Liz Dzeng
speaker
457 appearances
3 recordings
1 series
first heard Oct 2020
last heard Dec 2023
Liz Dzeng’s voice in public audio — every appearance, attributed to the second.
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And so a a a person who's trying to write an advanced directive.
um or or think about, you know, what their loved one said in their advanced directive and trying to extrapolate that into a family meeting that they're they're in right now.
That's just gonna be incredibly impossible to do um difficult to do.
And so, you know, maybe we should think about other ways that we can help facilitate decision making that isn't necessarily just um
you know what the patient um you know trying to think about autonomy but also what's in the patient's best interest what doesn't cause harm by over treatment um and also like the just distribution of uh resources and and issues of social justice and so you know thinking about things like crisis communications like which is going to be helpful for both guardians and uh families and surrogates um you know how do we uh uh communicate
Between doctors and patients to help achieve the best results, thinking about institutional cultures and how we can put into place systems and policies that mitigate cultures of high intensity care.
uh and other things that you know maybe supplement uh all the work that we've been doing in advanced care planning as well.
Yeah, so um it's it's actually quite interesting.
So I've already talked about uh the UK and the Mental Capacity Act, but um I think what's more almost more interesting are the ways that we think about ethics differently in these countries.
So in the US, when I interview doctors about, you know, would you offer, you know, treatments that might not work or would you give treatments that
No, probably wouldn't work, but it's what the patient wanted.
Like doctors in the US tend to say, oh, well, you know, we need to make sure that we're
Um, it would be unethical for me to override this patient's autonomy.
And then when I talk to doctors in France and in the UK, they say it would be absolutely unethical for me to admit a patient with advanced dementia to the ICU for high intensity treatments.
That would create so much harm that would not be in their best interest.
And so I just think
so interesting that we actually have completely different ways of thinking about what is ethical.
And so that's the question that I'm trying to get at.
And it's a difficult question to get at.
But but yeah, it's uh it I think it like it's it's beyond cultures and policies.
Showing 361–380 of 457 · page 19 of 23
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