Barry Baines

And once you, that's a very different, because six months or less, well, I'm just a doctor, you know, I'm not God. I don't, you know, I don't know. I don't know the end. But generally speaking, do you know what I mean? You say, would you be surprised if, you know, if Mr. Mrs. McGillicuddy, you know, died in the next year. And then you think, well,

And once you, that's a very different, because six months or less, well, I'm just a doctor, you know, I'm not God. I don't, you know, I don't know. I don't know the end. But generally speaking, do you know what I mean? You say, would you be surprised if, you know, if Mr. Mrs. McGillicuddy, you know, died in the next year. And then you think, well,

boy you know probably not you know she has like pretty bad heart failure um you know and i know i wouldn't be surprised because then and then that's that's the patient that it you can be referred to hospice and hospice will have that conversation with you you don't have to choose to go to enroll in hospice but then you know if you get the referral at least those conversations

boy you know probably not you know she has like pretty bad heart failure um you know and i know i wouldn't be surprised because then and then that's that's the patient that it you can be referred to hospice and hospice will have that conversation with you you don't have to choose to go to enroll in hospice but then you know if you get the referral at least those conversations

could happen more with people who this is what they do all the time. And they can lay things out.

could happen more with people who this is what they do all the time. And they can lay things out.

Right. And, and to be, and to be clear, this is not, you know, This is not meant to be a blame game because the dynamic here, you know, it takes two to tango, right? And when, you know, for most people, as they go through their illness, their goals change over time. Okay. And many people's goals are, I want to live as long as I can. Okay.

Right. And, and to be, and to be clear, this is not, you know, This is not meant to be a blame game because the dynamic here, you know, it takes two to tango, right? And when, you know, for most people, as they go through their illness, their goals change over time. Okay. And many people's goals are, I want to live as long as I can. Okay.

And as you know, in medicine, we continue to have treatments that may or may not help that goal. And so it's one of these things where everybody is hoping... For, you know, for the best here. And so it's easy. Again, this idea of six months or less, that's a hard thing to, you know, to get your head around. And then you also have patients and their families and you have families that are not sick.

And as you know, in medicine, we continue to have treatments that may or may not help that goal. And so it's one of these things where everybody is hoping... For, you know, for the best here. And so it's easy. Again, this idea of six months or less, that's a hard thing to, you know, to get your head around. And then you also have patients and their families and you have families that are not sick.

Have you ever heard of families that are not on the same page on things? Never. I don't know what you're talking about. So then there's all these, these, all these family dynamics, you know, as well that, that happens. So it's, it's very, it's very complicated.

Have you ever heard of families that are not on the same page on things? Never. I don't know what you're talking about. So then there's all these, these, all these family dynamics, you know, as well that, that happens. So it's, it's very, it's very complicated.

And again, one of the things that sort of helps is the idea of reframing this, even though yes, six months or less, but if we think in terms of a,

And again, one of the things that sort of helps is the idea of reframing this, even though yes, six months or less, but if we think in terms of a,

larger time frame we know that it's going to be less than that most likely okay because we tend to overestimate prognosis so if we you know so that to me is the key that's sort of the the key and that was why i wanted you to answer that question okay i i hope i answered it no no you did you did you did yeah but you answered it in a sense of this that it's a struggle for everybody

larger time frame we know that it's going to be less than that most likely okay because we tend to overestimate prognosis so if we you know so that to me is the key that's sort of the the key and that was why i wanted you to answer that question okay i i hope i answered it no no you did you did you did yeah but you answered it in a sense of this that it's a struggle for everybody

No, I think it's, I think it's great. And the other thing to realize that a lot of people probably don't don't, they don't know this. When I was just doing my regular family practice stuff, not my, you know, my family practice stuff, with seeing patients and things like that. I, you know, used to do what I call womb to tomb, you know? Okay. I had very few patients in the course of a year who died.

No, I think it's, I think it's great. And the other thing to realize that a lot of people probably don't don't, they don't know this. When I was just doing my regular family practice stuff, not my, you know, my family practice stuff, with seeing patients and things like that. I, you know, used to do what I call womb to tomb, you know? Okay. I had very few patients in the course of a year who died.

Do you know what I mean? I had maybe a, maybe a handful. And so if you just run into that every few months or so, unlike treating diabetes or high blood pressure or strep throat, where you see a lot of that, you know the drill, you know what to do.

Do you know what I mean? I had maybe a, maybe a handful. And so if you just run into that every few months or so, unlike treating diabetes or high blood pressure or strep throat, where you see a lot of that, you know the drill, you know what to do.