs to be mandatory at admission.

@adobrowolsky13 5 жыл бұрын

I have been on both sides as a nurse; I’ve seen families support their loved ones to have the most peaceful dignified end and the ones who are clueless and who just want to keep their loved one alive no matter the cost or prolonging of life. I recently had an experience with a patient who was suffering from terminal illness who spent their last moments with me as I was fighting to have them sent to the hospital because they were a full code and I needed the family to be there with the docs so they could get the code status changed and let this person be at peace. Its so hard to watch people suffer for the sake of “love” and I’ve been an advocate of hospice and palliative care since before I became a nurse. I will always support my patients right to die a peaceful, dignified end and advocate for them to the best of my ability. Thank you for approaching such a difficult subject, this was a very moving piece and you did it perfectly.

@LdySelene1 8 жыл бұрын

THANK YOU for making this!!! I buried both of my parents 26 months apart, Pop in Jan 2013 and Mom this past March. My family is still praised for having talked openly about my parents' wishes. My father's death was made much more tolerable by the fantastic critical care staff of the RICU at Rhode Island Hospital. My Mom, however, was not so blessed. She had a cardiac surgeon who would not listen to reason. Mitral and tricuspid valves replaced, maze procedure done, 74 yrs old and open for 7.5 hours. Retained over 100 lbs of fluid. Kidneys failed on the table, cardiac tampanade 3 days out from surgery, intubated for 8 days, BUN shot up to 163, pleural effusion of left lung which never reopened. I spent 32 days arguing to let her die in peace and he refused. "We are not in the business of killing," he said to me. I am now in the process of working with my state legislators to get laws passed to help POAs for Healthcare carry out the wishes of their loved ones. THANK YOU again and thank you for what you do every day. Bless you, doc.

@ZDoggMD 8 жыл бұрын

+Erin L Blackman Wow, I'm so sorry about what your mom went through. Thanks for telling her story.

@LdySelene1 8 жыл бұрын

I am thankful that there are doctors like you, who realize that "first do no harm" does not mean "do not let your patient die". It is, often times, harmful to keep them alive.

@teinekenney 4 жыл бұрын

But your mother's doctor was definitely in business.

@lindsaygray3563 8 жыл бұрын

This is so spot on! I worked in ICU for acouple years and just couldn't take watching pts slowly die by putting every tube in every whole and constantly resuscitating when the family is unsure of what the pt really wanted. It's so important to have make your wishes known and not let your body be slowly tortured when truthfully the pt and there brain is already dead (in most cases) living wills and health care proxies are sooooooo important! Don't put it off! You may think, oh well I'm too young, meanwhile what if your driving to work and someone crashes into you and you're seriously injured and can't speak for yourself because you are on breathing machines and in a coma. It's never too early. You never know what could happen.

@leslifullerton-pacis2180 6 жыл бұрын

I'm a critical care nurse. This has always been my very favorite video of ZdoggMD's, because it perfectly portrays how it feels to us to keep someone going because we don't know what they would have wanted, when we know it's futile and probably painful.

@alxpenguin 9 жыл бұрын

As a young MD this really hits home. Can't stress enough how important it is to have this conversation NOW. Let your loved ones know what your want. Take away the burden of having take that decision which inevitably carries a huge amount of guilt. Haven't met the first patient that has not told me they want to die at home and NOT in an ICU. Start the conversation. Get your stuff on in order. This WILL happen. It's just a matter of time. ZDogg, once more your nailed. Mad respect!!

@ZDoggMD 9 жыл бұрын

Alejandro Delgado PROPS.

@emergencymedicine7944 5 жыл бұрын

Every few months i come back to listen to this song

@alterbridgefan99 Жыл бұрын

Same! The most amazing Z Dogg song

@raepersonett3172 8 жыл бұрын

Amen... from a Hospice nurse... Daughter , sister, cousin, mother , aunt , grandmother... Friend... Lover!

@snoopy_peanuts_77 9 жыл бұрын

I was a kid and noticed we would always recognize when other species needed to be relieved of their terminal misery but would go to extremes knowing that a loved one would die anyway...it seemed cruel to me

@genesisgonzalez1940 6 жыл бұрын

Yeah, it's so sad and in a way is just selfishness, we as family don't want to suffer.

@karilehman9882 11 күн бұрын

That one always gets me too. I've made that call on a number of animals (I've worked in rescue) and it really bothers me that we allow "just" animals more dignity than humans - and the same people who recognize that it's the most humane option will still keep meemaw alive with machines for months.

