title: "There is power in the blood": a case discussing ethical issues of utility of resources.
abstract: The allocation of medical resources is often a great concern in the United States. This article discusses a case concerning utility of resources in a patient with a terminal disease. We assert that the goals of treatment tailored to an individual patient should be made at the bedside by a fiduciary (physician) in conjunction with the patient's preferences and values. There is great responsibility in making these decisions and it is critical that they be made at the bedside with the patient and family clearly aware of the goals of treatments and informed of treatment limitations.
authors.affiliation: G. V. "Sonny" Montgomery VA Medical Center, Jackson, Mississippi 39216, USA. sdoug777@aol.com
authors.forename: S P
authors.initials: SP
authors.lastname: Douglas
authors.forename: E D
authors.initials: ED
authors.lastname: Crook
authors.forename: M D
authors.initials: MD
authors.lastname: Reynolds
authors.forename: C G
authors.initials: CG
authors.lastname: Robinson
authors.forename: K A
authors.initials: KA
authors.lastname: Kirchner
mesh_terms: D000230:Adenocarcinoma / Q000628:therapy; D000368:Aged; D000369:Aged, 80 and over; D017707:Erythrocyte Transfusion; D004992:Ethics, Medical; D006801:Humans; D008297:Male; D018447:Medical Futility; D010166:Palliative Care; D011788:Quality of Life; D013274:Stomach Neoplasms / Q000628:therapy; D014600:Utilization Review