Why doctors die differently

Maybe you can cut a deal with the vet... :)

I have considered that.
Can I do so without getting him in trouble?
Ideally I could go to the local medical college (where I have donated my carcass) and ask for an appointment.
 
I have considered that.
Can I do so without getting him in trouble?
Ideally I could go to the local medical college (where I have donated my carcass) and ask for an appointment.


Just tell them you are making an early delivery.....
 
Kind of another direction on this topic, but shouldn't doctors (or anyone) who prefer not to have life extending medical treatment have much lower health insurance premiums . . .? Since a large portion of our rapidly escalating medical costs are for end of life procedures, I wonder if there's a way in advance to let the insurance company off the hook for certain treatment, and let the patient elect to pay or not when the time comes. Probably very difficult to calculate a new premium rate, I suspect . . ..
 
I am copying this because a link may expire (I hope I am not violating any forum/copyright rule), from today's news:

PORTLAND, Oregon (AP) — A physician who campaigned for an Oregon state law that allows patients with terminal conditions to end their lives died Sunday after using lethal chemicals obtained under the initiative he championed. He was 83.

Peter Goodwin died Sunday at his home surrounded by his family, said a spokesman for Compassion & Choices. an organization he helped launch. The group advocates laws that help terminal patients die, and supports patients and families facing the end of life.

Goodwin was diagnosed in 2006 with a rare brain disorder, corticobasal ganglionic degeneration, that progressively robbed him of his movement. Years earlier, campaigning for an Oregon assisted suicide law, he talked publicly about what he would do if he received a terminal diagnosis.

"I don't want to go out with a whimper. I want to say goodbye to my kids and my wife with dignity. And I would end it," he said years before his diagnosis, according to a profile published last month in The Oregonian.
In an interview with the newspaper shortly before his death, he reflected on his life.

"We just haven't come to terms with the fact that we're going to die, all of us, and to make concessions to that is really giving up hope," he said.
Rather, in his view, when at death's door, "the situation needs thought, it doesn't need hope. It needs planning, it doesn't need hope. Hope is too ephemeral at that time."

Oregon was the first state to allow terminally ill patients to take their own lives with the help of lethal medications supplied by a doctor. Voters approved the Death With Dignity Act in 1994 and 1997. In 2010, 65 people used it to precipitate their death, the largest number since the law was enacted.

The states of Washington and Montana have adopted similar legislation.
Goodwin campaigned for years to enact the law, and he has called it his greatest legacy. He said it spurred medicine to focus attention on the needs of the dying, with more palliative care and hospice.

"I was honored to call Peter Goodwin a compatriot and a friend," said Barbara Coombs Lee, president of Compassion & Choices. "Our hearts are broken at his loss. The state of Oregon, medicine, and the world have lost a great leader. Most of all, our sympathies are with his family whom he dearly loved."

Goodwin, born and educated in South Africa, was a family physician at Oregon Health and Science University since 1985.

Life is unfair, Goodwin told The Oregonian. But he offered a prescription.
"Be fulfilled," he said. "In other words, be happy with yourself. Recognize achievements and be proud of them then go on to further achievements. Know what you want to do and do it. Be happy. Know good friends. Be in love."
 
I think the Oregon law is good... I have also heard that some people have found comfort in knowing they can utilize it, have chosen to do so, but do not.... because they can do things on their timeline and they were not ready...

To me, just knowing that it is available is something that I would like to have... the only problem is if you have a long term issue and get depressed in the middle of treatment... I think it is only for terminal illness though... but could be wrong....
 
I think from a patient/family point of view, part of the problem is they are exposed to stories of miraculous recoveries. People who were given no chance by their doctors to survive, but somehow do. So the patient/family then ask "Why not us?"

For every patient/family that experiences that miraculous recovery (bless their hearts), there are many many who are left with hoping for that miracle.

Or perhaps guilt- the family hasn't visited Grandma for long periods but when she has a medical emergency they want everything possible done for her...
 
Or perhaps guilt- the family hasn't visited Grandma for long periods but when she has a medical emergency they want everything possible done for her...

Good point. Guilt could be a reason. I hadn't thought about that. I was thinking more of what patients/families see are what they've seen on TV. Old shows (if one goes back that long) like Marcus Welby, MD. Or more recently ER. Or even talk shows like Oprah. We've cases where patients were on the brink of death, yet pull through. So we think, why isn't the doctors/medical staff rushing in, paying all this attention to that one patient like we've seen on TV. Even in real life we've heard of cases like James Brady, Gabby Giffords, Christopher Reeve who were in such bad condition but yet survived.

For me, I'm torn. On one hand, believe who knows, medical wonders may be around the corner, on the other am cynical too.

Also, maybe it's just a matter of coming to gripes that medicine and treatment can only do so much when one's time has come.

There is just so many dynamics going on at such a critical time.
 
Oregonians want to control the way they live, and die. They don't delegate gracefully.

And yes those meds are only available to residents whose conditions is such that they have 6 or less months to live, are of sound mind and able to administer them themselves. The process requires more than one physician and a psy visit.

The elderly can also complete a request with their physician that is a DNR which is available to emergency responders and hospitals, no 'we didn't find the form' excuses. This law was created when a wealthy widow's personal representatives were out of the country and she was put on ventilators against her health care directive instructions. Her estate paid for setting up that system.
 
This law was created when a wealthy widow's personal representatives were out of the country and she was put on ventilators against her health care directive instructions. Her estate paid for setting up that system.
Good to think about when the 99% are out to put the 1% up against the wall. Most of the genuinely good things in my environment were put there thanks to the educated generosity of very wealthy people.

Ha
 
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What substances are we talking about here?

Probably Nambutol (also called Pentobarbitol) and/or Seconal. Both are barbiturates that the state of Oregon has approved for use in euthansia. Seconol has been used as a sleeping aid for decades and many deaths have been attrributed to accidental and/or intentional overdose of it. Nambutal is used in combination with Phenytoin, an anti seizure medication in veterinary medicine to euthanize animals. Having seen it done several times in veterinary offices it certainly looks to be very humane. The only downside of using these drugs in human euthansia is that they put the patient into a deep coma and so the actual death may take a minute or two for the patient to asphixiate due to not breathing. My guess is that in the states where euthansia is not legal Morphine is likely the drug often used in euthansia.
 
Probably Nambutol (also called Pentobarbitol) and/or Seconal. Both are barbiturates that the state of Oregon has approved for use in euthansia. Seconol has been used as a sleeping aid for decades and many deaths have been attrributed to accidental and/or intentional overdose of it. Nambutal is used in combination with Phenytoin, an anti seizure medication in veterinary medicine to euthanize animals. Having seen it done several times in veterinary offices it certainly looks to be very humane. The only downside of using these drugs in human euthansia is that they put the patient into a deep coma and so the actual death may take a minute or two for the patient to asphixiate due to not breathing. My guess is that in the states where euthansia is not legal Morphine is likely the drug often used in euthansia.
Thanks. I'm taking notes here, and now I'll be researching the relative merits with vodka, whiskey, or Bailey's Irish Cream...
 
Somebody please teach me to spell euthanasia. Did I get it right that time?
 
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