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Not Letting Dad Die
Headline Bistro ^ | 9/24/10 | Brian Caulfield

Posted on 09/24/2010 2:20:17 PM PDT by Headline Bistro

“The fact that you are reading this indicates you escaped the abortion holocaust. But don’t relax yet. We are all candidates for the growing euthanasia movement.”

These oft-repeated words of Msgr. William B. Smith, one of the Church’s best moral theologians until his death last year, came to mind as my father lay in the emergency room and a grave-faced doctor called me, my brother and our mother aside for a consultation. Since this was a top-rated yet secular hospital, I was already reviewing in my mind all I knew about Church teaching regarding “ordinary” and extraordinary” care. But I was not prepared for the ease with which this doctor suggested that we let my dad die peacefully.

My father (still living, thank God, at age 83) suffered a bad fall at home in late August and was rushed to the hospital across the street, where he underwent surgery for a broken femur. He then went to a Catholic rehabilitation facility, where he was progressing slowly in physical therapy when he developed respiratory problems that landed him in the emergency room of another hospital.

So there we were – with my dad in pain, barely breathing and unable to speak – being pulled aside by an important-looking specialist, as doctors, nurses and interns rushed in and out of the room. He assured us that dad was “very sick,” and tried to bring us into his confidence by adding, “But you already know that.” I thought to myself: We do not know that; no one has told us anything definite yet. In a voice that seemed more rehearsed than sincere, he said that we could treat dad “aggressively” (which sounded rough in his throat) or opt for “comfort care” (which sounded warm and fuzzy). This is a decision point, he stated. Since my dad does not have an advanced medical directive, we would have to decide whether to insert a breathing tube (aggressive) or simply keep him warm, clean, fed and comfortable until … well … nature took its course.

Wow! No one had told us even what was wrong with dad or how serious his condition was, and already this M.D. was suggesting that we let him slip away with “comfort care.”

“What kind of doctor are you?” I demanded, trying not to sound too insulting. I thought he might be the appointed euthanasia specialist, and was shocked to learn that he was the head of the intensive care unit.

“Well, if you’re in intensive care, don’t you think you should treat him intensively?” I said, again trying not to sound too critical.

Of course, he assured, this is the family’s decision. He mentioned something about New York state law and concluded, “Are we all agreed then on inserting a breathing tube?” My mother, my brother and I all agreed. “You can always change your mind as we go along,” he reminded us. Then he offered a final warning: When people this age fall down and have complications after surgery, lots of bad things usually happen. Somewhere in his flurry of words we heard the term “quality of life.” My brother told him that our dad had rarely gone out of his apartment in the past four years, so his “quality of life” was not very exciting to begin with. “If he spends the next few years in a wheelchair doing his crossroad puzzles and watching ‘Jeopardy’ that will be good enough for us,” my brother said, again trying not to insult.

It was not a pretty sight as they stuffed breathing and feeding tubes down my father’s throat. They drew the curtain so we couldn’t watch. But my dad surprised them all and got off the respirator in three days. He’s breathing fine on his own and being treated for an infection that is going away. He’s still a little confused and sees people in the room who aren’t there, but the doctor says these hallucinations may be from the trauma of the past month and being confined to a bed for days on end. We pray he’ll be out of the hospital soon since they are finding fewer and fewer reasons to keep him.

I often think how different things could have been if family members were not so attuned to the tentacles of the culture of death, or if a couple of sons were more interested in their inheritance than in seeing their father living with the high-quality love of family and friends. And what if an elderly spouse, already stressed and confused by the whirl of the emergency room, unwittingly agreed that “comfort care” sounded better than being “aggressive” because no one wants to see a loved one suffer? Even my mom could have agreed to something she really didn’t want in the rush of the moment.

I won’t mention the name of the hospital because other than that one incident in the emergency room, my dad has received great and compassionate care. But I want to thank the late Msgr. Smith, for warning so often about the growing euthanasia ethic, which now has cast a pall over the practice of medicine everywhere.


TOPICS: Catholic; Moral Issues; Religion & Culture; Religion & Science
KEYWORDS: aging; comfortcare; deathcult; endoflifecare; euthanasia; moralabsolutes; prolife
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To: Headline Bistro

Bump!


21 posted on 09/24/2010 3:51:36 PM PDT by Mr. Silverback (Anyone who says we need illegals to do the jobs Americans won't do has never watched "Dirty Jobs.")
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To: Headline Bistro
... than in seeing their father living with the high-quality love of family and friends.

