Life and Death in the ER with Dr. Jeffrey Sankoff

Seeing Death Clearly

Dr. Jeffrey Sankoff, originally from Montreal, Quebec, Canada moved to Denver over two decades ago, where he has been practicing as an emergency physician while raising their children. Outside of medicine, Dr. Sankoff is an avid triathlete and triathlon coach, hosting a podcast on the sport.

He shares how early-career doctors often grapple with feelings of failure when a patient dies, a process complicated by the litigious nature of the medical environment. Laws allowing physicians to apologize without admitting liability have improved communication with families, making difficult conversations slightly more manageable.

In discussing these conversations, Dr. Sankoff emphasizes the importance of being direct and compassionate. He strives to provide clarity and support to families during their most challenging moments, ensuring they leave without unanswered questions. The emotional toll of his work, especially when it involves children or unexpected violent deaths, is significant. He finds solace in physical activities like swimming, biking, and running, which help him recharge mentally.

Dr. Sankoff contrasts the healthcare systems of Canada and the United States, highlighting the benefits of Canada's single-payer system despite its flaws. He criticizes the profit-driven nature of American healthcare, arguing that it leads to worse outcomes and greater financial burdens for patients. He advocates for a system focused on patient care rather than profit, pointing out the ethical conflicts inherent in the current U.S. model.

Dr. Sankoff's philosophy on life and death extends to his approach to aging and health. He believes in staying active to maintain a high quality of life, seeing a direct correlation between how one lives and dies. He observes that those who live well tend to have better end-of-life experiences, advocating for a balanced, active lifestyle to maximize longevity and well-being.

Ultimately, Dr. Sankoff contemplates the medicalization of death and the societal fear of dying, advocating for a more accepting and prepared approach. He envisions a future where more people can die at home, surrounded by loved ones, rather than in the sterile environment of a hospital. This holistic view of life and death underscores his commitment to his profession and personal life, aiming to live fully and prepare for the inevitable with grace and acceptance.

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