A Midwestern Doctor(@MidwesternDoc):“Do everything” means something very different to a grieving family than it does to a hospital. A family wants more time with someone they love. The patient may want comfort, familiar surroundings, and an end to invasive procedures. But those wishes can collide when nobody has discussed what matters before the crisis hits. I find it deeply troubling when the effort to prolong life becomes a prolonged dying process the patient never wanted. Here I explore how we reached this point and how families can prepare for a more humane final chapter:

A Midwestern Doctor

@MidwesternDoc

I write the Forgotten Side of Medicine the #1# Health Substack (393k readers) that exposes Pharma corruption and remarkable therapies lost to time

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A Midwestern Doctor@MidwesternDoc

2026.11.10 11:05

“Do everything” means something very different to a grieving family than it does to a hospital. A family wants more time with someone they love. The patient may want comfort, familiar surroundings, and an end to invasive procedures. But those wishes can collide when nobody has discussed what matters before the crisis hits. I find it deeply troubling when the effort to prolong life becomes a prolonged dying process the patient never wanted. Here I explore how we reached this point and how families can prepare for a more humane final chapter: