When Something Has Happened We’d All Prefer Not: My Advance Directives In case of a Sudden Life Threatening Event

By | Advance Directives | 2 Comments

Timothy Boon, RN, is the CEO of Good Shepherd Community Care (GSCC) in Newton, MA. GSCC is an independent, community-based, not-for-profit, non-sectarian, hospice care agency, the first organized in Massachusetts 40 years ago. Recently, he wrote a poem in the style of Dr. Seuss, and recited it on video for ZDoggMD (otherwise known as Dr. Zubin Damania, Founder of Turntable Health, a direct primary care clinic in downtown Las Vegas). The poem is posted here by permission of the author. The video is posted courtesy of ZDoggMD.

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Dying together

By | Medical Aid in Dying | No Comments

It is not unusual for married couples to die within a few days, weeks, or months of one another.  It has become more common in recent years for couples, especially those who have been together for many years and are in poor health, to plan their deaths together by taking barbiturates or some other drug that is deadly when taken in sufficient quantity.  Recently, through Canada’s assisted-dying law, a Canadian couple, married for almost 73 years, arranged their joint deaths in the same bed, while holding hands.

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Helping Kids Think About Death Without an Afterlife

By | Dying | No Comments

Talking to children about death is a topic not yet dealt with on this blog. This first discussion by author and blogger Dale McGowan approaches the topic from a freethinking, rather than from a religious perspective. Even for the religious among us, McGowan offers some insights that may be helpful. And even adults may derive benefit from his perspective.

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American Academy of Neurology Drops Opposition to Medical Aid in Dying

By | Medical Aid in Dying | No Comments

Thaddeus Pope writes about the American Academy of Neurology (AAN) dropping its longtime opposition to legislation giving terminally ill patients the option of medical aid in dying (MAID). In addition, he identifies numerous local, state, regional, and national medical-related groups that have now taken a neutral position on MAID or endorsed its use.

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VSED and the “rage against the dying of the light”

By | VSED | 4 Comments

I learned that VSED doesn’t have to be a horrible way to hasten one’s death. With proper care, it can be done without pain or distress. The first two or three days are sometimes the most difficult because of hunger pangs and thirst. The hunger is easy to control if one has access to pain medication. The thirst can be ameliorated with proper oral care, such as judicious use of ice chips, rinses, and lubricating gels.

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What do we know about implementation of Physician Assistance in Dying (PAD)

By | PAD | 4 Comments

This National Academies of Sciences, Engineering, and Medicine sponsored a workshop last week that was intended to explore the evidence base and research gaps relating to the implementation of the clinical practice of allowing terminally ill patients to access life-ending medications with the aid of a physician. The workshop examined what is known, and unknown, about how physician-assisted death is practiced and accessed in the United States; it was not to be a focus of the workshop to discuss at length the moral or ethical arguments for or against the practice of physician-assisted death. It was billed as a neutral space to facilitate dialogue in order to help inform ongoing discussions between patients, their providers, and other health care stakeholders. What follows is a report on that workshop.

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Medical Aid in Dying: When Legal Safeguards Become Burdensome Obstacles

By | Death With Dignity Act, Medical Aid in Dying | No Comments

In 2017, the District of Columbia (DC) became the seventh jurisdiction in the United States to legalize medical aid in dying,  which gives terminally ill patients the option of how and when they die. The new DC statute is nearly identical to earlier enacted medical aid in dying statutes in California, Colorado, Oregon, Vermont, and Washington State.  Only Montana legalized medical aid in dying through a court decision, but subsequently, proponents of the act have failed in every attempt to legalize medical aid in dying through constitutional or statutory litigation.

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