80-year old Iowa woman tatoos "Do Not Resuscitate" on her chest

Deb in IA

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Great-grandma tattoos "DO NOT RESUSCITATE" on her chest
Woman hopes tattoo sparks discussions about health crises

Dyersville, Ia. — Eighty-year-old Mary Wohlford has informed family members of her wishes should she ever become incapacitated. She also has signed a living will that hangs on the side of her refrigerator.

But the retired nurse and great-grandmother now believes she has removed all potential for confusion.

She had the words "DO NOT RESUSCITATE" tattooed on her chest.

Really.

"People might think I'm crazy, but that's OK," Wohlford said. "Sometimes the nuttiest ideas are the most advanced."

Medical and legal experts expressed doubts that Wohlford's tattoo would prove binding, either in the emergency room or in the courts, but they give her credit for originality.

"I'll be darned," said Bob Cowie, a Decorah lawyer and chairman of the Iowa Bar Association's probate and trust law section. He added, "There are easier ways to do it than that," such as signing a living will or authorizing a medical power of attorney.

Said Wohlford: "I don't believe in lawyers too much."

Wohlford said she is healthy; in fact, she cares part-time for two other women. She said her decision to enter a Galena, Ill., tattoo parlor in February was the culmination of what she witnessed during her almost 30 years in nursing and during the Terri Schiavo controversy last year.

Schiavo was the Florida woman who collapsed in 1990 and never recovered. She died in April 2005 after a judge ordered her feeding tube removed.

The case divided her family and the country.

Wohlford said she does not want something like that to happen to her.

If all else fails, if family members can't find her living will or can't face the responsibility of ending life-sustaining measures, she said, then doctors will know her wishes by simply reading the tiny words that are tattooed over her sternum.

"I probably should have had it dated, too," she said.

As it was, the first time she entered Gary's Professional Tattooing Studio, the employee balked, saying he wasn't sure it would be ethical.

"I said, 'OK, but you get these druggies and drunks in here and you do it. Do I look lucid or not?' " she remembered.

The employee still demurred. Shop owner Gary Lietz said he, too, was reluctant, but eventually gave in. Wohlford even talked him into a senior citizen discount.

"Ultimately, it was her decision," Lietz said. "She's a tough old cookie."

The widowed Wohlford has eight daughters, 17 grandchildren and four great-grandchildren. She has traveled to six of the seven continents as a volunteer with Medical Ministry International. Last October, she spent three weeks in Louisiana working with the American Red Cross to help Hurricane Katrina victims.

Back home, she still mows her own yard and cleans her own swimming pool. (By the way, she notes that the top of her swimming suit will fully hide the tattoo.)

"She's always been a maverick," said her daughter, Mary Pat Wohlford-Wessels, assistant dean of the medical school at Des Moines University.

Wohlford-Wessels said she failed to talk her mother out of getting the tattoo.

"She said, 'Remember all those times when you were a teenager, and I said don't do this, that or the other thing? Paybacks are tough, aren't they?' "

Mary Wohlford said she knows people might find her tattoo amusing, but her motive is serious. She'd like people, especially young people, to consider what might happen if their wishes are unclear.

"This is a modern day and age," she said. "You have to advance with the times. We never even had a living will 20 years ago. Now I think we've got to go to the next step."

For Wohlford, the tattoo represents the next step. Nobody can lose it or claim to forget what she wanted. She said this would solve the problem of what would happen should she become incapacitated in another country.

If Terri Schiavo had a "Do Not Resuscitate" tattoo, Wohlford said, "then her husband could have said, 'See, it's right here. This is what she wanted.' But she verbalized it, so they had this big rigmarole."

Would Wohlford's tattoo stop an Iowa doctor from resuscitating her?

"According to Iowa law, the answer is no," said Dr. Mark Purtle, who works in internal medicine at Iowa Methodist Medical Center.

He said Iowa law spells out when caregivers are permitted not to resuscitate a patient, and a tattoo wouldn't be good enough. He suggests a living will or an advanced directive, with a copy placed in the patient's medical chart, as well as discussing your wishes with trusted family members.

Lawyers agreed with Purtle.

