,,*APT] ,,"O
       ,,:AT ,,IS ,A ,,LIV+ ,,W8

,,:Y ,,%D ,,"EYBODY ,,H ,,"O8
,,NOTE3 ,9 ! *APT] 9 ! BACK ( ? BOOK
CALL$ 8,/EP-BY-,/EP ,DIREC;NS ON ,FILL+
,\ ,YR ,LIV+ ,W01 ,I AM GO+ 6TAKE Y "? !
PROCESS ( H[ 6FILL \ A ,LIV+ ,W1 & ?+S
6?9K AB :5 DO+ S4 ,! /EP-BY-/EP *APT] IS
LOCAT$ AT ! BACK (! BOOK1 AL;G ) S"EAL
O!R DOCU;TS4 ,I PLAC$ X AT ! BACK (!
BOOK 2C X 2L;GS )! O!R =MS & DOCU;TS4

8,OH1 GROSS10 Y SAY4 8,I DON'T WANT 6?9K
AB X1 D1? IS DEPRESS+40
  ,H["E1 "! >E _M ?+S WE D ON A REGUL>
BASIS T >E DEPRESS+ IF WE /OP & ?9K AB
!M4 ,MO/ ( U PAY C> 9SUR.E1 M$ICAL
9SUR.E1 & HOME[N]S OR R5T]S 9SUR.E4 ,WE
DON'T ASSUME T J 2C WE PAY C> 9SUR.E WE
W H A WRECK4 ,WE J PAY ! PREMIUM )\T
RE,Y ?9K+ AB X4 ,! ONLY "T WE GET
DEPRESS$ IS :5 ! PREMIUM GOES UP4 ,C>
9SUR.E IS "S?+ WE PAY 8J 9 CASE0 "S?+
HAPP5S4 ,! SAME IS TRUE :5 Y FILL \ YR
,LIV+ ,W4 ,ONCE X'S D"O1 Y WON'T H 6?9K
AB X ANYMORE1 & IF "S?+ DOES HAPP5 S T Y
C'T -MUNICATE1 YR LOV$ "OS W "K H[ 6C>RY
\ YR M$ICAL DECI.NS4
  ,I AM S HAPPY T MY ILLU/RATOR1 ,G>Y
,L4 ,HUGULEY ,SR41 DIDN'T ?R[ 8 H&S 9 !
AIR :5 ,I TOLD HM ,I WANT$ ANIMAT$ "*S 9
A BOOK AB ,LIV+ ,WILLS4 8,I ILLU/RATE
*N'S BOOKS1 "S"TS4 ,"EY?+ ELSE IS
ANIMAT$ TD1 :Y N ?80 ,I S5T HM A G5]AL
DESCRIP;N (! "*S Y W MEET 9 A FEW PAGES4
,! DETAIL "W1 H["E1 7S* Z ! 8REM9D] /R+0
ON ,SUZIE ,SQUIRREL'S PAW7 IS 8 "W1 N
M9E4 ,X IS NO A3ID5T T HE & 8 WIFE _H _H
ALM ! SAME DI6ICULTY )! REMOVAL ( "O (
_! LOV$ "OS F ! FE$+ TUBE T ,I DESCRIB$
9 ! PROLOGUE ( ? BOOK4

,MISCONCEP;NS AB ,LIV+ ,WILLS
  ,MO/ P ?9K T 0SIGN+ A ,LIV+ ,W1 !Y >E
-MITT+ !MVS 6A SITU,N 9 : !Y M/ TURN D[N
ALL M$ICAL 9T]V5;N4 ,? IS N TRUE4 ,A
,LIV+ ,W IS A DOCU;T 9 : Y >E FREE
6WRITE D[N YR WI%ES Z 6YR M$ICAL C>E :5
Y C NO L;G] -MUNICATE1 EV5 IF Y WANT ALL
AVAILA# M$ICAL TE*NOLOGY UNTIL Y C NO
L;G] 2 BR"\ BACK 6LIFE4

,:AT IS A ,LIV+ ,W8
  ,! ,LIV+ ,W IS USU,Y -POS$ ( TWO
SEP>ATE DOCU;TS--! ,DIRECTIVE
6,PHYSICIANS1 &! ,DURA# ,H1L? ,C>E ,P[]
( ,ATTORNEY4 ,X IS IMPORTANT T Y FILL \
BO?4 ,REMEMB]1 YR ,LIV+ ,W IS AL A
SEP>ATE DOCU;T F YR ,W4 ,YR ,LIV+ ,W IS
ONLY 3C]N$ ) YR M$ICAL C>E :5 Y C NO
L;G] -MUNICATE4 ,YR ,PROP]TY ,W IS A
SEP>ATE DOCU;T 9 : Y WRITE D[N :O GETS !
H\SE1 ! C>1 ETC44
  ,! ,DIRECTIVE 6,PHYSICIANS IS SIMPLY A
DOCU;T T TELLS YR PHYSICIAN :AT YR WI%ES
>E 3C]N+ H[ M* 7OR H[ LL7 M$ICAL 9T]V5;N
Y WANT IF Y _C -MUNICATE4 ,! ,DURA#
,H1L? ,C>E ,P[] ( ,ATTORNEY IS ! DOCU;T
9 : Y "N ! P]SON OR P]SONS 6BE YR
ADVOCATE & 6C>RY \ YR WI%ES :5 Y C NO
L;G] MAKE !M "KN4 ,MO/ (! "T "! IS SPACE
= "O P]SON & TWO ALT]NATES 6BE "ND4 ,EV5
?\< Y FILL \ YR ,DIRECTIVE1 ! M$ICAL
E/ABLI%;T LIKES X BETT] :5 X C A6IRM YR
WI%ES ) "S"O ) :OM X C -MUNICATE4 ,=!
PURPOSES ( ? BOOK1 ,I W REF] 6! P]SON OR
P LI/$ ON YR ,DURA# ,H1L? ,C>E ,P[] (
,ATTORNEY Z YR M$ICAL ADVOCATES 2C ^! >E
! P Y H *OS5 6S]VE Z YR ADVOCATES )9 !
M$ICAL SY/EM4
  ,S9CE ,I AM WRIT+ ? *APT] = "EYBODY1 N
J ,TEXANS1 ,I H *OS5 T]MS S* Z M$ICAL
ADVOCATE1 : >E N US$ 0ANY M$ICAL OR
LEGAL SY/EM4 ,:E!R Y FILL \ "O =M 9
,TEXAS OR M ?AN "O 9 ANO!R /ATE1 !
DECI.N-MAK+ PROCESSES Y M/ G "? >E !
SAME4 ,? BOOK IS N AB H[ 6FILL \ =MS4 ,?
BOOK IS AB H[ 6MAKE WISE DECI.NS 2F Y
2G9 ! PROCESS ( FILL+ !M \4 ,I W 2 HAPPY
6D ,LIV+ ,W "W%OPS 9 E /ATE1 : A4RESS 9
DETAIL ! =MS = T /ATE4 ,Z Y H LE>N$ F !
5CLOS$ ;,,CD1 ,I 9CLUDE MUSIC 9 "EY?+ ,I
D4 ,I PROMISE N 6BORE Y )A LECTURE-ONLY
"W%OP4 ,"! MAY 2 P 9 YR LIFE 6:OM Y WD
LOVE 6L1VE ! H\SE1 B Y DON'T WANT !M 9
*>GE ( YR M$ICAL C>E 2C !Y >E N M5T,Y OR
EMO;N,Y CAPA# ( C>RY+ \ YR M$ICAL
DECI.NS4 ,IF Y DECIDE 6*OOSE M$ICAL
ADVOCATES :O >E N IMM FAMILY MEMB]S1 D N
SP5D A LOT ( "T TELL+ YR FAMILY MEMB]S
:Y Y H N *OS5 !M4 ,SIMPLY EXPLA9 :Y Y
WANT ? O!R P]SON4 ,= EXAMPLE1 Y C SAY1
8,HE'S "R "H & DOESN'T LIVE HALFWAY ACR
! C.TRY1 & HE'S FAMILI> )! M$ICAL SY/EM
2C ( 8 BRO!R'S ILL;S40
  ,!N GIVE YR FAMILY MEMB]S ?+S T Y D
WANT !M 6D4 8,I J WANT Y 6BE MY SP\SE4
,RUB MY BACK1 -E VISIT1 SIT ) ME1 TELL
ME ALL ! GOSSIP10 ETC4 ,IF Y >E S
E/RANG$ F YR BIOLOGICAL FAMILY T Y DON'T
WANT !M >.D 6D ANY?+ = Y1 !N Y D N [E !M
ANY EXPLAN,NS AB :O Y H *OS5 6BE YR
M$ICAL ADVOCATES4

