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Amy J. Markowitz, JD; Michael W. Rabow, MD

JAMA. 2004;292:1744.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In May 2004, Drs Pantilat and Steimle¹ introduced Mr R, a 74-year-old man with more than a decade’s history of idiopathic heart failure with New York Heart Association classification of II to III and type 2 diabetes mellitus. Through interviews of Mr R, his wife, and his cardiologist, Dr J, the authors explored the variety of medications and interventions that were brought to bear to control Mr R’s distressing symptoms. This included attending a shared medial appointment with other heart failure patients and a referral to hospice, from which Mr R ultimately "graduated," after his medication adherence and self-monitoring regimens improved dramatically, greatly enhancing his quality of life. Two years after the initial interviews, Mr R is enjoying a quiet life. He continues to take his medicines, has not reenrolled in hospice, has kept to his do not attempt resuscitation order, and . . . [Full Text of this Article]

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