<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=us-ascii">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:11.0pt;
font-family:"Calibri",sans-serif;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:#0563C1;
text-decoration:underline;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-US" link="#0563C1" vlink="#954F72">
<div class="WordSection1">
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif">This is a choice I give people in their HCD:<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>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif">_______ • I DO NOT want to have artificially provided nutrition and hydration except hydration which, in the determination of my designated agent for
health care decisions, will serve to make me more comfortable and facilitate the provision of pain relieving medications without unduly prolonging my death.<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>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif">That way, they can keep pumping morphine into me. Heck, I grew up in the 60’s. Isn’t good drugs ALWAYS the answer? <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>
<div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><a name="Paul_A__Neumiller"><img width="250" height="150" style="width:2.6in;height:1.5583in" id="_x0000_i1025" src="cid:image002.jpg@01D6189F.24157120"></a><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Times New Roman",serif">IMPORTANT NOTICE: This e-mail message is intended to be received only by persons entitled to receive the confidential information it may contain. E-mail messages to clients
of Paul A. Neumiller presumptively contain information that is confidential and legally privileged; e-mail messages to non-clients are normally confidential and may also be legally privileged. Please do not read, copy, forward or store this message unless
you are the intended recipient of it. If you have received this message in error, please forward it back to the sender and delete it completely from your computer system.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Times New Roman",serif">E-mail communication on the Internet may NOT be secure. There is a risk that this confidential communication may be intercepted illegally. There may also be a risk of waiving
attorney-client and/or work-product privileges that may attach to this communication. DO NOT forward this message to a third party. If you have any questions regarding this notice, please contact the sender.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Times New Roman",serif"> <o:p></o:p></span></p>
</div>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> wsbapt-bounces@lists.wsbarppt.com <wsbapt-bounces@lists.wsbarppt.com>
<b>On Behalf Of </b>John J. Sullivan, Esq.<br>
<b>Sent:</b> Wednesday, April 22, 2020 11:55 AM<br>
<b>To:</b> 'WSBA Probate & Trust Listserv' <wsbapt@lists.wsbarppt.com>; akwills@willslawfirm.com<br>
<b>Subject:</b> Re: [WSBAPT] Health care directive/hydration<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Adrienne:<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Although I was once nationally certified as an EMT, I don’t pretend to be a medical professional. I’m not aware of a method of artificial hydration other than intravenous, and that’s what I reference in my DTPs.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">As far as whether to choose it or not, I will tell you a story.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I noticed after a while that none of my physician clients were declining artificial hydration. I asked one of them once why. He told me that in coma and end of life situations we simply do not know whether the patient feels pain or not,
but that if patients can feel it dehydration is an excruciatingly painful way to go. Also, in a coma/end of life circumstance, unlike you and I walking around who would die after three days or so without water, the body reabsorbs waste fluids and the process
of dying can extend for 2 to 3 weeks. <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Contrary, I once had the unhappy job of being a client’s last resort as health care AIF – I had to consent to the withdrawal of “life sustaining treatment.” I asked the ICU doctor the same question. She answered that when the body gets
to the end, endorphins kick in and we don’t feel anything. <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">So … take your chances. An opinion is above my pay grade. <o:p>
</o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">John J. Sullivan<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> <a href="mailto:wsbapt-bounces@lists.wsbarppt.com">
wsbapt-bounces@lists.wsbarppt.com</a> <<a href="mailto:wsbapt-bounces@lists.wsbarppt.com">wsbapt-bounces@lists.wsbarppt.com</a>>
<b>On Behalf Of </b>Susan Donahue<br>
<b>Sent:</b> Tuesday, April 21, 2020 4:07 PM<br>
<b>To:</b> <a href="mailto:akwills@willslawfirm.com">akwills@willslawfirm.com</a>; 'WSBA Probate & Trust Listserv' <<a href="mailto:wsbapt@lists.wsbarppt.com">wsbapt@lists.wsbarppt.com</a>><br>
