Time to die

"A time to live, and a time to die"

Death fascinates us. Every art form has obsessed over the subject. Entire religions and belief systems center around the concept of death.

But we run from it at every turn.

Not everyone, of course. Some spend their entire lives running headlong toward it, often unwittingly. But it is inevitable. It will come for us all, whether we care or not, whether we are prepared or not. And lately I have seen more than my fair share.

When your life centers around sickness you would think death would just be sort of a given. But it isn't. In fact I honestly think that you can get an even more distorted perspective on death, doing what I do. I believe it is born out of, time after time, seeing death be pushed to the side. You start to forget how real death is when, in spite of every scientific cell in my body telling me it is time for someone to die, that their physical shell simply cannot support life anymore, patients suddenly 'get better'.

And that is what we do, after all. We hold off death. Sometimes even when we probably shouldn't.

I have learned a lot lately about what it means to 'do no harm'. Sometimes you need to recognize that technology and knowledge have reached their impressive limits. Sometimes you need to do your best to help a patient understand that when you say there is nothing more we can do, that you truly mean it.

That it is true doesn't make it any easier. But I am really starting to learn that being a good doctor doesn't mean you treat a disease. It means you treat a person. And sometimes the best treatment is a hand on a shoulder, a sincere, kind word, and a final goodbye."
5,914 views 37 replies
Reply #1 Top
~But I am really starting to learn that being a good doctor doesn't mean you treat a disease. It means you treat a person. And sometimes the best treatment is a hand on a shoulder, a sincere, kind word, and a final goodbye."~

Very nicely said, blue Dev...despite many ppl complaining that doctors become too desensitized, there are indeed doctors with heart out there.
Reply #2 Top
But I am really starting to learn that being a good doctor doesn't mean you treat a disease. It means you treat a person. And sometimes the best treatment is a hand on a shoulder, a sincere, kind word, and a final goodbye."~


--But yet that doctor would have been associated with his death, like a murder...don't know if a perons conscience could handle that...
Reply #3 Top
One of my paramedic instructors described our jobs like this...

"If it time for someone to die nothing we do will prevent that from happening. We are there in case it isn't their time to go. ;~D

Yes, too many healthcare professionals forget that the job is about the patient, not about the signs, symptoms, tests or the "Machine the Goes 'Ping'".
Reply #4 Top
Good article. The title reminds me of the line from Blade Runner, it's said a couple of times, by Leon and Roy, if not others. That movie says a lot about death as well.
Reply #5 Top
The title reminds me of an old Klingon saying. "Today is a good day to die". But your right sir. Some doctors just forget it's all about us the patients. Not all doctors are that way and you can tell when you have found one that remembers.
Reply #6 Top
Wasn't that a souix saying before it was co-opted by Roddenberry?
Reply #7 Top

Wasn't that a souix saying before it was co-opted by Roddenberry?


Could be....I really don't know. Anyone else have a clue?
Reply #8 Top
Whoa, you're back

I kind of felt that way when I was on medicine - seemed like half my patients were train wrecks... and it really hits you when you look back on Browser after the rotation is over and you randomly find out that one of your favorite long-term patients is dead...

There's a lot to be said for hospice...

- S
Reply #9 Top
But yet that doctor would have been associated with his death, like a murder...don't know if a perons conscience could handle that...


Hmm, I find that to be an exceedingly morbid and unhealthy view of death. That is, of course, just my opinion. But since this is my blog I think I will opine all I want.

I find the thought of forcing 'life-saving' medicine into a patient that makes them vomit everything they eat for the entire time they are taking the medicine, that makes them feel so drained that they are basically vegetables, that prevents them from having any meaningful interaction with their families just so they can 'live' for a couple more months to be far worse than supporting them in their decision to die. Doctor's are associated with death on a regular basis. Trust me. Doesn't make them murderers. And those who help their patients face it in the manner of their choice, with as much dignity as possible, are doing their job to care for their patients.

Stanty8: Well, being on medicine now. . . it is a sobering experience. Hospice is amazing. Thanks for stopping by.

Thanks to the others for your comments as well.
Reply #10 Top
I admire the job you're doing and how dedicated you are to it BD. You're a very strong and kind person, and i think we need more doctors like you.
Reply #11 Top
Hmm, I find that to be an exceedingly morbid and unhealthy view of death. That is, of course, just my opinion. But since this is my blog I think I will opine all I want.

I find the thought of forcing 'life-saving' medicine into a patient that makes them vomit everything they eat for the entire time they are taking the medicine, that makes them feel so drained that they are basically vegetables, that prevents them from having any meaningful interaction with their families just so they can 'live' for a couple more months to be far worse than supporting them in their decision to die. Doctor's are associated with death on a regular basis. Trust me. Doesn't make them murderers. And those who help their patients face it in the manner of their choice, with as much dignity as possible, are doing their job to care for their patients


--My opinion was a bit emotion filled, as my grandmother was in the hospitol and the doctors told us that the best thing was to let her go...even though there was a small chance she could be saved...its tough dealing with things like that...thank god for medical research...lets hope this year brings new cures...
Reply #12 Top
--My opinion was a bit emotion filled, as my grandmother was in the hospitol and the doctors told us that the best thing was to let her go...even though there was a small chance she could be saved...its tough dealing with things like that...thank god for medical research...lets hope this year brings new cures...


