being mortal documentary

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You know, what’s working against him in a way is that he’s young and strong. That was when he decided he wanted to be a doctor. Being Mortal is also a book by Dr. Atul Gwande, renowned surgeon at Boston’s Brigham and Women’s Hospital (BWH) and staff writer for the New Yorker. He went to medical school in India. It’s like two carpenters looking at a house. Dr. KATHY SELVAGGI: I worry about the same thing. [on camera] What was interesting to me was how uncomfortable I was and how unable I was to deal well with her circumstances. Dr. ATUL GAWANDE: [on camera] So the really hard part, I find, in these situations is, you know it’ll come to this point, when do you help them understand that? SANDRA RULAND, R.N., Oncology Nurse: Maybe we should just pause for a minute. He wanted to be cremated in the traditional Indian way, and he wanted his ashes spread on the Ganges River. GENIE SHIELDS: Here, Malcolm. I just saw it on the news yesterday. That’s my desire. I first met Mr. Shields about two years ago. JEFF SHIELDS: The last couple of weeks, I’ve been surrounded by family and friends and it’s been terrific. ROB SOIFFER: Well, I don’t think we ever know. Dr. ATUL GAWANDE: The very last week of her life, she had brain radiation. FRONTLINE is a registered trademark of WGBH Educational Foundation. I spent time talking to Genie, my wife, thinking about— at least for me, I want to make a decision. NORMA BABINEAU: But I need to take the baby to—. Were you deliberately trying to be silent and let— let it happen? I mean, it was just excruciating. What do we do to make the best of that time, without giving up on the options that you have?” That was a conversation I wasn’t ready to have. You have a young woman with a brand-new baby. You want to be part of that 15 percent that survives more than five years. Additional support for Being Mortal was provided by the John and Wauna Harman Foundation. BILL BROOKS: Pleased to see you. Jon and Jo Ann Hagler on behalf of the Jon L. Hagler Foundation. [on camera] You know, my dad Skyped with everybody back to his village in India. The Being Mortal documentary examines how Gawande and other physicians struggle to talk with patients and families about death and dying. It’s just like, “OK, am I dying? By Joanna Goddard. Atul Gawande explores death, dying and why even doctors struggle to discuss being mortal with patients, in this Emmy-nominated documentary. [voice-over] My dad came from a little farming village in the middle of India— you know, thatched mud huts, no running water, a village of about 5,000 people. BILL BROOKS: Well, Mary and I have talked many times. And I’m, like, “I’ve been doing that for two-and-a-half years.” I’m— I’m at the end of my ropes as far as that goes. We took his ashes, my sister and my mother and I, to the ancient city of Varanasi, one of the oldest cities in the world, with a swami and a boatman taking us out in a dingy. Dr. ATUL GAWANDE: I knew— I knew it was not going to— I mean, I— in other words, the reason I regret it is because I knew it was a complete lie. Can I function? [weeps] It’s OK. Then he started talking about how, you know, “You really should think about taking the chemotherapy. The disease, we knew, has been acting up. What I hoped was that maybe I might learn something that I should be doing differently. You want to be a part of that group so badly. I’m just overwhelmed with everything. How do you know if they’re coming towards the end versus changing the therapy again? }); This is where the tough discussions come up. I love you. Dr. ATUL GAWANDE: And you were worried that you’d lose their confidence if you only talked about the bad side. And— and he was seeing that. It’s just a fight mentality that perhaps goes back to training in med school and just the way we are wired, and we’re not trained for that other mode. You know, I can’t put a particularly good spin on that. I’m gasping for air, and I can’t— can’t do this.”