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	<title>Comments on: Iowa Dept of Elder Affairs Supports Pulling the Plug on Grandma?</title>
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	<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/</link>
	<description>Firedoglake weblog</description>
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		<title>By: tejanarusa</title>
		<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956643</link>
		<dc:creator>tejanarusa</dc:creator>
		<pubDate>Sat, 15 Aug 2009 17:51:36 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956643</guid>
		<description>&lt;p&gt;Sounds like a lovely place to pass eternity! ;)&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Sounds like a lovely place to pass eternity! ;)</p>
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		<title>By: tejanarusa</title>
		<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956642</link>
		<dc:creator>tejanarusa</dc:creator>
		<pubDate>Sat, 15 Aug 2009 17:50:55 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956642</guid>
		<description>&lt;p&gt;And, as I neglected to say, it may be different depending on your state.&lt;br /&gt;
And your doctor.  It’s really important to tell your doctor, too.&lt;/p&gt;
&lt;p&gt;although yet another ramificaiton in our screwed-up health care “system” is that when a patient is in extremis (old-fashioned, I know) - acutely ill,unconscious, dying, etc. - patient’s own doctor may not be much involved. Specialists that the patient has never met may well be in charge.&lt;/p&gt;
&lt;p&gt;Another reason I stay here in TX is that I’ve had the same doc since I arrived here.  When I was in ICU with complications of pneumonia (at one point considered far enough gone for my DH to be phoned at 2:00 a.m. and told to get down to the hosp if he wanted to say good-bye), she was in charge of the specialists who were seeing me in the hospital.  When I was conscious again, I was really glad to see her every day, and know that she was keeping up with what all the others were doing.  &lt;/p&gt;
&lt;p&gt;I like having a dr. who really knows my history, and my weaknesses.  She knows that I can have the first sniffles and faint cough in the morning, and bronchitis, full-blown, by afternoon. (Exactly what happened with the pneumonia - although that took another 24 hrs, already admitted by then).&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>And, as I neglected to say, it may be different depending on your state.<br />
And your doctor.  It’s really important to tell your doctor, too.</p>
<p>although yet another ramificaiton in our screwed-up health care “system” is that when a patient is in extremis (old-fashioned, I know) &#8211; acutely ill,unconscious, dying, etc. &#8211; patient’s own doctor may not be much involved. Specialists that the patient has never met may well be in charge.</p>
<p>Another reason I stay here in TX is that I’ve had the same doc since I arrived here.  When I was in ICU with complications of pneumonia (at one point considered far enough gone for my DH to be phoned at 2:00 a.m. and told to get down to the hosp if he wanted to say good-bye), she was in charge of the specialists who were seeing me in the hospital.  When I was conscious again, I was really glad to see her every day, and know that she was keeping up with what all the others were doing.  </p>
<p>I like having a dr. who really knows my history, and my weaknesses.  She knows that I can have the first sniffles and faint cough in the morning, and bronchitis, full-blown, by afternoon. (Exactly what happened with the pneumonia &#8211; although that took another 24 hrs, already admitted by then).</p>
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		<title>By: nahant</title>
		<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956641</link>
		<dc:creator>nahant</dc:creator>
		<pubDate>Sat, 15 Aug 2009 17:45:52 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956641</guid>
		<description>&lt;p&gt;Oh yeah we will be visiting &lt;a href=&quot;http://www.nahant.org/default.shtml&quot; rel=&quot;nofollow&quot;&gt;Nahant&lt;/a&gt;.. Have to visit my deceased parents, sister, grandparents and of so many of my Father’s family that are at peace there overlooking the Atlantic… Sandy Beach to be exact!!&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Oh yeah we will be visiting <a href="http://www.nahant.org/default.shtml" rel="nofollow">Nahant</a>.. Have to visit my deceased parents, sister, grandparents and of so many of my Father’s family that are at peace there overlooking the Atlantic… Sandy Beach to be exact!!</p>
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		<title>By: tejanarusa</title>
		<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956640</link>
		<dc:creator>tejanarusa</dc:creator>
		<pubDate>Sat, 15 Aug 2009 17:45:48 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956640</guid>
		<description>&lt;p&gt;If that gets into this debate, conservatives’ heads will truly explode!&lt;/p&gt;
&lt;p&gt;Oh, hon, that ship has sailed. Wish I could give you alink, but I know I’ve already seen it referenced in comments somewhere:  “….death panels will inevitabley lead to euthanasia based on income, already have it in Oregon…” kind of stuff.  You know.&lt;/p&gt;
&lt;p&gt;There’s no end to the misinformation out there.  And the people, like McCaughey and Armey who start it off know well that that’s all they have to do, the endless game of “telephone” that is rumor-mongering will expand it from there.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>If that gets into this debate, conservatives’ heads will truly explode!</p>
<p>Oh, hon, that ship has sailed. Wish I could give you alink, but I know I’ve already seen it referenced in comments somewhere:  “….death panels will inevitabley lead to euthanasia based on income, already have it in Oregon…” kind of stuff.  You know.</p>
<p>There’s no end to the misinformation out there.  And the people, like McCaughey and Armey who start it off know well that that’s all they have to do, the endless game of “telephone” that is rumor-mongering will expand it from there.</p>
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		<title>By: Hugh</title>
		<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956637</link>
		<dc:creator>Hugh</dc:creator>
		<pubDate>Sat, 15 Aug 2009 17:43:39 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956637</guid>
		<description>&lt;p&gt;Thanks, it is important to know, and to ask, which of these instruments have the most legal force because they don’t all have the same.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Thanks, it is important to know, and to ask, which of these instruments have the most legal force because they don’t all have the same.</p>
