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	<title>Salon.com > Jacob Goldstein</title>
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		<title>Death without dignity</title>
		<link>http://www.salon.com/2000/04/19/dignity/</link>
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		<pubDate>Wed, 19 Apr 2000 16:00:00 +0000</pubDate>
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				<category><![CDATA[Life]]></category>
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		<description><![CDATA[When a physician-assisted suicide goes wrong, the end can be brutal. But nobody is teaching doctors how to do it right.]]></description>
			<content:encoded><![CDATA[<p><b>I</b>t's easy to forget how hard it is to kill someone. The body has an uncanny tendency to endure: The heart pumps; the lungs fill and empty; the organism persists in the face of overwhelming adversity.</p><p>Nevertheless, one would expect that a physician who was so inclined -- who wanted, for example, to give a terminally ill patient a prescription for a painless and peaceful death -- could readily use the modern pharmacopeia to bring a swift, sure end to life. But recent evidence suggests that attempts at physician-assisted suicide often meet with unexpected complications. What's more, almost no one in the medical community is doing anything about it.</p><p>"If we're going to do this, we should do it right," says Dr. Sherwin Nuland, a surgeon at Yale Medical School.</p><p>A <a target="NEW" href="http://www.nejm.org/content/2000/0342/0008/0551.asp">study</a> published in the New England Journal of Medicine  suggests that things can, and do, go wrong in physician-assisted suicide.</p><p>In 7 percent of 114 cases analyzed, patients suffered complications such as regurgitating a would-be lethal dose of drugs. In 16 percent of cases, death did not happen as expected: It took longer, or patients slipped into a protracted coma, or didn't go into a coma, or even woke entirely after metabolizing the drugs. The study was done in the Netherlands, where physician-assisted suicide is closely monitored by the government.</p><p><a href="http://www.salon.com/2000/04/19/dignity/">Continue Reading...</a></p>]]></content:encoded>
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