You have identified what for me is a constant dilemma in healthcare – the issue of futile treatment. While there are some complexities in the question, there are also some that are quite clear. My wife and I have medical directives in place – basically a ‘turn me off’ order. And we have talked to our kids about it. It seems to me that often futile treatment is a collusion between docs who can’t stop and families who have unfinished business. And throw in the question of emotional intelligence….I wish there were a simple metric but there isn’t.
Glad you work with some good docs…I think relating to them is a key, and building the bridges.