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In re Guardianship of Ingram.


 Court Decision: 689 Pacific Reporter, 2d Series 1363; 1984 Nov 1 (date of decision). Reversing a Superior Court judgment, the Washington Supreme Court held that a laryngectomy on an incompetent 66-year-old woman with cancer required judicial approval as an "amputation" under state statute. The court found that her repeated statements that she did not want surgery, and her lack of opposition to proposed radiation treatment, should be substantially weighed in making a substituted judgment, even though the patient did not comprehend the nature of her medical problems. Thus, radiation therapy would be an acceptable alternative to surgery, despite a lower prospect of survival, if the court determined it would be the ward's choice of treatment if she were competent.