,SELECT+ ,YR ,M$ICAL ,ADVOCATES
  ,X IS V IMPORTANT T Y SELECT /R;G
P]SONAL;Y TYPES 6BE YR M$ICAL ADVOCATES2
Y W NE$ !M 6/& UP 6! 9SUR.E -PANIES1 !
M$ICAL E/ABLI%;T1 & PROBABLY O!R FAMILY
MEMB]S1 6MAKE SURE Y GET :AT Y WANT4 ,IF
Y DON'T WRITE YR WI%ES D[N & *OOSE /R;G
M$ICAL ADVOCATES1 ! 9SUR.E -PANIES &
M$ICAL E/ABLI%;T W 2G9 APPLY+ PRESSURE
AF A:ILE 64CONNECT YR LIFE SUPPORT1 & YR
ADVOCATES1 ?9K+ !Y >E DO+ ! "R ?+1 W LET
!M4 ,ON ! O!R H&1 IF "S ( YR RELATIVES
>E CL++ TYPES1 OR IF !Y FEEL GUILTY 2C Y
>E N CLOSE1 !Y MAY TRY 6HOLD Y 9 YR BODY
L;G] ?AN Y WANT 6BE "!4

    ,DE> ,R1D]S1
        ,MY "N IS ,SAM ,PUPP]4 ,I
    SUPPOSE Y >E WOND]+ :AT ,I1 AN
    ANIMAT$ "*1 AM DO+ 9 ! MI4LE (A
    *APT] AB ,LIV+ ,WILLS4 ,MY PURPOSE
    IS 6GET1 & HOPE;LLY KEEP1 YR ATT5;N1
    & 6MAKE ^! =MS EASI] 6"U/&4 ,9 ALL
    DUE RESPECT1 Y HUMANS >E N DO+ V
    WELL ) ? ISSUE4 ,AT L1/ WE ANIMALS H
    5 =E?"\ 6/ORE NUTS =! W9T]4 ,Y
    HUMANS WAIT UNTIL Y >E S SICK OR
    F"R5$ Y _C MAKE LOGICAL DECI.NS AB
    YR M$ICAL C>E4 ,S ,I & MY FRS H
    AGRE$ 6-E & %[ Y H[ 6D ?+S "R4 ,!
    HUMAN AU?OR1 DRAW+ ON H] [N
    EXP]I;ES1 HAS AGRE$ 6PROVIDE ! PROP]
    C\NSEL+ : IS N USU,Y PROVID$ 0MO/
    M$ICAL PR(ES.NALS4 ,MO/ ( !M HAV5'T
    D"O _! ,LIV+ ,WILLS1 EI4
        ,Z Y W SEE 9 ! APP5DIX LOCAT$ 9
    ! BACK ( ? BOOK1 ,I H N SELECT$ MY
    WIFE1 ,S,Y1 Z MY F/ M$ICAL ADVOCATE4
    ,I 0 GO+ 6D T1 B :5 ,I TALK$ 6H] AB
    X1 %E CRI$ & TOLD ME %E CD N"E TELL
    A DOCTOR 6J KEEP ME -=TA# & LET ME
    G4 ,I ?9K %E ?9KS %E C'T MANAGE 0H]F
    IF ANY?+ "E HAPP5S 6ME1 AL? ,I
    2LIEVE %E IS "UE/IMAT+ H]F4 ,%E DID
    SAY %E CD G AL;G ) "S"O ELSE'S
    DECI.N4 ,X IS = T R1SON ,I SELECT$
    ,SUZIE 6BE MY M$ICAL ADVOCATE )
    ,FELECIA & ,S,Y Z ALT]NATES4 ,SUZIE
    LOOKS L %E WD 2 A SCATT]-BRA91 B
    LOOKS >E DCVG4 ,%E IS Q "KL$G1# AB !
    M$ICAL SY/EM 2C (! L5G?Y ILL;S &
    SUBSEQU5T D1? ( H] HUSB& LA/ YE>1 &
    ,I 2LIEVE ,I W 2 9 GD H&S IF %E HAS
    6ADVOCATE = ME4
        ,I HOPE ! 9=M,N &! SU7ES;NS 9 ?
    BOOK W HELP Y D1L ) ^! ISSUES 9 A
    "TLY MANN]4 ,S9C]ELY1
    ,SAM ,PUPP]

,H[ 6,*OOSE ,YR ,M$ICAL ,ADVOCATES
  ,MO/ P AUTOMATIC,Y *OOSE _! CLOSE/
RELATIVE OR RELATIVES1 REG>D.S (! TYPE (
REL,N%IP T EXI/S4 8,WELL10 SD A FR
REC5TLY1 8,I GUESS ,I %D *OOSE MY DAU<T]
Z M$ICAL ADVOCATE1 B ,I RE,Y DON'T TRU/
H] 6LET ME G40 ,:5 ,I ASK$ :O %E RE,Y
WANT$1 %E "ND A P]SON \TSIDE ! FAMILY4
  ,"! IS NO LAW T SAYS Y M/ "N A FAMILY
MEMB]4 ,YR M$ICAL 9/ITU;N MAY TELL Y T X
8PREF]S0 6H Y "N A FAMILY MEMB]1 B T IS
ONLY 2C ! 9/ITU;N ?9KS X WD 2 LESS
LIKELY T X W FACE A LAWSUIT IF Y D4 ,2
POLITE B FIRM IF AN 9/ITU;N PRESSURES Y
OR "QS YR *OICE REG>D+ :O Y LI/ Z YR
M$ICAL ADVOCATES IF !Y HAPP5 6BE \TSIDE
YR BIOLOGICAL FAMILY4 ,SAY "S?+ L1 8,I
PREF] T Y HONOR MY WI%ES & N GIVE ME A
HASSLE AB :O ,I H "ND4 ,I NE$ 6SEE YR
POLICY 9 WRIT+ SAY+ ,I H 6"N A FAMILY
MEMB]4 ,IF Y DON'T L MY *OICE1 Y MAY
CALL MY ATTORNEY40 ,EV5 IF Y DON'T H AN
ATTORNEY1 ! 9/ITU;N W USU,Y L1VE Y AL"O
AF T4
  ,I H N"E "ND A FAMILY MEMB] 6BE ON MY
,LIV+ ,W1 & ,I H _H MY TWO BACK SURG]IES
S9CE FILL+ X \4 ,I D N1 H["E1 H ! TYPE (
P]SONAL;Y T L5DS XF 62+ "Q$ V (T5 AB
ANY?+4

    ,I'M ,SUZIE ,SQUIRREL1 & ,I AM !
    PRIM>Y M$ICAL ADVOCATE ON ,SAM
    ,PUPP]'S ,LIV+ ,W4 ,I LOOK SCATT]$ B
    ,I W5T "? ? LA/ YE> ) MY LATE HUSB&
    & "K M AB M$ICAL PRACTICES ?AN ,I
    C>E TO4 ,S,Y1 ,SAM'S WIFE1 IS LI/$
    LA/ S ALL %E W H 6D IS G AL;G ) ME4
    ,OH1 ,I H ? /R+ >.D MY PAW 6REM9D
    MYF ,I NE$ 6D MY [N ,LIV+ ,W4 ,0!
    WAY1 R1D]1 8,": IS YRS80
    
    ,I'M ,S,Y ,PUPP]1 ,SAM'S WIFE4 ,SAM
    DIDN'T PICK ME 6BE ! F/ M$ICAL
    ADVOCATE ON 8 ,LIV+ ,W = GD R1SON4
    ,I CD N"E TAKE HM (F LIFE SUPPORT4
    ,I CD & DID G AL;G ) ,SUZIE1 B ,I CD
    N"E MAKE ! 9ITIAL DECI.N MYF4 ,^? (
    U :O "K WE _C T]M9ATE ! LIFE SUPPORT
    ( \R LOV$ "OS NE$ 6BE H"O/ & ADMIT ?
    6\RVS Z WELL Z 6\R LOV$ "OS S !Y C
    F9D ANO!R M$ICAL ADVOCATE4 ,I "K
    ,SUZIE DID ! "R ?+ = ,SAM4 ,Z Y "K F
    ,SAM'S LR1 9 ! *APT] ON 8,/EP-BY-
    ,/EP ,DIREC;NS ON ,FILL+ ,\ ,YR
    ,LIV+ ,W10 ,I />T$ MY [N B>BECUE
    BUSI;S AF HE DI$4 ,:5 ,I VISIT ,JOE
    AT ! REHAB C5T]1 ,I MAKE HM WALK F
    "O 5D (! BUILD+ 6! O!R 6GET MY
    B>BECUE Z "P ( 8 REHABILIT,N4 ,HE
    HU6S & PU6S B HE DOES X4 ,I AL TAKE
    B>BECUE 6,ELLIOT :5 HE VISITS ,ELLA4
    ,MAYBE ! SMELL ( MY COOK+ W WAKE H]
    UP4 ,Y W MEET MY FRS ,JOE1 ,ELLIOT1
    & ,ELLA LAT] 9 ! *APT]4
    
