[forgotpwagain]

The stories in this piece really highlight the importance of having these tough conversations with family members about what you want to happen for your own medical care if the worst happened.

I really enjoyed Being Mortal by Atul Gawande (author of The Checklist Manifesto), that tells intensely personal stories about, well, the process of dying, and the increasingly prolonged tug of war between medicine and death.

One thing that may be a bit of a challenge is how quickly things change in the technology world. "Code Status" is medical lingo for the descriptor of what the patient expresses they want to have happen if their heart or breathing were to stop. Most people are full code - CPR, mechanical ventilation, etc. But patients can choose to be DNR/DNI, meaning "Do Not Resuscitate, Do Not Intubate", meaning very limited interventions would be performed.

As the tech gets better, I wonder if a more sophisticated decision tree might be needed in the future -- if XYZ happens where 30% of patients make a recovery, begin ECMO, but if ABC happens in which only 5% of patients recover, do not start ECMO.