This is an excellent line, and I will use it when my parents talk about "quality of life."

It means one thing when the person is still able to recognize that his family and friends love him, and another if he knows that *someone* is showing him love ... but it still means something to those who love if the object is apparently unreceptive.

22 posted on 09/24/2010 4:05:16 PM PDT by Tax-chick (Christine O'Donnell, Sharron Angle, Luna Lovegood. Get it?)
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To: Headline Bistro; wagglebee; metmom; little jeremiah; trisham; BykrBayb; DJ MacWoW; MEGoody; ...
This "Will to Live" model document (Link) is very good. It was developed by National Rught to Life and is available in different versions conformable to different state laws, plus of course you modify it according to your own wishes.

It does a good job in safeguarding both essential rights: the right to receive care and not to be killed (e.g. by deliberate starvation/dehydration) when in a weakened or disabled condition, and at the same time the right to decline or refuse interventions which are futile or intolerably burdensome.

That's just my summary: check it out and you'll see it's a very sound document.

I really think everyone should discuss this with their nearest-and-dearest, and also get a document like this signed, notarized and on file, so that your kinfolks (or worse, your doctors, or even worse, some dicey hospital ethicists) don't get stuck in the really awful position of guessing and debating just what it is you would want.

And it's always the right time to think of your Quality of Love.

23 posted on 09/24/2010 4:54:06 PM PDT by Mrs. Don-o (Mammalia Primatia Hominidae Homo sapiens. Still working on the "sapiens" part.)
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To: Mrs. Don-o

I have that saved in my “favorite links,” to be used on some occasion when I’m not thinking dead would be better. These flashes do come ...


24 posted on 09/24/2010 5:29:04 PM PDT by Tax-chick (Christine O'Donnell, Sharron Angle, Luna Lovegood. Get it?)
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To: BykrBayb; 185JHP; 230FMJ; Albion Wilde; Aleighanne; Alexander Rubin; Amos the Prophet; ...
Moral Absolutes Ping!

Freepmail wagglebee to subscribe or unsubscribe from the moral absolutes ping list.

FreeRepublic moral absolutes keyword search
[ Add keyword moral absolutes to flag FR articles to this ping list ]

Great read, and here's this from the article:

But I want to thank the late Msgr. Smith, for warning so often about the growing euthanasia ethic, which now has cast a pall over the practice of medicine everywhere.

And please take note of Mrs Don-o's comment 23.

25 posted on 09/24/2010 7:53:37 PM PDT by little jeremiah (Courage is not simply one of the virtues, but the form of every virtue at the testing point.)
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To: little jeremiah

Killing isn’t medicine.


26 posted on 09/24/2010 7:57:34 PM PDT by MarMema
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To: MarMema

((Hugs))

Greetings, MarMema!

Yes indeed, killing is not medicine.

I have a dear old friend whose story I have told on FR a couple of times.

Her husband, whom she was separated from (he had not been faithful, over time, and she had seven children at this time) got in a terrible auto accident far from where she lived. He was in FL, she was on the other coast. He had lost part of his brain in the accident and was in a coma, on life support. They wanted her permission to pull the plug.

She flew to his bedside along with a few of her older children and prayed. He was really, messed up. The answer given to her was “Give him a chance”. So she said “NO!” The docs told her he’d die no matter what. He didn’t die.

Then they said said he’d never recover from the coma.

He regained consciousness.

Then they said he’d never be anything but a “vegetable” and would never talk.

He talked - his first words were “thank you”.

He is now walking, talking, able to do tasks, he can think, recognize people, write poetry, help garden - he has lost his good looks, his incredible intelligence (computer programmer) and his physical strength. But due to the unconditional love of his wife, he has gained humility, appreciation and gratitude, and he now loves his wife dearly.

He told me that he is thankful he had the accident, as it changed his life for the better - and his relationship with God is now so improved that instead of being a rebellious soul riddled with doubt, he is a faithful, happy servant of God.

Just remembering this story brings tears to my eyes.

All because his wife prayed, and stood up to those who wanted him to die.

While at his bedside for several weeks until he regained consciousness, she read scripture, prayed and sang to him, and slept in his room.


