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"At a certain stage of life, aggressive medical treatment can become sanctioned torture. " I just went through a month with a 90 year old friend whose life end
by coolestuk 15y ago
"At a certain stage of life, aggressive medical treatment can become sanctioned torture. "
I just went through a month with a 90 year old friend whose life ended almost exactly like the story in that story. He had one lucid 30 mins when I was there and his family was there (he had been a general physician for almost 50 years). In his brief period when he had the energy to try and communicate whilst almost totally paralysed, it was clear he was telling the attending doctor that he wanted them to stop all medication and let him die. His own family could not face that fact, and said they'd ask him again the following day (unfortunately the cowardly doctor backed them up on this). He was never again lucid or strong enough to insist that treatment be stopped. He lived for another 10 days, struggling to breathe, almost totally paralysed, unable to control his bowels.
This was a man who when I last went on holiday with him at the age of 85, he insisted on carrying his own suitcase and refused a wheelchair, even though he had trouble walking and had blood pressure and angina problems.
I don't blame his family not being able to make that decision (it's so hard to let go of someone one loves). But his last weeks were undoubtedly torture, and they know they refused to follow his wishes. It was just terribly sad and an awful dilemma.
I was really glad of something else I read on HN about 6 months ago, where a doctor had a brain tumouur (or something like that) and instead of treatment, he lived out the remainder of his life doing the things he loved. I think that idea was what meant I could come to terms with the need to respect my friend's last wishes. I just could not convince his family.
- wpietri 15y agoI encourage everybody to talk things like this through with their family. Last year my mom was diagnosed with a terminal brain tumor. She elected to pursue treatment vigorously, but brain tumors being what they are, there were a number of points where she was unable to answer questions about her wishes. At every one of those points we knew what she wanted because we had discussed it extensively before. I was incredibly grateful for that. It is bad enough to have to make complicated, life-or-death decisions for someone you love. I cannot imagine the horror of trying to do that without a clear understanding of what they would want. Please talk with your family about this. Right now if possible. Just forward your sibling, parent, or child this article and tell them it made you think. Then tell them what you'd want. Don't just think you'll do it "later"; the right time will never come on its own.
- lemming 15y agoThis is great advice, thank you. Despite both of my parents and one of my siblings having had brushes with cancer (thankfully that resulted in nothing), this is all too easy to ignore.
- fossuser 15y agoTerry Pratchett created a documentary titled "Choosing to Die" which can be watched here: http://vimeo.com/25239708 http://vimeo.com/25239708 It's highly relevant to the difficult questions that come up when dealing with death. I think the documentary does a very good job of exploring options available in the modern world and the issues associated with them.