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Doctors' Secret Language for Assisted Suicide

197 点作者 nitin_flanker大约 9 年前

13 条评论

LCDninja大约 9 年前
I accidentally euthanised my father because I misunderstood the conversation I was having with a nurse. He had a stroke and was in intensive care, we were told he probably wouldn&#x27;t live - and if he did - he&#x27;d require care for the rest of his life. He had fallen into a coma when the nurse kept asking me if I thought he was in pain and needed more morphine. She kept giving him more, returning to ask the same question and doing it over and over. I can&#x27;t remember how many times. He began Cheyne–Stokes breathing, and eventually died.<p>I remember feeling strange about the situation, and years later I connected the dots between the amount of morphine given, the breathing (symptomatic of morphine overdose), and his subsequent death. Understanding that I was responsible was something that took a long time to cope with.<p>My mother faced terminal cancer a few years ago, and I found myself in exactly the same situation. Thankfully I understood what was happening. The decision to take her off fluids and to &quot;help her along,&quot; was made by a team of medical staff with myself deeply involved in the discussion (which looking back, was a desperate attempt for me to negotiate any way I could for her life). At least Mum understood she was going to die, and I&#x27;m glad my eyes were open to what was happening.<p>I feel that the economics of hospital beds have a lot to do with this. Beds in the oncology ward are in demand, as of those in intensive care. I&#x27;ve seen all of my families previous generation die of cancer in either in the same way - in hospital, in oncology or intensive care, always assisted death.<p>It makes me think that if I ever go down that road I don&#x27;t want to be anywhere near the medical industrial complex.
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draugadrotten大约 9 年前
The doctor said to my relative, &quot;Here is the morphine injection device. If you press this button once, you will get a small dose of strong morphine. If you are in severe pain you can press it twice. Never press it more than three times, as you would die for sure at five or six presses.&quot; He had terminal cancer, severe pains and he died peacefully thanks to the hint.
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nkoren大约 9 年前
The first assisted-suicide advocate I ever met left an impression I will never forget.<p>He had the most romantic life story. He was an Indian from Gujarat who had moved to America in the 1960s to become a hippy. Then one day he found a flier for an Indian dance troupe that was coming through town. In the back row of the group photo he saw a face that he instantly recognised as the love of his life.<p>He followed her back to India, where he courted and they fell in love. Her parents refused permission to marry, so he got a haircut and a job in the civil service, and the parents accepted. They married and soon had two small, beautiful children.<p>Then she got breast cancer.<p>&quot;At the end, she was in so much pain. It lasted so long. I would have done anything, anything to make that easier for her. But I could only watch while the cancer slowly tortured her to death.&quot; He was still broken from the experience. It had been 30 years. Life-sized portraits of her were hung throughout the house. The mythic quality of their love was undiminished, not only for him but for anybody who entered that house.<p>What their love needed was a quiet, peaceful, comfortable death. That would have been good and right and true. It&#x27;s worth fighting for.
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taneq大约 9 年前
Having gone through the death of a grandparent following a stroke, the magic words we had to use were &quot;I think he&#x27;s in pain.&quot; He was well and truly gone by then, but his body was still battling on despite that. Any questions regarding whether we could give him something to let him down easy were met with legally-mandated &quot;no, we can&#x27;t give him anything... <i>unless you think he&#x27;s in pain</i>.&quot;<p>It took us a few rounds of this before we cottoned on and completed the dance: &quot;Yes, I think he&#x27;s in pain.&quot;
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Daneel_大约 9 年前
My heart just aches for the poor woman who had to inject her husband.. I can&#x27;t even begin to imagine having to do this with my partner.<p>For every person talking about it openly now, I&#x27;m sure there are literally hundreds more dealing with this in secret, and that&#x27;s a terrible shame. I really hope euthanasia laws progress globally to allow these poor people some peace.
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fixermark大约 9 年前
