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In Timothy Quill's recounting of the deaths of nine patients, the final description is of the planned death of Jules: at home, surrounded by family members, and aided by a physician. It is a moving, true story, recounted in meticulous detail, from the first diagnosis to the final dose of barbiturates. But despite its many similarities, this is not the famous case of Diane, described by Dr. Quill in the Journal some six years ago in an account that launched much of the current discussion about physician-assisted suicide ("Death and Dignity: a Case of Individualized Decision Making." 1991;324:691-4). Jules's planned
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