Rebecca, to be honest, I was very surprised when I read your case. I was expecting the case to be about a DNR order or withdrawal of care or even rarely about organ donation. However, it never comes to my mind that, it will be about a G-Tube placement. I'm really curious to know the religious or cultural background of that family. I don't claim that I know everything about all cultures or religions in the Middle East, but I never encounter or knew about a G-tube controversy in any culture or religion in the Middle East. My concern is that the patient family simply doesn't agree with the medical plan and used the cultural card to justify or to minimize the convincing conversation or even they were scared. Because they don't know the rules and
