Author Topic: When You are Terminally Ill (Read 4599 times)

ms da binsi · « **on:** September 04, 2009, 01:56:33 AM »

I have just finished watching Cavuto's interview with Dr Jack Kevorkian. I find it very interesting. I always has admired Kevorkian since the time i knew about him.

As you all already have known who Kevorkian is. He is called Dr Death, for helping the teminally ill people to terminate their lives with of course their own willpower and desires or choices, (which i would do if i am one of them).

My question is; would you consider terminating your life when you knew your illness is getting worst that none of any medical help can work? or rather suffer in pain and lost all your resources to stay until your natural death?

My answer (just my own opinion) I would hire a Kevorkian if that happens.

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kiamoy · « **Reply #1 on:** September 04, 2009, 02:11:18 AM »

Loose my life te.. Let's be practical. If they won't agree with euthanasia, then let me rot to death..

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hofelina · « **Reply #2 on:** September 04, 2009, 02:41:39 AM »

True to my faith, I wouldnÂ´t dare to make it.

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Moyhua · « **Reply #3 on:** September 04, 2009, 04:27:06 AM »

Depende! Dli sa ko motubag kung unsa jud.

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statesville · « **Reply #4 on:** September 04, 2009, 04:46:45 AM »

Let my family and doctor know my medical desires
if ever this will happen without burdening
my love ones left behind.

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Lorenzo · « **Reply #5 on:** September 04, 2009, 05:06:05 AM »

You don't need a Dr. Kavorkian.

We have what is called DNR.

Do not resuscitate.

When one is terminally ill, he or she will be in hospice care. Pain is dulled by the use of anesthetics and analgesics. Death comes within 2-3 months time.

Giving the family the time to say their goodbyes, and finish any legal paper work.

Kavorkian is the antithesis of a Medical Doctor.
A doctor, by his sacred Hippocratic Oath, has a sole job:
To delay death. And preserve life. To the best of his ability.

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Lorenzo · « **Reply #6 on:** September 04, 2009, 05:10:03 AM »

This was discussed in Medical Legal Ethics.

The following is the Sacred Hippocratic Oath:

I SWEAR in the presence of the Almighty and before my family, my teachers and my peers that according to my ability and judgment I will keep this Oath and Stipulation.

TO RECKON all who have taught me this art equally dear to me as my parents and in the same spirit and dedication to impart a knowledge of the art of medicine to others. I will continue with diligence to keep abreast of advances in medicine. I will treat without exception all who seek my ministrations, so long as the treatment of others is not compromised thereby, and I will seek the counsel of particularly skilled physicians where indicated for the benefit of my patient.

I WILL FOLLOW that method of treatment which according to my ability and judgment, I consider for the benefit of my patient and abstain from whatever is harmful or mischievous. I will neither prescribe nor administer a lethal dose of medicine to any patient even if asked nor counsel any such thing nor perform the utmost respect for every human life from fertilization to natural death and reject abortion that deliberately takes a unique human life.

WITH PURITY, HOLINESS AND BENEFICENCE I will pass my life and practice my art. Except for the prudent correction of an imminent danger, I will neither treat any patient nor carry out any research on any human being without the valid informed consent of the subject or the appropriate legal protector thereof, understanding that research must have as its purpose the furtherance of the health of that individual. Into whatever patient setting I enter, I will go for the benefit of the sick and will abstain from every voluntary act of mischief or corruption and further from the seduction of any patient.

WHATEVER IN CONNECTION with my professional practice or not in connection with it I may see or hear in the lives of my patients which ought not be spoken abroad, I will not divulge, reckoning that all such should be kept secret.

WHILE I CONTINUE to keep this Oath unviolated may it be granted to me to enjoy life and the practice of the art and science of medicine with the blessing of the Almighty and respected by my peers and society, but should I trespass and violate this Oath, may the reverse by my lot.

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Lorenzo · « **Reply #7 on:** September 04, 2009, 05:13:08 AM »

Medicine is of all the arts the most noble; but, owing to the ignorance of those who practice it, and of those who, inconsiderately, form a judgment of them, it is at present far behind all the other arts. Their mistake appears to me to arise principally from this, that in the cities there is no punishment connected with the practice of medicine (and with it alone) except disgrace, and that does not hurt those who are familiar with it. Such persons are the figures which are introduced in tragedies, for as they have the shape, and dress, and personal appearance of an actor, but are not actors, so also physicians are many in title but very few in reality.