@SeldimSeen1 8 жыл бұрын

Been a nurse many times in CCU helping the doctor to teach families when its too late that letting someone go is more humane. Get those Advance Directives folks.

@Xava 7 жыл бұрын

AND make sure family or friends who will advocate for you also have a copy of your health directive as well. The hospital's copy of my mother's mysteriously disappeared, as did the folder with DNR on it, when she had a heart attack while already in the hospital.

@laurasutherland2352 5 жыл бұрын

@@Xava I always STRONGLY advise my pts to make make copies of their AD's and POLST's and give them liberally to just about anyone involved in their care. I tell them, "If you give someone (ie, hospital or SNF) the original, you'll never see it again." (And I tell people in general that having their AD's "on file" with their attorney or doctor or the local hospital does fuck-all when 911 shows up at their door. Paramedics aren't going to stand around discussing your bucket list. They're going to code whether you like it or not because they're required to.)

@karilehman9882 11 күн бұрын

@@laurasutherland2352 you can post it to your fridge. They're supposed to look there for any relevant health info that might help them treat you. It doesn't guarantee they'll follow your wishes, but at least there's a chance.

@shayd1 9 жыл бұрын

We measure every variable of our lives by quality until we get to the end where we forget everything we've learned and value only quantity. So many people go through torture against their will every single day because we fear death. Don't do it to your loved ones and don't let it happen to yourself. Get a living will.

@rofahcherishlchaim1927 3 жыл бұрын

So true!! I was lucky enough to have grown-up surrounded by all four of my grandparents in rural America.... Thankfully, all four of them were able to “die good deaths” and (as much as possible) did it on their own terms- No last minute heroics. No extended suffering. No unnecessary expenses, No lengthy hospital stays... And for those of us who were “left behind-“ No guilt “for not doing enough.....” None of my grandparents were rich or worldly, but they were all truly wise- They all chose to live (healthily) “at home” until the end; they were all active; and they were all frequently surrounded by their friends and extended families..... After growing-up on our 230-year-old family farm, surrounded by generational friends, distant cousins, and multiple family cemeteries; working for a veterinarian until college; and being with my grandparents at the end, I know first-hand that there are many things that are far worse than dying, including, as my 94-year-old-grandfather once confessed, “realizing that you’re the only one left” and finally understanding why his elderly grandmother had regularly prayed to die..... Thankfully, my oncologist is a “straight-shooter” and while I fought like h*ll to live long enough to see my kids “grow-up,” now that we have passed that milestone, I want to make the most of every day; will do everything possible to ensure that I too can have a “good death;” and hope to face the inevitable as bravely and with as much dignity as my grandparents did..... I have a friend whose father is confined to a medical facility due to Alzheimers and when my friend recently informed me that her father was recovering from heart surgery, I honestly struggled as I stifled the urge to ask, “Why?” ....Thanks for the reminder ZDoggMD and to everyone else for sharing your experiences.... There seems to be a lot of truth to the rumor that medical folks are unlikely to request extraordinary measures to prolong their own lives.

@macostol 9 жыл бұрын

This is absolute genius. I'm currently a pathology resident but I've completed numerous electives in anaesthesia and critical care and absolutely believe that these conversations happen far too late currently. It's an issue compounded by the terrible misrepresentation of what actually happens to cardiac arrests if ROSC is achieved or even the trivial way that low GCS scores are treated. The message has to get out there that a return to baseline is incredibly unlikely and that all survival statistics incorporate only those who physical survived but may not have actually survived in a way that anyone would be happy with. A needless, pointless and inappropriate push to "do everything" because people don't want to be be seen to give up or to feel that they are responsible for death stems from chronic miseducation on these matters. I've seen many DNAR conversations handled very well and ending with people properly understanding that it really is time and that there's no sense, rhyme or reason in attempting to utilise painful and invasive treatments to stop the unstoppable. The message needs to get out there that "doing everything" doesn't mean attempting to prolong or treat that which can neither be prolonged nor treated but actually using the excellent scope of medications to ensure a painless, undistressing and symptomless passing for all when the time comes and to save the treatments for when there really is something to treat.

@PuddinTater 9 жыл бұрын

This video is right on point. I know I'm only 29, but I suffer from a lot of painful and life threatening illnesses. I've been a nurse in long term care since I was 19. I have made it a point to make my wishes very clear. I have an advanced directive as well as a durable DNR. My family doesn't agree with the DNR, but I don't expect them to understand. Last year I spent over a month in ICU at UVA hospital and many times I was told I likely wouldn't make it (septic with several types of bacteria), which made me make sure my wishes were known. I guess the point I'm trying to make is it doesn't matter how young you are. Make your wishes known. We aren't guarentee tomorrow.

