Wants, Wishes, and Wills : A Medical and

A terminal diagnosis . . . a life-threatening disease . . . recognition of one's own mortality . . . or simply planning ahead. All of these lead individuals to contemplate difficult end-of-life decisions. But, when they do, they find themselves confused, desperately seeking guidance: about living wills, health care proxies, and their own care, wishes, and affairs. Dr. Shawn D. Glisson and Wynne A. Whitman help people face these issues every day - Glisson as a respected oncologist, Whitman as an experienced estate lawyer. Now, they've come together to give readers all the tools they need to make the best decisions for themselves and their families. This book doesn't offer "one size fits all " answers. It provides the compassionate, up-to-date, plain-English guidance you need to decide for yourself . . . and stay in control of your life.

Wynne A. Whitman, Esq.,is a Partner in the Tax, Trusts, and Estates Department at Schenck, Price, Smith and King, LLP, where she specializes in estate planning and administration and other tax-related issues. She has been quoted in more than two dozen print and Web publications, ranging from Men’s Health andMore Magazine to CBSMarketwatch.com and CNN Financial. Ms.Whitman advises individuals and families on ordering their legal affairs to ensure their wants and wishes are carried out and their loved ones cared for. She has worked extensively with families, including many 9/11 victims, as they tried to put the pieces together after the death of a loved one who failed to organize his or her affairs.

Shawn D. Glisson, M.D., F.A.C.P., is a leading oncologist and hematologist who specializes in providing the most current options to patients with tragic prognoses. He is a partner at the Kentuckiana Cancer Institute; President and CEO of Klêron Technology Corporation; President and Chairman of The American Cancer Biorepository, Inc., a charitable cancer research organization; and Assistant Clinical Professor of Medicine, University of Louisville. Dr. Glisson is also a Lieutenant Colonel in the United States Army Reserve Medical Corps and formerly was a trained minister for the churches of Christ.

In their respective professions, Ms. Whitman and Dr. Glisson address life-and-death issues with their clients and patients every day. This book shares their collective first-hand experiences and knowledge to guide individuals in both sickness and in health.