<b>Subject:</b> Re: [WSBAPT] Health care directive/hydration<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Hi Adrienne,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Well, the nurse clients I have had have told me that artificial hydration means hooking up a drip and pumping water into the body, but they also tell me that at the end of life, this is not a good idea because the body just cannot process
the influx. Same with artificial nutrition. But I don’t offer this analysis since I am not a medical professional. Most people don’t have a question about it. I’ve only had one person choose to allow artificial hydration and nutrition in 8 years of preparing
health care directives. <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Perhaps someone else has a more technical definition.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Susan<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Susan Donahue<o:p></o:p></p>
<p class="MsoNormal">Law Office of Susan Donahue<o:p></o:p></p>
<p class="MsoNormal">125 West 2<sup>nd</sup> Avenue, Suite “B”<o:p></o:p></p>
<p class="MsoNormal">P.O. Box 81<o:p></o:p></p>
<p class="MsoNormal">Twisp, WA 98856<o:p></o:p></p>
<p class="MsoNormal">(509) 996-5944 (phone)<o:p></o:p></p>
<p class="MsoNormal">(509) 362-9692 (fax)<o:p></o:p></p>
<p class="MsoNormal"><a href="mailto:sdonahue@sdonahuelaw.com">sdonahue@sdonahuelaw.com</a><o:p></o:p></p>
<p class="MsoNormal"><a href="https://nam11.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.sdonahuelaw.com%2F&data=02%7C01%7C%7C3194dc50d44f4be09de308d7e6ef53da%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637231787879037730&sdata=NZC0A7HNuIXpVInSz4CKiwDjDzq9lNnP5q%2FRdQilxT0%3D&reserved=0">www.sdonahuelaw.com</a><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> <a href="mailto:wsbapt-bounces@lists.wsbarppt.com">
wsbapt-bounces@lists.wsbarppt.com</a> <<a href="mailto:wsbapt-bounces@lists.wsbarppt.com">wsbapt-bounces@lists.wsbarppt.com</a>>
<b>On Behalf Of </b>Adrienne Keith Wills<br>
<b>Sent:</b> Tuesday, April 21, 2020 3:44 PM<br>
<b>To:</b> <a href="mailto:wsbapt@lists.wsbarppt.com">wsbapt@lists.wsbarppt.com</a><br>
<b>Subject:</b> [WSBAPT] Health care directive/hydration<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Hi Listmates,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I’m curious to know if anyone has specific information about what qualifies as artificial hydration under RCW 70.122.030 (health care directive)?<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Thank you, Adrienne<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">--<o:p></o:p></p>
<p class="MsoNormal"><b><span style="font-variant:small-caps">Wills Law Firm Inc.</span></b><span style="font-variant:small-caps"> (</span><i><span style="color:black">please note the new name for my practice</span></i><span style="color:black">)</span><span style="font-variant:small-caps"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">Adrienne K. Wills, Attorney | Mediator<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">Helping family law and estate planning clients create their legacy
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black">1700 Seventh Ave, Suite 2100 | Seattle, WA 98101</span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black">Web: </span><a href="https://nam11.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.willslawfirm.com%2F&data=02%7C01%7C%7C3194dc50d44f4be09de308d7e6ef53da%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637231787879047725&sdata=jMqd8KE4pFkY9L1NmDQmsGQEFDB1VarngtkQmwjDPHc%3D&reserved=0"><span style="color:blue">www.WillsLawFirm.com</span></a><span style="color:black">
| Tel. </span><a href="tel:%28206%29%20523-3047" target="_blank">(206) 523-3047</a><span style="color:black"> | Fax
</span><u><span style="color:#0070C0">(206) 219-6714</span></u><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">--<o:p></o:p></p>
<p class="MsoNormal"><b><span style="font-variant:small-caps">Wills Law Firm Inc.</span></b><span style="font-variant:small-caps"> (</span><i><span style="color:black">please note the new name for my practice</span></i><span style="color:black">)</span><span style="font-variant:small-caps"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">Adrienne K. Wills, Attorney | Mediator<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">Helping family law and estate planning clients create their legacy
</span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:black">1700 Seventh Ave, Suite 2100 | Seattle, WA 98101</span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black">Web: </span><a href="https://nam11.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.willslawfirm.com%2F&data=02%7C01%7C%7C3194dc50d44f4be09de308d7e6ef53da%7C84df9e7fe9f640afb435aaaaaaaaaaaa%7C1%7C0%7C637231787879047725&sdata=jMqd8KE4pFkY9L1NmDQmsGQEFDB1VarngtkQmwjDPHc%3D&reserved=0"><span style="color:blue">www.WillsLawFirm.com</span></a><span style="color:black">
| Tel. </span><a href="tel:%28206%29%20523-3047" target="_blank">(206) 523-3047</a><span style="color:black"> | Fax
</span><u><span style="color:#0070C0">(206) 219-6714</span></u><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
</div>
</body>
</html>