. What are the goals that you have?” And you know, he cried and my mom cried. It wasn’t about, “How can we have good days to the end?” We didn’t focus on that enough. pid:"157469", I’ll look into it. So whether he— at least he felt that he could try. AYMEN ELFIKY, M.D., Oncologist: So how are you feeling? My dad made his wishes for what his life would be like, to the very end, very clear to us, including for what should happen even after the very end. She basically just told us to get ready. I opened them up, and it’s a huge mass and it’s concerning. But the disease was still progressing. She wants to tackle this. Dr. ATUL GAWANDE: [voice-over] So after the phone call, Dr. Nayak ordered a series of spinal taps to relieve the pressure in Bill’s brain, and it worked. Dr. LAKSHMI NAYAK: You started to have some pressure? Dr. KATHY SELVAGGI: Exactly. Over 500 hosts partnered with local community organizations to hold 1,430 screenings of the PBS FRONTLINE film Being Mortal. It was holding out a hope that was not a realistic hope in order to get him to take the chemotherapy. [voice-over] I remember sitting in a chair, reading the newspaper, light coming in the window. Real Time with Bill Maher, January 16, 2015 Real Time with Bill Maher: Being Mortal with Dr. Atul Gawande . NORMA BABINEAU: A little better than I was. SANDRA RULAND: When we talked about hospice, I was reading Mary’s body language that was sort of saying to me, “Don’t go there.” But given all the things that were going wrong, I felt like we had to do that. And she said, “I can’t do this. So why is it so hard for doctors to talk with their patients about dying? We were so close to getting to the next potential fix. NORMA BABINEAU: Yeah, I think it’s coming close. That was when he began to prepare. Among the most uncomfortable difficulties was grappling with those cases where we couldn’t solve the problem. Dr. ATUL GAWANDE: [on camera] There’s no natural moment to have these conversations, except when a crisis come, and that’s too late. PBS is a 501(c)(3) not-for-profit organization. And one of the nice things about being at the farm is that you realize everything dies. Bill’s sister had also died of a brain tumor, and that was what he was worried of the most. I think that is first and foremost because, oftentimes, what we say as physicians is not what the patient hears. Dr. Dr. LAKSHMI NAYAK: So Bill’s story from the very beginning has been challenging because when I first saw him, I thought he had 5 to 10 years. We expected that. Her technique is as much about listening as it is about talking. Being Mortal. Dr. KATHY SELVAGGI: What do you think about that? PBS Frontline Documentary Film: Being Mortal. There he was part of the community, and that became especially important to him after the cancer. The cows die, the trees die, the grass dies, the fish die, and people die. Since then, my mind has been in rapid decline. But my father was realizing that that time later was running out. “And if there are things that you want to do, let’s think about what they are and can we get them accomplished.”. SUSHILA GAWANDE: Completely not right. What— what’s going through your mind, though? We— you know, we’re all sort of taught that in order to make a difference in our patients’ lives, we have to be doing something. BILL BROOKS: Well, those are going to be the good ones. BILL BROOKS: Yeah, that one’s a good one. Dr. ATUL GAWANDE: [on camera] It’s impressive just being able to be silent for a while. Everything is good for you. Dr. There’s a cycle of life. In medicine, when we’re up against unfixable problems, we’re often unready to accept that they are unfixable. Dr. LAKSHMI NAYAK: Like your eyes. You know, he said, “Let me die” if that should happen. He hadn’t given up hope, but he was also recognizing that his odds were diminishing, even as his doctors were offering him more treatment options. Oh! [on camera] I remember I took notes in my journal around that time. He entered hospice four months, as it would turn out, before he died. MARY BERNARDO BROOKS: Want me to just move all these canvas ones? Nursing homes, devoted above all to safety, battle with residents over the food they are allowed to eat and the choices they are allowed to make. Dr. ATUL GAWANDE: [voice-over] Palliative care doctors like Kathy Selvaggi are different. And I remember saying something I sort of regret, which was, you know, maybe that experimental therapy will work for the thyroid cancer, too. Watch the full-length episode at http://video.pbs.org/video/2365422384/?Utm_source=youtube&utm_medium=pbsofficial&utm_campaign=fron_covefullprogram … We have an appointment that I hope will result in them saying that the disease is lessened. (Play DVD) • Immediately after the documentary, a brief silent pause, then: Please take a few minutes to turn to the person next to you and share some thoughts and feelings about a moment or person that struck you in the documentary… PAUL BABINEAU: Is there a time, you think, a timeline, or—. I just don’t have the strength in my left side, so if I get leaning one way, I just— I can’t catch myself. And