BlueDev BlueDev

Time to die

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."
5,915 views 37 replies
Reply #26 Top
Pete,

So good to see you back blogging, mate. I missed ya...

Your perspective on death is really interesting. I've wondered how those in the medical profession think about death. My personal beliefs are based on Buddhist philosophies. As Dharma said:

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


I believe a great doctor is someone who recognises...

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


So what is your take on euthanasia (I mean from a purely medical point of view).

Cheers,

Maso
Reply #27 Top
So what is your take on euthanasia (I mean from a purely medical point of view).


I have to be against them, both from a personal, moral point of view, as well as a medical ethicist point of view. This is something I have thought to blog about many times, and perhaps now I just might. To be succinct, both euthanasia and physician assisted suicide are 'treatments' for terminal illness. And deciding to whom you offer those as treatments involves making judgement statements about individual person's illness, something every medical ethics committee in the US has firmly spoken out against. Triage is one thing, judgement statements are another.

I fully support hospice though. I wish more patients and their families were well educated about hospice.
Reply #28 Top
This is something I have thought to blog about many times, and perhaps now I just might.


I, for one, would be very interested in reading an article such as this. The ethical question is huge, of course, as is the moral one. I think, in some instances, there is probably a case for voluntary euthanasic, particularly with debilitating, protracted illnesses. But there are so many variables, it is hard to think about.

I like the idea of hospices. At least it provides the patiend with a modicum of dignity.

Have a great weekend.

Cheers,

Maso
Reply #29 Top
This is something I have thought to blog about many times, and perhaps now I just might.


I, for one, would be very interested in reading an article such as this. The ethical question is huge, of course, as is the moral one. I think, in some instances, there is probably a case for voluntary euthanasic, particularly with debilitating, protracted illnesses. But there are so many variables, it is hard to think about.

I like the idea of hospices. At least it provides the patiend with a modicum of dignity.

Have a great weekend.

Cheers,

Maso


Yeah, for those that can afford them. My mother-in-law couldn't.
Reply #30 Top
I apologize for my part Dev...no hard feelings?
Reply #31 Top
I like the idea of hospices. At least it provides the patiend with a modicum of dignity.


Not only dignity, but comfort. And that can be the most important thing at the end of life.

drmiler: Sorry your mother-in-law couldn't. Odd though, as here in NC at least, hospice is provided much more universally, as long as you meet the criteria.

Lucas: I appreciate the apology. I have no reason at this point to bear you ill will.
Reply #32 Top
BlueDev,

Sorry it has taken me this long to get back to this.

Not only dignity, but comfort. And that can be the most important thing at the end of life


And the ability to die gracefully.

Cheers,

Maso
Reply #33 Top
...oops...

More cookies for you, mate.
Reply #34 Top
Yes, it was a Souix expression. I am trying to remember the Souix language words (2) for the expression but I can't remember. I had a book that prior to August 30 I could have looked it up in. I am from New Orleans and lived a few blocks from where the 17th street canal broke. I and my son lost everything we had(including, pof course, the book), but we are fortunate: we are alive, we are together, we are in good health, thanks to firends have temporary shelter and are not having to endure the suffering that others are experiencing that still remain there.

Henry
Reply #35 Top
Yes, it was a Souix expression. I am trying to remember the Souix language words (2) for the expression but I can't remember. I had a book that prior to August 30 I could have looked it up in. I am from New Orleans and lived a few blocks from where the 17th street canal broke. I and my son lost everything we had(including, pof course, the book), but we are fortunate: we are alive, we are together, we are in good health, thanks to firends have temporary shelter and are not having to endure the suffering that others are experiencing that still remain there.

Henry
Reply #36 Top
After a little search on the internet, I found it. The word is "Hokahey", one word, used by the Oglala tribe of the Sioux of whom Crazy Horse was one of the most notable member and was known to have chanted it before going into battle. I grew up in the Black Hills of South Dakota. Here is an interesting triva aside. There is a sculptor there that has been trying to carve a "Crazy Horse" monument out of a mountain of granite to rival Mount Rushmore. It will interesting to see how anyone will ever be able to judge the resemblence considering the fact that no one was ever able to take a picture of Crazy Horse. The result could be anyone.
Reply #37 Top
After a little search on the internet, I found it. The word is "Hokahey", one word, used by the Oglala tribe of the Sioux of whom Crazy Horse was one of the most notable member and was known to have chanted it before going into battle. I grew up in the Black Hills of South Dakota. Here is an interesting triva aside. There is a sculptor there that has been trying to carve a "Crazy Horse" monument out of a mountain of granite to rival Mount Rushmore. It will interesting to see how anyone will ever be able to judge the resemblence considering the fact that no one was ever able to take a picture of Crazy Horse. The result could be anyone.