No Dialysis for Aids Nephropathy
A 37 year old homosexual man, known to be infected with the HIV virus for seven years, over the past year, developed a series of devastating life-threatening complications of AIDS, including fungal infection of the brain and Kaposi’s sarcoma. During the past month, urinary protein excretion rose above 10 grams per day as kidney function declined inexorably. A nephrologist noting typical large kidneys and normal blood pressure made the diagnosis of AIDS nephropathy and projected survival as likely to be less than six months. He stated that based on the poor prognosis, he would not start what would amount to a futile regimen of dialytic therapy.
KeywordsAdvance Directive Dialytic Therapy Federal District Court Lifesaving Treatment Predict Life Expectancy
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