Instructions in case of Medical Emergency

I, Ernst J. Meyer, MD 174 School Street, Belmont MA 02478
date of birth June 27, 1930, am the driver of this car.

In case of medical emergency:

I do not want to be resuscitated.
I do not want assisted or artificial respiration.
I do not want intubation of any kind.
I do not want gastric intubation.
I do not want tracheal intubation.
I do not want intravenous fluids.
I do not want intravenous medication except for the relief of pain.
I do not want antibiotics or steroids orally, topically, or intravenously.
I do not want any procedure to prevent or abate hemorrhage.
I do not want surgical intervention of any kind.

If I am in pain, I ask that I be given morphine or other narcotics sublingually¬
orally, intramuscularly or intravenously in such doses as to suppress all pain
without regard to possible respiratory depression.

My son, Klemens B. Meyer, MD, professor of medicince, Tufts Medical School,
617-549-5539, 617-489-2060, kmeyer@tuftsmedicalcenter.org is authorized to
enforce the foregoing directives and to make all necessary supporting decisions
in the event I am unable to assenft on my own behalf
my right to die in peace.


                                       Ernst J. Meyer
                                       September 30, 2016