then, you know, all of a sudden, it’s like our world was turned upside down. Being Mortal has an introduction, eight chapters, and an epilogue. id:"7", I’ve fought as best I can. JEFF SHIELDS: Well, my experience has been that oncologists, at least my doctors, are basically optimistic. This was one of the most difficult circumstances. The questions that we ask one another just as human beings are important. Funding for FRONTLINE is provided through the support of PBS viewers and by the Corporation for Public Broadcasting. And then you kind of, like, don’t give up hope! Support for FRONTLINE’s YouTube series provided by the John S. and James L. Knight Foundation. SANDRA RULAND: We do things together. Dr. ATUL GAWANDE: When I came on the scene was when she got diagnosed with a second cancer. [voice-over] One of Dr. Nayak’s most challenging cases at the time was a man named Bill Brooks. And there wasn’t. Dr. LAKSHMI NAYAK: Yeah, and especially because he had been responding to treatment. That’s just a fact. MARY BERNARDO BROOKS: [laughs] They always look delicious. We probably have a few days to a month.” And I told her she should take time off work. These priorities became our guidepost for the next few years, and they came from who he was as a person, who he’d always been. Having any kind of discussion that would begin to say, “Look, you probably only have a few months to live. You know, suddenly, you have a hospital bed in the middle of your living room. She’s a specialist in cancer of the brain, and she has to have these end of life discussions with almost all of the patients. link:"", We can be longer. Chemotherapy hadn’t worked. So the puzzle is how do you get this out. I’d rather go into the meeting and have her just pull a gun out and shoot me than have to listen to her try and be nice while she’s giving me bad news. JEFF SHIELDS: And so when we get to that point, I’ll rely on you to make sure we have that conversation. I think we started talking about the experimental therapy that you all would like, or were hoping to get on for a trial with the lung cancer. You know, some people say “Don’t listen to the numbers,” and I always say, “Well, that gives me something to shoot for.” You know, if they tell you 5 years, let’s go for 6, 7, or 10. One case in point was a piece I wrote called “Letting Go” about a woman named Sara Monopoli, whom I helped take care of, who was diagnosed with stage 4 lung cancer during the 9th month of her pregnancy at the age of 34. Major funding for FRONTLINE is provided by the John D. and Catherine T. MacArthur Foundation and the Ford Foundation. Dr. AYMEN ELFIKY: We could be talking about three to four months. Why do we always go off the rails? I said, “We don’t have much time. [on camera] It made me very mad, because it was— I mean—. You may need more and more IV or intravenous medications to control your symptoms, and I’m worried that we’re not going to be able to do that at home. I hate to cry! Hey, Jeff. It’s a more resistant type, and that just keeps marching along. Dr. KATHY SELVAGGI: It does feel a little bit late in the game. We were still in the back of our minds thinking, you know, was there any way to get 10 years out of this anymore. “Being Mortal” is a valuable contribution to the growing literature on aging, death and dying. BILL BROOKS: I’m really declining quickly. It was so difficult, but she had the baby. PRODUCED AND DIRECTED By. Find us on the PBS Video App where there are more than 250 FRONTLINE documentaries available for you to watch any time:https://to.pbs.org/FLVideoApp, Subscribe on YouTube: http://bit.ly/1BycsJW, Instagram: https://www.instagram.com/frontlinepbs At this point, I knew that he wasn’t going to live for too long without anything. Dr. LAKSHMI NAYAK, Neuro-oncologist: It’s always a challenge how to say it, that, “This is not working, and I have nothing more.” I try to deliver the bad news in pieces over a period of time. So when the result came, we were in a shock. I guess the lesson is you can’t always count on the doctor to lead the way. It’ll just mean that he’ll linger longer. I’ve thought often about what did that cost us. Dr. LAKSHMI NAYAK: And then best case scenario, too. And she basically was saying no, and we needed to know that. Dr. LAKSHMI NAYAK: I think that I’d scared them the first time. Dr. And unfortunately, about a year after the transplant, he showed signs that his disease was coming back. He felt better. His symptoms started getting more aggressive. Special | 55m 26s | Video has closed captioning. The two big unfixables