Penny Smith

Not often, but sometimes. And usually when that happens, they haven't designated a health care representative. And so you've got family members. Now there's a hierarchy in my state. I don't know how all states work, but in my state, it's the spouse first if you're married. If you're not married and you have adult children, it's your adult children.

Not often, but sometimes. And usually when that happens, they haven't designated a health care representative. And so you've got family members. Now there's a hierarchy in my state. I don't know how all states work, but in my state, it's the spouse first if you're married. If you're not married and you have adult children, it's your adult children.

Not often, but sometimes. And usually when that happens, they haven't designated a health care representative. And so you've got family members. Now there's a hierarchy in my state. I don't know how all states work, but in my state, it's the spouse first if you're married. If you're not married and you have adult children, it's your adult children.

If you don't have adult children, it's your parents if they're living. If they're not living, it's your siblings. So, for example, I have a patient with five siblings. They all have to agree on whatever it is that we're going to be doing. And they may not be on the same page with each other. And that can delay care to a person because they're trying to decide, like, what are we going to do?

If you don't have adult children, it's your parents if they're living. If they're not living, it's your siblings. So, for example, I have a patient with five siblings. They all have to agree on whatever it is that we're going to be doing. And they may not be on the same page with each other. And that can delay care to a person because they're trying to decide, like, what are we going to do?

If you don't have adult children, it's your parents if they're living. If they're not living, it's your siblings. So, for example, I have a patient with five siblings. They all have to agree on whatever it is that we're going to be doing. And they may not be on the same page with each other. And that can delay care to a person because they're trying to decide, like, what are we going to do?

We're all wanting this, but Mary is wanting that. And they all have to be in agreement.

We're all wanting this, but Mary is wanting that. And they all have to be in agreement.

We're all wanting this, but Mary is wanting that. And they all have to be in agreement.

Well, I have a great story about this in my book. I had a patient whose son was living with her, her adult son, and he was not accepting that she was dying. And he was not providing very good care to her. She was getting wounds. And we see wounds on patients' bed sores. It's what they used to be called, pressure ulcers. And he wasn't medicating her appropriately. She had broken hip.

Well, I have a great story about this in my book. I had a patient whose son was living with her, her adult son, and he was not accepting that she was dying. And he was not providing very good care to her. She was getting wounds. And we see wounds on patients' bed sores. It's what they used to be called, pressure ulcers. And he wasn't medicating her appropriately. She had broken hip.

Well, I have a great story about this in my book. I had a patient whose son was living with her, her adult son, and he was not accepting that she was dying. And he was not providing very good care to her. She was getting wounds. And we see wounds on patients' bed sores. It's what they used to be called, pressure ulcers. And he wasn't medicating her appropriately. She had broken hip.

And she was, every time I went to see her, she was in excruciating pain. And I would have to like, give me the medication. And he was not the legal decision maker. His sister was. But she worked in a bank. She had a high paying position, high, you know, important position and was not always there. And so the son was taking care of the mom. And he wasn't medicating her.

And she was, every time I went to see her, she was in excruciating pain. And I would have to like, give me the medication. And he was not the legal decision maker. His sister was. But she worked in a bank. She had a high paying position, high, you know, important position and was not always there. And so the son was taking care of the mom. And he wasn't medicating her.

And she was, every time I went to see her, she was in excruciating pain. And I would have to like, give me the medication. And he was not the legal decision maker. His sister was. But she worked in a bank. She had a high paying position, high, you know, important position and was not always there. And so the son was taking care of the mom. And he wasn't medicating her.

And so I finally had to my social worker and I had to call his sister and get her involved. And she ended up getting custody of her, taking custody of her and putting her into a nursing home. And he was going to the nursing home and badgering the nurses and getting in the way of her getting care and telling him, you can't medicate her. You can't give her morphine.

And so I finally had to my social worker and I had to call his sister and get her involved. And she ended up getting custody of her, taking custody of her and putting her into a nursing home. And he was going to the nursing home and badgering the nurses and getting in the way of her getting care and telling him, you can't medicate her. You can't give her morphine.

And so I finally had to my social worker and I had to call his sister and get her involved. And she ended up getting custody of her, taking custody of her and putting her into a nursing home. And he was going to the nursing home and badgering the nurses and getting in the way of her getting care and telling him, you can't medicate her. You can't give her morphine.

I don't want her to have morphine. And they finally kicked him out and said, you can't come back. And I was there visiting her and he showed up with a friend and was going to try to bully his way in there. And I said, you can't come in here. and they were going to call security and his friend was like, man, let's just get out of here. Let's, we don't want to cause any trouble, you know?

I don't want her to have morphine. And they finally kicked him out and said, you can't come back. And I was there visiting her and he showed up with a friend and was going to try to bully his way in there. And I said, you can't come in here. and they were going to call security and his friend was like, man, let's just get out of here. Let's, we don't want to cause any trouble, you know?