    ,I'M ,FEL9E ,FELECIA1 "O (! M$ICAL
    ADVOCATES ON ,SAM ,PUPP]'S ,LIV+ ,W4
    ,I AM ! F/ ALT]NATE 9 CASE ,SUZIE IS
    UNAVAILA#4 ,I AM HONOR$ 6HELP ,SAM )
    8 ,LIV+ ,W4 ,N[1 ,I'M RE,Y BOR$ )
    ALL ? D1? /UFF4 ,I'D L 6GET BACK
    6DO+ MY NAILS1 IF Y DON'T M9D4

,G5]AL ,P>AMET]S
  ,"H >E "S G5]AL P>AMET]S 6USE :5 PICK+
YR M$ICAL ADVOCATES4 ,*OOSE ! P]SON
7:E!R RELAT$ OR N7 :O CD PLACE YR
DESIRES ABV ^? ( "EY"O ELSE4 ,D N1 =
EXAMPLE1 *OOSE YR SWEET1 -PLIANT1
P1CEMAK+ *4 ,%E W 2 S BUSY TRY+ 6PL1SE
"EYBODY T %E WON'T 2 A# 6C>RY \ YR
WI%ES1 :E!R Y WANT 6G QKLY OR /AY = Z
L;G Z POSSI#4
  ,*OOSE F/ YR MO/ H1D/R;G1 MO/ EMO;N,Y
9DEP5D5T * IF Y >E 9VOLV+ YR *N4 ,! SAME
DECI.N-MAK+ PROCESSES %D 2 US$ IF Y
SELECT FRS 6BE YR M$ICAL ADVOCATES4
  ,ANO!R ?+ 63SID] IS H[ FAMILI> ! P Y
PLAN ON LI/+ Z YR M$ICAL ADVOCATES >E )!
M$ICAL SY/EM 9 G5]AL1 & H[ -=TA# !Y >E
>.D SICK P4 ,IF !Y DON'T 8D HOSPITALS0 &
>E TOT,Y UNFAMILI> ) ANY?+ 2Y A SORE
?ROAT1 DON'T *OOSE !M4
  ,*OOSE A P]SON :O C RETA9 5 EMO;NAL
OBJECTIV;Y 6OBTA9 Z M* DIAGNO/IC 9=M,N Z
! M$ICAL E/ABLI%;T C GIVE !M AB YR
3DI;N4

,M$ICAL ,HI/ORY ,=MS
  ,REMEMB]1 :5 YR M$ICAL HI/ORY =MS ASK
:O 6CALL 9 CASE ( AN EM]G5CY1 Y NE$ 6"N
YR M$ICAL ADVOCATES1 N YR BRO!R 6:OM Y
HAV5'T SPOK5 9 #BJ YE>S4 ,Y C OBTA9 A
WALLET-SIZ$ C>D F YR DOCTOR NAM+ ! P]SON
:O %D 2 3TACT$ 9 CASE ( AN EM]G5CY4 ,Y
WD D WELL 6"N ! SAME P T Y H DESIGNAT$ Z
! M$ICAL ADVOCATES ON YR ,LIV+ ,W 9 ORD]
6AVOID 3FU.N4 ,X IS POSSI# 6FILL \ ^?
=MS TRU?;LLY & SAY1 = 9/.E1 T TWO ( YR
SIBL+S H _H S]I\S HE>T ATTACKS1 )\T GIV+
! M$ICAL E/ABLI%;T ANY DETAILS AB ": OR
EV5 :O !Y >E4 ,! M$ICAL E/ABLI%;T NE$S
6"K YR M$ICAL HI/ORY =! PURPOSE (
EVALUAT+ & DIAGNOS+ Y4 ,B !Y ONLY NE$ !
PH"O NUMB]S & A4RESSES (! P 9 *>GE ( YR
M$ICAL C>E4
  ,2C MY PHILOSOPHY 3C]N+ D1? &!
ADM9I/R,N ( ,LIV+ ,WILLS IS S DI6]5T F T
( MY SIBL+S 7SEE ,HELP+ ,MAMA ,DIE71 ,I
H APPO9T$ ?REE FRS Z MY M$ICAL
ADVOCATES4 ,"O IS A M$ICAL SOCIAL "W] AT
A HOSPITAL1 ! O!R IS BL & "WS Z A M$ICAL
TRANSCRIP;NI/ 9 A DOCTOR'S (FICE & IS
FAMILI> )! M$ICAL SY/EM1 &! ?IRD W MAKE
SURE MY WI%ES >E FOLL[$1 NO MATT] :AT4
,!Y H BE5 9/RUCT$ 6CALL MY SIBL+S & LET
!M "K :AT IS GO+ 6HAPP51 AF "EY?+ HAS
BE5 DECID$4 ,ONLY _! PH"O NUMB]S W "E 2
F.D ON ANY ( MY M$ICAL =MS4
  ,I 0 HAPPY 6R1D 9 ,DAVID ,KESSL]'S
BOOK1 ,! ,"RS (! ,DY+1 T X IS "S"TS N
ADVISA# 6"N IMM FAMILY MEMB]S 6BE YR
M$ICAL ADVOCATES 2C !Y >E S EMO;N,Y
9VOLV$4 ,!Y EI FEEL GUILTY 2C Y >5'T
CLOSE S !Y CL+ ON & WANT Y 6CL+ ONTO
LIFE S !Y C ABSOLVE !MVS ( GUILT1 OR !Y
>E S CLOSE T !Y _C MAKE AN OBJECTIVE
DECI.N 2C !Y "K !Y W MISS Y4

,MAK+ ,YR ,WI%ES ,"KN
  ,MO/ P FALL 96"O ( ?REE CATEGORIES--!
8,WAIT A ,M9UTE0 ,P2 ! 8,GETT+ ! ,HELL \
( ,DODGE0 ,P2 &! 8,I ,WANT ,"EY?+0 ,P4
,I W N[ DESCRIBE ^! ?REE TYPES & %[ Y "S
OP;NS DESIGN$ 6GIVE Y M 3TROL OV] :5 &
H[ Y WANT 6L1VE YR BODY4

    ,I AM ,JOE ! BE> & ,I AM ! 8,WAIT A
    ,M9UTE0 TYPE4 ,I WANT ALL M$ICAL
    9T]V5;N AVAILA# 6ME = NO LESS ?AN
    TWO WEEKS & NO M ?AN "O MON?4 ,I
    WANT A LL "T1 N A LOT ( "T1 6SEE IF
    ,I'M GO+ 6GET BETT]4 ,LOOK 9 ! *APT]
    ON ,LIV+ ,WILLS 9 ! BACK (! BOOK
    6SEE IF ,I D4

