It is Monday, which means back to work.  My first stop this morning was to the intensive care unit to see a patient who recently had surgery and has not done well.  She has been on the ventilator for some time now, and it does not seem like she is going to get off the ventilator anytime soon.  I had a lengthy talk with the family and they do not want to proceed with any further aggressive care. It was a hard way to start the day, yet I am very proud of this family.  Despite the ability to direct the patient’s care as the patient is not able to do so at this time,  they are honoring her wishes (she did not want to be on the ventilator for life sustaining purposes) rather than allowing this lady to suffer because they are afraid to let her go.  I respect these people.  I am sad about the outcome and grieve with the family and about the inability of medicine to cure all disease, but I take comfort in knowing that this patient has a loving family who loved her enough to let her go.

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