Bob Arnold
speaker
679 appearances
4 recordings
1 series
first heard Oct 2021
last heard Oct 2023
Bob Arnold’s voice in public audio — every appearance, attributed to the second.
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Appearances
No, because the problem was before autonomy, doctors may have told people what to do based on their own values.
Now doctors are unwilling to understand patients' values and make recommendations taking the science to it.
So they act like bad waiters.
They just offer options without context.
And given that the culture of medicine is always to do more,
the context will always push people to try
Right.
Bob, take it away.
And so patients think it works about 70% of the time.
There's a study from the group in Denver in the VA that shows just being more honest about how often it really does work changes veterans' preference about CPR.
Second, Doug White's done really amazing work that shows that patients and families get that we are not able to read the future.
So when a patient says to me, isn't there a chance?
I'll first say, you know, that's the hardest question for doctors.
Because we're always predicting or guessing about the future.
I can tell you what our opinion is and why we have that opinion.
And yet, if your dad was the kind of guy who would go for a one in a million chance, let me tell you what he'd have to go through to have that chance.
I'm okay with people doing that.
I'm okay with people spending time in LTACs.
I'm merely a...
experienced travel guide who really should let them understand the path and the journey that they can go on.
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