,! 8,WAIT A ,M9UTE0 ,P
  ,I W 2G9 ) ? CATEGORY 2C X HAS BE5 MY
EXP]I;E F 3V]S,NS ) CO-"W]S1 HOSPICE
"W]S1 M$ICAL PR(ES.NALS1 & DY+ P1 T ? IS
! CATEGORY "U : MO/ P FALL4 ,MO/ P D N
WANT 6BE MA9TA9$ 0MA*9ES =A L;G "T1 B !Y
D WANT _! BODIES 6H "S *.E 6H1L &
RECOV]4 ,_! ,LIV+ ,W1 UN=TUNATELY1 USU,Y
SAYS "S?+ VAGUE S* Z3 8,I ONLY WANT 6BE
ON ! FE$+ TUBE =A R1SONA# L5G? ( "T40
,NOBODY "E "KS :AT T M1NS4
  ,:5 MY "M'S SI/] _H A MAJOR /ROKE &
NE$$ 6BE ON ! FE$+ TUBE 9 ORD] 6SURVIVE1
"! 0 A V H1T$ DEBATE AM;G H] HUSB& & *N
AB :AT 8R1SONA#0 WAS4 ,H] HUSB& ?"\ SIX
MON?S 0 R1SONA#2 H] DAU<T] SD ABSOLUTELY
NO M ?AN TWO WEEKS4 ,%E _H A FE$+ TUBE =
?REE WEEKS4 ,AL? %E _H ALM NO MOVE;T1 %E
MANAG$ 6GET H] H& UP 6H] NOSE1 & %E US$
X 6TRY 6PULL ! FE$+ TUBE \4 ,9 ! 5D1 AC
6! WI%ES ( H] ,LIV+ ,W1 ! FAMILY _H !
DOCTOR REMOVE ! TUBE & H] FAMILY TOOK H]
HOME4 ,!Y _H A "PY AB A WEEK AF T -PLETE
) PIZZA1 MOVIES1 & GRT GR&-*N4 ,%E DI$
LAT] T NI<T4 ,_M P WANT 6DIE AT HOME 9
_! [N B$S4
  ,"H IS A G5]AL RULE ( ?UMB =! 8,WAIT A
,M9UTE0 ,P3 ,IF YR BODY HAS "UG"O S*
TRAUMA T Y C NO L;G] -MUNICATE 9 ANY WAY
B Y WANT "S "T 6SEE :AT W HAPP51 TWO
WEEKS 6"O MON? IS A 8R1SONA#0 L5G? ( "T4
,IF Y MAKE NO IMPROVE;T DUR+ T "T1 Y
PROBABLY >5'T GO+ 6IMPROVE4 ,I DID N SAY
Y %D EXPECT 6BE WELL 0!N1 B IF Y MAKE NO
IMPROVE;TS AT ALL1 Y PROBABLY W N4 ,ON !
O!R H&1 IF Y 2G9 BL9K+1 TRACK+ ) YR
EYES1 ATTEMPT+ 6WI7LE TOES1 ETC41 Y H Z
L;G Z SIX MON?S 6A YE> 6A*IEVE :AT"E
RECOV]Y Y >E GO+ 6H4 ,FILL \ YR DOCU;T
6SAY "S?+ S* Z3 8,I WANT ALL M$ICAL
9T]V5;N AVAILA# =A %ORT "T1 N LESS ?AN
TWO WEEKS1 N M ?AN "O MON?1 9 : "T
M$ICAL 9T]V5;N W 2 /OPP$ IF ,I MAKE NO
IMPROVE;T40 OR1 8,I D N WANT 6BE ON !
RESPIRATOR1 B ,I WANT TUBE FE$+ & ALL
O!R M$IC,NS AVAILA# 6ME =A "T N LESS ?AN
TWO WEEKS & N M ?AN "O MON? 9 : "T ALL
PROC$URES W /OP IF ,I MAKE NO
IMPROVE;T40
  ,MO/ P DEF9E IMPROVE;T Z ! /ATE 9 : !Y
C RECOGNIZE P1 & C ANSW] "QS 3SI/5TLY1
EI ) SPEE* OR ) "S BODY MOVE;T S* Z H&-
SQUEEZ+1 : C 2 D"O APPROPRIATELY &
3SI/5TLY 9 ANSW] 6SPECIFIC "QS4 ,I 0 A#
6F9D DOCU;T,N = :5 P %D 3SID] !MVS Z
PHYSIC,Y WELL Z !Y >E GO+ 6GET4 ,I CD N
F9D ANY DOCU;T,N1 H["E1 = :5 IMPROVE;T
IS SUPPOS$ 62G94 ,I H BE5 TOLD 0_M H1L?
C>E PR(ES.NALS T IF IMPROVE;T DOES N 2G9
)9 TWO WEEKS 6"O MON?1 T "! W PROBABLY N
2 ANY IMPROVE;T4

    ,I'M ,SAM ,PUPP]1 & ,I'M 8,GETT+ !
    ,HELL \ ( ,DODGE40 ,%D ,I 2 DCLD
    T]M9AL 0TWO DOCTORS & C NO L;G]
    -MUNICATE1 ,I WI% 6BE ALL[$ 6DIE
    P1CE;LLY &) DIGN;Y4 ,I WANT NO
    MA*9ES1 NO LIFE-PROL;G+ M$IC,NS1 &
    NO FE$+ TUBE4 ,I WANT ONLY :AT W
    MAKE ME -=TA#4 ,?ANK Y1 M$ICAL
    ADVOCATES = LETT+ ME G4 ,IF Y DON'T
    "K :AT A M$ICAL ADVOCATE IS1 R1D !
    RE/ (! BOOK4

,! 8,GETT+ ! ,HELL \ ( ,DODGE0 ,P
  ,? IS MY FAVORITE1 &! CATEGORY "U : ,I
FALL MYF4 7,X'S MY BOOK4 ,I GET 6H A
FAVORITE47 ,MO/ ( U :O WANT LL1 IF ANY1
M$ICAL 9T]V5;N VALUE \R 9DEP5D;E ABV
"EY?+ ELSE & W SACRIFICE "EY?+ 6KEEP X
9CLUD+ \R REL,N%IP ) LOV$ "OS4 ,9 MY [N
SITU,N1 ,I AM ALR BL2 ,I D N WANT 6TAKE
ON ANO!R 4ABIL;Y4 ,IF S* A TRAUMATIC
EV5T HAPP5S 6MY BODY T ,I AM UNA#
6-MUNICATE AT ALL1 ! *.ES ( A*IEV+ FULL
RECOV]Y >E V M9IMAL1 EV5 IF ,I MAKE "S
IMPROVE;T DUR+ ! CRITICAL TWO-WEEK-TO-
"O-MON? P]IOD4 ,I WD R L1VE MY BODY & 2
AN 9DEP5D5T _S ?AN 6GIVE UP ANY ( MY
9DEP5D;E 9 ORD] 6/AY 9 X4 ,= ^? ( Y :O L
,JONI ,MIT*ELL1 ,I W P>APHRASE H] S;G1
8,WE LOVE \R LOV9'1 B N M ?AN WE LOVE \R
FRE$OM40 ,\R ,LIV+ ,W %D R1D1 8,I WANT
NO M$ICAL 9T]V5;N "? >TIFICIAL M1NS
:ATSO"E IF ,I _C -MUNICATE1 & ONLY WANT
T : W KEEP ME -=TA# & PA9-FREE4 ,?
9CLUDES NO RESPIRATORS1 NO >TIFICIAL
FE$+ DEVICES1 NO ANTIBIOTICS1 & NO
M$IC,NS T WD 9 ANY WAY PROL;G MY LIFE40

    ,I AM ,ELLA ! ELEPHANT1 & ,I AM !
    8,I ,WANT ,"EY?+0 TYPE4 ,I WANT ALL
    M$ICAL ASSI/.E AVAILA# 6ME UNTIL ,I
    C NO L;G] 2 KEPT ALIVE4 ,IF ,I AM
    SUPPOSE 6DIE1 ,GOD W N LET ME LIVE
    NO MATT] :AT ! M$ICAL SY/EM DOES4 ,I
    J _H A BABY1 & ,I WD L 6LIVE 6HELP
    MY HUSB& RAISE HM4

,! 8,I ,WANT ,"EY?+0 ,P
  ,"! >E A FEW ( Y :O WANT 6H A3ESS 6ALL
M$ICAL TE*NOLOGY AVAILA# = Z L;G Z
POSSI#4 ,DON'T LET ANYBODY MAKE Y FEEL
GUILTY AB T4 ,? IS ,AM]ICA1 & Y %D WRITE
D[N :AT Y WANT & N FEEL GUILTY AB X4
,AL? Y D N "K X1 X MAY 2 "P ( YR
ASSIGN;T 9 LIFE 6REMA9 9 YR BODY4 ,P]H
YR *N :O HAV5'T SPOK5 6EA* O!R 9 #BJ
YE>S MAY NE$ 6BE BOND$ "? VISIT+ Y4 ,(
C\RSE1 ,I AM N SU7E/+ T Y *OOSE 6H ALL
M$ICAL 9T]V5;N S ! P Y LOVE W -E TGR4
,IF1 H["E1 Y >E N "PICUL>LY AFRAID 6DIE1
B Y FEEL /R;GLY T Y WANT ALL AVAILA#
M$ICAL TE*NOLOGY1 X MI<T 2 "P ( YR
ASSIGN;T 9 LIFE4 ,& "! >E ^? ( Y :O >E
AFRAID ( DY+ & WANT 6PUT X (F = Z L;G Z
POSSI#4
  ,"H'S :AT Y %D WRITE IF Y >E AN 8,I
,WANT ,"EY?+0 P]SON3 8,I WANT ALL M$ICAL
ASSI/.E AVAILA# 6ME UNTIL ,I C NO L;G] 2
BR"\ 6LIFE4 ,? 9CLUDES ALL LIFE-PROL;G+
M$IC,NS1 MA*9ES1 TUBE-FE$+1 & ANY O!R
DEVICE NEC 6SAVE MY LIFE40