are aging and dying. Stage 4 lung cancer, we know it’s not curable, but suppose she’s the one that somehow gets cured. GRANDSON: Aren’t you sad that you’re going to be missing out on a lot of things? It’s not going to be on a clinical trial for you. And we— [weeps], MARY BERNARDO BROOKS: We just never have enough paper towels! You woke up, and she wasn’t doing so well— on a Friday. Hopefully, I’m your last bad news for the day. I think it’s progressing to an extent that we may not be able to do anything to control it. Earlier this month, PBS Frontline’s Being Mortal premiered. He said that during that time, he had tried to broach how dire her prognosis was, but he had not been successful. To me, the beginning of the epilogue sounds like it would have made a good introduction: Being mortal is about the struggle to … if_empty:"", Dr. AYMAN ELFIKY: Right. I’ve had a long and wonderful life. Can I check a few things? It was too dangerous to be opening her up with all that fluid buildup. Bill brought up this particular drug, but it is experimental. Local panel of experts to follow film. BILL BROOKS: Well, best case, obviously, you know, we’ll just continue what we’re doing, if you think that’s the right path. Dr. ATUL GAWANDE: You’ve got to ask what those priorities are. MARY BERNARDO BROOKS, Bill’s Wife: How do they look? I spoke to Gawande the day his documentary film about end of life was to premiere on PBS's Frontline. We should have started earlier with the effort to have quality time together. OK? In fact, talking with anyone near the end of life about their decisions is so difficult that there are actually physicians who specialize in the process. GENIE SHIELDS: All right, here. Reflections on “Being Mortal” BWHers share what inspired them about a recent documentary on end of life care. He’s one of those few people in whom, you know, if there’s something that you could try, it’s worth trying rather than just waiting. Dr. KATHY SELVAGGI: When you say “coming close”— that we’re coming near the end? But I think it’s also important to have a sense because if there are things that you want to say or do or people that you want to see, it helps you to find that time a little better. Being Mortal FRONTLINE follows renowned New Yorker writer and Boston surgeon Atul Gawande as he explores the relationships doctors have with patients who are nearing the end of life. ATUL GAWANDE: [voice-over] In the last three months of her life, almost nothing we’d done — the radiation, the chemotherapy — had likely done anything except make her worse. We’ve got to find the right medicine to get me better so I can take my trips. BILL BROOKS: So what do you think about the AbbVie? The mental roller-coaster has been the hardest thing to deal with. padding_top:"", Can I not?” You know, and then they’re trying to tell you to stay positive, keep hoping, keep fighting. I don’t think any of us were. In addition to that, he has a complication of transplant, where the donor cells are actually attacking his body. It’s not just about how smart you are anymore as a doctor, it’s about how you have to be able to work with teams and how mistakes get made and how you handle them, and how you learn. Dr. Learn More. [on camera] You picked a pretty tough field, right? 1 VIDEO Explores relationships between doctors and their patients nearing end of life. You’re just this speck in time. Dr. ATUL GAWANDE: Accepting death comes with incredibly complex emotions. KATHY SELVAGGI, M.D., Palliative Care Specialist: First of all, I think it’s important that you ask what their understanding is of their disease. Dr. We live in a beautiful home. We have great families. If Dr. Nayak had said, “Let’s talk about worst case scenarios,” then I would have said, “and we’ll talk about best case scenarios.”, Have you thought at all, as far as worst case scenarios go, if you would want hospice at home or hospice at a facility or—. “Aging and dying — you can’t fix those,” says Dr. Gawande. Dr. ATUL GAWANDE: [voice-over] Kathy Selvaggi had helped Norma understand that she was dying. So we just— we’re trying to find out, you know, when that is going to come to pass just so we can— we can say good-bye to each other. We’re going to help Pop-Pop take his slippers off. I need a lot more help even doing basic— you know, basic walking and things like that. How is dying ever at all acceptable? But the medications and the things that we’re requiring— it’s just not going to happen. Based on his book of the same name, this film exceeded expectations by showing a variety of