@elizabethsmith5932 8 жыл бұрын

I recently had to deal with this. My husband has been a c6 c7 quadriplegic for 17 years. He said he didn't want to be put on a vent again. During an emergency he was. I have been the only one that ever took care of him. None of his family members even called him. however when I made the decision to remove the vent they all show up crying and demanding that I don't have the legal right to make a decision. I have always been the only one that was there for him. where the hell were they the past 17 years.

@ZDoggMD 8 жыл бұрын

+Elizabeth Smith Elizabeth you certainly aren't alone in this scenario. Sorry for your loss and everything your husband and you had to go through.

@FPRESLEY1 8 жыл бұрын

+Elizabeth Smith So sorry for your loss. Just know that he is smiling down on you now.

@daniellezm 8 жыл бұрын

@serenitypoynter5154 8 жыл бұрын

I'm sorry I feel your pain, god bless us all

@merkinidgit 8 жыл бұрын

It happens on hospice, too; family members long gone show up and stir the pot, questioning the plan of care and undermining the family caregiver. I prefer to think of the chaos as inadvertent and that the disturbers are just using an ineffective strategy for coping, which for them also includes guilt over the estrangement. Extending life gives another chance to have the relationship long ignored. The delusion, for them, is that even with that, they would most likely revert back to avoiding the relationship! Their issue, not yours. Easy to say, much harder to deal with. You did right by your husband so I hope you find comfort in that.

@chris302001 6 жыл бұрын

This actually brought tears to my eyes.... No patient leaves a “establish care” visit without an AD packet

@theeclecticnurse2485 6 жыл бұрын

I’m a new nurse and just lost my mom to sepsis. I did hear my mom say once “let me go.” This comforts me because I can see both the family and medical side, and know my mom isn’t hurting. I hurt but she doesn’t.

@nestowa 8 жыл бұрын

Working in Healthcare for over 20 years, many of it on Long Term Care, this made me cry. So many people (patients and residents) I have had the pleasure of meeting. Their family members feeling guilty (?) and end up extending the life of these people who have lived such full and beautiful lives. These people who want to leave this life for whatever waits them in the next. it is so sad and demeaning to the person whose life is being prolonged for guilt sake. This is an important discussion. One is never too young to start it either!

@kookymunster75 5 жыл бұрын

This makes me cry as it reminds me of my best friend who died a long time ago. She collapsed from a ruptured brain aneurysm a week after giving birth to her son and was in the ICU intubated and comatose. Her family heavily depended on her and begged for consults, second opinions, even a transfer to a 'better medical facility.' The doctors knew that I am a nurse and after showing me her scans and neuro exam, asked me to help explain to the family that she was gone. Despite all this, they still wanted to press on. She herniated while I was still there and I noticed her warm hands getting cooler. I whispered to her and told her it was okay to stop fighting if she felt she couldn't go on anymore. Not long after, she was taken off life support and she passed. I never told her family of that moment alone with her but it haunts me to this day.

@FlyboyZoom 9 жыл бұрын

As an RN of 17 years, I thank you for this video.

@kristenogrady1256 9 жыл бұрын

Fantastic video. I work in pediatric palliative care (medically fragile kids) and I'm so happy to be able to share this with our palliative care team. Peds EOL could be an entire video series unto itself! Anyway, thanks so much. It's great to be able to share these experiences with others out there.

@JillieoftheValley 8 жыл бұрын

I began following this Dr when my boss made an excited call to me during a medical convention she was attending. He spoke there.. This is sort of huge.

@kellonrs8241 8 жыл бұрын

My boyfriend's father had his 2nd heart attack and was placed in the CICU. Being a nurse I understood the dying process and knew he would never recover but his daughter insisted he stay on the vent. She was so hysterical and unreasonable. He had no advances directives so everyone looked at my boyfriend for the next step. He was torn between letting his father go and his sister's wishes. His father eventually passed but the situation caused a lot of resentment and strained relationships. This man was not given a dignified death because no one talked about final wishes. The situation became too real at the moment when it was too late.

@ZDoggMD 8 жыл бұрын

+Kelly N. A story heard time and time again. Thanks for sharing it Kelly.

@alterbridgefan99 6 жыл бұрын

That's so sad

@SedonaHomes 7 жыл бұрын

This is super heavy but it convinced me to activate a living will.