,O!R ,DESIGN,NS
  ,"S P MAY WANT C]TA9 LIFE-PROL;G+
ITEMS B N O!RS4 ,IF Y WANT ! RESPIRATOR1
= EXAMPLE1 B D N 2LIEVE 9 BLOOD
TRANSFU.NS1 2 SURE & SPECIFY4 ,Y MAY N
WANT ! RESPIRATOR1 B MAY WANT 6H A FE$+
TUBE4 ,2 SURE & WRITE YR WI%ES D[N4

,UPDAT+ ,YR ,LIV+ ,W
  ,YR ,LIV+ ,W IS L YR RESUME2 Y %D ALW
KEEP X UP 6DATE4 ,"H'S H[ 6D X )\T TOO
M* TR\#4
  ,FILL \ ! "P (! =M ": Y PUT YR WI%ES4
,AF Y FILL \ ! PHRASES DESCRIB+ :AT TYPE
( M$ICAL C>E Y WANT1 !N /OP & MAKE S"EAL
COPIES4 ,PUT ! UNDAT$ COPIES 9 A LOC,N
S* Z A FILE CAB9ET EXCEPT ! "O Y >E
FILL+ \4 ,ON ! COPY (! ,LIV+ ,W Y H
RETA9$1 FILL \ ! DATE &! "NS & PH"O
NUMB]S ( YR M$ICAL ADVOCATES4 ,N[ MAKE
COPIES ( ? NEW DOCU;T1 & MAKE SURE YR
DOCTOR1 YR M$ICAL ADVOCATES1 & YR LAWY]
7IF Y H "O7 GET A COPY4 ,? WAY1 IF YR
M$ICAL ADVOCATES MOVE & Y WANT 6SIMPLY
UPDATE _! PH"O NUMB]S1 Y C D S EASILY
)\T HAV+ 6MAKE A NEW ,LIV+ ,W4 ,IF1 ON !
O!R H&1 Y NE$ OR WANT 6*ANGE M$ICAL
ADVOCATES1 Y H COPIES ( YR ,LIV+ ,W ON
H& T >E ALR FILL$ \ EXCEPT =! DATE1 "NS1
& PH"O NUMB]S ( YR M$ICAL ADVOCATES4

    ,I AM YR ATTORNEY4 ,Y DON'T H 6USE
    ME 6FILL \ YR ,LIV+ ,W1 B ,I'D 2
    HAPPY 6HELP1 J Z ,I HELP$ Y ) YR
    ,PROP]TY ,W4 ,IF Y DON'T "K ! DI6];E
    2T YR ,LIV+ ,W & YR ,PROP]TY ,W1
    PL1SE R1D ! RE/ ( ? BOOK4

,D ,I ,NE$ A ,LAWY] 6,FILL ,\ ,MY ,LIV+
,W8
  ,X IS N NEC 6USE A LAWY] 6FILL \ YR
,LIV+ ,W UN.S Y J WANT 6D S4 ,I H D"O
TWO ,LIV+ ,WILLS 2C ( MY TWO BACK
SURG]IES1 & !Y 7 BO? D"O AT MY KIT*5 TA#
) ONLY ! ASSI/.E (! P]SON :O R1DS MY
MAIL \ L\D = ME4 ,! ,LIV+ ,W DOCU;T
/ATES T X IS N NEC 6USE AN ATTORNEY4
,AL1 HOSPITALS TYPIC,Y D N PROVIDE
ATTORNEYS 6_! PATI5TS =! PURPOSES (
FILL+ \ ,LIV+ ,WILLS4
  ,IF Y D DECIDE 6USE AN ATTORNEY D N
WALK \ ( 8 (FICE )\T YR [N COPY4 ,AL1
MAKE SURE X GETS 96YR M$ICAL *>T4

,= ,^? ,:O ,>E ,*OS5
  ,I AM V WELL AW>E ( H[ X FEELS 6BE "O
(! *OS5 "OS4 ,I AM CURR5TLY *OS5 0S"EAL
FRS 6BE _! M$ICAL ADVOCATE IF ANY?+
HAPP5S1 & ,I %>$ T RESPONSIBIL;Y ) MY
BRO!RS :5 MY "M 2CAME UNA# 6-MUNICATE AF
H] /ROKE4 ,PL1SE REMEMB] T X IS N UP 6Y
6MAKE A DECI.N = "S"O :O HAS A ,LIV+ ,W
& HAS PUT Y 9 *>GE ( X4 ,X IS YR JOB
6C>RY \ ! WI%ES ( YR LOV$ "O4 ,9 WRIT+ A
,LIV+ ,W1 YR LOV$ "O ALR MADE _! DECI.N4
,MY "M1 :O _H A 8,GETT+ ! ,HELL \ (
,DODGE0 TYPE ( ,LIV+ ,W1 LAY 9 ! NURS+
HOME = ALM A YE> ON ! FE$+ TUBE4 ,%E 0
UNA# 6D ANY?+ = H]F B BR1! 2C TWO (!
?REE M$ICAL ADVOCATES %E *OSE DID N "K !
DI6];E 2T MAK+ & C>RY+ \ ! DECI.NS ALR
WRITT5 9 H] ,LIV+ ,W4
  ,MO/ 9/ITU;NS D N C\NSEL M$ICAL
ADVOCATES APPROPRIATELY ON ? ESS5TIAL
ISSUE4 ,PATI5TS MAK+ \ _! ,LIV+ ,WILLS
>E N MADE 6R1LIZE ! IMPORT.E ( TALK+ 6_!
M$ICAL ADVOCATES 2FH&4 ,IF Y _C OR D N
WI% 6TAKE ON ? RESPONSIBIL;Y =A LOV$ "O1
Y NE$ 6LET !M "K S !Y C *OOSE "S"O ELSE4
  ,IF Y H BE5 *OS5 6BE ! M$ICAL ADVOCATE
ON "S"O'S ,LIV+ ,W1 "H IS :AT Y %D D :5
Y GET ! CALL )! 8BAD NEWS40 ,RER1D !
,DIRECTIVE 6,PHYSICIANS FILL$ \ 0YR LOV$
"O 9 ! ,LIV+ ,W : DESIGNATES :AT TYPE (
M$ICAL C>E & H[ M* ASSI/.E YR LOV$ "O
WANTS4 ,! M$ICAL SY/EM W WANT 6(F] Y ALL
K9DS ( OP;NS1 MO/ ( : YR LOV$ "O MAY N
WANT4 ,A QK REM9D] ( YR LOV$ "O'S DECI.N
T HE OR %E HAS ALR MADE 9 WRIT+ W KEEP Y
F 2+ TOO 3FUS$4

,:O ,%D ,2 ,PRES5T AT ,D1?
  ,J 2C Y >E A M$ICAL ADVOCATE DOES N
NECESS>ILY M1N Y H TO1 OR EV5 %D BE1
PRES5T :5 YR LOV$ "O DIES4 ,MO/ P >E ":
!Y %D 2 9 T]MS ( H[ !Y LIVE _! LIVES4 ,X
IS M IMPORTANT T Y SAY GD-BYE & GIVE YR
LOV$ "O P]MIS.N 6G ?AN X IS T Y ACTU,Y 2
"! PHYSIC,Y4 ,P LOAD !MVS UP ) AN
9ORD9ATE AM.T ( GUILT 2C !Y LIVE ACR !
C.TRY OR C'T GET (F "W :5 _! LOV$ "O
L1VES _! BODY4 ,2LIEVE ME1 ! 8D1?
POLICE0 W N TAKE Y 6JAIL IF Y C'T 2 "!4

