Jonee and her husband Harvey were living a full life when Jonee’s physician found some suspicious lymph nodes in her neck, which led to the diagnosis of stage 4 lung cancer.
A neighbor referred her to me; I work as a private physician advocate. In my role as an advocate, I get to know my clients with serious illness through several structured conversations. I learn their goals and fears about their situations and assist them in seeking care that aligns with all of it. When we first met, I didn’t shy away from asking about Jonee’s fears about the end of her life. These are conversations that I’ve worked hard to master.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Brokaw J. How Better Communication Skills May Lessen the Need for Physician-Assisted Death: Talking Her Out of It. JAMA Intern Med. 2018;178(7):887–888. doi:10.1001/jamainternmed.2018.2118
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: