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Our beloved King Charles Cavalier, the first pet I’ve ever had, died on Saturday. It hit me harder than I thought it would. Named after my hometown, 11-year-old “Brooklyn” had a biopsy on Friday. We learned he had cancer of the mouth. We decided as a family to euthanize him on Saturday. He was in great discomfort and we didn’t want to see him suffer. Which got me thinking about euthanasia… for humans. +++ In Washington state where I reside, euthanasia is legal. I witnessed one last year. At 11 a.m., Joan drank a cocktail to prevent her from vomiting the poison to follow. At noon, she drank another cocktail, this one fatal. She was incredibly lucid as she drank it and for the three minutes thereafter, still talking as though nothing had happened. I believe her last words were a slurred, “I love you” before she fell into a deep sleep. 20 minutes or so later, she expired. It was surreal. An hour later we six witnesses sat outside, sharing a meal. Soon, I’d have to go pick up the kids from school and continue living life. +++ Unlike Brooklyn, Joan completely understood what she was doing. Like Brooklyn, neither she or her family wanted her to continue suffering. I wonder how we, as a group of medical device professionals working to prolong life, feel about this sensitive topic. And I wonder if all of our perspectives have a religious, moral, or legal foundation. Are you willing to share your thoughts on euthanasia today? +++++ Thanks for reading and participating, Joe Hage Gary Baker, Esq., MT Julie Omohundro Ric Eittreim Jeanmarie Tenuto Mark C Adams, MBA Lin Giralt CMC Kris Simmons McCulloch Mia H. Hirschel Karen Boyd, ASQ CQA Andrew Kyle Jan Shields LVT, BSN, RNC-NIC Kelly Sennholz M.D. Michelle Cheatham Carlos Soares Bill Vick Robyn Barnes Michael Shimokaji Mace Horoff Rick W Hogan Bill Ort Alexander Lynch Beatus Hofrichter Mary Ellen Anders, BSN, RN, MBA Michael Dellosso Richard Jeffery Anthony Zelinko Suzanne Williams It absolutely flabbergasts and pains me that people displaying such ignorance play a part in deciding the fate of our terminally ill and suffering. Beau O’Donohue Jill C. Schmidt Brian Olshansky Brian Marckx, CFA Jack Dhuwalia MS, MBA, ASQ Quality Manager Laura Nobles Efrem Cray Claudia Gilman Joris Jaspers Jill C. Schmidt Sam Klaidman Alexander Lynch This may at first sound absurd, but this is how euthanasia as a policy is progressing as we speak. If for certain illnesses we simply end people’s lives considering euthanasia as a societal good, then what sense does it make to pursue cures to those illnesses anymore? Pain will always be essential to the human experience and the greatest achievements of humanity have been borne through it. Given our mortality and that complete and instant cures are fleetingly rare, our job in medicine is to make the journey bearable to a natural end. Bill Greenblatt Scott Kantro, DPM Emily Stephens Lynne Brown, RN Carri Levy Alexander Lynch I presented my viewpoint to medicine’s purpose (“making the journey bearable to a natural end”) as a corrective to the arrogance sometimes present in our field that we can cheat nature or even cure death (e.g. “prolong life as long as possible”). Taking this more humble approach respecting mortality allows us to not be coercive in over-extending by artificial means somebody’s life and unnecessary suffering if typically natural death is otherwise imminent. Sal Aidone Eva W. Jeffrey Feldman Janine Del Vecchio Silvia Taylor Brian T. Kenney Michael Adamovich Cindy Lee Tom Loker The cost to the individual, in the last stages of life, are huge, both emotional, physical and economical. The cost to society and us as a species are much larger. We have effectively removed much of our species from natural selection, while at the same time we have caused those species that prey upon us to become hyper-selected due to our biochemical methods of competing for survival. They, mostly microbes, have evolved to be much stronger and much more rapidly adaptable, while we have become weaker as a species and more dependant on artificial means to survive. I am not advocating a specific solution. I am advocating a dialogue. Great article Joe! Silvia Fuster Bartomeu Michael Lubov Boni Estrada John Cuevas Bogdan Baudis Tony Russell Lesa Conemac Emmet Ryder Ed Fine Erick Fuentes Glenda Guest Dave Gaisser Observing my patients, I do not consider death within hospice “euthanasia”, but rather the natural conclusion of their terminal condition. Yes, many patients receive morphine for pain, but not all. And yes, if drugs are used to excess, the body can shut down, but I have seen these same shutdown processes without pain meds. With hospice, the intent is pain relief, not system shutdown – death occurs naturally. However, outside the hospice system, who can say? How one controls these things is beyond my pay grade. Relief of pain is paramount. Artificial means of supporting life with no prognosis for recovery provides no patient benefit. Let me pass in comfort, but do not hasten my end with euthanasia. Támer Flores, MBA – BSEE Mark Gordon Cooper Jane Evans Jane Evans Cathy Unruh Dave Gaisser Mary Jo Griffin Fernando Martinez, RRT Max Bardwell Cyril Teissonnier Barry C. Leybovich 2. (cont) In fact, euthanasia is viewed as an option in instances where medicine cannot make the journey bearable – in terminal cases where no amounts of painkillers can remove the pain whilst keeping the patient conscious. 