27 posted on 09/24/2010 8:20:13 PM PDT by little jeremiah (Courage is not simply one of the virtues, but the form of every virtue at the testing point.)
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To: little jeremiah

“Are we all agreed then on inserting a breathing tube?” My mother, my brother and I all agreed. “You can always change your mind as we go along,”

_____________________________________________

Wrong. Wrong, wrong, wrong.

Not in a Catholic hospital, you can’t.

Once the tubes are in, they stay in. The family may want them out. The Doctor can even agree. But the Catholic hospital will not permit it.


28 posted on 09/24/2010 8:20:57 PM PDT by Responsibility2nd (Yes, as a matter of fact, what you do in your bedroom IS my business.)
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To: Headline Bistro
My brother told him that our dad had rarely gone out of his apartment in the past four years, so his “quality of life” was not very exciting to begin with. “If he spends the next few years in a wheelchair doing his crossroad puzzles and watching ‘Jeopardy’ that will be good enough for us,” my brother said, again trying not to insult.

love that response!

29 posted on 09/24/2010 8:27:43 PM PDT by latina4dubya ( self-proclaimed tequila snob)
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To: WestwardHo
Wow! Needs repeating, so here goes:

Government mandates have made these situations very difficult for physicians, damned if they do, damned if they don’t. Wait ‘til you get a taste of electronic medical records. It’s more than just putting your info on a hardrive. My husband has quit after two weeks at a government funded clinic because he was spending his day with his face stuck on the computer answering all the questions the software forces him to answer. He couldn’t tell you what the patient looked like after the visit. Questions included guns in the home, stds, (clinic is fighting questions re: sexual preference)..... We’ve got to get government out of medical care. We need tort reform. So doctors and nurses can deliver the quality care they really do want to provide.

30 posted on 09/24/2010 8:29:08 PM PDT by little jeremiah (Courage is not simply one of the virtues, but the form of every virtue at the testing point.)
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To: BykrBayb; Headline Bistro

Prayer for Those Who Are Terminally Ill

 
Lord Jesus, you healed so many people during your public ministry. I bring before you now, in prayer, all those who are terminally ill -- those afflicted with cancer, AIDS, and other illnesses.
 
Look lovingly and compassionately upon them. Let them feel the strength of your consolation. Help them and their families to accept this cross they are asked to carry.  Protect them from euthanasia, Lord.
 
Let them see you carrying their cross with them, at their side, as you once carried yours to Calvary. May Mary be there, too, to comfort them. 
 
Lord Jesus, I know and believe that, if it is your will, you can cure those I pray for (especially N.). I place my trust in you. I pray with faith, but I also pray as you did in Gethsemane: your will be done. 
 
Bless us, Lord, and hear my prayer. Amen.
 
Reprinted from "Queen of Apostles Prayerbook" with permission of copyright holder, Pauline Books & Media,

31 posted on 09/24/2010 8:30:40 PM PDT by Salvation ("With God all things are possible." Matthew 19:26)
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To: Responsibility2nd

I wish there were a Catholic hospital where I live. Just on general principles!


32 posted on 09/24/2010 8:34:54 PM PDT by little jeremiah (Courage is not simply one of the virtues, but the form of every virtue at the testing point.)
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To: little jeremiah

Yes, government intrusion at it’s finest! I didn’t include that this government funded, rural clinic includes a school clinic. The school clinic only treats minor illnesses, but those students are subject to the same intrusive questions.
Johnny is seen for a cough, but is required to answer if there are guns in the home? Are they secured? And it all goes into the computer.
Rural areas are desperate for medical care. Without federal funding this clinic would not exist. But it’s a big price to pay.


33 posted on 09/24/2010 8:59:02 PM PDT by WestwardHo (Whom the god would destroy, they first drive mad.)
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To: WestwardHo

Horrible. There was an article on FR just a few days ago about this sickening sexual orientation stuff being mandated in all gov health clinics such as the ones in schools. It wasn’t law yet but it sounds as though they’re already doing it.

None of their ****ing business if people have guns in their homes.

Another reason to home school.


34 posted on 09/24/2010 9:51:56 PM PDT by little jeremiah (Courage is not simply one of the virtues, but the form of every virtue at the testing point.)
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To: Headline Bistro
Yes, I ran into this attitude often the last five years of my dad's life. Every time he was in the hospital there were deeply “concerned” people who had to pull me aside for a similar little sharing of their end of life views as it pertained to my Dad.

My Dad's 3rd career was Paramedic. During my Mom's last illness she wanted aggressive medical treatment except for ventilator and other more painful measures. Dad and I had a very good conversation. I asked him what he would want under similar circumstances.

