It didn't look like this.
It looked more like the crappy vanilla ice cream you would see in your elementary school cafeteria with the paper lid.
You heard it. When I would fill out forms for patients that they did not want any life-saving measures performed on them, they got a crappy cup of vanilla ice cream.
To be fair, many of these patients who changed their code status wouldn't have lasted through a couple rounds of cardiopulmonary resuscitation (CPR). However, being a physician, my job was to simply confirm that they wanted to be Do Not Resuscitate (DNR), meaning that they would not want any life-saving measures done on them if they would need it.
I remember going to a room where there was a patient with a left ventricular assist device (LVAD), a partial artificial heart. Unfortunately he was not a candidate for a heart transplant. It was pretty incredible that he had survived so long, which was partly due to his young age.
I remember the guilt I had when giving him the forms to sign that he would be DNR and how at the end he immediately got a cup of ice cream.
The nurse who explained the policy to me said it was an incentive to move patients to the right choice. It did decrease cost for the private company we were contracted with, but at a HUGE ethical price.
You should never incentivize people to choose ice cream over living. Even if one person was motivated to get ice cream, this is an ethical disaster.
Part of our proceeds at Pop Sleep Supplements is to help former nonviolent inmates live more abundant lives. I'll try to periodically give stories of when I was a physician in the correctional system and the atrocities I saw.
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