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<p>I agree with Sandra; that's how I explain it to clients when they
ask.<br>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Very Truly Yours,</p>
<p class="MsoNormal">Robert R. Cole</p>
<p class="MsoNormal">Law Office of Cole & Gilday, P.C. </p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">10101 - 270th St. NW </p>
<p class="MsoNormal">Stanwood, WA 98292 </p>
<p class="MsoNormal">(360) 629-2900 (Telephone) </p>
<p class="MsoNormal">(360) 629-0220 (Fax) </p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">This message contains confidential and
privileged
information that is intended only for the named recipient(s).<span
style="mso-spacerun:yes"> </span>Unless you are the named
recipient or
authorized agent thereof, you are prohibited from reading,
copying,
distributing or otherwise disseminating such information.<span
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communication in error,
please notify the sender immediately.</p>
<p class="MsoNormal"><o:p> </o:p></p>
</div>
</div>
<div class="moz-cite-prefix">On 8/25/2020 7:12 PM, Sandra Perkins
wrote:<br>
</div>
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<p class="MsoNormal"><span
style="font-size:14.0pt;font-family:"Arial",sans-serif">I
have always explained it to my clients like this:<o:p></o:p></span></p>
<p class="MsoNormal"><span
style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span
style="font-size:14.0pt;font-family:"Arial",sans-serif">We
all need food and water to survive, even if we are perfectly
healthy. If we stopped eating and drinking, we would die.
Because that is the case, some people believe that
artificial nutrition and hydration are not “life support” in
the same way that a ventilator and other machines would be.
There is a separate paragraph in the Health Care Directive
about artificial nutrition and hydration so that everyone
can make a separate decision about what they want and do not
want.<o:p></o:p></span></p>
<p class="MsoNormal"><span
style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span
style="font-size:14.0pt;font-family:"Arial",sans-serif">The
majority of my clients want neither—if the HCD applies, they
do not want artificial nutrition or hydration to prolong
their dying. A significant minority choose to have
artificial hydration but not nutrition, because they believe
it would be uncomfortable to die of thirst. Very few people
want both artificial nutrition and hydration, but a few do.<o:p></o:p></span></p>
<p class="MsoNormal"><span
style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span
style="font-size:14.0pt;font-family:"Arial",sans-serif">Sandra
Perkins<o:p></o:p></span></p>
<p class="MsoNormal"><span
style="font-size:14.0pt;font-family:"Arial",sans-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> <a
href="mailto:wsbapt-bounces@lists.wsbarppt.com"
moz-do-not-send="true">wsbapt-bounces@lists.wsbarppt.com</a>
<<a href="mailto:wsbapt-bounces@lists.wsbarppt.com"
moz-do-not-send="true">wsbapt-bounces@lists.wsbarppt.com</a>>
<b>On Behalf Of </b>Jane Bitz<br>
<b>Sent:</b> Tuesday, August 25, 2020 6:40 PM<br>
<b>To:</b> WSBA Probate & Trust Listserv <<a
href="mailto:wsbapt@lists.wsbarppt.com"
moz-do-not-send="true">wsbapt@lists.wsbarppt.com</a>><br>
<b>Subject:</b> Re: [WSBAPT] Conflict in Health Care
Directive<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:14.0pt">I think the
specific language indicating the patient’s wishes should
always be read to modify the general language in the
introduction to the directive. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt">Interesting
that if a client indicates that they want life support, even
with a terminal or permanent unconscious condition, then we
should probably not use the language from the statute. Or
say in the introduction “I understand that I have a right to
accept or refuse treatment that would simply prolong the
process of my dying as indicated below.”<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<div>
<p class="MsoNormal">Jane G. Bitz<o:p></o:p></p>
<p class="MsoNormal">Of Counsel<o:p></o:p></p>
<p class="MsoNormal">Wolff, Hislop & Crockett, PLLC<o:p></o:p></p>
<p class="MsoNormal">12209 E. Mission Ave, Suite 5<o:p></o:p></p>
<p class="MsoNormal">Spokane Valley, WA 99206-4824<o:p></o:p></p>
<p class="MsoNormal">(509) 927-9700 x126<o:p></o:p></p>
<p class="MsoNormal">FAX: (509) 777-1800<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal"><span style="font-size:14.0pt"><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> <a
href="mailto:wsbapt-bounces@lists.wsbarppt.com"
moz-do-not-send="true">wsbapt-bounces@lists.wsbarppt.com</a>
<<a href="mailto:wsbapt-bounces@lists.wsbarppt.com"
moz-do-not-send="true">wsbapt-bounces@lists.wsbarppt.com</a>>
<b>On Behalf Of </b>Krista MacLaren<br>
<b>Sent:</b> Tuesday, August 25, 2020 5:01 PM<br>
<b>To:</b> wsba probate & trust <<a
href="mailto:wsbapt@lists.wsbarppt.com"
moz-do-not-send="true">wsbapt@lists.wsbarppt.com</a>>;
Marcus Fry <<a href="mailto:mfry@LYON-LAW.COM"
moz-do-not-send="true">mfry@LYON-LAW.COM</a>><br>
<b>Subject:</b> Re: [WSBAPT] Conflict in Health Care
Directive<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I always took the life-sustaining treatment
language to relate to ventilators, anti-biotic drips, or
things other than nutrition/hydration. I will be interested
to see what others say. <o:p></o:p></p>
<div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div>
<p class="MsoNormal" style="margin-bottom:12.0pt"><span
style="font-size:9.0pt;font-family:"Helvetica",sans-serif;color:black">Krista
J. MacLaren<br>
Attorney at Law<br>
Northgate Executive Center II<br>
9725 3rd Ave NE, Suite 600<br>
Seattle WA 98115<br>
(206) 523-6116<br>
<a href="mailto:kjm.inc@icloud.com"
moz-do-not-send="true">kjm.inc@icloud.com</a><br>
<br>
Please note, as with most email providers, Mac does
not encrypt email messages. Accordingly,
the confidentiality of messages sent to this address
cannot be assured. This e-mail is intended for viewing
only by the individual or entity to whom its content
is addressed, and it may contain confidential or
privileged information. If you received this email in
error, please honor the privacy of the
intended recipient: reply to the sender regarding the
error and delete the message.<o:p></o:p></span></p>
</div>
</div>
<div>
<p class="MsoNormal" style="margin-bottom:12.0pt"><o:p> </o:p></p>
<blockquote style="margin-top:5.0pt;margin-bottom:5.0pt">
<div>
<p class="MsoNormal">On Aug 25, 2020, at 4:49 PM, Marcus
Fry <<a href="mailto:mfry@lyon-law.com"
moz-do-not-send="true">mfry@lyon-law.com</a>>
wrote:<o:p></o:p></p>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<div>
<p class="MsoNormal" style="background:white"><a
name="_GoBack" moz-do-not-send="true"></a><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">I
have not run into this and therefore interested in
thoughts on the same. Below is the statute for our
state’s health care directive. I have a
developing medical situation that the woman is in
a coma has a health care directive (appears to be
a pre-printed form) that has the exact language
from RCW 70.122.030 directing “treatment be
withheld or withdrawn”, but chose the option of “I
DO” want artificially provided nutrition and
hydration. How does one reconcile these two
statements? </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal" style="background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal" style="background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal" style="background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">RCW
70.122.030(1):</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal" style="background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black"> </span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">Directive
made this . . . . day of . . . . . . (month,
year).</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">I
. . . . . ., having the capacity to make health
care decisions, willfully, and voluntarily make
known my desire that my dying shall not be
artificially prolonged under the circumstances set
forth below, and do hereby declare that:</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">(a)<span
class="apple-converted-space"> </span><span
style="background:yellow">If at any time I
should be diagnosed in writing to be in</span><span
class="apple-converted-space"> </span>a terminal
condition by the attending physician, or in<span
class="apple-converted-space"> </span><span
style="background:yellow">a permanent
unconscious condition by two physicians, and
where the application of life-sustaining
treatment would serve only to artificially
prolong the process of my dying, I direct that
such treatment be withheld or withdrawn, and
that I be permitted to die naturally.</span><span
class="apple-converted-space"> </span>I
understand by using this form that a terminal
condition means an incurable and irreversible
condition caused by injury, disease, or illness,
that would within reasonable medical judgment
cause death within a reasonable period of time in
accordance with accepted medical standards, and
where the application of life-sustaining treatment
would serve only to prolong the process of dying.