,= ,^? ,:O ,H ,NO ,"O
  ,"! >E P 9 ! _W :O H NO "O1 OR :O ?9K
!Y H NO "O4 ,:5 P SAY !Y H NO "O1 :AT !Y
RE,Y M1N IS T ALL _! FAMILY MEMB]S >E
G"O OR UNAVAILA#4 ,USU,Y P H AT L1/ "O
P]SON !Y C "N1 EV5 IF X IS A FR AT !
NURS+ HOME1 OR ANO!R PATI5T :O IS M5T,Y
-PET5T4 ,DON'T LET YR H1L? C>E 9/ITU;N
TELL Y T Y C'T "N ,J5NY1 YR FR D[N !
HALL1 J 2C %E IS AL 9 ! NURS+ HOME4 ,%E
MAY N 2 A# 6BA! H]F ANYMORE1 B IF H] M9D
IS / %>P1 Y C "N H]4 ,IF ANY /AFF MEMB]
TELLS Y T Y C'T D T1 FIRMLY TELL !M T !Y
MAY 2 PRACTIC+ 4CRIM9,N AG/ BO? Y & YR
FR "U ! ,AM]ICANS ) ,4ABILITIES ,ACT Z
WELL Z ,TITLE ,,VII (! ,CIVIL ,"RS ,ACT
= ,AGE ,4CRIM9,N4 ,( C\RSE1 IF YR FR HAS
A MASSIVE /ROKE1 OR 2G9S LOS+ H] MEMORY1
Y W H 6"N "S"O ELSE4
  ,IF Y TRULY H NO "O1 EV5 \TSIDE !
FAMILY1 "H'S :AT Y M/ D4 ,IF Y >E M5T,Y
-PET5T1 G AH1D & FILL \ ! ,DIRECTIVE
6,PHYSICIANS--! DOCU;T TELL+ YR DOCTOR
H[ M* OR H[ LL M$ICAL ASSI/.E Y WANT4
,MAKE SURE ! DOCU;T GETS 9 YR M$ICAL
*>T4 ,!N1 :5 DECI.NS H 6BE C>RI$ \1 !
HOSPITAL OR M$ICAL 9/ITU;N W H ! C\RTS
APPO9T "S"O 6C>RY \ YR DECI.N4 ,IF Y H
BE5 DCLD M5T,Y 9COMPET5T1 ! C\RTS W
APPO9T :AT IS CALL$ A 8GU>DIAN AD LITEM0
6HELP Y ) YR "D-TO-"D DECI.NS1 S* Z H[
6SP5D YR M"OY1 ETC44 ,T P]SON C C>RY \ !
DECI.NS 9 YR ,LIV+ ,W & C S]VE Z YR
M$ICAL ADVOCATE ON YR ,DURA# ,H1L? ,C>E
,P[] ( ,ATTORNEY4 ,REMEMB]1 YR GU>DIAN
AD LITEM M/ 2 PD ON A MON?LY BASIS1 EI
0Y OR 0! C.TY 9 : Y RESIDE4

    ,PL1SE KEEP ME1 YR PHYSICIAN1 ADVIS$
    ( ANY *ANGES Y MAY MAKE ON YR ,LIV+
    ,W4 ,I AM N 3C]N$ ) :O YR ,M$ICAL
    ,ADVOCATES >E4 ,I D1 H["E1 NE$ 6"K
    IF Y *ANGE YR M9D AB ! TYPE OR AM.T
    ( LIFE SUPPORT Y WANT4

,OV] & ,OV] & ,OV] ,AG3 ,! ,HOSPITAL
,LIV+ ,W
  ,ONCE Y GET YR ,LIV+ ,W FILL$ \ ! WAY
Y WANT X1 & ALL ! P Y "ND Z YR M$ICAL
ADVOCATES >E / WILL+ & A# 6COOP]ATE1
DON'T KEEP FILL+ X \ AG & AG E "T Y G 6!
HOSPITAL4 ,! ,LIV+ ,W Y FILL \ AT !
HOSPITAL IS RE,Y ONLY = P :O DON'T H "O
9 ! F/ PLACE4 ,:AT ! ADMIS.NS CL]K WON'T
TELL Y 7& PROBABLY DOESN'T "K7 IS T !
^W+ ON ! HOSPITAL ,LIV+ ,W USU,Y L1VES A
LOT 6BE DESIR$1 & X C.ELS ! "O Y ALR H4
,WORSE ?AN T1 ONCE Y L1VE ! HOSPITAL OR
NURS+ HOME1 EV5 =A "D1 ! ,LIV+ ,W Y
FILL$ \ PROVID$ 0T 9/ITU;N IS N[ AL
VOID4 ,N[ Y DON'T H "O & H 6/>T ALL OV]
: M1NS GETT+ ALL ! WIT;SES 6SIGN ALL OV]
AG4 ,6AVOID ? PROCESS1 KEEP COPIES (!
UPDAT$ ,LIV+ ,W T Y H4 ,MAKE SURE YR
M$ICAL ADVOCATES H _! COPIES4 ,MAKE SURE
YR M$ICAL *>T HAS YR COPY 9 X1 & TELL !
/AFF AT ! NURS+ HOMES OR HOSPITALS T "!
IS "O 9 YR *>T ALR : IS UPDAT$ & T Y W N
FILL \ ANO!R "O4 ,X IS A GD IDEA 6H "O (
YR M$ICAL ADVOCATES ) Y Z Y G F PLACE
6PLACE S !Y C BACK Y UP4

8,ALL ,"R1 ,NA7Y ,WOMAN1 ,N[ ,": ,D ,I
,GET ! ,=M80
  ,I GOT M9E F ! ,LEGAL ,HOTL9E = ,OLD]
,TEXANS1 N F A HOSPITAL4 ,I US$ T "O :5
,I _H MY F/ BACK SURG]Y4 ,REC5TLY1 ,I
TRI$ 6GET "O F MY PRIM>Y C>E PHYSICIAN J
6SEE IF ,I CD & 0 TOLD !Y DIDN'T H "O4
,I AL ASK$ A LOCAL HOSPICE 6S5D ME "O &
X N"E >RIV$4 ,AL? ? 0 MY EXP]I;E1 X MAY
2 POSSI# T YR PHYSICIAN OR LOCAL HOSPICE
W H "O ON FILE4
  ,"H >E "S PLACES Y C 3TACT 6ORD] YR
,LIV+ ,W )\T HAV+ 6G 6! HOSPITAL OR SP5D
AN >M &A LEG ON ATTORNEY'S FEES4 ,"S (
^! GR\PS *>GE A SMALL FEE1 :ILE O!RS >E
FREE4 ,LIV+ ,WILLS C AL 2 OBTA9$ F !
9T]NET4

,ALZHEIM]'S & ,RELAT$ ,4ORD] ,C5T]3
#HJJ-BEB-CIJJ

,HOSPICE3 #HJJ-CCA-AFBJ

,LAWY] ,REF]RAL3 #HJJ-IFH-JGCH

,LEGISLATIVE ,UPDATE3 #BJB-DBI-AIFE

,S5IOR ,LIV+ ,ALT]NATIVES3 #HJJ-CEJ-JGGJ

,*OICE 9 ,DY+3 #HJJ-IHI-IDEE OR #BJB-
CCH-IGIJ 7,PROVIDES =MS = BO? ! ,DURA#
,H1L? ,C>E ,P[]S ( ,ATTORNEY &!
,DIRECTIVE 6,PHYSICIANS = E /ATE7