Lucas: I am truly sorry to hear that. I know first hand just how hard that is. And I now know first hand how hard it is to be on the other side, and be the one telling the patient and the family that there really isn't anything left to be done. We can almost always say there is a small chance. But I honestly think there comes a time when medicine must step back and let nature, the divine or whatever else you believe or don't believe in take over.
Reply #13 Top
nice article, good to see you posting.

Sounds like you are becomming a real doc, not one in name only, kudos!
Reply #14 Top
But yet that doctor would have been associated with his death, like a murder...don't know if a perons conscience could handle that...


My opinion was a bit emotion filled, as my grandmother was in the hospitol and the doctors told us that the best thing was to let her go...even though there was a small chance she could be saved


My god, you don't ever stop, do you?

Dev, meet Lucas, the self-professed pathalogical liar who told us all that he had a PhD and even produced his 'dissertation' for our perusal that he had bought online. It was so obvious that it was a high school standard piece of work that some of us went on a fact finding mission and discovered that the school he claimed to have a PhD from didn't offer any such degree...and that he wasn't listed as one of the alumni there either. He got busted, and after a bit of prodding he apologized and said he was a pathalogical liar.

I'll leave you to form your own opinion about him. You're a good judge of character....
Reply #15 Top
Interesting. . .

Seems there is much to learn about the new (to me) JU.
Reply #16 Top
Blue Dev, please don't judge me on that incident, and please don't judge me on what dharma says...it seems she has a 'vendetta')or whatever) against me...my thoughts on that incident is, yes, what i did was wrong, but, i apologized, and it is over, time to move forward... but, its up to you...whatever you decide...
Reply #17 Top
I'd take the "poor old grandma" tale with a grain of salt. Maybe 2


--Check my poem 'GRANDMOTHER' on my blog...
Reply #19 Top
Check my poem 'GRANDMOTHER' on my blog...


That doesn't mean diddly squat. You could have written that months ago...or again, it could be another of your fabrications. For all we know you might not even have a grandmother.

You screwed yourself, Lucas. No-one believes a word you say.
Reply #20 Top
Mary Lou Bailey (Gray)
B; 10/28/22
D: February 17th, 1999
Born in San Francisco California, Died in Klamath Falls Oregon, (don't know SS# other wise i would provide it, you can search it)

---I've been beating it so far...its difficult, but i am sorry you think that way dharma...still consider you a good acquaintance on JU...(that is you would rather not associate with me)
Reply #21 Top
All right. Stop it and stop it now. This blog was not meant to be a bash on anyone. I appreciate the notice that someone might not be 100% trustworthy, but I simply don't want this blog to become a proving ground for malcontent.

I will let the current posts stand, but if I see another that doesn't deal with the subject I will delete it posthaste and leave in its place a notice that a post was deleted.

Anyone and everyone is welcome here in my blog (the BL is and has been clean for months now) until the prove they don't want to be allowed here. But I don't want this to become a garden for bash-berries, unless it has to do with the discussion.

Thanks.
Reply #22 Top
My apologies, Dev.

I think that we humans have convinced ourselves that we are invincible, especially with all the advances that have been made in medicines and surgeries in the past 50 or so years. It wasn't so very long ago that people were dying from infections that can be cured with a 10 day course of anti-biotics these days. We can take body parts and transplant them, we can deliver infants 4 months early - all with pretty good sucess and no-long term harm. In that respect, we DO brush death off.

I'm a firm believer that death is a natural part of the cycle we all go through, and as such we should embrace it. Instead we tend to keep it in dark corners and only talk about it when we absolutely have to.

I totally agree with your sentiments about human touch too. It's incredibly important and very underestimated.
Reply #23 Top
Thanks for the contribution dharma.

I don't look forward with excitement the moment of my death, but I won't be running from it too extensively. We really have made amazing progress in saving and extending life. But I believe firmly that doctors can have a powerful and very healing role in supporting a patient's desire to die. I even believe that we can (and should) be honest about options, but teach patients that sometimes everything we can do is too much. Sometimes kindly, compassionately letting a patient and their family know that the very best you feel you can do for them is make them comfortable with what time they have left.

It has been humbling to see and be a part of end of life care.
Reply #24 Top
" have learned a lot lately about what it means to 'do no harm'. Sometimes you need to recognize that technology and knowledge have reached their impressive limits. Sometimes you need to do your best to help a patient understand that when you say there is nothing more we can do, that you truly mean it.

That it is true doesn't make it any easier. But I am really starting to learn that being a good doctor doesn't mean you treat a disease. It means you treat a person. And sometimes the best treatment is a hand on a shoulder, a sincere, kind word, and a final goodbye." "



I definately agree with you here and find this pretty profound. Sometimes all you can do is let go. Even when it's really hard to do so. Having been down that road myself in the past, it's one of the hardest thing anyone can do. I'm glad there are caring docs like you out there.




And Peter, just a comment that what Dharma and Whip were saying is understandable for them to be bitter because of the tricks played by Lucas on everyone and who knows what to think anymore.
Reply #25 Top
And Peter, just a comment that what Dharma and Whip were saying is understandable for them to be bitter because of the tricks played by Lucas on everyone and who knows what to think anymore.


I don't doubt that they have good reason. I don't begrudge them feeling bitter, nor am I upset. I just wanted it known I didn't want it here. I am not siding with either, just didn't think the comments were germane to the subject.

Not upset, just setting up the rules.