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My intent was to carry out my duty as a doctor, to end their suffering. Unfortunately, that entailed, in their cases, ending of the life.

The physician's duty is not to stave off death or return patients to their old lives, but to take into our arms a patient and family whose lives have disintegrated and work until they can stand back up and face - and make sense of - their own existence.

So I had to be careful. I recognized the responsibility that, whether I liked it or not, I had to accept whatever the obligation was. That was to behave in a manner, to carry myself in such a professional way, as if there ever is a reflection, it's a positive one.

My job as a physician is to make sure I have provided my patients with the best options to make the decisions that affect their lives.

From my early school days, I was brought up with the belief that we have a duty to use our talents, to volunteer and to make a contribution.

Patient autonomy is paramount to the oath that we take when we enter the profession of medicine. That is why I am appalled when the federal government gets between my patients and their right to the full range of medical information and complete access to health care.

As a medical doctor, it is my duty to evaluate the situation with as much data as I can gather and as much expertise as I have and as much experience as I have to determine whether or not the wish of the patient is medically justified.

So often, we leave the selfless side of ourselves for nights and weekends, for our charity work. It is our duty to inject that into our day-to-day business, into the work that we do, to improve corporations, to improve civil society, and to improve government.

Doctors have an ethical duty to follow the practices and standards of care.