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Salud Mental

ISSN 0185-3325 (Print)
Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
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2025, Number 2

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Salud Mental 2025; 48 (2)

Postponing Death

Yoldi-Negrete M
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Language: Spanish
References: 4
Page: 67-68
PDF size: 111.95 Kb.


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When is it time to let go? When does a person stop being a person? When does someone stop being themselves? As the end approaches, boundaries fade. Categorical systems collapse. We are left trying to make sense of vast amounts of continuous variables our brains find so hard to process (Kahneman, 2011). Wading through the mud, laboriously trudging forward, far away from safe, neat, controllable scenarios, we must, however, make decisions. We must face consequences; we must explain them.
How do you translate “an ejection fraction of 28%” to your non-medical sister? Do you take out your second-year physiology book and explain its meaning, and continue this route for all parameters (rising creatinine levels, fluctuating vital signs, altered mental state) or do you condense all the information into the statement “Mom is fragile”? Being the only doctor in the family can be (fill in the blank).


REFERENCES

  1. Javan, G. T., Singh, K., Finley, S. J., Green, R. L., & Sen, C. K. (2024). Complexityof human death: its physiological, transcriptomic, and microbiologicalimplications. Frontiers in Microbiology, 14, Article 1345633. https://doi.org/10.3389/fmicb.2023.1345633

  2. Kahneman, D. (2011). Thinking, fast and slow. Farrar, Straus and Giroux.

  3. Lewis, A. (2022). The uniform determination of death act is being revised.Neurocritical Care, 36(2), Article 335-338. https://doi.org/10.1007/s12028-021-01439-2

  4. Pross, A. (2012). What is Life?: How Chemistry Becomes Biology. OUP Oxford.




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C?MO CITAR (Vancouver)

Salud Mental. 2025;48