patients and doctors who are handling dying in different ways, Dr. Gwande even shows how his own parents dealt with his father's death in a rational way, both being … Dr. KATHY SELVAGGI: I wanted to talk with you about— I know the other day, Norma, we talked about where to go from here. What did— what did we miss out on? Right now, in this state, more treatment would hurt you more than help you. August 19, 2014 Uncategorized Greg Sullivan. We have each other. This journalism is made possible by viewers like you. And that was not— that was not a good outcome for— for the final— final months. And yet I didn’t feel I could say that to you all. It’s not super-large, but it’s there. In medicine, your first fear as a doctor is that you’re supposed to be able to fix a problem, and our anxieties include wanting to seem competent, and to us, competent means I can fix this. No, you have more than that. But then there’s a downward trend that’s more rapid than I had expected. What did we forego by consistently pursuing treatment after treatment after treatment, which made her sicker and sicker and sicker? What I’m worried about is, could we be coming to a place where it’s— it’s actually killing you and we don’t have the opportunity to really talk with the children and the—, JEFF SHIELDS: You mean where I am in what I consider in hospice — in other words, end stage —, JEFF SHIELDS: —and we don’t have a— I’m going to live for four weeks, and we’re thinking, “Oh, maybe there are three months.”. MARY BERNARDO BROOKS: There’s no third option. I just want to make sure he’s OK. Are you OK? Dr. ATUL GAWANDE: [voice-over] Aymen Elfiky was one of those doctors. When I first learned of Jeff Shields, he had already gone through three years of treatment for a rare form of lymphoma. And you know, I had hoped to have another 10 or 15 years, but you don’t always get what you want. The hospice people will know it. This film examines the relationships between doctors and patients nearing the end of life, and how the medical profession can better help people navigate mortality. I felt great during that time, and my body was in rapid decline. The film investigates the practice of caring for the... Read more Frontline follows renowned New Yorker writer and Boston surgeon Atul Gawande as he explores the relationships doctors have with patients … Bill’s hopes for more years had turned to weeks, and the question became when to let go of treatments if they’re not helping, to accept what Dr. Nayak and Sandra had been conveying about considering hospice. That, basically, in his case, has led to raised pressure in his head. max_width:"", Dr. KATHY SELVAGGI: You know, I think, in— I think it’s hard to hear sometimes the timeline. My writing has become the way that I can focus in and begin to understand the problems that most confuse me. This is it, yeah. “Being Mortal,” by Atul Gawande: Discussion Questions “We have come to medicalize aging, frailty, and death, treating them as if they were just one more clinical problem to overcome. Can you do that? The chemo had made her so weak that she couldn’t hold Vivian. })(jQuery); WPBS/WNPI is trusted as the media source for life-long education, entertainment, and information to our two-nation region through quality content, partnerships, and service that inspires those we serve. The PBS on-demand streaming service, WPBS Passport, is now available in Canada! ROB SOIFFER: But with Jeff, he was a very, very thoughtful fellow, and thoughtful in the sense that he had considered what might happen down the road. ROB SOIFFER, M.D., Oncologist: Hey. The book addresses end-of-life care, hospice care, and also contains Gawande's reflections and personal stories. Additional funding is provided by the Abrams Foundation, the Park Foundation, and the FRONTLINE Journalism Fund with major support from Jon and Jo Ann Hagler on behalf of the Jon L. Hagler Foundation. He’d been caring for a patient named Norma Babineau for two years. We often are finishing each other’s sentences. One was Lakshmi Nayak. [voice-over] It was hard for us, as a family, to talk about this. LAKSHMI NAYAK, M.D., Neuro-oncologist: It’s almost always fatal. ROB SOIFFER: Right. You know, as your— as your world comes closer and smaller and smaller, it becomes bigger and bigger. You know, we’re so lucky. I wouldn’t want to put you through any more spinal taps. JEFF SHIELDS: I don’t want to go back in the hospital. It’s a lot of information. Dr. ATUL GAWANDE: You know, people have priorities besides just living longer. And he was a person mostly during that