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[Music] hello welcome I thank you so the scenario that I understand is that I am a physician and Im taking care of a patient thats in a vegetative state and the husband of the patient would like to withdraw the feeding tube and Im asked as the patients physician what should I do is that correct correct okay thank you so I would start off with this situation by understanding that this is a very difficult situation and this is difficult for the patient depending on how much the patient can actually perceive the husband of course even the the healthcare workers that are taking care of the patient it is a very difficult situation first what Id like to do is talk with the husband and sit down with him and ask him why he wants to pull the feeding tube I think as healthcare practitioners we have a lot of assumptions and we may just assume that he wants to pull the feeding tube because he doesnt want her to live this way anymore however I dont know that for sure so Id like to sit down