Showing posts with label End of Life. Show all posts
Showing posts with label End of Life. Show all posts

November 7, 2015

Don't Know When I'll See You Again

So in synagogue today, the Rabbi introduced this very old man to the pulpit to say a few words. 

Apparently, he was one of the founders of the shule. 

This grey headed, stooped man walks slowly forward carrying a small oxygen tank with wires dangling in his jacket and to his nose. 

The man stands on the dais and says:

"I am 91-years old, and the doctor says  I have this, that, and the other thing, and I am terminal. 

It was very hard for me to get here today in my condition, but I wanted to speak with you all. 

I have lived a good life, but not an easy life. 

My life was a rollercoaster--at one time I had six cars and another time just one car, for the most part I had enough money, but never a lot of money. 

Now, I ask myself what is really important. 

When I have shortness of breath then nothing seems so important anymore--and it is the simple things that really count. 

My son called the other day to tell me that he is being given more responsibility at work--not just his teaching responsibilities anymore--and he won't have time to call so often anymore. 

So while I've studied and explored all facets of thinking from Shintoism and Buddhism to communism and socialism, in the end, I realized that I have the Torah and am a just simple Jew from Fez. 

I wanted to be here with you today to ask you all for your forgiveness so that I can go on as I am very sick and am terminal.  

I don't know when I will get to see you all again." ;-)

(Source Photo: Andy Blumenthal)
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April 9, 2013

Savor Every Moment


This is an awesome slow motion video from Gizmodo.

It is taken with a Phantom Flex4k camera at 1000 frames per second and high resolution 4096 x 2160.

This camera can capture "explosions, crashes, and other split-second events" in amazing detail and costs over $100,000, but in a sense it is a small price to pay for what the value of what you can get from it. 

When I watched this video of the firefighters going into action, I felt as if I was really there experiencing the true heat of the fire, the thick smell of the smoke, the fear of what lay in the dark and burning building, and the human determination for everyone working together to put it out and save lives. 

This made me think about how in rushing around all the time to do everything that others expect of us and that we expect of ourselves that we often aren't fully in touch with the moment. 

It's more like we are just trying to get through it while everything is passing us by, and we are in a disconnected fugue state.

I imagine that at the end of life, we look back at the many moments that we don't fully remember, experienced in just a cold and hurried manner, and that we never got to really feel or savor

If only we had been in the moment, maybe we would have listened to others better, been more empathetic, less judging and critical, and said and done the right things more often. 

Being in the moment would enable us to more fully experience it, remember it, learn from it, grow with it, be together in it--and really be alive (and not a bunch of Walking Dead zombies half the time)!

This video is an eye-opener and wake up call to slow down, experience, and feel life, rather than have it just pass us so quickly and shallowly by. ;-)


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July 8, 2012

To Die or Not

Yesterday, I read in the Wall Street Journal (7-8 July 2012) about end of life decisions. 

With healthcare costs spiraling out of control, driven especially by the care given to those in their final year of life, as a society we are confronted with horrible decisions.

When do you do "everything possible" for the patient's survival and when do you make the call to "pull the plug." 

The article was about one man specifically--age 41, I think--who needed a heart transplant--which was expensive but successful, but then infection and complications set in over the course of the year and resulted in doctors removing part of his lung, his left leg above the knee, his gallbladder, and with the patient eventually living off of a ventilator. 

The medical staff described the patients wincing in pain and the horrific image of at times with the tube down his throat, his screaming with no sounds coming out. 

Doctors and the hospital's ethical counselors spoke with the parents of the man (as his wife had divorced him prior) about discontinuing care.

Part of the conversation was about the practically futile attempts to keep the man alive, the pain of the patient, but subtly there was also the notion about the high cost of care and the patient having reached Medicare limits.

When the father was told that the nurses were having ethical questions about treating the man, the father wanting to keep his son alive at virtually all costs said, (rather than his son being taken off of the medical care he was receiving) maybe these nurses who had an issue with it shouldn't be working on his ward!

The patient died within the year and at a cost of something like $2.7 million dollars (and the man leaving behind a 9 year old son himself). 

There is no question that we want to provide the best care for our families and loved ones--they mean everything to us. 

But when does the greater cost to society (i.e. the greater good) outweigh the benefits to the individual?

Yes, can we come up with hard and cold actuarial calculations about what a person contributes into the system, how much value they bring the world, what the anticipated cost is to keep them alive, and what are the chances of success--and then we can draw a line of what as a society we are willing or able to spend to save this person. 

That is very matter-of-fact--objective, but practically devoid of feeling, compassion, and hope. 

What if the calculation is wrong and the person could've been saved, lived longer, at lower cost, and/or would've been a great contributor to society--how do we know how to really figure individual life and death decisions.

And what of the cost--the meaning--to the family that relies and loves this person and needs him/her--the cost is priceless to them.

But what about others who don't, can't, or won't receive proper care because others ended up taking more than their "fair" share--aren't they also human beings deserving as well of proper care--and to their families are they not also invaluable?

From an ethical standpoint, this is one of those horrible dilemas that plague our consciousness and to which answers do not come easy. 

An almost insane question-- but can we be, in a sense, too giving to an individual, too generous societally, and with some things trying too hard to be ethical? 

Like we are seeing now with the financial decline of the European Union and the frightening fiscal challenges ahead for America--how do maintain the traditional "safety net" (Medicare, Medicaid, Social Security, and more) without bankrupting the system and underlying society itself? 

In essence, what happens when in our effort to be humane to people and give them a basic standard of living and care, keep our country safe, drive research and innovation, and secure human rights and democracy around the world--we overextend ourselves.  

Like many a great society before us that flourished and then declined and even disappeared--do we get overconfident, overly ambitious, and ultimately become self-defeating?

No one--a family member, a compassionate and caring human being, and especially an elected politician wants to say "no" when these decisions hang over us.

But the reality is we will soon be faced not only with the life and death decisions of today, but also generations of built-up overspending and borrowing to finance generous, and yes even corrupt, spending habits.

This will affect present and future generations requiring harder and longer work lives to get a lower standard of living and care, and could even result in our noble society's decline.  

The result is we not only face individual life and death decisions every day, but we also are facing a potential existential threat to our way of life.  

Expect gut-wrenching decisions over the next decade(s) and prepare for life to change in painful ways for all of us--on and off the deathbed.

While no one wants to face these questions and make the hard decisions, this is exactly what will need to happen--sooner or later. 

Fiscally-speaking, there is no longer one way to freedom, but through a collective fight to secure our nation's future. 

(Source Photo: Andy Blumenthal)

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