tag:blogger.com,1999:blog-18943510.post240974171069896417..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Al FineDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger18125tag:blogger.com,1999:blog-18943510.post-7745754650914045402014-08-17T12:53:54.109-05:002014-08-17T12:53:54.109-05:00I don't know how I missed this the first time....I don't know how I missed this the first time. Terrifically well written first person narrative of doing the right thing for the patient.<br /><br />Allenhttps://www.blogger.com/profile/07007303301883671920noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-37997243080620074932010-08-14T11:34:30.623-05:002010-08-14T11:34:30.623-05:00What a beautiful, humanistic way to honor this pat...What a beautiful, humanistic way to honor this patient and his family. Thank you for taking the time to be there and to write this piece.<br /><br />I loved it.gradydoctorhttps://www.blogger.com/profile/10639816377218206777noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-15338021041663754112010-08-13T11:29:27.142-05:002010-08-13T11:29:27.142-05:00Dr. Fisher,
Thank you for this brillant and tende...Dr. Fisher,<br /><br />Thank you for this brillant and tender retelling of an actual situation. The Heart Rhythm Society has published recommendations and the ethical/legal rights of patients/family and the clinican team. For those not yet familiar with the HRS Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices (CIEDs) in patients nearing end of life or Donna G.noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75043956963708924812010-08-08T01:19:24.887-05:002010-08-08T01:19:24.887-05:00This should go in your book someday. Really good w...This should go in your book someday. Really good writing. Thanks for sharing.<br /><br />BernieHealthy Bastardhttps://www.blogger.com/profile/02719346124284337360noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-9250912275586432232010-08-06T14:51:21.405-05:002010-08-06T14:51:21.405-05:00Dr. Wes I concur with your other readers that your...Dr. Wes I concur with your other readers that your eloquent capturing of this event is moving. I continue to thank providence for having you stumble upon me seven years agoNamed Just Bobhttps://www.blogger.com/profile/14313050416904631547noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-4967548219374911322010-08-06T12:13:44.052-05:002010-08-06T12:13:44.052-05:00shadowfax-
why didn't the ER just put a magne...shadowfax-<br /><br /><i>why didn't the ER just put a magnet over the silly thing? I seem to remember having that issue with an AICD that wouldn't stop firing, only someone had swiped our magnet.</i><br /><br />The patient had a pacemaker, not an ICD. Magnet behavior for a pacemaker forces the device to pace at DOO or VOO mode (depending on whether the device is a dual or single chamber DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-12804707621740424512010-08-06T01:55:38.055-05:002010-08-06T01:55:38.055-05:00Great post -- but why didn't the ER just put a...Great post -- but why didn't the ER just put a magnet over the silly thing? I seem to remember having that issue with an AICD that wouldn't stop firing, only someone had swiped our magnet.shadowfaxhttps://www.blogger.com/profile/11648279307230813762noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-5472701123107780432010-08-05T17:57:18.038-05:002010-08-05T17:57:18.038-05:00That was beautiful and very touching. I work on th...That was beautiful and very touching. I work on the outskirts of the CRDM field, and you personify the type of physician we all hope to work with. Or be treated by.karenhttps://www.blogger.com/profile/16313237142656662148noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-60026917072630320642010-08-05T11:25:19.236-05:002010-08-05T11:25:19.236-05:00I have a pacemaker and have struggled with the iss...I have a pacemaker and have struggled with the issues this may present to my family and loved ones should a situation such as this happen to me. A thoughtful conversation with my primary care physician helped; however, I still worry that, despite the specificity of the language in my advanced directive, there conceivably might be a reluctance on the part of the medical professionals to actually Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-64175812558027848262010-08-05T06:58:32.873-05:002010-08-05T06:58:32.873-05:00Wow, powerful stuff.Wow, powerful stuff.Jodihttps://www.blogger.com/profile/02317972207150149720noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-17964554582890135432010-08-05T02:54:26.484-05:002010-08-05T02:54:26.484-05:00Thank you for this post.Thank you for this post.Lilianhttps://www.blogger.com/profile/08123455314763225321noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-19181983910657700502010-08-04T05:38:01.668-05:002010-08-04T05:38:01.668-05:00Beautiful.Beautiful.#1 Dinosaurhttps://www.blogger.com/profile/01357845504444464397noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-49763823137412271002010-08-04T02:48:01.913-05:002010-08-04T02:48:01.913-05:00Welcome back, Wes. A beautiful, thoughtful post.
...Welcome back, Wes. A beautiful, thoughtful post.<br /><br />MarcoMarcohttps://www.blogger.com/profile/09930813831113945752noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-72252325770850088022010-08-03T23:23:33.372-05:002010-08-03T23:23:33.372-05:00Wes.
This was a brilliant piece.
Congratulatio...Wes.<br /><br />This was a brilliant piece. <br /><br />Congratulations. <br /><br />You continually raise the bar. <br /><br />JMMDrJohnMhttps://www.blogger.com/profile/13912535474668244521noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-63276272653751131642010-08-03T16:54:30.717-05:002010-08-03T16:54:30.717-05:00There's actually a NY Times Magazine article a...There's actually a NY Times Magazine article about this, but more from the patient's family perspective. Here's the link, in case you're curious: http://www.nytimes.com/2010/06/20/magazine/20pacemaker-t.htmlSarada Kakinadahttps://www.blogger.com/profile/15731358800798149132noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75914278244631642252010-08-03T16:44:03.855-05:002010-08-03T16:44:03.855-05:00There is a particular form of humble wisdom that u...There is a particular form of humble wisdom that understands the difference between letting die and making dead. Once the circumstances manifest themselves such that recovery is hopeless, pacemakers, rather ordinary components of cardiac care become extra-ordinary and thus serve only to prolong dying instead of enhance health.<br /><br />It was right and just to shut it off and it is the Daniel F. Kanehttps://www.blogger.com/profile/14676984034135624587noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-330398818545917342010-08-03T16:42:46.926-05:002010-08-03T16:42:46.926-05:00A very beautiful piece of writing. It matters not ...A very beautiful piece of writing. It matters not whether something NEEDED to be done, these situations are never easy to go through. Middle of the night doesn't make it any easier, I suppose. From the heart of a JMS, thanks for the honesty and transparency.<br /><br />Anonymous, two things: 1, these things are difficult because we humans are naturally wired to resist death, in ourselves andUnknownhttps://www.blogger.com/profile/10686852483904086122noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-15632064377032260422010-08-03T15:37:14.474-05:002010-08-03T15:37:14.474-05:00Beautifully written.
Not sure why you found it so...Beautifully written.<br /><br />Not sure why you found it so hard, though.<br /><br />It needed to be done.Anonymousnoreply@blogger.com