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<p class="MsoNormal"><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman",serif;color:#595959">Paul,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman",serif;color:#595959">That’s an interesting issue. I always assumed that the specific direction regarding artificial hydration and nutrition would take
precedence over the more general request to withdraw support. The Washington State Medical Assoc.’s form spells this out more clearly (see below).<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman",serif;color:#595959">Hope this helps,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman",serif;color:#595959">John<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman",serif;color:#595959"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-layout-grid-align:none;text-autospace:none"><span style="font-family:"Bodoni MT",serif;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:AGaramond-Regular">If I am diagnosed to be in a terminal or permanent unconscious
condition, [</span><i><span style="font-family:"Bodoni MT",serif;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:AGaramond-Italic">Choose one</span></i><span style="font-family:"Bodoni MT",serif;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:AGaramond-Regular">]<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-layout-grid-align:none;text-autospace:none"><span style="font-family:"Bodoni MT",serif;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:AGaramond-Regular">I want ___________ do not want __________<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-layout-grid-align:none;text-autospace:none"><span class="GramE"><span style="font-family:"Bodoni MT",serif;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:AGaramond-Regular">artificially</span></span><span style="font-family:"Bodoni MT",serif;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:AGaramond-Regular">
administered nutrition and hydration to be withdrawn or withheld the same as other forms of life-sustaining treatment. I understand artificially administered nutrition and hydration is a form of life-sustaining treatment in certain circumstances. I request
all health care providers who care for me to honor this directive.</span><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;font-family:"Bodoni MT",serif;mso-bidi-font-family:"Times New Roman";color:#595959"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman",serif;color:#595959"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman",serif;color:#595959"><o:p> </o:p></span></p>
<div>
<p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Tw Cen MT",sans-serif;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Times New Roman";color:#595959;mso-no-proof:yes">John Creahan</span><span style="font-size:12.0pt;font-family:"Tw Cen MT",sans-serif;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Times New Roman";color:#595959;mso-no-proof:yes"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:12.0pt"><span style="font-size:12.0pt;font-family:"Tw Cen MT",sans-serif;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Times New Roman";color:#595959;mso-no-proof:yes">206-621-5848<br>
<a href="http://www.cairn-law.com/"><span style="color:#595959">www.cairn-law.com</span></a></span><span style="font-size:12.0pt;font-family:"Tw Cen MT",sans-serif;mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Times New Roman";color:#4F6228;mso-no-proof:yes"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman";color:#595959;mso-no-proof:yes"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;mso-bidi-font-size:11.0pt;font-family:"Times New Roman",serif;color:#595959"><o:p> </o:p></span></p>
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<p class="MsoNormal"><b><span style="mso-fareast-font-family:"Times New Roman"">From:</span></b><span style="mso-fareast-font-family:"Times New Roman""> wsbapt-bounces@lists.wsbarppt.com [mailto:wsbapt-bounces@lists.wsbarppt.com]
<b>On Behalf Of </b>Paul Neumiller<br>
<b>Sent:</b> Friday, October 16, 2015 11:51 AM<br>
<b>To:</b> wsbapt@lists.wsbarppt.com<br>
<b>Subject:</b> [WSBAPT] HCD Internally Inconsistent??<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Listmates: Happy Friday. The Health Care Directive statute (RCW 70.122) statutory form says, clearly, that if the signor is diagnosed to be in a terminal condition or a permanent unconscious condition, then “life-sustaining treatment”
shall be withheld or withdrawn. But, later the form gives the signor the right to choose between having “artificially provided” food and water or not having artificially provided food and water. WHAT?!?!? If a person signs the form but checks the box that
says the signor wants the food and water tubes, then what? Aren’t these inherently inconsistent provisions. Aren’t the food and water tubes “life-sustaining treatment?” It now seems to me the HCD shouldn’t even be used if the person wants to be left hooked
up “because they are finding new cures all the time” or for whatever reason. I always thought that the HCD was used to express the signor’s desires WHETHER to have the doctors pull the plug and the signor could elect to be left hooked up by checking the box
saying the signor wants the artificially provided food and water. Now, I question this assumption. Remember, in the Terri Schiavo case in Florida the “life-sustaining treatment”
<i>was</i> the food and water tubes. Am I missing something? Anyone willing to talk me back from the ledge?? None of my secondary sources discuss the issue and I am re-working my forms.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><a name="Paul_Neumiller"><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><img border="0" width="375" height="225" id="_x0000_i1025" src="cid:image001.jpg@01D1080D.B3FFAE10"></span></a><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
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