,LIV+ ,WILLS & ,9FANTS1
8,MICROPREEMIES40
  ,"! IS "O GR\P ( P :O NE$ ,LIV+ ,WILLS
P]H M ?AN ! RE/ (! POPUL,N 2C !Y >E !
MO/ DEF5SE.S3 L[ BIR?-WEI<T BABIES1 !
S-CALL$ 8MICROPREEMIES40 ,I C WRITE AB ?
GR\P ) "S AU?OR;Y 2C 9 ! E>LY #AIEJ;S :5
,I 0 BORN1 ,I 0 "O4 ,ANY BABY :O WEI<$
LESS ?AN ?REE P.DS1 0 BORN PREMATURELY &
:O LIV$1 0 3SID]$ 6BE EXTREMELY =TUNATE4
,N[1 2C ( M$ICAL TE*NOLOGY1 _M BABIES
WEI<+ "U TWO P.DS SURVIVE4
  ,I 0 BORN :5 MY "M 0 ONLY SIX-&-A-HALF
MON?S PREGNANT4 ,LABOR 0 9DUC$ ON ,APRIL
#BE1 #AIEB1 9 ORD] 6SAVE MY "M'S LIFE4
,AT BIR?1 ,I WEI<$ TWO-&-A-HALF P.DS4
,M$ICAL TE*NOLOGY 0 M* LESS SOPHI/ICAT$
!N4 ,! -MON PRACTICE F AB ! 5D ( ,_W ,W>
,,II UNTIL AB #AIEF 0 6PLACE V SMALL
9FANTS 9 9CUBATORS1 TURN ! OXYG5 4P5S]
UP 6MAXIMUM1 & L1VE ! BABY "! UNTIL X
WEI<$ FIVE P.DS4 ,Z E>LY Z #AIDH1
RESE>*]S _H WRITT5 >TICLES 9 J\RNALS (
M$IC9E ABROAD W>N+ (! NEGATIVE E6ECTS (
4P5S+ TOO M* OXYG5 6PREMATURE BABIES4
,N"E!.S1 ! M$ICAL E/ABLI%;T 9 ! ,UNIT$
,/ATES TOOK NO NOTICE & 3T9U$ ! PRACTICE
UNTIL ! LATE #'EJ;S4 ,Z A RESULT1 ?\S&S
( BABIES 7 BL9D$ &1 9 "S CASES1 MADE
M5T,Y RET>D$4
  ,! OV]USE ( OXYG5 BURN$ \R RET9AS 2Y
REPAIR :ILE WE LAY 9 ! 9CUBATOR4 ,"S"TS
! OXYG5 AL CAUS$ IRREV]SI# BRA9 DAMAGE4
,N"E!.S1 ? TR1T;T 0 J AB ALL T 0 AVAILA#
6U1 & _M ( U DI$ ANYWAY4 ,"S ( U1 H["E1
N[ LIVE FULL & PRODUCTIVE LIVES Z BL P1
"W+1 RAIS+ \R *N1 & PLANN+ = RETIRE;T OR
! NEXT C>E] *ANGE L "EYBODY ELSE4 ,ON !
O!R H&1 ,I H SPOK5 ) _M ADULTS :O 7 BORN
DUR+ ,_W ,W> ,,II :O DIDN'T H A3ESS EI
69CUBATORS OR OXYG54 ,!Y 7 KEPT 9 A W>M
PLACE UNTIL !Y 7 BIG 5 6SURVIVE4 ,/ O!RS
SAY !Y 7 WRAPP$ 9 W>M BLANKETS & KEPT 9
! OV5 AT HOME AT #HJ DEGREES4 ,Z F> Z ,I
"K1 N"O ( ^! P >E BL OR BRA9-DAMAG$1 EV5
)\T ! OXYG5 TR1T;TS4
  ,?\< X ISN'T ! HORRI# CATA/ROPHE _M P
?9K X IS1 BL;S IS C]TA9LY AN 9CONV5I;E4
,\R PRO#MS 7 -P.D$ 0! /]ILE 5VIRON;T (!
9CUBATOR1 ": WE LAY AL"O1 (T5 )\T MOV+4
,! NURS+ /AFF 9 ! HOSPITAL1 & LAT] \R [N
P>5TS1 7 USU,Y TOLD N 6H&LE U ANY M ?AN
NEC4 ,? ISOL,N (T5 RESULT$ 9 SEV]E & (T5
IRREV]SI# EMO;NAL DI6ICULTIES4 ,_M ( U
DEVELOP$ A 3DI;N N[ "KN Z 8ATTA*;T
4ORD]40 ,? 4ORD] CAUSES DI6ICULTY 9 %[+
A6EC;N & 9 BOND+ ) O!RS4
  ,MY "M'S PHYSICIAN _H ORD]$ ! /AFF 6BE
V C>E;L ) ME S9CE HE & MY "F _H BE5 FRS
9 COLLEGE4 ,!Y 7 ORD]$ N 6T\* ME :ILE ,I
0 9 ! 9CUBATOR UN.S !Y ABSOLUTELY _H TO4
,I /AY$ 9 ! 9CUBATOR F ,APRIL #BE UNTIL
,JULY #C1 "O "D 2F MY "M'S DUE DATE4
,S9CE ,I CDN'T SEE & 0 N"E T\*$1 ,I LAY
ALM P]FECTLY / ALL ! "T 9 ! 9CUBATOR1
UN"K+LY 5C\RAG+ "EY"O 63T9UE L1V+ ME
AL"O4
  ,ON TAK+ ME HOME1 MY "M 0 GIV5 ! SAME
ADVICE Z 0 ! M$ICAL /AFF4 8,DON'T T\*
H]2 Y'LL GIVE H] G]MS & %E'LL GET SICK40
  ,MY OLD] BRO!RS 7 ! _W'S F9E/ 7IF !
MO/ RELUCTANT7 BABYSITT]S4 ,!Y TAU<T ME
6CRAWL1 WALK1 RUN1 WRE/LE1 CLIMB TREES
7Z WELL Z "EY?+ ELSE71 WALK ON ! RO( (!
H\SE1 SWIM1 & PLAY FOOTBALL4 ,?\< ,I 0 V
SMALL1 ,I 0 T\<] PHYSIC,Y ?AN ALL !
NEI<BORHOOD BOYS PUT TGR & N"E CRI$ OV]
! M9OR 9JURIES T 2FALL MO/ *N :O >E
PHYSIC,Y ACTIVE4
  ,N"E!.S1 ,I H ALW FELT T ,I 0 N L
"EYBODY ELSE4 ,I 0 N"E HELD & ROCK$ :5
,I 0 LL4 ,0! "T MY "M TRI$1 X 0 TOO
LATE4 ,I WD WI7LE & SQUIRM AWAY & BITE &
KICK IF ,I _H TO1 EV5 ?\< ,I KNEW ,I WD
2 HURT+ H] FEEL+S4 ,MY "M ?"\ %E'D D"O
"S?+ WR;G2 ,I BROKE H] HE>T ?\S&S ( "TS
UNTIL %E F9,Y GAVE UP4 ,MY 9ABIL;Y 6BOND
CLOSELY 5 6H M>RI$ OR H *N IS DUE M* M
6MY ATTA*;T 4ORD] ?AN 6MY BL;S4 ,I "K _M
BL P :O 7 BORN AT ! SAME "T ,I 0 :O >E
RAIS+ FAMILIES4 ,!Y D N H ATTA*;T 4ORD]S
2C ! M$ICAL /AFF _! FAMILIES _H A3ESS
65C\RAG$ _! FAMILIES 6PLACE EMPHASIS ON
BOND+ R ?AN A 8SQU1KY-CL1N0 5VIRON;T 9 :
6RAISE !M4
  ,DESPITE ^! PRO#MS1 ,I "K ,I AM "O (!
LUCKY "OS4 ,M$ICAL TE*NOLOGY TD =CES
PREMATURE BABIES 6LIVE "U 3DI;NS T CD
ONLY 2 CALL$ 9HUMANE4 ,BABY ,M4 IS AN
EXCELL5T EXAMPLE4 ,%E 0 BORN ) S* SEV]E
BRA9 DAMAGE T H] DOCTORS TOLD H] P>5TS
%E WD N H ANY": NE> A NORMAL LIFE4 ,BABY
,M4'S P>5TS TOLD ! DOCTORS 7IN WRIT+7 N
6TAKE H]OIC M1SURES ) H]1 & 6LET H] DIE
9 P1CE ) NO MA*9ES4 ,!N !Y LEFT !
HOSPITAL & W5T \ 6EAT4 ,!Y 4COV]$ :5 !Y
GOT BACK T %E _H BE5 BR"\ BACK 6LIFE
S"EAL "TS4
  ,BABY ,M4 _C WALK OR SP1K4 ,%E IS N
POTTY-TRA9$4 ,%E C SEE %AD[S1 B %E N"E
R1*ES = ANY?+ L MO/ *N D4 ,%E C HE>4 ,%E
"KS H] "N & ": H] "R FOOT IS4 ,9 ORD]
6PROTECT ! PRIVACY (! FAMILY1 ,I W N USE
_! LA/ "N4
  ,"S HOSPITALS H M R1SONA# POLICIES ?AN
! "O ,BABY ,M4'S P>5TS PICK$4 ,BABY
,M4'S P>5TS J *OSE ! WR;G HOSPITAL4 ,"!
>E _M DOCTORS 9 ! _W :O ?9K X IS _! DUTY
TO 8SAVE BABIES40 ,B SAVE !M = :AT8 ,W
^! SAME DOCTORS 2 AVAILA# 6HELP Y ) YR
M$ICAL BILLS OR YR *'S M$ICAL C>E8 ,W !Y
2 "! 6TURN YR * E TWO H\RS :5 HE OR %E
IS A YE> OLD1 #AJ YE>S OLD1 OR #DJ YE>S
OLD8 ,BABY ,M4'S P>5TS FIL$ A LAWSUIT
AG/ ! HOSPITAL = 4OBEY+ _! WRITT5 WI%ES
REG>D+ MAK+ _! * LIVE "U S* 3DI;NS Z ,I
H DESCRIB$ 9 ! PREVI\S P>AGRAPHS4 ,I H
BE5 UNA# 6F9D ! CASE LI/$ 9 ANY (! LAW
REPORTS4 ,I HOPE T M1NS T A SATISFACTORY
SETTLE;T 0 R1*$4 ,BABY ,M4'S FAMILY 0
F1TUR$ ON A WELL-"KN N,NAL ,,TV %[4 ,NO
MATT] H[ M* M"OY !Y GOT F ! M$ICAL
9/ITU;N X IS N 5 6KEEP _! HE>TS F BR1K+
E "T !Y R1LIZE T _H _! WI%ES BE5 OBEY$1
,BABY ,M4 WD N[ 2 _! GU>DIAN ANGEL1 FREE
& :OLE1 9/1D ( TRAPP$ 9 ! BODY ! M$ICAL
E/ABLI%;T =C$ ^U H]4
  ,IF Y >E PREGNANT OR IF Y H A T]M9,Y
ILL *1 2 SURE 6GET 7IN WRIT+7 ! HOSPITAL
POLICY ON :O DECIDES :5 & : K9D ( M$ICAL
H]OICS %D 2 GIV54 ,X IS YR "R Z P>5TS OR
GU>DIANS 6MAKE ^? DECI.NS4 ,YES1 ,I C
HE> Y SAY+ X1 N[4 8,WOMAN1 Y H LO/ YR
M9D6 ,I DON'T WANT 6?9K AB T :ILE ,I'M
PREGNANT60 ,B ,BABY ,M4'S P>5TS & ?\S&S
( O!R P>5TS WI% !Y _H4