Whoever is to acquire a competent knowledge of medicine, ought to be possessed of the following advantages: a natural disposition; instruction; a favorable position for the study; early tuition; love of labour; leisure. First of all, a natural talent is required; for, when Nature leads the way to what is most excellent, instruction in the art takes place, which the student must try to appropriate to himself by reflection, becoming an early pupil in a place well adapted for instruction. He must also bring to the task a love of labour and perseverance, so that the instruction taking root may bring forth proper and abundant fruits.

Instruction in medicine is like the culture of the productions of the earth. For our natural disposition, is, as it were, the soil; the tenets of our teacher are, as it were, the seed; instruction in youth is like the planting of the seed in the ground at the proper season; the place where the instruction is communicated is like the food imparted to vegetables by the atmosphere; diligent study is like the cultivation of the fields; and it is time which imparts strength to all things and brings them to maturity.

Having brought all these requisites to the study of medicine, and having acquired a true knowledge of it, we shall thus, in travelling through the cities, be esteemed physicians not only in name but in reality. But inexperience is a bad treasure, and a bad fund to those who possess it, whether in opinion or reality, being devoid of self-reliance and contentedness, and the nurse both of timidity and audacity. For timidity betrays a want of powers, and audacity a lack of skill. They are, indeed, two things, knowledge and opinion, of which the one makes its possessor really to know, the other to be ignorant.

Those things which are sacred, are to be imparted only to sacred persons; and it is not lawful to impart them to the profane until they have been initiated into the mysteries of the science.
-----------------------------------------------------

Ours is the most noble of all professions.
The defender of life, the saviors of lives.

A physician, by education, and by inclination, is the defender of life.

Not the silencers of life.
Death is the ultimate enemy of the physician.
Our primordial foe.

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statesville · « **Reply #8 on:** September 04, 2009, 05:27:14 AM »

In the hospital, if a person is diagnosed with
terminal cancer, the oncologist will discuss
this with the patient if coherent or with
the family or whoever has the power of
attorney the decision concerning the
medical intervention for the patient.

A Do Not Resuscitate (DNR) the
same as No Code status will be written
meaning if I find this patient without
respiration then I don't have to do CPR
just let the patient go.

Oftentimes, terminal patients will be placed
under the care of Hospice that is if the oncologist
will determined that he has short time to
live up to 6 months

Comfort measures only that is
to make the patient pain-free with narcotic meds
possibly morphine IV and other derivatives
it will sedate the patient, mostly asleep
at the same time it will suppress the respiratory
area, that will hasten their demise as well.

All these decisions has to be put in writing,
to make it legal and binding, para sad tawon
dili mi makihang mga nurses sigi sedate aning mga
himatyon na, sunod sa orders sa mga doctors.

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hofelina · « **Reply #9 on:** September 04, 2009, 05:27:31 AM »

This is your personal view as a doctor, assuming you yourself is terminally ill, please respond to this question now.

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Lorenzo · « **Reply #10 on:** September 04, 2009, 05:35:28 AM »

In the hospital, if a person is diagnosed with
terminal cancer, the oncologist will discuss
this with the patient if coherent or with
the family or whoever has the power of
attorney the decision concerning the
medical intervention for the patient.

A Do Not Resuscitate (DNR) the
same as No Code status will be written
meaning if I find this patient without
respiration then I don't have to do CPR
just let the patient go.

Oftentimes, terminal patients will be placed
under the care of Hospice that is if the oncologist
will determined that he has short time to
live up to 6 months

Comfort measures only that is
to make the patient pain-free with narcotic meds
possibly morphine IV and other derivatives
it will sedate the patient, mostly asleep
at the same time it will suppress the respiratory
area, that will hasten their demise as well.

All these decisions has to be put in writing,
to make it legal and binding, para sad tawon
dili mi makihang mga nurses sigi sedate aning mga
himatyon na, sunod sa orders sa mga doctors.

Well said, Tita. Well said. This comes from a seasoned Registered Nurse such as yourself.

For terminal patients, there is hospice care. And if they're in hospice, care they're usually coded DNR.

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statesville · « **Reply #11 on:** September 04, 2009, 05:39:19 AM »

Lorenzo, do you know that nurses are called
the doctor's and patient's
first class maid with a license?

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Lorenzo · « **Reply #12 on:** September 04, 2009, 05:40:08 AM »

Let me give you guys the total medical explanation.

When dealing with terminal patients, many of them have already made a decision to go on code DNR, and many of them made the decision with a sound mind.

Sometimes, patients' wills and preference are written in their case sheet.
And /or some of them have transferred decision to the Power of Attorney.

Hospice care provides a comfortable and pain-free palitative care for patients suffering the last stages of disease such as : Aids, Cancer, Renal failure, Hepatospleno failure, etc.