3. Pain may be considered an important human experience for ‘character-building’ or for whichever reason you are asserting. However, what is the purpose of this pain for a terminal case? What value is it to you or society that someone who is in their death throes is in pain? What “great achievements” are you expecting to come from it? Sam Baker Barry C. Leybovich 1. Euthanasia in modern society is by no means progressing towards ending someone else’s life, it is moving only to allowing people to make that decision for themselves. It is not viewed as a societal good, but rather an individual right – one that is designed to give individuals choices so they can preserve their dignity how they choose. 2. I believe modern medicine by no means makes “the journey bearable to a natural end” as you assert, but very much about extending life at whatever cost. Very few people would consider artificial respirators or heart transplants ‘natural’. Instead, aggressive surgeries and experimental treatments are pushed towards patients to gain weeks or even days or hours of life – the quality of which is often not considered. Vincent Brenckmann Thanks for your post and sincerely sorry for you and your family about your cute Cavalier King. Since we always had cats and dogs at home, I can feel in full sympathy with your story, your decision and your thoughts. Each and every time we had to make similar decisions about our pets, the same type of questions haunted us, first of all regarding the dog or cat which just reached his “reasonnable” age for leaving, but also it referred us to our own parents. Too early (but is there a right moment?) we had to face parents diseases, leading them to a more or less long interim period between decent life and horrible wait until death came. Bruce Ross D. Ronald Yagoda Allison E. Adema Maureen Carroll Looking back, I question how much these deaths are “natural” anyway, and how “comfortable” the patient actually is through the weeks that this process takes. Perhaps the patient’s systems are shutting down BECAUSE the levels of morphine are so high. I think we may be fooling ourselves, that in actuality this hospice process is often a form of assisted death, one that is more subtle and that our society finds acceptable. John Trumbull â™› L.I.O.N. As for euthanasia, it is a complex problem to solve. I believe that, in Native American tribes, when an elder decides that they have become a burden to the tribe, they simply wander off, to die in the wilderness. Our species’ obsession with clinging to life is understandable, but, at some point, when it’s time to go, it would be nice to choose that … instead of waiting and suffering the indiginities of a failing body. On a lighter note: I used to sell research equipment to pathologists, and one day, I received a “lead” from Dr. Jack Kevorkian. He was in prison in Michigan, and was apparently keeping up with the literature of his profession . (continued) Matthias BĂĽrger Cheri Pearson John Trumbull â™› L.I.O.N. As for euthanasia, it is a complex problem to solve. I believe that, in Native American tribes, when an elder decides that they have become a burden to the tribe, they simply wander off, to die in the wilderness. Our species’ obsession with clinging to life is understandable, but, at some point, when it’s time to go, it would be nice to choose that … instead of waiting and suffering the indiginities of a failing body. On a lighter note: I used to sell research equipment to pathologists, and one day, I received a “lead” from Dr. Jack Kevorkian. He was in prison in Michigan, and was apparently keeping up with the literature of his profession. During a conference call with my colleagues, I asked whether I should make a once-in-a-lifetime “sales call” at that prison … to meet a famous, or infamous, historical figure. One colleague said: “Yes, you should go and meet with him. But … just don’t go on a day when you are real sad.” Xuan Kong Bob Gilchrist Traci Evling JP Nicolais Begoña Castrillo Dear Joe, Really sorry for the lost of your beloved Brooklyn. I faced the same situation 2 years ago. Best, Dr Sucharita Das Rashel Buffat Linda Mende Tricia LaBarre BERNA TOKAD Cynthia Kessler Sami Hernandez Jeannie Di Pietro Agnieszka Bak Andrew K. Palmer, MD Joe, Al Buscaino Melanie Blank Judy Woodley Alex Holland Gaynor J. JĂŁna Fernelius Jevetta Stanford, Ed.D. Linda M. Storrer A Living Will gives us some say, but is it enough? I believe euthanasia is a very personal decision, one that requires a deep evaluation of one’s values, including moral, legal, and religious elements of consideration. I suggest you read Atul Gawande’s book “Being Mortal. Medicine and What Matters in the End”, if you haven’t already. Gawande’s book will have you thinking more about the abilities of modern medicine and people’s wishes. As he states, “we haven’t been asking, but we can learn”. It will, or at least it should, spark consideration and conversation on freedom of choice, aging, serious injury or illness, and death. Cindy Lee Bridget Desroches, M.S., RAC Les Hyatt Heather Deveaux Sonia Aviles, MBA, CBIP, PMP Ilana Shafransky I believe that people have the right to choose, but it’s wrong to leave for yourself. Harry Hasebe Tim McCarthy Michael Seager Jacqueline B. Richard Bradley Robert F. Baker Tim McCarthy Thomas W. Gustin Michael Barber Kevin Heine John Fedorjaka Svetlana Shubina, CPIM Judy Woodley Brendan Koop, Ph.D. Marked as spam
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Jennie Anderson
Joe, I know a year has gone by, yet I am sure you still think of your beloved dog every day. We had a kitten who had an incurable disease who was euthanised at home 15 months ago. Never a day goes by that I don't think about her. I am relieved – Jennie Anderson, CEO, Evado Clinical Marked as spam
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