Acknowledgments	p. xv
About the Authors	p. xvi
The Wants, Wishes, and Wills of Your Health and Medical Situation
Health and Medical Wants: Your Personal Health Care System	p. 3
A Guide to Creating Your Personal Health Care System	p. 3
My Personal Health Care Team	p. 7
Your Health Care Records	p. 8
My Own Interoperable Health Network	p. 8
Health and Medical Wants	p. 9
Health and Medical Wishes: Providers, Facilities, and Programs	p. 11
A Guide to Medical Experts	p. 11
I've Just Been Diagnosed. What Do I Do Now?	p. 12
Office Overview	p. 13
Second Opinions	p. 14
What if My Physicians Don't Use the Same Hospitals and Diagnostic Testing Centers?	p. 15
Let the Patient Beware!	p. 16
Physician "Hats"	p. 18
White Coat Cast	p. 27
What's Up, Doc?	p. 23
Choosing Medical Facilities	p. 23
Pharmacies	p. 26
Medical Service, Magazines, Milk, and More	p. 27
Medical Palliation Programs and Hospice	p. 28
Health and Medical Wishes	p. 31
Health and Medical Wills: Your Medical Conditions	p. 33
A Guide to Determining Your Current Health Status	p. 33
Your Medical Conditions	p. 34
Health and Medical Wills	p. 39
The Wants, Wishes, and Wills of Your Personal Situation
Personal Wants: Doctors and Dialogue	p. 43
A Guide to Communicating Better with Your Providers	p. 43
Who Are Your Health Care Providers?	p. 44
Where Were Your Last Tests Done?	p. 44
What Medicines Are You Taking?	p. 45
What Exactly Is This Pill?	p. 46
What Are You Allergic To? What Are You Intolerant Of?	p. 46
Do I Have to Tell My Doctor Everything?	p. 47
How Are You Feeling?	p. 47
What's Your Health History?	p. 48
Your Protected Health Information	p. 48
Past Medical History	p. 48
Medications/Allergies	p. 49
Family History	p. 49
Social History	p. 50
Personal Wants	p. 50
Personal Wishes: Screening and Counseling	p. 51
A Guide to Health Counseling	p. 51
Who Do You Go To for Your Health Care Advice?	p. 52
United States Federal Counseling Standards as of 2006	p. 54
Screening for Health Conditions	p. 57
U.S. Federal Screening Standards as of 2006	p. 58
Personal Wishes	p. 62
Personal Wills: Drugs, Diets, and Devices	p. 63
A Guide to Drug Discovery, Distribution, and Delivery	p. 64
Trial or Study-What's the Difference?	p. 65
Listen to the Experts!	p. 66
What If My Health Insurance Won't Cover Some Treatments?	p. 67
Online Update	p. 68
Is a Clinical Trial or the Standard Treatment Right for Me?	p. 72
What Exactly Is Alternative Care?	p. 75
Beneficial Diets	p. 77
Devices	p. 79
Personal Wills	p. 80
The Wants, Wishes, and Wills of Your Medical-Legal Affairs
Medical-Legal Wants: Understanding Interventions	p. 83
A Guide to Airway Interventions	p. 85
Breathing Interventions	p. 86
Breathing Basics	p. 86
Circulatory Interventions	p. 87
Discomfort Interventions	p. 88
Pain Facts	p. 89
Enteric Interventions	p. 90
Medical-Legal Wants	p. 94
Medical-Legal Wishes: Defining Capacity, Consciousness, and Contingencies	p. 95
A Guide to Evaluating Medical Capacity and Comas	p. 96
Capacity and Competence	p. 97
A Little Levity	p. 98
Coma Conditions	p. 101
Choosing Medical End-of-Life Points	p. 101
The Different Points of Death	p. 106
Do Not Resuscitate (DNR) Orders	p. 109
Medical-Legal Wishes	p. 110
Medical-Legal Wills: Directives, Definitions, and Discussions	p. 111
Who's Who?	p. 112
Health Care Documents 101	p. 113
What If I Don't Have a Health Care Proxy?	p. 114
What About Your Old Health Care Proxy and Living Will?	p. 115
A Guide to Health Care Proxies and Living Wills	p. 115
The New Living Will	p. 116
Who Can Know Your Health Care Status?	p. 118
What Are Life-Sustaining Treatments?	p. 120
Does a Living Will Mean I Want Euthanasia?	p. 122
Powers of Attorney	p. 124
What Exactly Is a General Durable Power of Attorney?	p. 126
The Documents Are Signed. What Now?	p. 128
Communicating Your Health Care Wants and Wishes	p. 129
How Often Should I Update My Documents?	p. 132
Medical-Legal Wills	p. 132
The Wants, Wishes, and Wills of Your Selfless Contributions
Selfless Contribution Wants: Donating Time, Tissue, and Treatment Data	p. 137
A Guide to Patient Advocacy Communities	p. 137
Donation Communities	p. 139
Organ Donations	p. 140
