Ira Byock is the director of palliative medicine at Dartmouth-Hitchcock Medical Centre and aprofessor at Dartmouth Medical School. His book is a plea for those near the end of their lifeto be treated more like individuals and less like medical cases on which all availabletechnology must be let loose. With two decades experience in the field, he makes a goodcase for sometimes leaving well alone and helping people to die gently if that is what theywant.

　　Ira Byock是美国达特茅斯希契科克医疗中心的姑息疗法主管，也是达特茅斯医学院教授。他在书中恳请人们把那些生命尽头的人当做人来看待，别把他们当成冷冰冰的医疗个案，也别把他们当成各种医疗措施的跑马场。Ira Byock从业已有二十载，在书中为姑息疗法做了强有力的辩护。如果人们只想走得安详些，便不应该徒生枝节，而应该帮助他们满足心愿。

　　That does not include assisted suicide, which he opposes. But it does include providing enoughpain relief to make patients comfortable, co-ordinating their treatment among the differentspecialists, keeping them informed, having enough staff on hand to see to their needs,making arrangements for them to be cared for at home where possibleand not officiouslykeeping them alive when there is no hope.

　　但是要满足病人的心愿，并不意味着帮助他们自杀，Ira Byock也反对自杀。相反，姑息疗法应该为遭受剧痛折磨的病人缓解痛苦，与其它医疗专家协同合作治疗病人，让病人了解治疗情况，保证有充足的人手为病人服务，还尽可能为病人提供上门服务。当大限到来之时，也不将病人强留于世。

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