Death, Dissonance and the Doctrine of Double Effect. 

This post was first published on Doximity’s Op-(M)ed “First Stab” Collection on 5/2/18 under the title: Should I Heal or Comfort?

Chicago, in February, was dark and cold. Even more so at 5:00 AM, when scraping ice and snow from my windshield before heading to the hospital. It was my first month as an intern in the ICU and my first day without my senior resident present. Working as a team, getting our patients through the day was challenging. Working alone, I felt overwhelmed. Knowing we planned to remove Mr. Thomas’s breathing tube only added to my angst.

A few days earlier, Mr. Thomas came to the emergency room by ambulance, in severe respiratory distress. In those chaotic first few minutes, the ER doctor intubated Mr. Thomas and put him on a ventilator. As the dust settled, and additional information was Read more