Clinical Decisions to Limit Treatment
Authors: MICHAEL A. RIE
Journal: Annals of Internal Medicine (1981)

Letters and Corrections1 April 1981Clinical Decisions to Limit TreatmentMICHAEL A. RIE, M.D., GEORGE NARDI, M.D., CHRISTOS ATHANASOULIS, M.D., ALAN GREENFIELD, M.D., EDWIN CASSEM, M.D.MICHAEL A. RIE, M.D.Search for more papers by this author, GEORGE NARDI, M.D.Search for more papers by this author, CHRISTOS ATHANASOULIS, M.D.Search for more papers by this author, ALAN GREENFIELD, M.D.Search for more papers by this author, EDWIN CASSEM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-94-4-539 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Lo and Jonsen (1) skillfully point out some of the difficulties involved in the decision to terminate or refuse care in competent, critically ill patients. However, their example case raises troublesome questions regarding the ethical integrity of the medical profession as a whole and specifically that of the health care providers to the described patient.Laser cauterization of the duodenal ulcer was unavailable. Presumably selective therapeutic angiography with autologous embolic materials was also unavailable (2). Direct instillation of an autologous clot into the blood supply of the duodenal ulcer is curative in approximately 75% of patients not...References1. LO B and JONSEN A. Clinical decisions to limit treatment. Ann Intern Med. 1980;93:764-8. LinkGoogle Scholar2. ATHANASOULIS C. Therapeutic applications of angiography (part 1), N Engl J Med. 1980:302:1117-25. CrossrefMedlineGoogle Scholar3. TARHAN S, MOFFITT E, TAYLOR W, and GUILIANI E. Myocardial infarction after general anesthesia. Anesth Analg. 1977;56:455-61. CrossrefMedlineGoogle Scholar4. MAUNEY F, EBERT P, and SABISTON D. Postoperative myocardial infarction: a study of predisposing factors, diagnosis and mortality in a high risk group of surgical patients. Ann Surg. 1970;172:497-503. CrossrefMedlineGoogle Scholar5. HIPPOCRATES . Epidemics I xi. Vol. 1. London: William Heineman Ltd; 1923: p. 165. Jones WHS, Translator. Google Scholar1. LUFT H, BUNKER J, and ENTHOBEN A. Should operations be regionalized? W Engl J Med. 1979;301:1364-9. CrossrefMedlineGoogle Scholar2. ADAMS D, FRASER D, and ABRAMS H. The complications of coronary arteriography. Circulation. 1973;48:609-18. CrossrefMedlineGoogle Scholar3. RANSOHOFF D and FEINSTEIN A. Is decision analysis useful in clinical medicine? Yale J Biol Med. 1976;49:165-8. MedlineGoogle Scholar4. GOLDMAN L, CALDERA D, and SOUTHWICK F. Cardiac risk factors and complications in non-cardiac surgery. Medicine. 1978;57:357-70. CrossrefMedlineGoogle Scholar5. STEEN P, TINKER J, and TARHAN S. Myocardial reinfarctions after anesthesia and surgery. JAMA. 1978;239:2566-70. CrossrefMedlineGoogle Scholar6. INGELFINGER F. Arrogance. TV Engl J Med. 1980;303:1507-11. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: MICHAEL A. RIE, M.D.; GEORGE NARDI, M.D.; CHRISTOS ATHANASOULIS, M.D.; ALAN GREENFIELD, M.D.; EDWIN CASSEM, M.D.Affiliations: Massachusetts General Hospital Boston, MA 02114 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 April 1981Volume 94, Issue 4_Part_1Page: 539-540KeywordsAngiographyDuodenal ulcersHealth care providersThrombosis ePublished: 1 December 2008 Issue Published: 1 April 1981 PDF downloadLoading ...