Sepsis is a brutal killer. It often starts after a microorganism gets loose in your bloodstream, spreading to organs far and wide, releasing deadly toxins along the way. In response, your body releases toxins of its own, chemicals designed to kill the invading organism but that, all too often, damage your body, too, leaving you…
Many people die in ways, and even in locations, that go against their preferences. They don’t want to be put on ventilators and, yet, spend their last days in intensive care units tethered to breathing machines. They don’t want cardiopulmonary resuscitation (CPR), and, yet, receive full-on “codes” when their hearts stop.
Much of this unwanted care could be avoided if patients (aka: “people”) discussed their treatment preferences with their clinicians.
Steve B. wasn’t going to be fooled twice. He’d recently seen an ear, nose, and throat specialist for a “tickle in the throat” that wouldn’t go away. He’d forked over a co-pay at check-in, but then the doctor said he needed “to put a scope down there” and check his throat. He later received a…
Chemotherapy drugs have become ridiculously expensive. Many new drugs come to market costing more than $100,000 per patient for a full course of treatment. Often, patients have to pay a significant portion of these costs. For example, a 20% co-insurance rate, typical for basic Medicare coverage, leaves patients responsible for more than $20,000 of chemotherapy costs,…
About one in fifty people reading this essay will be diagnosed with kidney cancer at some time in their life. In fact, one out of one people writing this essay has already been diagnosed with kidney cancer. (I had a small tumor removed from my left kidney not long after I turned 50.) But how many people…
I’m not sure why I didn’t notice this earlier, but I just came across a very gracious, even overly generous, review of my book, Critical Decisions in the leading journal of bioethics, The Hastings Center Report. I thought I would share it with you: When I finally got eyeglasses as a teenager, after denying the…
Elizabeth’s breast cancer had already spread to her bones and was now invading lymph nodes in her right armpit, causing painful swelling that kept her up at night. Today, however, as she walked into her oncologist’s office, Elizabeth felt like things were under control. “All right, so how is your arm?” the oncologist asked. “Actually,…
My heart was warmed by a new, and very positive, review of a Critical Decisions. I always find myself agreeing with people who liked my book. Funny thing. Anyway, here is the review: “This is a very belated review. And I mean that as a compliment. As soon as I finished reading Peter Ubel’s Critical Decisions,…
I recently opened up a mysterious package that arrived at my front door, and discovered the German edition of Critical Decisions. At first I assume the title was somehow referring to me as a gutter rat, or signifying that my book was the kind of thing you can find in a sewer. But now I…
Here’s a link to a review of Critical Decisions published in a journal called Theoretical Medicine and Bioethics. The reviewer had some nice things to say, but felt it wasn’t theoretical enough for his liking. Not surprising given that I wrote the book for a general audience, and not for an academic one. But this…