An 83-year-old man with coronary artery disease and chronic renal insufficiency underwent a pylorus-preserving pancreaticoduodenectomy (Whipple procedure) for a pancreatic tumor. Although the patient was not considered an ideal surgical candidate given his comorbidities, he strongly favored undergoing the procedure, and his surgeon agreed to proceed after comprehensive preoperative evaluation. Prior to surgery, the patient told both his surgeon and his wife—also his health care proxy—that he wished to be “full code,” but if he could not be “brought back to [his] normal self,” he did not want to be “kept alive artificially” or have a feeding tube.
Joshua Feblowitz, Jeremy Richards. What Are the Patient’s Wishes?. JAMA Intern Med. 2015;175(4):490–491. doi:10.1001/jamainternmed.2014.7991
* * Maintenance Notice * *
Maintenance will be performed from 11:00pm CT December 16, 2017 to 4:00pm CT December 17. Please be advised that your site/services may be periodically unavailable during this maintenance window.