I, Reynaldo O. Joson, am a mortal human being who may get sick anytime of whatever cause.
In the event that I became unconscious and cannot make any decision regarding treatment to be instituted on my body, here are the guidelines that I am leaving for my immediate family members, my brothers and sisters, and my attending physicians to follow:
- For diagnosis of my health problem, rely heavily on clinical parameters and include observation.
- Do paraclinical diagnostic procedures only when the results will significantly affect the plan of treatment.
- Try to save me only when my chances of recovery without disability, note without disability, are more than 50%.
- No heroic measures when my chances of recovery from my disease are less than 50%.
No respirator.
No nasogastric tube.
No tracheostomy.
No gastrostomy.
No urinary catheter
No intravenous fluid.
No blood transfusion.
Keep me in a private room until I expire.
- No heroic measures if I have the following diseases or conditions:
Cancer
Cerebrovascular accident
- Do not hurt me unnecessarily when my chances of complete recovery are small. Let me die as peacefully as you can afford me.
- Keep costs of my terminal care to a minimum possible inclusive of diagnostics and treatment and also place of care.
Prepared by:
Reynaldo O. Joson, MD
December 14, 1998; August 10, 2018
ROJoson’s Philosophy on Diseases and their Treatment
Classification based on prognosis
Fatal
Noncurable – noncontrollable – terminal, nonterminal; controllable
Curable – spontaneous, with active treatment
Classification based on onset and duration
Acute
Chronic – more than 3 months
Treat or not to treat
Big chances (more than 50%) of spontaneous resolution or remission – WATCH AND WAIT
Small chances (less than 50%) of spontaneous resolution or remission – STRONGLY CONSIDER TREATMENT
TREAT – IF BENEFIT (curability and controllability) IS MORE THAN 50% AND RISK IS LESS THAN 50%
Terminal diseases – PALLIATE
August 14, 2018
ROJ@18aug10
ROJoson's Blog 