Our Favorite Bumper Sticker	p. 140
Blood Donations	p. 140
Blood Donations 101	p. 141
Bone Marrow	p. 142
Scientific Research	p. 142
Research Communities	p. 143
Selfless Contribution Wants	p. 144
Selfless Contribution Wishes: Individual Purpose, Production, and Protection	p. 145
A Guide to Goal Setting	p. 145
An Added Bonus	p. 146
Time Management	p. 148
Vivacious Volunteers	p. 149
Liability Protection	p. 150
Selfless Contribution Wishes	p. 151
Selfless Contribution Wills: Donation Requirements, Responsibilities, and Rights	p. 153
A Guide to Informed Consent	p. 153
Can I Revoke My Informed Consent?	p. 154
Record Keeping and Reporting	p. 155
Scientific Data	p. 155
Donation Ownership	p. 156
Selfless Contribution Wills	p. 157
The Wants, Wishes, and Wills of Your Estate Planning
Estate Planning Wants: Purpose, Preparation, and Protection	p. 161
Beneficiary Designations	p. 162
Double Check Those Designations	p. 162
Joint Tenants	p. 163
Tenants-in-Common	p. 163
Individual Assets	p. 164
Get Organized!	p. 164
Who Are These People?	p. 165
A Guide to the Purposes and Benefits of Estate Planning	p. 166
What About In-Laws and Adopted Children?	p. 168
What Does Escheat Mean?	p. 169
Protecting Your Estate from Taxes	p. 170
The Changing Federal Tax Law	p. 171
Finding Estate Planning Professionals	p. 174
Time Waits for No One	p. 176
Don't Wait Till the Last Minute!	p. 179
Estate Planning Wants	p. 179
Estate Planning Wishes: Caring for Family, Friends, and Foundations	p. 181
A Guide to Planning for Relatives	p. 182
Your Parents	p. 182
How Do I Talk to My Parents About Estate Planning?	p. 183
Your Young Children	p. 183
Disabled Loved Ones	p. 184
Planning for Nonrelatives	p. 185
My Charitable Planning Questionnaire	p. 186
Planning for Charities	p. 186
Let the Donor Beware!	p. 187
Charity Begins with the Heart and Ends with the Bottom Line	p. 188
The Famously Charitable	p. 190
Estate Planning Wishes	p. 191
Estate Planning Wills: Testaments, Trusts, and Other Tools	p. 193
Explaining Your Decision	p. 194
A Guide to Last Wills and Testaments	p. 194
What's a Holographic Will?	p. 195
Who Can Write a Will?	p. 196
Stephanie's Saga: Beware of Mysterious Lists	p. 197
Do I Have to List Everything?	p. 199
What About Spot and Fluffy?	p. 200
Family Planning	p. 201
Legalese 101	p. 202
What's a Trust?	p. 203
What's the Difference Between a Will and a Trust?	p. 205
The Executor	p. 206
Fiduciary Duty	p. 208
Who Should Be the Guardian of My Children?	p. 208
Guardian Letter of Guidance	p. 209
Procrastination Nation	p. 210
Trusts	p. 210
If I Have a Trust, Do I Need a Will?	p. 211
Other Estate Planning Tools	p. 212
Long-Term Care and Disability Insurance	p. 213
Estate Planning Decisions	p. 215
Estate Planning Wills	p. 216
The Wants, Wishes, and Wills of Your Legacy
Legacy Wants: Providing Ideas, Instructions, and Intentions	p. 219
A Guide to Letters and Lessons of Love	p. 220
Video Memorials	p. 221
Letters of Instruction	p. 222
Letter of Instruction Checklist	p. 227
Funeral Planning	p. 228
The New Funeral	p. 229
The High-Tech Funeral	p. 231
Memorial Stone	p. 231
Legacy Wants	p. 232
Legacy Wishes: Assisting Family, Friends, and Future Generations to Remember	p. 233
All Things Must Pass	p. 234
A Guide to Your Personal Identity	p. 235
Getting Started	p. 235
Family Tree Preparation	p. 237
Legacy Wishes	p. 239
Your Legacy Wills: Your Safety Your Rights, and Your Records	p. 241
A Guide to Medical Safety	p. 241
Patients' Rights	p. 244
Patient's Bill of Rights	p. 244
Your Records	p. 246
What Is a Covered Entity?	p. 249
Medical Identity Theft	p. 250
Personal Information Storage	p. 251
Legacy Wills	p. 253
Conclusion	p. 255
Classy Communicating	p. 256
Your Wants, Wishes, and Wills	p. 258
Your Wants, Wishes, and Wills	p. 259
Additional Resources	p. 261
Suggested Readings List	p. 261
Web Site Resources	p. 262
Glossary	p. 265
Index	p. 279
Table of Contents provided by Ingram. All Rights Reserved.

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Wants, Wishes, and Wills : A Medical and Legal Guide to Protecting Yourself and Your Family in Sickness and in Health

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