Mark,
a 43-year-old computer programmer, has been in and out of remission
for a rare form of leukemia for the past 5 years. Mark has a wife
and 3-year-old daughter, and his parents live close by. His treatment
regime has been very difficult and painful. When his disease recently
worsened, his oncologist recommended a new and experimental treatment,
but Mark has decided against treatment. He has discussed this at
length with his wife and his clergyman - and, although saddened,
they respect his wishes. You and your colleagues are meeting with
Mark and his parents to discuss his decision. As you will see, there
is a great deal of disagreement among the members of the healthcare
team.
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