,TALK+ AB ,X
  ,TALK+ AB X IS J Z IMPORTANT Z WRIT+
AB X1 :E!R Y >E DO+ YR [N ,LIV+ ,W OR >E
ON "S"O ELSE'S ,LIV+ ,W Z A M$ICAL
ADVOCATE4 ,TALK+ AB X 2FH& AL HELPS
"EY"O 9VOLV$ 6"U/& :AT Y WANT1 & X GIVES
YR M$ICAL ADVOCATES A *.E 6MAKE A DECI.N
Z 6:E!R !Y WANT 6ASSUME S* A
RESPONSIBIL;Y4 ,ONCE AG1 LET ME
EMPHASIZE T IF Y >E A M$ICAL ADVOCATE1 X
IS YR RESPONSIBIL;Y 6C>RY \1 N 6MAKE A
DECI.N4 ,_H MY "M SPOK5 ) M P ?AN ME1 H]
/AY 9 H] BODY AF ! MASSIVE /ROKE MI<T H
BE5 M* %ORT]4

8,IF ,I FILL \ MY ,LIV+ ,W1 ,I W DIE
SOON40
  ,_M P FEEL ? WAY1 EV5 ?\< "! IS NO
TRU? 9 ! /ATE;T4 ,\R FEEL+S >E1 N"E!.S1
VALID & %D 2 A4RESS$4 ,"S"TS J AC"KL$G+
T FEEL+ HELPS 4PEL ! MY? 2H X4 ,IF Y
FEEL T WAY1 Y >E N AL"O4 ,IF Y >E HELP+
"S"O FILL \ _! ,LIV+ ,W & Y KEEP 5C.T]+
B>RI]S1 ? FEEL+ MAY 2 ! PRO#M4 ,REASSURE
! P]SON Z WELL Z YRF T FILL+ \ YR ,LIV+
,W IS N GO+ 6HA/5 D1?4

,S ,:AT ,D ,Y ,SAY ,:5 ,Y ,HAV5'T ,GOT A
,CLUE8
  ,I AM 9CLUD+ ? 3V]S,N ) MY "M1 N 2C X
IS A F9E EXAMPLE ( TACT & DIPLOMACY1 B
2C X ISN'T4 ,MO/ ( U J D N SP1K L !
SCRIPTWRIT]S ON 8,T\*$ 0AN ,ANGEL40 ,Z
,I FE>$1 %E DIDN'T H A ,LIV+ ,W1 AL? %E
_H ALR _H A MAJOR HE>T ATTACK &
QUADRUPLE BYPASS SURG]Y4
  8,Y M1N Y _H HE>T SURG]Y &A HE>T
ATTACK & Y / DON'T H "O80 ,I EXCLAIM$4
8,:Y N80
  8,I DON'T "K10 %E REPLI$1 8,NO "O "E
ASK$ ME 6SIGN "O40 ,!N %E FELL 96! TRAP
T MO/ P FALL 960TELL+ ME T S9CE %E _H A
V]BAL AGREE;T ) H] PHYSICIAN1 HE KNEW
:AT %E WANT$ & X WDN'T 2 A PRO#M4 ,%E _H
_H A L;G-/&+ REL,N%IP ) HM4 ,%E & 8 "M 7
FRS1 & HE SP5T M "T AT \R H\SE GR[+ UP
?AN HE DID AT 8 [N4
  8,WELL1 T MI<T "W 9 ,COLUMBUS1 ,TEXAS1
S9CE X'S A SMALL T[N & "EYBODY "KS
"EYBODY4 ,B IF Y HAPP5 6BE 9 ,H\/ON1
,TEXAS1 !Y W H 6HOOK Y UP10 ,I SD4
  8,? IS A MORBID 3V]S,N4 ,D WE H 6TALK
AB ? N[80 %E ASK$4
  ,"H IS ": MO/ P BACK (F 2C !Y DON'T
WANT 6UPSET ANYBODY1 EI _! M$ICAL
ADVOCATES1 OR ! P]SON FILL+ \ _! ,LIV+
,W4 ,:5 Y >E ASK$ ! "Q 8,D WE H 64CUSS ?
N[801 Y M/ SAY :AT ,I SD4 8,YES1 MA'AM1
WE C'T WAIT UNTIL Y C'T -MUNICATE
ANYMORE 6TALK AB X40
  ,!N WE _H A 3V]S,N AB :AT 4ABILITIES
%E CD LIVE )4 8,WELL1 Y "K1 :AT IF !Y SD
Y MI<T LIVE1 B Y PROBABLY WDN'T 2 A#
6WALK80
  ,%E ?"\ AB X =A M9UTE4 8,EWWW1 ,I
DON'T "K4 ,WD ,I 2 A# 6DRIVE & GET >.D
0MYF80
  ,I EXPLA9$ H[ WE CD GET ,TEXAS
,REHABILIT,N ,-MIS.N 6PUT H& 3TROLS ON
H] C>2 T 0 OKAY !N4 ,%E EV5TU,Y DECID$
%E CD LIVE ) ANY 3DI;N T DIDN'T 9T]F]E )
H] 9DEP5D;E4
  8,0! WAY10 %E ASK$1 8:AT BR"\ ? ON1
ANYWAY80
  ,I DIDN'T TELL H] ,I _H A 8FEEL+0 AB
X4 ,I CD H1 B ,I MADE ! DECI.N ,I H ALW
MADE :5 ,I H 8FEEL+S0 AB ! UPCOM+ D1?S (
MY LOV$ "OS4 ,I DECID$ 6BE ! SECRET
KEEP] & LET H] 5JOY H] LA/ "DS4
  8,I _H 6SIGN "O = MY BACK SURG]Y2 ,I J
?"\ ,I'D SEE IF Y _H "O10 ,I EXPLA9$4
  8,D Y H "O ALR FILL$ \ = ME 6SIGN80
  8,YES1 MA'AM10 ,I ANSW]$4 ,!N ,I MADE
A BIG MI/AKE4 ,I SAW A PICTURE 9 MY M9D
( H] TALK+ ON ! PH"O 6MY BRO!RS & ME AB
H] ,LIV+ ,W4 ,:5 ,I SEE A PICTURE ( "S?+
9 MY H1D1 T USU,Y M1NS ,I'M SUPPOS$ 6D
:AT"E X IS ! PICTURE IS %[+4 ,I IGNOR$ !
VI.N & TOLD MYF ,I WD WAIT UNTIL ,I W5T
6H] H\SE1 & WE CD ALL GET TGR & TALK AB
X !N4 ,T N"E HAPP5$4 ,I DIDN'T MAKE X
6H] H\SE 9 "T4
  ,AL? ,I _H A ,LIV+ ,W DRAFT$ = H]1 %E
*OSE 6SIGN H] ,LIV+ ,W AT ! ATTORNEY'S
(FICE %ORTLY AF WE TALK$4 ,X 0 ONLY A
MON? OR TWO LAT] T %E _H ! MASSIVE /ROKE
T *ANG$ ! LIVES ( ALL ( ^? :O LOV$ H]1 &
2CAME ! 9SPIR,N =! WRIT+ ( ? BOOK4