Sean Morrison
speaker
515 appearances
4 recordings
1 series
first heard Apr 2017
last heard Mar 2022
Sean Morrison’s voice in public audio — every appearance, attributed to the second.
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Appearances
that that's knowledge and skill that isn't something that can be trained up very, very quickly.
It's not something that anybody can sit down and talk about.
And in many respects, it's not something that we can predict.
So what's the alternative?
I think the alternative is what, in many respects, you folks have been working out at UCSF at, what Darren Hyland in Canada has been working is, how do we help patients who have capacity?
And how do we help families make better decisions when the decisions need to be made?
And I don't know the answer how that happens.
I do know that that's an empiric question.
And I think that one of the things that we do need to do is move away from the fact that says, okay, we should be doing this in advance.
We should be doing this well before this becomes real.
We should prepare way ahead of time because what we have to research is that that doesn't work.
So maybe we should be focused on what do, for example, we'll take people with a decisional capacity because that's the advanced care planning, advanced directive population.
What do surrogates need to know right now to help them make a decision?
What's the information that will help guide them
What do they need to know about their family member?
You know, this idea of substituted judgment.
How many times have we heard, I know what my dad would want and I'm not going to do that?
And so I think we need a different paradigm for how we begin to make real-time decisions for people with serious illness, whether that be about treatment choices moving forward, whether that be crisis decisions.
For example, in COVID, do I intubate somebody or not?
You know, what we found during COVID, and again, I say this as anecdotal experience only.
Showing 201–220 of 515 · page 11 of 26
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