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continuing care retirement community for which she had contracted
in 2001.
Ms. Mirowski planned to live primarily in the residence at
the North Oaks retirement community. After Ms. Mirowski con-
tracted in early March 2001 to buy that residence, she spent
considerable resources, and she and her daughters spent consider-
able effort, in renovating it. Although Ms. Mirowski purchased a
small studio apartment at the Waverly Heights continuing care
retirement community, she did so only because a larger unit that
she intended to acquire was not available; buying a smaller unit
enabled her to obtain a preference on the Waverly Heights contin-
uing care retirement community’s waiting list for larger units.
Between March and August 2001, Ms. Mirowski received treat-
ment for her foot ulcer from nurses who visited her at home and
from her physician when she made intermittent visits to Johns
Hopkins Hospital. Throughout the course of Ms. Mirowski’s
treatment for her foot ulcer, her physician talked to her family,
in particular Ariella Rosengard, on numerous occasions about Ms.
Mirowski’s condition and treatment. Throughout that time, Ms.
Mirowski’s physician presented Ms. Mirowski and her family with a
wide variety of appropriate medical treatment alternatives,
including the possibility of amputation. From March 2001 until
the time of her death, Ms. Mirowski consistently indicated that
she was not comfortable with amputation because of its debilitat-
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