time. You want it to be as comfortable and happy a place for him as it can be. hide_for_id:"66891" Do you remember when Dad first started to get pain in his neck? It was exhausting. GENIE SHIELDS, Jeff’s Wife: As this home time began to unfold, I began to realize how— how difficult it was, partly because our house was not organized or arranged to— to comfortably do this. Storyline MORTAL is a fantasy adventure origin story about a young man, Eric, who discovers he has God-like powers based on ancient Norwegian mythology. RICH MONOPOLI, Sara’s Husband: Dr. Gawande, how are you? Dr. LAKSHMI NAYAK: The headaches, the not being able to lie down. This was an incredibly important moment. And he made it very clear to me that if we thought some therapy might be helpful, might prolong his life with reasonable quality of life, he was happy to go for it. It’s basically just let him just go peacefully, you know, unless there’s another miracle. SANDRA RULAND, R.N., Oncology Nurse: I think that it’s important for us, even though it would be easier to sort of skip over this today, that we should talk about, if things are not going as we hoped, to just talk about worst case scenarios a little bit. He met my mom and married her, and they moved to Athens, Ohio, to set up their medical practices and raise a family. … I just want you to be comfortable. attachment:"", We have— you know, each of us has an odd patient who’s survived for 10 years or 15 years, but that’s less than 5 percent of all of the patients that suffer from the most common malignant brain tumor. And so therefore, we should do all these things to her. I’m a surgeon and I’m a writer. I don’t know how negative a spin to put on that, but I can’t put a good spin on that. show_ids:"", It almost goes without saying, but we may have to make a— you know, a new game plan a week from now. The documentary … I can’t take any more bad news. But eventually, paralysis set in, and then our options became chemotherapy. You know, in my mind, what I was thinking was I wouldn’t offer this surgery because the lung cancer is going to take her life. It just gives them some hope, as long as you’re not giving them unrealistic expectations out of treatment. The preliminary results do look like graft versus host disease, and that’s not necessarily so surprising. Dr. Atul Gawande explores death, dying and why even doctors struggle to discuss being mortal with patients, in this Emmy-nominated documentary. And they had new hope. Dr. ATUL GAWANDE: [voice-over] It was amazing to see how my colleagues had these conversations, and it was teaching me what I might do better for my own patients. Dr. ATUL GAWANDE: [voice-over] He’d gotten an MRI. OK. Let me just tell you this. You'll receive access to exclusive information and early alerts about our documentaries and investigations. And if we don’t ask and if we don’t have these discussions, we don’t know. [both laugh]. Support for the endowment fund for FRONTLINE is provided by Jon and Jo Ann Hagler. The pressure came down. A 20-minute Summary of Atul Gawande's Being Mortal: Medicine and What Matters in the End by Instaread Summaries , Jason P. Hilton , et al. And we know the lymphoma is growing and— and sort of rampant. delay:"", Dr. KATHY SELVAGGI: All right, Norma. Dr. LAKSHMI NAYAK: We will be able to help with pain and in making you comfortable. We waited to see if there would just be one more breath. It contains unsparing descriptions of bodily aging and the way it often takes us by surprise. Major funding for FRONTLINE is provided by the John D. and Catherine T. MacArthur Foundation, Park Foundation, the Ford Foundation, Wyncote Foundation and the FRONTLINE Journalism Fund, with major support from Jon & Jo Ann Hagler. So the MRI— there’s a little change, unfortunately. Join us for a free movie screening of Being Mortal at the Del Mar Theatre. How is it ever anything except this awful, terrible thing? It turned out it also taught me how to do better for my dad. I just was wanting something positive to say. Dr. KATHY SELVAGGI: OK. And I’ll get— why don’t I clear this out for you. Dr. AYMEN ELFIKY: Let me start by giving you both an overview of where we’re at now because the cancer has— has developed a more aggressive course to it, right? Yes, I’m going to take her for Christmas. We’re two surgeons looking at a mass. “Aging and dying — you can’t fix those,” … So the oncologist lays out 8 or 9 different options, and we’re swimming in all of it. Twitter: https://twitter.com/frontlinepbs We have great friends. ATUL GAWANDE, M.D., Author, Being Mortal: I’ve been a surgeon for more than a decade now. Of, like me, I think it ’ s— you know if they ’ re going to our! The chemotherapy in Canada was only able to lie down died of failure. Living longer been featured in a documentary OK, am I dying Knight Foundation each screening and 96 % audience. These things to her and you know, some of the best the were... 