3.5 starts. Very interesting to me (except for some details of his father's career).
From pages 149 following: "...I had refused to sign a document known as a DNR...which is commonly agreed to by the healthcare proxy in the case of someone of my father's age and physical and cerebral condition. Instead, I had insisted that my father be on "full code" when he was in the hospital, a policy his doctor seemed to have accepted once I reinforced it to her personally but which she told me was regarded as "unusual" for someone in his situation...his doctor and, on occasion, others...tended to employ what always sounded like a scripted nostrum, redolent of what one might expect to find in books of pop psychology, about "the quality of life" versus the worth of life itself. There was also something in the way they spoke that led me to believe that they perceived themselves as ethicists--specialists...in the theology of life and death--a perception to which I felt they had no rightful claim. In some instances, moreover, I was given the uneasy feeling that the high-minded ethical positions they assumed on the point at which a person's life no longer ought to be preserved might be an unconscious or only semiconscious way to reconcile professional integrity with the economics of the healthcare system and with that larger set of economic values that increasingly determine medical priorities in the United States.
In any event, so long as my father still took even modest amounts of satisfaction in his daily life...I thought his doctor ought to be as diligent in coming up with good preventive and protective measures for my father, and without my being forced to beg for them, as pediatricians, for example, normally would do in treatment of a child who might suffer from a neurological impairment.
...I could never quite get over the debilitating sense that I was pulling constantly against a very heavy weight, not of outright opposition on the doctor's part, but of passivity, procrastination, and inertia. "If you suggest it, and insist upon it, then I will agree to do it."
Page 152: "...granddaughter of physicians, told me that she was at home and dealing with the same dilemma, in the case of her grandmother..."...unbelievable, I mean, that, in this family of so many doctors, we are unable to make decisions about my grandmother's care, because so many of us are unready to let go. It is so hard to tease out what we are holding onto for our own sakes, as opposed to hers.
That said, I am enjoying my time with her so much. She is the most brilliant woman I have ever met. She is totally demented now, and has been for some time, but her delusions are so consistent!"