“There should be a JLMA form: Just Leave Me Alone, for those of us who concede that we’re actually going to die some day and work to keep our end-times as inexpensive and comfortable as possible.”
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“One of the most common questions asked by people considering ending their suffering is how to start the conversation with family members and friends.”
“I was reluctant to force the issue. What remained unsaid came with its own set of consequences.”
“The sentence that sent my blood pressure skyward was this: ‘Even if my patients are beyond pain, there is also a cost to those who are forced to perform emergency efforts that is just that: a performance.’”
Death. Mortality. End of Life. Something inevitable, yet rarely discussed and a source of intense discomfort for most. When mentioned, it is considered inauspicious and rude in many cultures. Death is an integral part of the workday for a Critical Care Physician like me. But it was never a topic of discussion in Medical School or training.
With the assistance of the World Federation of Right to Die Societies and Exit International, I surveyed voluntary assisted dying (VAD) advocates and supporters around the world to inject some much-needed data and objectivity into the VAD debate.
End-of-life conversations can ease suffering for families, not just patients. You can start these conversations simply, like saying, “I need to think about the future. Can you help me?”
“They made the end of his life horrible and painful and humiliating,” Elaine Greenberg said. “What’s the sense of having a living will if it’s not honored?”
A “good” death is one in which you exert maximum autonomy over your end-of-life journey. Here are some checklists for what needs to be done.
“The rest is up to you,” he finally said, ending the conversation for good. He didn’t have any more guidance, and certainly no more patience to talk about it. I was surprised. To me, it felt slightly irresponsible to leave all these decisions to other people.
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