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Sydney will be unrecognisable

Elizabeth Farrelly

City planning used to be a thing – not a perfect thing, but real. Now, by contrast, with everything that you (or at least I) love about this town under threat, the city-making professions are conspicuous by their silence.

How much should be done to save a life?

Society has been debating for decades the role doctors should play in how and when we die.

"This ... is the end ... of my life." These would be my patient's only words - an economy of phrasing made necessary by an all-consuming air hunger. She had just arrived in the emergency room, Code 3 critical, after a lights-and-sirens ambulance transport from her nursing home. Awake, alert and intensely focused, every effort of her frail, 90-year-old body was concentrated on the simple act of breathing. Her weak heart and failed kidneys had caused her lungs to fill with fluid, every breath becoming a mixture of water and air. The analogy to drowning is inevitable. As her physician, I was going to have to make some big decisions quickly, including this one: How much should I do to save her life?