@annabananabones08 8 жыл бұрын

I'm a Hospice aid and this hits me right in the heart

@laurasutherland2352 5 жыл бұрын

Hospice nurse here. Thank you so much for what you do!

@tigersaidrawr 5 жыл бұрын

I didnt know what hospice was until i was told to reach out for help with my terminally ill mother (metastasized lung cancer.) I was a very young adult and profoundly overwhelmed by the amount of responsibilities piling up along with my own grief. A hospice worker faced our grief and anxiety every day, she saved my sanity and was able to give my mother a more comfortable few months. I am forever grateful to the people in your profession. I don't know how you do it, but please keep on doing it.

@hilarylawson9317 3 жыл бұрын

As a hospice nurse this is a moving song. Thank you Dr. I get far too many admissions where the pt is so sick they pass mid admission and I can do nothing for them. Please people stop waiting, let us actually help your loved ones.

@angieclebak3488 9 жыл бұрын

This is the unsung anthem of the medical icu where I worked as a nurse for the last 5 years. These patient care experiences haunt us all, but as you suggest, the power to change these outcomes lies with every Healthcare professional. We not only have the ability, but also the responsibility, to educate our families, friends, and patients about these essential end-of-life issues with a blunt honesty that illustrates what "full code" really means. Thank you for making this incredibly important video; it inspires us all at the front line to seek out our patients' wishes, and then fully advocate for them.

@ZDoggMD 9 жыл бұрын

Angie Clebak Yes. We must shoulder this responsibility rather than abdicate it, and we need systems in place that encourage the blunt discussions rather than dis-incentivize them.

@NoonieMama 9 жыл бұрын

Thank you for making this video. I believe before we open the lines of discussion with our families, we health care professionals need to have discussions...I've been a nurse 38 years and have never seen so many pussyfooted MD's who will NOT even discuss a patient's soon pending death with the family,but would rather ventilate, drip,labwork,xray them until the femily has 100% hope...so when whomever dies, it is a SHOCK to them and the blame falls on the nurses. Society needs to grow up.

@ZDoggMD 9 жыл бұрын

Sue Horn #BOOM

@goldzig8404 9 жыл бұрын

Sue Horn Yes.

@kristinalongoria5480 6 жыл бұрын

My thought exactly! I was just talking about this to one of my coworkers. I've had a couple of pts that I knew were already at the end as soon as I received them from previous nurse. Yet family still knew nothing. And of course that is not in my scope of practice. Hospice is a amazing thing. Having them expire in peace.

@karilehman9882 11 күн бұрын

Unfortunately some of the time that's financially motivated. Keep billing insurance for anything and everything possible until they flatline.

@user-fr7wv5jg5x 9 ай бұрын

I always find myself coming back to this video, sharing it with others. I hope you know how profound and impactful this has been. As a student nurse I listened to this for the first time, all these years later, it continues to draw me back and the meaning just grows with every new experience. Thank you Zdogg🫶🏻 I dream of the the same “system” you do…..maybe one day the powers that be will hear us all and we will have the system people deserve❤

@donnareith4132 7 жыл бұрын

I have been in nursing for 35 years. This video says everything I have wanted so badly to say to families who can't let go. I lost two of my three younger brothers. Nothing could be done for either of them. So we let them go peacefully. Now I am sure it takes a lot more courage to let go than to keep hanging on, hoping for the miracle that won't come.

@angelalee8002 9 жыл бұрын

I am an ER and Palliative physician and have attended many deaths. The ER is a scary and lonely place to die. Many people, given a choice, would rather be in a homelike setting with their loved ones. Ongoing conversations between families, friends, and caregivers are vital. Nobody wants to prolong suffering or perform unwanted medical interventions. Talking about wishes, thoughts, and opinions regarding how one wants to live until one dies helps surrogate decision makers speak for their loved one. Thank you for making this.

@ZDoggMD 9 жыл бұрын

Angela Lee "The ER is a scary and lonely place to die." Truer words were never spoken. Thanks Angela.

@raisingrare6344 8 жыл бұрын

Over the past week my family has had to face this type of situation after my sister suffered an inoperable aneurysm in the vertebral artery. She was on Coumadin. Because of an artificial heart valve so the bleeding was extensive. Her Neuro exam as terrible but since she wasn't brain dead, my poor brother in law got a lot of push back from the doctors, including one Neuro who said she might someday learn to feed herself and encouraged us to maintain life support so she could possibly go to a long term care facility. She had no gag reflex, one sluggish dilated but reactive pupil, no gag reflex, no corneal reflex, no pain reflex, positive Babinsky, couldn't maintain her own temperature, yet one Neuro and another doctor denied her final wish of being an organ donor to be carried out. The doctors were upset with the family for terminating life support, even though they all agreed that a meaningful recovery wasn't possible. It was a terrible week but my sister was taken off life support and passed away surrounded by her family. I held her hand, rubbed her head and was with her until she took her final breath. We all followed her written wishes, but really got a lot of nasty looks and remarks from doctors and nurses. It was really terrible having q 1 hour Neuro checks for nearly 5 days without change yet unable to end the suffering.