I further understand in using this form that a
permanent unconscious condition means an incurable
and irreversible condition in which I am medically
assessed within reasonable medical judgment as
having no reasonable probability of recovery from
an irreversible coma or a persistent vegetative
state.</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">(b)
In the absence of my ability to give directions
regarding the use of such life-sustaining
treatment, it is my intention that this directive
shall be honored by my family and physician(s) as
the final expression of my legal right to refuse
medical or surgical treatment and I accept the
consequences of such refusal. If another person is
appointed to make these decisions for me, whether
through a durable power of attorney or otherwise,
I request that the person be guided by this
directive and any other clear expressions of my
desires.</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">(c)<span
class="apple-converted-space"> </span><span
style="background:yellow">If I am diagnosed to
be in a</span><span
class="apple-converted-space"> </span>terminal
condition or in a<span
class="apple-converted-space"> </span><span
style="background:yellow">permanent unconscious
condition</span><span
class="apple-converted-space"> </span>(check
one):</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black;background:yellow">I
DO want to have artificially provided nutrition
and hydration.</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">I
DO NOT want to have artificially provided
nutrition and hydration.</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">(d)
If I have been diagnosed as pregnant and that
diagnosis is known to my physician, this directive
shall have no force or effect during the course of
my pregnancy.</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">(e)
I understand the full import of this directive and
I am emotionally and mentally capable to make the
health care decisions contained in this directive.</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">(f)
I understand that before I sign this directive, I
can add to or delete from or otherwise change the
wording of this directive and that I may add to or
delete from this directive at any time and that
any changes shall be consistent with Washington
state law or federal constitutional law to be
legally valid.</span><o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"
style="text-indent:.5in;background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">(g)
It is my wish that every part of this directive be
fully implemented. If for any reason any part is
held invalid it is my wish that the remainder of
my directive be implemented.</span><o:p></o:p></p>
</div>
<table class="MsoNormalTable"
style="width:243.0pt;border-collapse:collapse"
width="324" cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td style="padding:.75pt .75pt .75pt .75pt"
valign="top">
<div>
<p class="MsoNormal"><span
style="font-size:10.0pt;font-family:"Times
New Roman",serif"> </span><o:p></o:p></p>
</div>
</td>
<td style="padding:.75pt .75pt .75pt .75pt"
valign="top">
<div>
<p class="MsoNormal"><span
style="font-size:10.0pt;font-family:"Times
New Roman",serif">Signed . . . .</span><o:p></o:p></p>
</div>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal"
style="text-align:center;background:white"
align="center"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">City,
County, and State of Residence</span><o:p></o:p></p>
<div>
<p class="MsoNormal" style="background:white"><span
style="font-size:12.0pt;font-family:"Helvetica",sans-serif;color:black">The
declarer has been personally known to me or has
provided proof of identity and I believe him or
her to be capable of making health care decisions.</span><o:p></o:p></p>
</div>
<table class="MsoNormalTable"
style="width:243.0pt;border-collapse:collapse"
width="324" cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td style="padding:.75pt .75pt .75pt .75pt"
valign="top">
<div>
<p class="MsoNormal"><span
style="font-size:10.0pt;font-family:"Times
New Roman",serif"> </span><o:p></o:p></p>
</div>
</td>
<td style="padding:.75pt .75pt .75pt .75pt"
valign="top">
<div>
<p class="MsoNormal"><span
style="font-size:10.0pt;font-family:"Times
New Roman",serif">Witness . . . .</span><o:p></o:p></p>
</div>
</td>
</tr>
<tr>
<td style="padding:.75pt .75pt .75pt .75pt"
valign="top">
<div>
<p class="MsoNormal"><span
style="font-size:10.0pt;font-family:"Times
New Roman",serif"> </span><o:p></o:p></p>
</div>
</td>
<td style="padding:.75pt .75pt .75pt .75pt"
valign="top">
<div>
<p class="MsoNormal"><span
style="font-size:10.0pt;font-family:"Times
New Roman",serif">Witness . . . .</span><o:p></o:p></p>
</div>
</td>
</tr>
</tbody>
</table>
<div>
<p class="MsoNormal"> <o:p></o:p></p>
</div>
<div>
<p class="MsoNormal"> <o:p></o:p></p>
</div>
<p class="MsoNormal" style="text-align:justify"><span
style="font-size:10.0pt;font-family:"Arial",sans-serif">Thank
you,</span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span
style="font-size:10.0pt;font-family:"Arial",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal" style="text-align:justify"><span
style="font-size:10.0pt;font-family:"Arial",sans-serif">Marcus
J. Fry</span><o:p></o:p></p>
<div>
<p class="MsoNormal" style="margin-bottom:12.0pt"><span
style="font-size:10.0pt;font-family:"Arial",sans-serif">Lyon,
Weigand & Gustafson, P.S.<span
class="apple-converted-space"> </span></span><o:p></o:p></p>
</div>
<p class="MsoNormal" style="text-align:justify"><b><span
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<div>
<p class="MsoNormal"> <o:p></o:p></p>
</div>
<p class="MsoNormal"><span
style="font-size:9.0pt;font-family:"Helvetica",sans-serif">***Disclaimer:
Please note that RPPT listserv participation is not
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</blockquote>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
</div>
</div>
<br>
<fieldset class="mimeAttachmentHeader"></fieldset>
<pre class="moz-quote-pre" wrap="">***Disclaimer: Please note that RPPT listserv participation is not restricted to practicing attorneys and may include non-practicing attorneys, law students, professionals working in related fields, and others.***
_______________________________________________
WSBAPT mailing list
<a class="moz-txt-link-abbreviated" href="mailto:WSBAPT@lists.wsbarppt.com">WSBAPT@lists.wsbarppt.com</a>
<a class="moz-txt-link-freetext" href="http://mailman.fsr.com/mailman/listinfo/wsbapt">http://mailman.fsr.com/mailman/listinfo/wsbapt</a></pre>
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