FOURTH TASK B

                             Comments. 

Position 

"Thank you for this piece. It is a decision that only the patient can make. 
We could easily afford the care if we as a society gave up our bad habits like smoking, drinking, obesity, and drug abuse. "

Position: in this case, this comment is a position because the person is explaining that we, as a society, can afford the care if we give up our bad habits. 

Description 

My husband died of cancer two years ago.  He was 57. 
I will never forget when the doctor told us to contact hospice. That phrase, "go weak in the knees" literally happened. Even though my rational mind knew it was time--I was on the phone with him at home because he was too weak to come in to the doctor's office--I couldn't believe the end had come like that.  And it wasn't until the day he died that we admitted to each other (tacitly,  through actions rather than words) that we were giving up. 

This is not an easy thing. 

Thank you for writing it. 


This is a clear example of a description, because it is step by step and  it describes  how something is done

Explanation.

Palliative medicine and palliative care are concurrent care. Patients can receive palliative care from the time of diagnosis without forgoing disease modifying treatment. End of life care is on the palliative care spectrum, but is not the focus of palliative care. Palliative care focuses on symptom management, communication, and a holistic approach for medical support.


 This example  is a clear explanation of how palliative care works

Agreement

Thank you, Dr. Chan, for your thoughtful essay. I applaud your efforts to partner with your patients and plot the goals of care together. If I ever get cancer, I hope to have an oncologist like you. 


In this example the reader is completely agree with the doctor.  

Diasgreement

Maybe your patients need a better doctor.

With this comment we can infer that the reader is disagree with the writer. 


Argument

What about the harm caused by chemotherapy at the end of life? If the patient insisted on invasive and harmful surgery would you offer it,  hours or days from the end of life? Our communication with dying patients must find a way to offer hope and comfort outside of offering harmful interventions. There is no right to insist upon treatments that cannot help. Moreover, no one is held accountable for these decisions: the doctors are paid for care that is ineffective and harmful, patients don't pay for the enormous expense of ICU care at the end of life.

In this comment the reader is giving reason why patients should look for a less harmful treatment.