@Xxlovinanime4everxX 6 жыл бұрын

My first job as a RN was as an ER nurse at a level 1 trauma center and I saw this a lot. Family members who want everything done even though it’s a losing battle that’ll end with a lost war for the patient. By the end of it, the patient no longer even resembles who they were and it’s an ethical dilemma. Whenever we had the new residents roll around, it was always sad to see them take the loss because, and especially as someone new, you always think that you could’ve done better. It’s a bitter pill.

@jmv3317 3 жыл бұрын

Respiratory therapist here. Spot on, I recognize my ventilator alarms. And, on a personal note, my sister went through this. Medical team told us she had hope, she'd recover and get a transplant. Dragged her life out an extra 3 weeks, she was crying and in pain the entire time. She passed anyway (when specialist came in and was honest/blunt about prognosis), but was needlessly tortured (and alert/oriented for the entire time) for the entire 3 weeks, was denied pain medication due to hypotension. Thank you for this video, which is powerful and highlights the moral/ethical dilemmas with advance directives, especially in cases where the patient is unable to advocate for themselves.

@Fede_uyz 3 жыл бұрын

As a med student i definetly dont have that much experience, however i can recognize how true this. Between the song and reading some of these stories i'm legit tearing up right before i go into a 6 hour study session. Have this talk with your loved ones guys...

@sandhyamathura 3 жыл бұрын

YOU are a GENIUS Doc. I've never cried watching a "parody" before. Seriously, you need a few awards and a shit ton more recognition. Genius! Brilliant!

@merkinidgit 4 жыл бұрын

I'm watching this video for the umpteenth time after a busy on-call weekend with hospice, and again I'm in tears. I witnessed several hours of grown sons and a devoted husband lovingly guiding their mother/wife through her agonal phase into her death early this morning. Then her son tenderly washing her body, remembering the tenderness of her bathing him as a child. All weekend long, they caught brief naps in their own peaceful home, grabbed snacks in their kitchen next to her bed, and freshened up in their own bathrooms. She had lucid moments in the home she had thoughtfully decorated and tended throughout her life there. I watched her family galvanize in a way that could only happen with them witnessing her decline and gauging her response to palliative medications, getting on the same page and appreciating one another. I also work on an acute neuroscience unit one day a week. It sickens me how occasionally a family will medically torture their loved ones out of blind selfishness. None of us, physicians or nurses, or resp therapists or phlebotomists, etc., want to harm our patients, yet we are legally compelled to do so, frustrated with how some people don't see. I want everyone to have the possibility of a deeply meaningful transition like I saw and participated in this weekend. A life well lived with a death well earned.

@tammarathomas-davis9001 8 жыл бұрын

As a hospice nurse I want to say thank you. You are so correct. It takes lots of education for families to come to terms with their love ones at end of life.

@marielang9552 8 жыл бұрын

RN for 40 years. I will choose the way that I go see Jesus Christ!

@emilyvelazquez7884 7 жыл бұрын

Marie Lang - my mom is an RN nurse too!:)

@alterbridgefan99 6 жыл бұрын

Marie Lang Mine too. I can't get enough of this song

@missmoxie9188 4 жыл бұрын

Please make sure you have an advance directive

@jSyndeoMusic 4 жыл бұрын

Looking forward to seeing you there when the time comes. God bless!

@icordero2409 8 жыл бұрын

OMG I love this. Even when the best laid plans are in place, sometimes someone drops the ball. My mom had a MOLST order to no perform CPR and they did. I work in a hospital and knowing what I know rage filled my heart. I am a strong advocate of Death with Dignity laws. No one should be used as a tinker toy by cardio, neuro or any other department. There was an entire cluster**** of things that happened, we took mom home AMA as per her wishes (only one nurse supported our decision), she was happy home. One week later my mom passed away after a having beautiful sunny day of outings with my siblings ... I missed out on that day because I was at work. My heart was at peace with her passing because we did what she wanted. As that sole nurse said to us when we signed her out AMA ... It passed the mommy test.

