Hugh Pickens writes writes: "Dr. Ken Murray, a Clinical Assistant Professor of Family Medicine at USC, writes that doctors don’t die like the rest of us. What’s unusual about doctors is not how much treatment they get when faced with death themselves, but how little. For all the time they spend fending off the deaths of others, they tend to be fairly serene when faced with death themselves because they know exactly what is going to happen, they know the choices, and they generally have access to any sort of medical care they could want. "Almost all medical professionals have seen what we call “futile care” being performed on people," writes Murray. "What it buys is misery we would not inflict on a terrorist. I cannot count the number of times fellow physicians have told me, in words that vary only slightly, 'Promise me if you find me like this that you’ll kill me.'" Feeding into the problem are unrealistic expectations of what doctors can accomplish. Many people think of CPR as a reliable lifesaver when, in fact, the results are usually poor. If a patient suffers from severe illness, old age, or a terminal disease, the odds of a good outcome from CPR are infinitesimal, while the odds of suffering are overwhelming. "If there is a state of the art of end-of-life care, it is this: death with dignity. As for me, my physician has my choices," says Murray. "They were easy to make, as they are for most physicians. There will be no heroics, and I will go gentle into that good night.""