Do Not Resuscitate unless you know how to 180

Where I work we have some really interesting patients from ALL walks of life.
Recently I met a man who had a new slant on an old standby. The DNR. For those of you who may not know what that is: It is a Do Not Resuscitate order. If you are having a surgical procedure they should mention it. If not you may want to look into it. It states that in the event of your procedure going awry you wish or do not wish to have heroic measures implemented on your behalf.

OK back to our patient, he was going to have a "big" procedure called a TIPS. Which is: A transjugular intrahepatic portosystemic shunt, is an artificial channel in the liver from the portal vein to a hepatic vein (for blood). It is created endovascularly (via the blood vessels) by physicians via the jugular vein.
It is used to treat portal hypertension (which often is due to scarring of the liver (liver cirrhosis)) which frequently leads to bleeding esophageal varices.
Its a big deal!

We asked him if he had a DNR. He said no. Then he said," I don't want any heroics....
if my body can't handle this procedure then so be it. I don't want to end up on a breathing machine with a bunch of tubes sticking out of me.....just let me die!!
Unless!.... there's the slightest chance that I will be OK, you know, like I am now."
I thought to myself,"But your liver is failing...."

I hope to be as decisive someday.

Peace out.