@rachelz312 6 жыл бұрын

I seriously cried with this video. It breaks me heart to watch a patient suffer while family's fight over their choices and can't decide. Especially over selfish reasons. It happens far to often!

@TomMcGill 8 жыл бұрын

+zdoggmd I'm a medicine resident in one of those "Boston Programs" and I've somehow managed to earn the moniker of "The Closer" or "The Finisher" because I dared to learn as a RN (I did neurotrauma ICU in the Southwest) how to talk to families about end of life. Heck, I even "indirectly" fired a HCP last week because she was acting in *her* best interests, not the patients. I confronted him and he said, "Ya know, you're right... how do I fix that?" I had him name another family member that actually wanted the best for the patient and not himself. This may be the only time I praise HIPAA rules, ever. Medicine had nothing to offer the poor fellow other than comfort. Yet, she pounded her chest about "the miracle". My miracle was that he die in peace and comfort. Turns out I managed to win that battle by working way past my sign out time. Critical care. Palliative care. Futile care. I've come far too good at those things for my own liking. While I feel like I can that for the next couple of years, I don't see me doing it forever. Quite the shame really, I do think I could maximize the good I could do, but because I rubbed people the wrong way (go patriarchy!) life situations will prevent me from doing so. Anyhow, the video was an affirmation I'm not as crazy as my cohort things I am. (You talk to families? WTF do you do that for?)

@michaelduffyjr3727 9 жыл бұрын

Outstanding video and message. I am a Hospice Nurse. You can't believe how many people do not have these conversations with their family. You can't rely on the hospitals and physicians to do the right thing. They will always go for the treatment or resuscitation if there is no DNR paperwork. With the lawyers waiting in the wings they have no choice. HOSPICE is for quality of life, 6 months out is the right time. Not 2 days.Keep up the good work.

@levihambrick 9 жыл бұрын

This is one of your best videos so far, man! Great job on the production quality.

@ZDoggMD 9 жыл бұрын

Levi H I had a LOT of help this time! Thanks to Michael Shaun and Storyworks and Wake Up! the Movie.

@imdnurse 8 жыл бұрын

This is so on point. I am a hospice nurse of 11 years. These are the tuff topics but so necessary to talk about. Thanks for your candidness.

@arthurbrunelle9828 4 жыл бұрын

As a former emergency medical PA and ACLS paramedic.... This video hit me with a ton of bricks. I was trained to prolong life at all costs... That was when I was very young. My mother and father died at home.... Surrounded by family. If no other choice, I hope to go this peacefully. Keep up the great work Dr Z

@OffTheLineFox 8 жыл бұрын

Thanks for this one ZDogg. After watching my grandmother slowly die after a massive stroke because of an unclear directive I was determined I would not do the same. At this time I have only the 5 wishes form. I attempted to talk about this many times with my family but got pushed off. Because I have some very specific requests I choose a close friend to be the designate to carry out those decisions. We had a long, in depth talk and I am confident as she agreed to honor everything, even as difficult as it maybe.

@SiriussGirl 9 жыл бұрын

Chilling, in a powerful and profound way. You have used what you do best to bring to light this serious issue affecting patients and healthcare. Let's get this out there - it should be used in PSAs, in medical schools, in nursing schools. Thank you Dr. Z. Keep doing what you do.

@SpearedPage 2 жыл бұрын

Much love to you ZDogg. Thank you for this beautiful song and tribute.

@RayneStormRN 8 жыл бұрын

this is so amazingly true!!! I'm an ICU nurse, see this all the time, and it breaks my heart. I've made sure to have this conversation with my family, and I have my living will done. Thank you very much for making this!!!!!!

@missygarduno3266 8 жыл бұрын

As a long term care/hospice Nurse this was one of my favorite videos. PERFECT! I wish more families had the "end of life discussion" before the end of life. Sometimes it's all about being selfish. Please, please think about how that loved one feels and the pain they are going through. Would you want to only have that chest rise and fall because a, machine is, allowing it..... KEEP UP THE AMAZING WORK ZDOGG

@GaryLevin 9 жыл бұрын

I tweeted this to several news anchors, Lester Holt, Megyn Kelly, Dr Oz ???, Marc Seigel MD

@mooserphilip7205 9 жыл бұрын

thanks a lot Gary

@ryansenft3315 Жыл бұрын

One of my sisters is a nurse (been working in hospice care for 3 years, she started her nursing career 13 years ago) and we lost our stepdad to Cancer in 2017. Thankfully he (and our mom) had the appropriate paperwork and other stuff prepared ahead of time. Our stepdad had in-home hospice care for the last 2 or so weeks of his life and was able to die peacefully with his last memories being of his loving family.

