One doc’s point of view

2 Book CoversYesterday, I wrote about the Canadian Supreme Court’s decision on physician assisted death. Dr. Bill Wright, the doc who has written two books featured in these pages on prison medicine, wrote me. He offered these thoughts and has allowed me to reprint them:

“I’m not afraid of death; I just don’t want to be there when it happens.” ― Woody Allen

Since I’m not literate enough in legalese to interpret the Canadian Supreme Court’s decision, I’ll present the medical side.

Doctors are philosophically split on the issue of physician-assisted suicide, just as they are on issues like abortion. It’s fine to have these differences as long as they don’t interfere with the job we signed up for — taking care of patients.

I take care of end-of-life patients every day. I have patients who cling to life despite incredible incapacity and physical pain. Others with incurable illness may not be that physically disabled yet, but they see the handwriting on the wall and don’t want to experience what they see as a horrible end to their lives.

As their physician it’s not my responsibility to make the decision about ending life for them. It is my responsibility to be their advocate, helping them to understand what the nature of their disease is and the treatment options available. One of the options, I believe, is to throw in the towel.

That doesn’t mean that it’s the best option, but right now in Colorado it’s not an option at all.

The law says I have to stand by the bedside of my patient with an abdomen swollen to obscene proportions from end-stage liver disease and simply watch until he eventually vomits enough blood to exsanguinate. There’s something wrong here.

Assuming my patient says he’s tired of this existence and wants to end it, telling him that he has to stick it out until the grim reaper decides to amble by one day in the indefinite future is cruel in the extreme.

Some argue that hospice care keeps such a patient comfortable, but lying in that pool of desolation taking narcotics is not what most of us would see as comfortable. We wouldn’t allow one of our pets to endure such misery, and yet we deny the same surcease to our fellow humans.

Since Brittany Maynard’s death, more states, including Colorado, are pursuing “death with dignity” statutes. It can’t come too soon for me.

Bill Wright, M.D.
2/8/15

My thanks to Dr. Wright. We probably should listen closely to physicians who will see us through to the other end, whatever that might be.

RGK

2 responses

  1. I am Brittany Maynard’s aunt (and, ironically, a Colorado lawyer). I have written blog post about her “assisted suicide,” and I put that term in quotes because there is substantial evidence it is a hoax. The funeral home has no records of anything to do with Brittany and the doctor who signed the death certificate never saw a body and did not treat her for cancer. Lots of other fraudulent things afoot, as well. I hope you will read my article: it is at:

    therealcolorado.blogspot.com

    Alison Maynard

  2. If you get the right narcotics there is a lot to be said for wallowing in them (at least when addiction is no longer a problem nor negative health effects).

    Of course, just as the law stops many doctors form offering assisted suicide it also stops them from handing out cocaine, amphetamine and even deters recreational amounts and variants of opiates.

    There is no reason the terminally ill shouldn’t get a full menu of the best euphoriants we have to offer.

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