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End-of-life decisions should be personal
Atlanta Journal-Constitution ^ | October 13, 2005 | Nora DePalma

Posted on 10/13/2005 11:37:42 AM PDT by madprof98

Mom first confessed to me that she wanted to die almost 14 months before she killed herself on April 28, 2004.

"I just want to go," she yelled on her 82nd birthday, tears welling up. Her heart had given out physically from advanced arteriosclerosis, and emotionally since Daddy died.

She had lived with us since a massive heart attack left her an invalid with no hope of recovery. She no longer had the strength to socialize, go shopping or attend Mass.

I did everything they tell you to do for a suicidal person. Mom had a heaven-sent primary doctor in Alpharetta who started monitoring a course of antidepressants for her. He treated her soul as well as her body. We brought in a daily caregiver.

Most important, we talked. I said I understood her feelings, but that it would upset me if she tried something on her own without talking to me first.

Mom was so relieved that she could tell me the truth of how she felt. She promised not to take matters into her own hands.

By January 2004, Mom's lungs had deteriorated. As with many women her age, she started smoking in her teens. She quit before turning 50. We always hoped that 30 years of abstinence would undo all the damage, but it was not to be.

By February, Mom suddenly announced that she had stopped taking all of her medicines and would no longer go to any doctor. "I just want to go," she kept saying.

By March, Mom was going blind. Her heart was not strong enough to permit surgery on her cataracts, so her remaining pleasures of reading and watching TV were going away. On her 83rd birthday, she again burst into tears. "I just want to go!" she raged.

By April 28, Mom's rage had boiled over. Late that afternoon, I found her surrounded by all those medicine bottles untouched since February. They were empty.

"I just want to go," she slurred. She kept shaking her head from side to side. "Just let me go, please don't call 911!"

I considered not calling. I just wanted to make my Mom happy again.

Months later, my physician told me that if I hadn't called, I might have been arrested.

A few hours after arriving at the emergency room, Mom died from a combination of the overdose and her advanced arteriosclerosis.

Unfortunately, my experience is that doing all the right things couldn't stop my 83-year-old Catholic mother from following through on a threat she made consistently for almost 14 months.

While she was still conscious, I asked her why she didn't keep her promise to tell me before she tried something like this. She replied, "I was afraid you would be arrested."

Exactly what kind of family values prevent a mother and daughter from talking openly about the end of life for fear of prosecution?

I pray you never have to walk in my shoes to find out.

Nora DePalma lives in Cumming.


TOPICS: Culture/Society
KEYWORDS: cultureofdeath; euthanasia
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Comment #101 Removed by Moderator

To: Servant of the 9

Yours sounds like an unbelievably cruel post. Dementia and Alzheimer's is a different ballgame altogether from ordinary illness. I have been to the facilities that care for and 'hold' these patients safe. Yes, there are times of stress for all involved, but there really is no other choice and those who have to deal with it do not deserve any scorn.... Take that to God.


102 posted on 10/13/2005 4:07:58 PM PDT by HairOfTheDog (Join the Hobbit Hole Troop Support - http://freeper.the-hobbit-hole.net/)
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To: firequarrel
You wrote (with, I think sarcasm intended)"Everyone knows the founding fathers wrote the Declaration of Independence and the Constitution so the government could micromanage reproductive and end of life issues of the individual and his or her family."

Micromanage? Hardly. The principal consideration here is the prevention of killing, which is covered by the “inalienable right to life” principle, the protection of which is the basic purpose of all government, including ours.

According to the legal and political principles upon which this nation was founded, there exists no private right to homicide. And that has included, in all of our state criminal law codes, no right to self-homicide (suicide).

Why? Partly because so many potential suiciders are depressed and weak. Depression is a treatable mental health condition; and loneliness is an emotional/social condition. not a disease. Death is not a treatment for depression and loneliness; in fact, death is not a legitimate treatment for any condition, since, from a medical point of view, nobody is “healthier” dead.

103 posted on 10/13/2005 4:08:07 PM PDT by Mrs. Don-o (L'Chaim)
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To: Lizarde

I agree with you wholeheartedly. You absolutely have to do all you can to make sure that the depression is not driving their decisions. Hopefully the right meds and better nutrition will help. In my experience, a lot of old people don't eat very well, and this contributes to their poor morale and their sharpness. They also can turn into hermits, which also hurts the emotional health. Going into a good nursing home can be a lifesaver in that regard. Also, we tend to complain to the ones who will listen. You can see that with all age groups. Maybe they tell you they don't want to live, and as soon as you leave, they are playing cards or going to an activity forgetting all about what they just said to you. It is possible.

