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To the editor: I read with interest the article by Eras and Sherlock in the April 1971 issue of the ANNALS, where they conclude that "Clearly, metastatic liver disease may result in hepatic coma. Its early recognition should result in rapid institution of a hepatic coma regimen. Narcotics . . . should be avoided when possible since they may aggravate the hepatic coma."
Why would the authors or any other physician recommend treatment of hepatic coma in a patient with metastatic hepatic carcinoma? Isn't this [hepatic coma] a more humane way of dying? Why institute heroic treatment, avoid narcotics, and
RAJFER J. To Treat Hepatic Coma in Malignancy?. Ann Intern Med. ;75:142. doi: 10.7326/0003-4819-75-1-142
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Published: Ann Intern Med. 1971;75(1):142.
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