This wonderful book made me reflect and rationalize my long term thinking.
https://doctorinprogress.com/2019/08/18/being-mortal-medicine-and-what-matters-in-the-end/
"...physicians often fall back to optimism, not wanting to disappoint their patient’s expectations or challenge their own competence by seemingly “giving up.” Competence gives doctors satisfaction and a sense of fulfillment, but death challenges this competence. Thus, doctors do not like to admit the ceiling of their capabilities, so they offer some more last-ditch treatment instead of what the patient really needs: comfort."
"It becomes much easier for doctors and patients alike to cling to a hope-filled fantasy about beating the overwhelming odds than to deal with the likely inevitable. There is nothing necessarily wrong with hope. There is something wrong with hope impeding clinical decision making. For instance, Gawande notes the jaw-dropping statistic that “more than 40 percent of oncologists admit to offering treatment that they believe are unlikely to work” (167-68). Furthermore, there is something wrong with not even discussing the more likely scenario and not having that hard conversation about potential end-of-life."
https://doctorinprogress.com/2019/08/18/being-mortal-medicine-and-what-matters-in-the-end/
"...physicians often fall back to optimism, not wanting to disappoint their patient’s expectations or challenge their own competence by seemingly “giving up.” Competence gives doctors satisfaction and a sense of fulfillment, but death challenges this competence. Thus, doctors do not like to admit the ceiling of their capabilities, so they offer some more last-ditch treatment instead of what the patient really needs: comfort."
"It becomes much easier for doctors and patients alike to cling to a hope-filled fantasy about beating the overwhelming odds than to deal with the likely inevitable. There is nothing necessarily wrong with hope. There is something wrong with hope impeding clinical decision making. For instance, Gawande notes the jaw-dropping statistic that “more than 40 percent of oncologists admit to offering treatment that they believe are unlikely to work” (167-68). Furthermore, there is something wrong with not even discussing the more likely scenario and not having that hard conversation about potential end-of-life."