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Chapter 21 - I Will Just Go Home and Die

Published online by Cambridge University Press:  22 December 2025

Denise M. Dudzinski
Affiliation:
University of Washington School of Medicine, Seattle
Kaarkuzhali Babu Krishnamurthy
Affiliation:
Boston Medical Center-Brighton
Paul J. Ford
Affiliation:
The Cleveland Clinic Foundation, Cleveland
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Summary

A patient in the preoperative area suddenly refuses to go forward with the removal of infected wires unless he is given assurances that the rest of his brain implant will remain in place. He indicates that he will go home and die rather than have the implant removed. The patient, surgeon, ethicist, and wife all convene to resolve the time sensitive issues. The short-term outcome is very positive, but there is an unexpected longer-term outcome that was unsettling.

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