New York has added itself to the list of states that have declared fantasy football illegal gambling—and California may be next. But what if we examined the odds and outcomes of our medical system for patients at the end of life with the same scrutiny that we are examining online fantasy sports?
When you are very sick or hurt, you know to go to the emergency room. Chances are good that our complex, aggressive medical interventions will make you better. But those odds change dramatically once you have an end-stage chronic medical condition or terminal illness. In that case, you are gambling, and the odds are heavily against you. Data shows that refusing aggressive care at the end of life actually lengthens a person’s life by one month. In other words, if you are nearing death and want to live longer, don’t go to the ER. Instead, choose hospice.
It took three years of working as a hospice physician for me to believe the data. I would accept extremely ill patients into our care, assuming they had hours to live. The next morning a patient would look better, the prognosis shifting to days, even weeks. I would comment to families, “He looks so much better than he did yesterday.” The family’s response was always the same, “He is better. The moment we got here he got better. He slept. It is amazing. We all feel better.”
…
“Ed st marys hospital rochester”. Licensed under CC BY-SA 3.0 via Commons – https://commons.wikimedia.org/wiki/File:Ed_st_marys_hospital_rochester.JPG#/media/File:Ed_st_marys_hospital_rochester.JPG
Be the first to like.
Quartz