The case of baby L
Attitude of Health Personnel
Life Support Care
To the Editor: As one of the physicians who was consulted by the mother of Baby L, I have both a procedural and substantive concern about the case presentation and discussion in the Occasional Notes article by Paris et al. (April 5 issue).* Athough Baby L had received maximal intensive care and resuscitative efforts during many previous illnesses, the case study makes no mention of any discussion about the limitation of care during or after those hospitalizations. If the physicians' decision to refuse requested treatment had developed over time, the “crisis” of this case report should have been anticipated, and. © 1990, Massachusetts Medical Society. All rights reserved.
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