I&#x27;ve seen a terminal cancer patient breathe her last after the nurse (with doctor authorization) overrode the safeties on the infusion system to give her an overdose of painkillers. She wasn&#x27;t ever getting out of that room alive, and everybody knew it. She died with her family and loved ones at her side.<p>I think what a lot of people (in America) may not understand about the national euthanasia discussion is that in the absence of firm policy, we don&#x27;t have no euthanasia; we have ad-hoc, case-by-case, absolutely-functionally-necessary euthanasia. The notion that doctors can always do no harm is a polite fantasy that blinds people to the messy realities near the boundary of human life and death.<p>Similarly to the abortion question, end-of-life euthanasia is something people find medically necessary sometimes, and in the absence of a society-wide consensus that allows for it, doctors, nurses, and patients are left doing the best they can and bearing the moral responsibilities alone. Unlike the abortion question, absolutely everyone <i>is</i> going to be in a place where they are either caring for someone who is dying or dying themselves.
cisstrd大约 9 年前
Also on assisted suicide and interesting: &quot;By the time you read this, I’ll be dead - Between 1999 and 2001, I helped eight people die, including the poet Al Purdy. Now, as I prepare to take my own life, I’m ready to tell my story&quot; by John Hofsess<p><a href="http:&#x2F;&#x2F;torontolife.com&#x2F;city&#x2F;life&#x2F;john-hofsess-assisted-suicide" rel="nofollow">http:&#x2F;&#x2F;torontolife.com&#x2F;city&#x2F;life&#x2F;john-hofsess-assisted-suici...</a><p>I also recommend the Documentary &quot;Choosing to die&quot; with Terry Pratchett <a href="http:&#x2F;&#x2F;www.dailymotion.com&#x2F;video&#x2F;xnu340_terry-pratchett-choosing-to-die_shortfilms" rel="nofollow">http:&#x2F;&#x2F;www.dailymotion.com&#x2F;video&#x2F;xnu340_terry-pratchett-choo...</a><p>Very powerful and thought provoking
shermozle大约 9 年前
The problem with this being a secret, behind-the-scenes thing is that there&#x27;s plenty of scope of serial killers. Harold Shipman got away with being the most prolific serial killer of all time because he was knocking off old people.<p>This is the argument that needs to be made, because euthanasia is and will go on anyway.
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CaptSpify大约 9 年前
I had a similar &#x27;secret language&#x27; experience, though not at all related to AS. I have a diabetic pet, and the vet was explaining how to use insulin. Naturally, one of our concerns was cost. He kept mentioning how he&#x27;d seen many people use insulin for months after it&#x27;s expiration-date. He was clear that you should &quot;always follow the instructions&quot;, but that occasionally he&#x27;d seen people use old insulin, and, as long as they were consistently checking their glucose, it worked fine for them.<p>We finally figured out his message: The insulin expiration date might or might not be valid. Testing is better than going by the bottle&#x27;s expiration date, within reason of course. He couldn&#x27;t tell us to ignore the date, but he could tell us about when he&#x27;d seen it work past the date.
briffle大约 9 年前
Oregon was the first state to approve physician assisted suicide.. but last year, after a stroke left a relative in a coma with no possibility of recovery, my family got to learn that the state recently passed a law making it illegal to disable a pacemaker.. So even though we requested that they unplug her, they were not able to turn off the one thing that was still keeping her going for a day or so longer..
mdturnerphys大约 9 年前
&quot;Just over 3 percent of U.S. doctors said they have written a prescription for life-ending medication, according to an anonymous survey published in The New England Journal of Medicine in 1998. Almost 5 percent of doctors reported giving a patient a lethal injection.&quot;<p>That seemed really high, given that most physicians aren&#x27;t in relevant specialties. Clicking through to the article, it actually says: &quot;The sample was drawn from 10 specialties, selected on the basis of previous surveys as those in which physicians are likely to receive requests from patients for assistance in hastening death.&quot; Further, it was clear that there were self-selection biases in the responses.
pcrh大约 9 年前
Another process that &quot;assists&quot; dying is withdrawal of fluids while someone is heavily sedated. The ensuing death is &quot;natural&quot;, but inevitable.
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wmeredith大约 9 年前
The heartbreaking stories in this article, as well as several from the comments, all seem to be the symptoms of an overly litigious climate in our healthcare system. Health workers are afraid to speak plainly. It&#x27;s gross.
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