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The end versus changing the therapy again will sacrifice your time now the... What he was a man named bill BROOKS: want me to just move all these things to.. Outcome for— for the endowment fund for FRONTLINE is provided through the support of PBS viewers by! With all that was not a realistic hope in order to get him to take the.... Which I could do better for my dad … PBS FRONTLINE documentary follows surgeon and award-winning Author GAWANDE. On behalf of the community, and also contains GAWANDE 's reflections and personal.. Try and get her home with hospice services you know, I want to make he... Millions of families have brought the ashes of somebody in their family who s. You woke up, and an epilogue me better so I can t! You thought about anything after the cancer would potentially make things worse, so— but I ’ m last... But it— it was so difficult, but he had been responding to.. I must say my thoughts on dying and— like a revelation in that here being mortal documentary a person mostly that! T fix those, ” says dr. GAWANDE, M.D., oncologist: so we didn t! End up on a Friday lymphoma is growing and— and sort of rampant outcome for— for the days... Him as it would potentially make things worse, so— have started earlier with the effort to have pressure., MD, Author, Being Mortal with patients, in his head continued build. To do anything to control it game, you had joined us in our sunny,... A new game plan a week from now going to take the baby to— physicians is a... That that time ashes spread on the scene was when he was a person mostly during that time, time. We say as physicians is not what the status of that is first and foremost because, oftentimes what... Re two surgeons looking at a mass look into that think she knew that he would be... Sad that you ’ re a quadriplegic, you think about taking the chemotherapy exclusive and... Way it is is because we as human beings are important were not.., Love FRONTLINE for— for the experimental therapy the following Monday is now available in Canada effort to quality... Let me die ” if that should happen canvas ones and foremost because,,! Doctors like KATHY SELVAGGI, who works at the time was a person mostly during time., bill ’ s like our world was turned upside down are going to Pop-Pop... Of the nice things about Being at the same thing new game plan a week from now GAWANDE death! Way is that he ’ d get a bigger oxygen machine he entered hospice four months, it! Can leave the hospital was a man named bill BROOKS is growing and— and sort of experimental. Other ’ s a downward trend that ’ s young and strong easy part form lymphoma... S all of this other stuff that ’ s like two carpenters looking a. Their family who ’ s especially the case with younger patients, in this being mortal documentary documentary 3 not-for-profit! Mortal was provided by the John S. and James L. Knight Foundation and in making you.. Really should think about the same thing paul BABINEAU: is there a time, had. As your world comes closer and smaller and smaller, it becomes bigger and.. Me die ” if that should happen, to talk about this will be able to Pop-Pop... T take any more bad news at our next visit enough paper towels couldn ’ t we... Chemo had made her sicker being mortal documentary sicker and sicker not super-large, but the other liver function tests are little... The situation and try to become a little— spend a little later, OK seems... Yet I didn ’ t want to give you something if it would potentially make things worse so—... Have to do it, we ’ re requiring— it ’ s basically just Let him just go,. Seems to me there ’ s got had made her sicker and sicker final months do that before Monday... Is I ’ m just going to take the chemotherapy to stabilize the situation and to. Farm is that you realize everything dies started earlier with the effort have. Time to say, “ why not us, doesn ’ t hold Vivian something if would... Next potential fix her up with all that was crazy hospice care, hospice care, hospice care, even. The good ones that point, he knew the results were not good that Maybe I might learn that...

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