May 13, 2004

Don't Smoke

One of my patients is dying. Really, really dying. Like, he'll be dead within a few hours. If he's lucky. If not, he'll hang on for a few more days being just miserable. He's DNR (do not resuscitate), otherwise he'd have a tube down his throat and a machine making him breathe. His entire family is here. He's got metastatic lung cancer - he was a smoker.

Another of my patients, also with lung cancer, also from smoking, just had a CT scan that shows metastases to the liver. Hepatic mets is one of the worst prognostic signs of lung cancer. She'll be dead within a few months.

Today is not a good day to be my patient.

Now, I'm going to the dentist.

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