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		<title>By: nahant</title>
		<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956634</link>
		<dc:creator>nahant</dc:creator>
		<pubDate>Sat, 15 Aug 2009 17:42:40 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956634</guid>
		<description>&lt;p&gt;I think they should be held criminally accountable for their lies personally!!&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>I think they should be held criminally accountable for their lies personally!!</p>
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		<title>By: Elliott</title>
		<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956633</link>
		<dc:creator>Elliott</dc:creator>
		<pubDate>Sat, 15 Aug 2009 17:42:14 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956633</guid>
		<description>&lt;p&gt;&lt;a href=&quot;http://firedoglake.com/2009/08/15/marcy-wheeler-on-torture-prosecutions-liveblog-at-nn09/&quot; rel=&quot;nofollow&quot;&gt;Spencer’s liveblogging Marcy’s panel on torture now&lt;/a&gt;&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p><a href="http://firedoglake.com/2009/08/15/marcy-wheeler-on-torture-prosecutions-liveblog-at-nn09/" rel="nofollow">Spencer’s liveblogging Marcy’s panel on torture now</a></p>
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		<title>By: tejanarusa</title>
		<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956632</link>
		<dc:creator>tejanarusa</dc:creator>
		<pubDate>Sat, 15 Aug 2009 17:41:58 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956632</guid>
		<description>&lt;p&gt;Oh, that is great, &lt;em&gt;nahant&lt;/em&gt;.  Sounds like you earned your vacation. *g*  Enjoy!&lt;br /&gt;
(and wave at the ocean for me; this time of year I would love to be at Crane Beach - wait, is it greenhead fly time? - then at your namesake would be fine).  Here in rapidly going-from-semi-arid-to-arid south central Texas, I really really miss the ocean.  You have a great time!&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Oh, that is great, <em>nahant</em>.  Sounds like you earned your vacation. *g*  Enjoy!<br />
(and wave at the ocean for me; this time of year I would love to be at Crane Beach &#8211; wait, is it greenhead fly time? &#8211; then at your namesake would be fine).  Here in rapidly going-from-semi-arid-to-arid south central Texas, I really really miss the ocean.  You have a great time!</p>
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		<title>By: Hugh</title>
		<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956630</link>
		<dc:creator>Hugh</dc:creator>
		<pubDate>Sat, 15 Aug 2009 17:40:25 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956630</guid>
		<description>&lt;p&gt;I am glad things turned out for you but there is just a lot wrong even in the little you have said about what happened.  The misdiagnosis, the lack of imaging follow up or a biopsy to verify, being put on a liver transplant list under such conditions (many kinds of cancer, especially intestinal ones, will met to the liver so what is the point of a transplant?  It would just met there again.  If the liver CA is the primary, well the only way you can know this is by biopsy.) It is always hard to know what the whole story is but a lot of this makes no sense on its face.  Again glad you got out of it OK.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>I am glad things turned out for you but there is just a lot wrong even in the little you have said about what happened.  The misdiagnosis, the lack of imaging follow up or a biopsy to verify, being put on a liver transplant list under such conditions (many kinds of cancer, especially intestinal ones, will met to the liver so what is the point of a transplant?  It would just met there again.  If the liver CA is the primary, well the only way you can know this is by biopsy.) It is always hard to know what the whole story is but a lot of this makes no sense on its face.  Again glad you got out of it OK.</p>
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		<title>By: DeanOR</title>
		<link>http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956629</link>
		<dc:creator>DeanOR</dc:creator>
		<pubDate>Sat, 15 Aug 2009 17:39:47 +0000</pubDate>
		<guid isPermaLink="false">http://firedoglake.com/2009/08/15/iowa-dept-of-elder-affairs-supports-pulling-the-plug-on-grandma/#comment-1956629</guid>
		<description>&lt;p&gt;katymine, I’m very supportive of our Oregon Death with Dignity law, somewhat misleadingly known as physician assisted suicide. If that gets into this debate, conservatives’ heads will truly explode!&lt;br /&gt;
I worked in AIDS care. Our patients were doing well in treatment, but, in addition to advanced directives, they were relieved to know that if they wanted to take medications to end their life in their last six months, they could do so. The safeguards for the use of this are in place. It was rarely used, but it was reassuring that it was there. Conspiracy theorists also convinced some people that treatment, or the very concept of HIV, was a government conspiracy (which their doctors were part of?). They would believe it and delay treatment to the point where the progression of their disease made treatment nearly hopeless.&lt;br /&gt;
Grassley, Palin, and others are frightening the frail elderly for political gain.  It’s more disgusting to me, the more I think about it. And their lies will make people reluctant to plan for end of life care, leading to unnecessary suffering.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>katymine, I’m very supportive of our Oregon Death with Dignity law, somewhat misleadingly known as physician assisted suicide. If that gets into this debate, conservatives’ heads will truly explode!<br />
I worked in AIDS care. Our patients were doing well in treatment, but, in addition to advanced directives, they were relieved to know that if they wanted to take medications to end their life in their last six months, they could do so. The safeguards for the use of this are in place. It was rarely used, but it was reassuring that it was there. Conspiracy theorists also convinced some people that treatment, or the very concept of HIV, was a government conspiracy (which their doctors were part of?). They would believe it and delay treatment to the point where the progression of their disease made treatment nearly hopeless.<br />
Grassley, Palin, and others are frightening the frail elderly for political gain.  It’s more disgusting to me, the more I think about it. And their lies will make people reluctant to plan for end of life care, leading to unnecessary suffering.</p>
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