"Just having that tattooed on your chest and doing nothing more, I'm not sure that's going to do you much good," said William Bump of Stuart, who has expertise in living wills and estate matters.

In addition to a living will, Cowie said, another approach is to authorize someone who can make decisions for you using what's called a medical power of attorney. If traveling, place a copy with your airplane tickets, he said.

Cowie said some clients have their living will or medical power of attorney form reduced in size and laminated, then carry it in a wallet.

On one issue, the experts are unanimous: If Wohlford's tattoo gets more people thinking about what they want done in a health crisis, they're all for it.

That's Wohlford's wish as well.

"At least it gives them my feeling on the situation, so they have a guideline of what I'm thinking. Then they can work from there. Everyone needs to think about this," she said.

Wohlford has no regrets about getting her tattoo "it felt kind of like a bee sting" and proposed an offer to Lietz, the shop owner.

"I told Gary I'd bring a busload of old ladies over if he'd give me a 10 percent cut."

http://desmoinesregister.com/apps/pbcs.dll/article?AID=/20060516/LIFE02/605160389/1001/
 
Well that certainly is interesting. But correct me if I’m wrong—there is a big difference between a DNR order and a living will that states you don’t want to be on a feeding tube or life support. If you have a DNR order I thought they didn’t use things like the defibrillator paddles or epinephrine shots to try to re-start your heart. Not that tattooing is legally binding of course, but I wonder if it might not make the ER staff pause and lose valuable time.
 
what if--there were a band out there named DNR. Could it be confused with that? ;)

Very creative--but probably ignorable in an emergency. Her signed papers or her family would be the ones that communicate the DNR I would imagine.
 
When my dad had his stroke, he made me write DNR in big black letters on a piece of paper and tape it over his bed. When his mother was ill, she had a DNR order that was somehow "missed" when the situation arose. She lived a few more years in pretty much a vegetative state and he wanted to be sure that didn't happen to him if none of us were around at the time.
 

Thats interesting. I just hope if the time comes, she gets her wish.
 
She's SPUNKY... good for her I say! It may not work legally, but at least she is getting her wishes across, just in case someone thought she wasn't quite sure perhaps...
 
All of us at the fire station have joked about having DNR tattoos, but I never thought I'd hear of someone doing it!

I wish that there was some sort of universal document for a DNR that everyone would recognize as legal. Here in NH, for EMS providers, the only thing we are allowed to recognize as a legal DNR is an orange bracelet with the official DNR stuff on it. A living will, or DNR paperwork is not considered valid (only for EMS, not for hte hospital) It feels terrible when the family is telling you they have a DNR and give you the paperwork, but according to the state rules, that isn't valid for us and we have to work the code anyways.

Jen
 
Jen_in_NH said:
All of us at the fire station have joked about having DNR tattoos, but I never thought I'd hear of someone doing it!

Jen


We joke about it where I work too. A co-worker who is a little on the flatter side (if you know what I mean :rolleyes: ) always jokes about getting a tattoo on her back that says "flip over for CPR." :rotfl:
 
MagicalMom said:
We joke about it where I work too. A co-worker who is a little on the flatter side (if you know what I mean :rolleyes: ) always jokes about getting a tattoo on her back that says "flip over for CPR." :rotfl:

My Captain always says he wants an X tattooed in the middle of his chest, with "Push here to start" around it.

Jen
 
I wish there was a DNR medi-tag or something.
 
That tatoo only works if she's not wearing clothes. Maybe she should have put on her forehead.
 
I like her spunk.

Unfortunately, she can only hope that whomever is her legal next-of-kin or her healthcare proxy understands her wishes and will communicate them to the medical staff. I tell people this all the time, an no one believes me. You can have a living will witnessed by a lawyer, a judge and the Pope. If your legal next of kin says "do everything" we do everything, regardless of living wills, advance directives or anything else. The next-of-kin always supercedes any document if the patient cannot speak for themselves. There is no hospital or healthcare worker or facility in the USA who is going to risk being sued by going against the instructions of the legal next-of-kin.

Now granted, if we know the person has a living will, we will work with the family and the legal next-of-kin to try and get them to "come around" to honoring the patient's wishes. But, until they do "come around" you are a full code.
 















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