I am just saying that if depression has been handled to the degree possible, and they don't want any more medical intervention, can we even legally honor that wish?


104 posted on 10/13/2005 4:08:32 PM PDT by Sioux-san (God save the Sheeple)
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To: HairOfTheDog

I dont know what we can do, for those who have no one to speak for them...so in that sense, you are right, there does need to be some law, to assure that the correct thing is being done for them...

I will tell you this...whenever an elderly person comes into a nursing home, they have to make a declaration, as to whether or not they want a DNR...now, if they are competent at the time, the nursing home will have them make that decision....usually the whole matter of what a DNR entails is explained, in usually quite graphic details...and then the person and his family make a decision, and sign papers making their wishes known...

I do know, in the nursing homes where I have worked, almost all elderly residents do have a DNR posted in their medical files...the elderly resident who does not have a DNR is the rarity...


105 posted on 10/13/2005 4:12:21 PM PDT by andysandmikesmom
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To: HairOfTheDog

She is supporting and encouraging others to commit suicide, a mortal sin. If she was a Catholic, she excommunicated herself by that act, unless or until she repents (and takes the required penitential steps). As far as the 82 y.o lady, none of us know the mind of God. I'd like to think He would not judge her too harshly under those circumstances. But from what we know... it's not good. Remember, Catholics don't believe that death is your last chance, so there is hope even after -- I find comfort in that.


106 posted on 10/13/2005 4:14:34 PM PDT by ichabod1 (No Retreat! Trap The Rats or Face The Base -- Your Choice, Congress)
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To: andysandmikesmom

It sounds like you work in one of the better nursing homes (it can't be too bad, since you're working there). Many of these places, especially the ones catering to people who are completely dependent on Medicare, are staffed by people with criminal records who don't have the least concern for the patients, and sometimes abuse them in the most vile ways. The more the government forces elderly people into unwanted extended medical care -- often starting out by charging all the bills to the unwilling patient, and then switching to billing Medicare after the process has rendered the patient destitute -- the more people will end up destitute early on in their post-independent years, since they won't have inherited anything from their parents, because their parents' assets were wiped out by this process. And thus more and more people will end up in nursing homes that are real houses of horror. And the government won't mind, because it provides "jobs" for lots of people who are clearly unemployable in the real world.


107 posted on 10/13/2005 4:17:08 PM PDT by GovernmentShrinker
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To: Adder; Texas Termite; firequarrel; Sioux-san
I can't imagine what a person in that 82yr old's shoes was feeling.

Self pity? My father was a diabetic. Water around his heart and in his legs, blind, picked up something off the floor and broke bones in his back so was bed-ridden. But NOT suffering from self pity or senile dementia. He died peacefully in bed, sipping orange juice and listening visiting hospices workers singing and playing guitar.

You can make your life miserable or make it a joy to you and others.

108 posted on 10/13/2005 4:18:08 PM PDT by DJ MacWoW (If you think you know what's coming next....You don't know Jack.)
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To: ichabod1
She is supporting and encouraging others to commit suicide, a mortal sin.

Where did she do this?

109 posted on 10/13/2005 4:20:02 PM PDT by HairOfTheDog (Join the Hobbit Hole Troop Support - http://freeper.the-hobbit-hole.net/)
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Comment #110 Removed by Moderator

To: andysandmikesmom
I dont know what we can do, for those who have no one to speak for them...so in that sense, you are right, there does need to be some law, to assure that the correct thing is being done for them...

And in that case, may sane people prevail, not wild-eyed idealogues on either side. I'm very intent that those expressing ~no~ understanding or common sense on threads like these be kept from running the show.

111 posted on 10/13/2005 4:23:23 PM PDT by HairOfTheDog (Join the Hobbit Hole Troop Support - http://freeper.the-hobbit-hole.net/)
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To: andysandmikesmom

What a beautiful post on how to treat your parents with dignity and respect in their dying hour. They are ADULTS in which they deserve to have some say about their own medical treatment. They should never be "locked away for their own good" as that one person did, how horrible! That person just makes me think "you don't know what's good for you, only I know what's good for you". How utterly selfish to force her parents into this situation. I feel nothing but sorrow for them to be treated in this degrading manner of disrespet.