@heathers7180 10 ай бұрын

Re found this years later. Still makes me cry and now that we have lived through the covid ICU I cry more

@daemonsfeather 8 жыл бұрын

I'm a caregiver. Thank you for making this.

@kamitoad2 7 жыл бұрын

excelente interpretación ZDoggMD, realmente me conmovio

@elizabetha5561 7 жыл бұрын

While I'm 35, not the classic age to have the "talk" I have chronic severe health issues and have maintained an advanced directive since I was 18- prior to that I had open discussions with my parents- now I have them with my husband and children to ensure we are all on the same page. Rockin' a new port these days so thank you, HCPs for keeping me alive.

@laurenpetrillo8827 8 жыл бұрын

Ethics was my favorite subject in grad school (health care admin) and end of life care was the most debated topic. It really amazing how people think differently, none of whom are wrong and I would never judge you for your decisions for yourself or loved ones. But going through nursing school and my husband going through medical school, it is more amazing how we try to do everything we can and try so hard to give everyone what they want, even the ones who cannot make decisions for themselves. This is never an easy discussion, but it does need to happen. Thank you for this one, ZDogg.

@smoorez8 9 жыл бұрын

Amazing approach on bringing awareness to such a depressing topic! Talking to patients about their end of life decisions is so hard because it makes them believe their days are numbered, but the truth is that all of our days are numbered. Can't wait to see what you come up with next!

@petrasetnickova9226 8 жыл бұрын

I'm 22 and had my second open heart surgery 4 years ago. I tried to talk to my mum about me if something went wrong but she didn't want to listen... Maybe family members just don't want to listen to death related topics.

@ZDoggMD 8 жыл бұрын

It's so hard to talk about for folks, but so important.

@Xava 7 жыл бұрын

this is why we all should sign medical directives, so that our wishes are carried out and not our family's - or the hospital's! My 81 yo mother had massive heart attack while already in hospital, her folder had DNR written on it plus a 5 page health directive in it, they still wanted a 'living will' signed the day before. I saw all of it in/on her foldeer the day before. When I got to the hospital, there was a new/different folder with no DNR on it, no health directive in it anymore, only the living will - which I was told was too vague to remove her from the ventilator. WTH?! Had to go home to get my copy. This was painful. If she hadn't had one, I'd have had to go to court. Just wrong. In any case... Everyone age 18 and older, even if really healthy, should think about what they want done 'just in case' and sign one, AND make sure more than one person who will advocate for you has a copy of it.

@thefunniman 7 жыл бұрын

Petra Setničková

@shaicrockett2102 7 жыл бұрын

Unfortunately, at least in my state, the family can override a DNR-CC at any time, including during a code. Kind of defeats the purpose of it. They are important for us healthcare providers so we know what the patient wants should they code but we also understand that the family can override it at any time.

@Ankhetbast 7 жыл бұрын

For help with that, check out Ask A Mortician here on KZfaq. She's got a lot of great advice about having the hard Death talks with loved ones. And lots of other morbid goodness.

@thecrazyandthewild 4 жыл бұрын

What you are doing is awesome, ZDogg! Thanks!

@bdhandshy 9 жыл бұрын

I am a nurse in long-term care for 25+ years. I have had to have this conversation more times than I can remember. This is truly a horrible way to go and you have really put my frustrations with this issue to light. Go Dr Z.

@trueloveo3 9 жыл бұрын

This actually made me tear up. As a CST, all the unnecessary surgeries we perform because of the family's wishes are crazy. It sucks to operate on someone who you know will never wake up again. Awesome video. Best yet.

@citruspounch 9 жыл бұрын

4th year med student on palliative care rotation here. Wow... Just wow! This video is so spot-on. It is beautifully shot/directed, the lyrics are smart, relevant, and with a nice touch of humor along the way. Music and sound editing are awesome: the use of the beeping alarms at the end is pure genius. The message is a powerful one and is definitely in need of more awareness in the general population. Again, amazing job! Bravo! Keep up the good work, Doc!

@azblythe 8 жыл бұрын

Very powerful and spot on! Nursing in general we see this day after day, absolutely heart breaking knowing it didn't have to be. I'm in hospice and still see it too often. Undeniably it's one of the hardest conversations to have with your loved ones but it's brutal in a crises not knowing and bickering when they need each other the most. The greatest gift you can give your loved ones is calling the shots all the way to that last breath! Thank you, great video.

