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.
It’s
our responsibility to give you all the facts, and our recommendations.
In the end, the decision of whether or not to continue treatment
is up to you. If you do decide against treatment, I would appreciate
it if you would sign a waiver stating that you have chosen this
course of action, against the recommendations of our medical staff.