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beneficial to those patients. It would be <strong>in</strong> the same<br />

category as this. People and doctors, if they knew they<br />

had to labor over every patient until physiologically they<br />

had total collapse of the patient, and unless there had<br />

been an advance directive we would have a lot more advance<br />

directives.<br />

I have a sense that if researchers believe that<br />

their IRB's will not allow them to do research of a certa<strong>in</strong><br />

category unless they have discussed that category of<br />

research with the subject <strong>in</strong> advance at a time when the<br />

subject can make a choice, and as you and Bernie have<br />

po<strong>in</strong>ted out this is much more applicable to people who go<br />

<strong>in</strong> and out of periods than to someone who is on a course<br />

because the person who goes <strong>in</strong> and out has some sense of<br />

what you are talk<strong>in</strong>g about. The person with Alzheimer's --<br />

it is a harder prospect to know.<br />

But the <strong>in</strong>centive will be there to have those<br />

conversations and to have that sort<strong>in</strong>g.<br />

Now once you get a person who is <strong>in</strong> the<br />

category that they, themselves, have said it is all right<br />

it is not as though you have carte blanche with them of<br />

course. But the understand<strong>in</strong>g is that no research<br />

<strong>in</strong>stitution will allow the research to go on at a greater<br />

m<strong>in</strong>imal risk of no potential benefit on those people for

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