I followed a patient with trigeminal neuralgia, a very painful facial disorder. The young woman did not tolerate any of the medications. She had two separate surgeries to require this to happen. She came to me asking for MAID after she'd lost 40 pounds and was no longer able to eat except very painfully.
I referred her back to the surgeons, who did a cross-country assessment. They had a video conference call about this person in particular to determine whether or not anything else could be done for her. We sent her to pain specialists, who were not able to add anything else. She went on to have a medically assisted death at a weight of 70 pounds.