@patientpathwayscanada 4 жыл бұрын

I am a National Advance Care Planning Coordinator. For the last week I've been working long days and over the weekend putting together new public education materials and it feels like we're pushing against a mountain of fear and denial. I've had so many older adults say when I ask them if they've thought about CPR, "Sure, let's give it a try." One of my partners just sent me this link, and I began to sob. It is absolutely perfect. Every word is what we're trying to get across. I will be sending it to everyone I know and adding it to our resources page. I've always been a fan but now I'm a super fan. You are my hero ZDogg.

@MemphisMuse 9 жыл бұрын

This is a very important conversation every family needs to have. On one hand, I had the horrible task of having to be the one to cut off my dad's life support, and his primary care doctor told me I was "cold" because I wanted to see the CTs of my dad's brain just to make sure there was no hope and (with my very limited education in neuropsych) see what was going on. I had to force him to discuss things with me and show me. I didn't need that extra hassle. Of course I would have deferred to him, as he was the expert, but I just needed reassurance in my mind that I was doing the right thing. I wasn't trying to do that to argue with him. It's not an easy decision. On the other hand, I subscribe to a newsletter from "Not Dead Yet", a disability advocate group that is very concerned with the proliferation of "right to die" laws in this country. In a perfect world, everyone would die as they wish to, but we don't live in a perfect world and disabled people are often treated as burdens. Add in the "profit vs patient care" contradiction and you can see how this might contribute to hasty decisions based on the "not-disabled" person's guess as to what someone else's quality of life is. I don't know what the answer is. I always come down on the side of patient care (which is why I am unemployed grrr), as clearly you do, too, Doctor. You really care and your videos, I hope, will start dialogues that need to happen. Good stuff. Thanks.

@karilehman9882 11 күн бұрын

It's about the RIGHT though, not a guarantee. In every situation where it's possible the default should always be to follow the patient's wishes, whatever they might be.

@mattmorrey 8 жыл бұрын

Not much to add. I am a hospitalist, and this song resonates with me. Thanks..

@debra2107 Жыл бұрын

Incredible, Doc! My father was a vegetable after suffering cardiac arrest, but my mother couldn't let him go. After 3 months of this, she finally realized the futility of keeping him artifically alive. He was taken off medications and life support, and died on his own, three days later. My husband and I both have ADs--there will be no question as to what we want. Thank you for bringing this conversation out into the open. Death with Dignity.

@kceb83 9 жыл бұрын

As a hospitalist PA I have to say kudos to you for raising some awareness to this issue. This video is spot on. Your best work yet!

@joellekhan9643 7 жыл бұрын

Your videos are great!!

@alxprzg 9 жыл бұрын

We had a patient in the ICU for over 2 months after a bypass surgery that may have not been needed. coded 3 times and brought back three times. Vent, trach, CRRT, iHD. In the nursing profession we can't start the conversation just prompt it. To me it isnt a win seeing a patient discharge from our care just to go to an LTAC. I wish they would have let him go weeks ago and avoid the extra suffering there after.

@christineprice6364 9 жыл бұрын

Yes! thank you. There are lots of us out here making places for these conversations to happne. Thanks for giving us this powerful tool to move it forward.

@docsriracha3916 5 жыл бұрын

hey Doc! I just passed my medical boards! still watching your vids this 2019! been a fan since 2nd year med school!

@0theredqueen0 9 жыл бұрын

best thing youve done

@alexandralarson5371 9 жыл бұрын

I thinks that this is so important to discuss. My mom had an Arnold Chari Decompression surgery in '09 and she said that she didn't want to be a vegetable so she said if she was brain dead she wanted to be unhooked. But thank god that she wasn't brain dead and she is here today. But if it were my decision I would have kept her alive no matter what! But we did have this conversation and I will respected the decision she made of this would ever happen. I think that this video will help people start talking about this topic. It's so cool that you can make these videos to people talk about things that are hard to bring up. Anyway! I think all of your videos are really awesome!!

@ZDoggMD 9 жыл бұрын

Alex Rene Thanks for sharing your story Alex!

@weaversworldschooladventures 5 жыл бұрын

Powerful statement. So hard to get family members to see how awfull is is sometimes to keep bringing them back.

@koprowsk 7 жыл бұрын

This conversation is so difficult, but so necessary. I had it numerous times with my husband before he passed away. His passing was difficult and the Lord was gracious in giving me the strength to honor my husband's wishes. Please do not expect doctors or other healthcare providers to take on this burden. The burden rests with us. We need to be informed about what can happen under what conditions and we need to have that difficult conversation.