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Lorenzo · « **Reply #13 on:** September 04, 2009, 05:41:51 AM »

Lorenzo, do you know that nurses are called
the doctor's and patient's
first class maid with a license?

hehe nurses are more than that, Ma'am. Nurses are the angels in the hospital floor. My mom is a veteran ICU/CCU Nurse. One on one care jud. hehe
My aunts are also Trauma Nurses. Part of my decision to pursue medicine is because of their dedication to healing and caring for the patient.

I have unfathomable respect for nurses. They are the workhorses of Medicine.

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hofelina · « **Reply #14 on:** September 04, 2009, 05:56:27 AM »

IÂ´m not a nurse but, here in Europe they are highly respected. They are a vital part of a great team, this IÂ´ve learned from kababayans who are nurse by profession.

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Lorenzo · « **Reply #15 on:** September 10, 2009, 10:50:28 AM »

When you are terminally ill, it is when one should increase his or her relationship with the Lord.
Death, in the scientific sense is a multi-tiered process. Acceptance of death and dealing with the anxieties of dying can be psychologically expensive.

In my limited experience with interaction with dying patients (mostly hospice patients), is this aspect. Denial or Acceptance.

Acceptance of one's terminal illness is from my observation, calming to the soul. It is the acceptance of God in your life and in securing one's eternal salvation.

In the end, we all die. The manner of our death and the time of our death may differ, but it is an inevetible invitation that we all will answer.

Acceptance and Trust in God's Lovingkindness helps in walking this last patch of road in one's journey in life. A trust in His Saving Grace will release the burden of pain, and in the end, shall bid one to see the Glorious rise of the eternal soul to the bosom of Mighty Providence.

For He is our Faith, Justification and Way.
There is no other way but through Him.
Through Christ, Our Eternal Risen Lord.
Who calls each one by name.

Yours In Christ,
Lorenzo

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gwargz · « **Reply #16 on:** November 11, 2009, 07:01:07 PM »

Nangawala man mo. Kada usa man ninyo gipangutana kon, "When You are Terminally Ill"

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hofelina · « **Reply #17 on:** November 11, 2009, 07:07:34 PM »

Karon ka pa Gwargz? Wala ka makamatikod nga ang atong mga topic pirmi ma saag! ha ha ha

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Lorenzo · « **Reply #18 on:** November 11, 2009, 07:07:49 PM »

Nangawala man mo. Kada usa man ninyo gipangutana kon, "When You are Terminally Ill"

Welcome back, bro!

Add me in facebook, bro!

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gwargz · « **Reply #19 on:** November 11, 2009, 07:15:10 PM »

Di ko mosugot nga sa Terminal ko magkasakit.

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gwargz · « **Reply #20 on:** November 11, 2009, 07:16:12 PM »

Welcome back, bro!

Add me in facebook, bro!

Oooy, Bro. Okay. Add kita Facebook ko. What is the name to search pls?

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Lorenzo · « **Reply #21 on:** November 11, 2009, 07:18:57 PM »

check your pm.

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gwargz · « **Reply #22 on:** November 11, 2009, 07:19:36 PM »

Karon ka pa Gwargz? Wala ka makamatikod nga ang atong mga topic pirmi ma saag! ha ha ha

Mao nay timailhan ug bright. Masaag una
ayha pa mobalik sa Thread.

Pero lahi sa TB kay Super Bright ning uban.
Masaag unya dili na kabalik sa pangutana.

Hahahahahaha !!! Cheeeeers !!!

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Raquelproud boholana · « **Reply #23 on:** November 11, 2009, 11:38:51 PM »

I rather suffer in pain. For me blessing ning slow and painful death at least naa pa kay taas nga panahon mag andam unya gawas pa you also got to share the pain and agony of Jesus before his death unya ang mag atiman pud nimo naa poy indulgences madawat. Manag ing sa mga santos ba nga willing kaayo ug lovingly they accepted ilang slow very painful death nga naa pa gani silay ecstasy.

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Lorenzo · « **Reply #24 on:** November 22, 2009, 10:42:26 PM »

A peaceful death is a good death.

I was in the hospital floor once, when I saw a patient whom I talked in previous days, pass in front of my eyes.
She was a terminally ill patient, a cancer patient. Stage 5. She was placed in hospice care, actually.

There she laid in her bed, her death bed, her eyes were gazing at her family members..her children crying before her,
crying, "Mom, don't go, Mom, please don't go."

Her eyes were filled with tears, not with sad tears, but with tears of joy...joy to see her kids around her, her husband near her, she was surrounded with love, she passed on to the next life..with love and peace around her.

She passed on so bravely, and in the end, it was a good and peaceful death.
Surrounded with her family,...hear last breath, minutes, vision and hearing was that of her kids voices.