112 posted on 10/13/2005 4:23:46 PM PDT by ozarkgirl
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To: Lizarde

I have a feeling that those that are giving you a bit of a hard time have never had to deal with an elderly relative that has dementia. Often, they give out mentally well before their physical abilities diminish. It is quite dangerous to let them live on their own. They do things like wonder off and get lost, try to drive, or leave the burner on the stove on, endangering not only themslelves but also possibly endangering neighbors. In my opinion, it is neglectful to let them live like this. They don't remember to eat, bathe, take medicine, etc. If it goes on long enough, then they forget HOW to do these things altogether.

They just need someone to watch over them and make sure these necessary daily activities are accomplished. That will keep them on their feet as long as possible. To me, it is no different than doing what one has to insure a child is safe and well cared for. Your parents saw to it that you had medical care, an education, were clean, fed, and didn't let you do anything and everything you wanted to do. You were a child and did not have the ability to make certain decisions. They didn't let you skip school, they didn't let you eat ice cream instead of a good dinner, they didn't let you play in the street .... I could go on and on. They are now in their twilight years, and due to the slipping cogs in their brains, they are no longer able to see clearly, remember what they had for lunch (or even if they ate at all), or make lucid decisions. You are doing for them what they did for you when you were a child. Good daughter!


113 posted on 10/13/2005 4:24:20 PM PDT by RedWhiteBlue
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To: ozarkgirl

Caution, caution, the situations are very different.


114 posted on 10/13/2005 4:25:58 PM PDT by HairOfTheDog (Join the Hobbit Hole Troop Support - http://freeper.the-hobbit-hole.net/)
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To: Zack Nguyen
It's a small leap from allowing deliberate suicide by an individual to deciding that very sick people "wouldn't want to live." Both are wrong in my view.

That's the biggest problem here.

It's one thing if a fully 100% cognizant person facing certain problems (a terminal disease for instance) wants to die. I could understand that, and I could even support their right, even if I thought it was a big mistake, because it's not my place or the government's place to make such decisions for them, and they are the ones who ultimately have to answer to God for their actions. I went through that with an uncle - he was facing an illness for which there was not going to be any recovery. I knew he was going to, the family knew he was going to, but you have to put yourself in their shoes.

The flip side to that, people will start deciding for those who can't decide. We'll get into this culture of "I'm sure if they were conscious, not in a coma, not brain-damaged, etc. and able to make the decision for themselves, they would want to end their suffering".

Then it will continue on - a child will be born with whatever disease that leaves them very mentally handicapped, etc., and people will say "that's no life, they aren't really living, we shouldn't put them or their parents through that, let's fix this problem". It'll be like a retro-active abortion.
115 posted on 10/13/2005 4:26:03 PM PDT by af_vet_rr
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To: Lizarde
In the meantime, they are trying to escape

Does that tell you anything?

116 posted on 10/13/2005 4:26:12 PM PDT by ozarkgirl
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To: madprof98

It would have been wise for this daughter to get psychiatric help for her mother and remove all medication that wasn't being used as prescribed.
Assisted suicide is NOT the same as allowing someone who is already dying to die in peace. It is killing a human being who is alive and not dying.
This is one slippery slope. Not a far reach for older folks who fear being a burden on their children to ask a doctor to kill them,not a far reach for children who feel the burden of caring for an elderly parent do the same. Or worse, there would be financial motives.


117 posted on 10/13/2005 4:27:34 PM PDT by Cincinna (HILLARY and her HINO want to take over your country. STOP THEM NOW!)
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To: ozarkgirl
Have you any experience at all with Alzheimer's or dementia?
118 posted on 10/13/2005 4:27:46 PM PDT by HairOfTheDog (Join the Hobbit Hole Troop Support - http://freeper.the-hobbit-hole.net/)
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To: HairOfTheDog
Dementia and Alzheimer's is a different ballgame

Yes, but who says they have dementia? Only the word of the person who locked them away. I find it odd that both parents suffer from dementia.

119 posted on 10/13/2005 4:29:45 PM PDT by ozarkgirl
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To: madprof98

Would they still think end of life decisions should be personal when if it their 16 year old daughter or do they think the government should intervene only when they think it should?


120 posted on 10/13/2005 4:30:28 PM PDT by Natural Law
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