“So you think you’re free. You are part of a democratic society, so you have the freedom of choice in how you live – and die. Well, you don’t.”
“I have the privilege to learn and hear interesting perspectives, along with all the questions and comments that our community members have, on the topics of death and dying. Here are a few insights I have gleaned from these discussions.”
“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.”
“One of the most common questions asked by people considering ending their suffering is how to start the conversation with family members and friends.”
“Having a sense of the possibilities in advance is essential to minimize surprises, make specific requests for end-of-life symptom management, and decide the possible paths available to you.”
“Your mother didn’t choose a terminal illness. She only chose not to let the disease pick when and how she would die.”
“We live in a culture that’s intensely driven by productivity, accomplishments, and academic achievements. In doing this, we’ve forgotten about our wise ones, the storytellers, the original wisdom keepers, the Elders.”
“‘Don’t let the patient die’… is that the right thing or the wrong thing for a given patient? It is time for physicians to think that through more completely and allow, perhaps, a different answer.”
“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.