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Editorials: POINT/COUNTERPOINT EDITORIALS |

Rebuttal From Dr. Truog

Robert D. Truog, MD
Author and Funding Information

Affiliations: Dr. Truog is Professor of Medical Ethics, Anesthesiology, and Pediatrics, Harvard Medical School, Senior Associate in Critical Care Medicine at Children's Hospital Boston, and Director of Clinical Ethics at Harvard Medical School.

Correspondence to: Robert D. Truog, MD, Children's Hospital, MSICU Office, Bader 6, 300 Longwood Ave, Boston, MA 02115; e-mail: robert.truog@childrens.harvard.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(4):972-973. doi:10.1378/chest.09-1270
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Extract

I want to express my appreciation to Dr. Fine for participating with me in this debate about the TADA. In these last few words, I will comment on the data that Dr. Fine cited about an estimated 974 futility consults that were reported to the Texas legislature in 2005.1 First, only 65 10-day letters were issued in these cases, indicating that > 93% were resolved by the usual methods of conflict resolution that are available throughout the country. This is good news, but does suggest that the overwhelming majority of such cases can be resolved without controversial approaches like the TADA.

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