He said he would go for every thing cause God might perform a miracle through the doctors. So we fixed up a directive, which I never showed to any of his doctors, just in case of misinterpretation. I also had a general and durable power of attorney over everything including finance and medical.

I gave them copies of the power of attorney and when they asked about an advanced directive. I just told them that I had everything I needed from a legal standpoint to make any and all decisions. I explained that if there was a chance of any kind that he could get well enough to be discharged from the hospital they were to do everything they could.

We had some good doctors who did not feel like his age was a reason to try less. However, the last month of his life was the worst. He too was recovering from a fracture and in physical therapy at a swing bed unit of a small hospital.
They let his blood Inr get too low(too thick) and he had a stroke, and went back to the metropolitan hospital.

He was also suffering from a resistant lung infection, when he went on the ventilator. Less than a minute after he went into ICU, a little rat-faced guy(looked like an arab) was in my face telling me to unplug him cause he had no chance.

After 2 weeks Dad got better, but not as well as we hoped. He was told he had two choices, insert a permanent feeding tube, and a tracheotomy, and go to a vent-weaning facility, or just be comfortable and give up.

He declined both choices. He asked to try to breath on his own, and still be given all his medicines and antibiotics. They made it clear that he could not go back on the ventilator. This is a code yellow. When I came back from the cafeteria, he had a purple bracelet(comfort only). I got this changed.

Unknown to me his lung specialist came in saw the yellow bracelet read the chart and was under the impression that Dad had given up and he was no longer needed. His antibiotics were stopped.

This mistake was uncovered by his cardiologist about 3 or 4 days later. The pulmonologist came in and ordered a lung culture, on Friday (in my opinion-knowing that the results would not be known till Monday and likely to be too late). Dad died on Sunday.

I was told that he would not last more than 4 hrs off the ventilator. He lasted a week. Also, every time I turned around they had some excuse to turn off the nutrition drip that was feeding him through his nose. His chances weren't good, but most of them weren't really trying to save him-just going through the motions.

This hospital was great during his previous admissions, but he was never in level one ICU before. The nurse told me that most people that go in don't get better and go back out to level 2.

They either go to the vent weaning facility within 3 days, or go off to the comfort only rooms. More than half the people that came in during that month, decided within 2 days to go to comfort only. ICU is no longer focused on saving lives. It is focused on getting the people out of ICU as soon as possible, especially old people before the hospital goes too far in the red.

35 posted on 09/24/2010 10:02:27 PM PDT by greeneyes (Moderation in defense of your country is NO virtue. Let Freedom Ring.)
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To: Headline Bistro; Grizzled Bear; ScoopAmma; Irisshlass; informavoracious; larose; RJR_fan; ...
+

Freep-mail me to get on or off my pro-life and Catholic List:

Add me / Remove me

Please ping me to note-worthy Pro-Life or Catholic threads, or other threads of general interest.

36 posted on 09/24/2010 10:06:51 PM PDT by narses ( 'Prefer nothing to the love of Christ.')
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To: MEGoody

“Everyone should have an advanced directive.”

Well, we all know about living wills and the “do not resuscitate” clause, etc., etc. But what the previous poster recounted was much more complex than that.

I fear that we’re only beginning to see the Orwellian trend, especially if Obamacare is allowed to stand.


37 posted on 09/24/2010 10:36:19 PM PDT by llandres (ex)
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To: WestwardHo

“We’ve got to get government out of medical care.”

Guess what...Duh.

But hopefully, that can be reversed. We need to get government out of our personal lives (and wallets), period.

VOTE, everyone - get as many others (who care about liberty and the constitution) as possible to do likewise - we DO still have power!!! (At least for a little while longer.)


38 posted on 09/24/2010 11:00:14 PM PDT by llandres (ex)
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To: Auntie Mame

What a beautiful story, thanks for sharing. Bless both her soul and yours. Life is a treasure and we never know what gifts we may give to others.


39 posted on 09/24/2010 11:08:07 PM PDT by llandres (ex)
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To: little jeremiah; All

BTW, this thread reminded me, I want to correct a previous post I’d made about my late grandma’s friend (who was mentioned on the Today Show by Willard Scott). I posted that she was 116, but she’s really “only” 110. :-)


40 posted on 09/25/2010 12:47:02 AM PDT by llandres (ex)
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