God Bless her...

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ms da binsi · « **Reply #25 on:** November 23, 2009, 05:53:52 AM »

Sometimes it is (for me) so selfish for the children to say "dont go" when their parent is suffering from pain. Its just me. I have been with so many patients who were dying but non so far from the children ask them to stay longer when they know how difficult they (patient) suffered and i dont think they didnt love them for i know very well how much they love their parents.

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Lorenzo · « **Reply #26 on:** November 23, 2009, 06:18:30 AM »

When we deal with patients that are older, and whose children are older and have a bearing of life and death, it is common for kids, grandkids to tell their parents, grandparents who are dying and in pain to, "Let go. Go in peace."

And its true. Ive seen this. Its common.

Pero hard bitaw to see a mother/ patient who is in her late 30s dying of CML Chronic myelogenous leukemia.
A mother of 3 kids, the oldest being 12, and two little ones that were no older than 6 or 8 years.
The kids were sitting on their mother's bed..crying for her, and she..though she was dying, had her arms around them crying as well.

I could not hold back my tears when I saw this.
And in this case...the kids were justified.
They did not want their mother to go.
Am sure, she did not want to go soon, but all she could do was comfort them in the end, as well as be comforted in knowing that she was loved by her kids.

Its the supremacy of it all, you see.
It is the manifestation of MOTHER'S LOVE.

For me, it was both sad and beautiful to see. As an observing intern.

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ms da binsi · « **Reply #27 on:** November 23, 2009, 08:52:18 AM »

OMG! ka bata ba sad diay oi! yeah those kids have no idea. poor kids im so sorry for them.

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Lorenzo · « **Reply #28 on:** November 23, 2009, 09:18:51 AM »

I could not even help but cry. yes they were only babies.

The mom was strong for her kids. And her tears were beautiful tears.

Somehow, im sure deep down in her heart, before she passed on, she probably knew that her kids would be fine. To me, the most touching part was how she kept her arms around her kids the entire time. She died with her arms around her kids.

When the kids started to cry really loud and shaking their mom, I had to leave to room. Because I was crying myself.

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Lorenzo · « **Reply #29 on:** November 23, 2009, 09:22:59 AM »

Two other interns that were with me were sobbing, given tis was our first time seeing this kind of death.

The attending physician did wake us up in saying that this happens all the time, that interns start as being emotional, and in the end, that we will become numb to this.

I see it already, as a necessity. It is important to not get attached. Pero for me lang sometimes, ma luuy man sad ko sa ang pamilya. Luuy lang pood intawn.

Death not so much for the patient who will die, but the family members that are left in its wake. It puts great emphasis on the importance of counseling and therapy for those who are grieving..

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Lorenzo · « **Reply #30 on:** November 24, 2009, 08:58:29 PM »

Ladies, Gentlemen, Brothers and Sisters,

As I read this thread, I cannot help but get a sense of understanding between our individual selves in the appreciation of a good death. And a sympathetic tone for those who are suffering and needing release from pain.

So join me, lang, to usher a silent prayer for those who are in pain, and are close to their time, let us pray for them. Please join me.

Lord,
Savior most clement, most beautiful Savior,
You who called the dying girl in Judea to rise from death,
You who with a simple command ordered Lazarus to rise from his sarcophagus,
You who have power over life and death, the finite and the infinite,
Please hear our prayers to keep a merciful hand over those who are dying,
who are in pain, who are suffering terminal illness, and disease.
Call them on their hour of death, Lord, so that their souls may rise to see THY GLORY.
Call them so that they be released from pain, and to be worthy to enter THY GLORIOUS PRESENCE.

Lord, please give them a strength to see their affliction,
to seek and find compassion and peace in your Love.
Give them the strength to face death, and to see what lies after death.
Console their faith, Lord, so that they may be worthy to enter Thy Kingdom.
And to sing thy praises in the Land of Beauty, The Land of Eternal Bliss,
In Your Kingdom.

We Ask this in the name of Jesus Christ.
Amen.

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ms da binsi · « **Reply #31 on:** November 24, 2009, 10:47:45 PM »

as the saying goes:

"EVERYBODY WANTS TO GO TO HEAVEN, BUT NOBODY WANTS TO DIE"

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Lorenzo · « **Reply #32 on:** January 22, 2010, 11:49:45 AM »

That can be countered, actually. There are patients who are in hospice care who are suffering and want death.
There is a dichotomy surrounding the concept of death. In one aspect, it represents the end of life and all emotions, feelings, memories, and the automation of that particular life. In the other, it represents a release from pain, anguish, and toils of life; Freedom, more or less.

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