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Right to Die Discussion

Discussion in 'Fred's House of Pancakes' started by efusco, Mar 22, 2005.

  1. efusco

    efusco Moderator Emeritus
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    I'm tempted to retitle this The Thread that Will Not Die!

    After all the b.s. the feds are doing for this sad Terri Shiavo case I need this thread to remind me that there are people out there that think like I do.
     
  2. pjo1966

    pjo1966 New Member

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    To add fuel to the fire... did anyone hear about the Bishop or Cardinal in San Diego who refused to allow a church to hold a funeral for a gay member of the parish and further refused to allow him to be buried in their cemetery. So much for love the sinner, hate the sin.
     
  3. dwp-wa

    dwp-wa New Member

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    Re: Your thoughts on gay marriage?

    I and my wife both think gays and lesbians should be be allowed to marry. Many of these fundamentalists also do not think I and my wife should be married, even though we are a male-female couple, because I upset their predfined scheme. I am transsexually-oriented and spend far more than half my life as a transwoman.

    I always make sure my wife is well taken care of, and I spent a lot of energy getting her the new Prius. Neither our Toyota dealer nor our Prius cares in the least how I am dressed.
     
  4. jayman

    jayman Senior Member

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    <div class='quotetop'>QUOTE(efusco\";p=\"74851)</div>
    Doc:

    Repeat after me: "Living Will."

    It's shocking how many folks out there don't have something in writing to specify exactly what - or more importantly NOT - they want done in a critical medical emergency. The family doctor should also have a copy of this in the file too.

    My folks set up their Living Wills back in 1990, with a few modifications over the years as some laws appeared to change. I also have a Living Will, and in my wallet I carry a bright red plastic card with large white letters:

    D.N.R.

    I suppose if that isn't enough to get the point across, I could always come back as a ghost and haunt them, right??
     
  5. pjo1966

    pjo1966 New Member

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    The DNR has some grey area as well. If you have a heart attack, you don't want them to bring you back? That's something you can fully recover from.
     
  6. jayman

    jayman Senior Member

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    Re: Your thoughts on gay marriage?

    It's my body and my choice: nobody else has any d*** business deciding when to plug me in. Don't worry, I'm also an Organ Donor too.
     
  7. efusco

    efusco Moderator Emeritus
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    Actually, I agree completely with PJO1966. DNR is probably a term we should stop using...the meaning and intent is too vague.

    Do you mean that if your blood sugar drops low you don't want me to give you dextrose? What if you are too sick to talk with a bad infection...no antibiotics?

    Ok you say, anyone would know you're talking about intubation and other 'extraordinary' means....

    Well, if you're in a car accident in your Prius and have some facial injuries that otherwise would not be life threatening but are impeding your breathing do you not want me to intubate?

    If you're playing basket ball with your buds and the ball hits you in the chest at just the wrong moment and you go into a cardiac dysrhythmia that can be immediately and completely reversed with a shock from a defibrillator and will have you back playing ball in a couple weeks...you want I should withhold that too?

    The extremes are easy, the in betweens...not so much. As you say, a living will is critical to try to define the general concepts you believe in--ie. If you're in a persistant vegetative state with little or no chance for functional or useful recovery you do not wish feeding tubes, IV fluids, cpr, etc....but you want antibiotics if you are incapacitated and there is a small chance for recovery. These change with personal desires and time...the extremely elderly diabetic who's had 2 heart attacks and a stroke may decide that he/she wants antibiotics withheld in a situation where an otherwise healthy person would want to recieve them.

    Also, you must have that one person in your life who knows how you feel designated to make the decisions for the situations you can't predict and when you can't speak for yourself.

    As the Shiavo case points out, this is something we should do when young, not when old.
     
  8. bookrats

    bookrats New Member

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    Living will & medical power of attorney: done.

    It's particularly important to me, as I am not married to my partner; but any married couple should get this done -- if for no other reason than discussing these issues, and getting them out in the open.
    [hr:8db1e88774]
    My folks have just gone through the death of their last parent (my last grandparent) -- a process they have been through 4 times in the last 15 years.

    One of the many, many reasons they are glad to live in Oregon is state legislation that enforces the wishes they put in their living will.

    Every life is unique; as is every death. Think now on how you want the end of your life to play out.
     
  9. jayman

    jayman Senior Member

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    <div class='quotetop'>QUOTE(efusco\";p=\"75027)</div>
    Evan:

    Well ... yes, I do mean that.

    I have nothing but the highest respect for the medical profession, and I know you mean very well as a highly qualified ER doc, but in the end it's my choice.

    I'm not basing this on any religious reasons, I just have a personal belief that I don't want any aggressive and forceful medical interventions done at all. I take very good care of myself, go in for routine checkups and lab work (A1c especially given my family history), and try to make prudent lifestyle choices.

    If I do eventually become hypertensive and get Type II diabetes - as my family history probably guarantees that I will - then I'll put on a stiff upper lip and start chomping down vasotec, glyburide, and all sorts of nifty meds. I can't wait!

    :roll:

    So more than likely, I'll live to nice ripe old age as a cranky 'ole coot. As far as the cranky bit, I'm halfway there already. So it's not like I have a death wish or anything morbid, I'm just trying to take a pragmatic viewpoint on this.

    As I stated, I'm also an Organ Donor, and when I inevitably croak (We all do eventually), after they get done harvesting all useful organs and tissues and whatnot, then the cold stinky corpse goes off to a medical school. So nothing goes to waste, so to speak.

    Actually, I'm *very* impressed over how caring and compassionate we are as a PriusChat community. Too bad our society in whole can't be the same way.
     
  10. jayman

    jayman Senior Member

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    <div class='quotetop'>QUOTE(bookrats\";p=\"75090)</div>
    Jeff:

    Have you got *that* right. I hope most folks out there aren't put off by this topic, as it may seem a bit morbid. But this should be SOP as we can't live forever.

    Look at all the extra stress and bulls*** when nobody knows what to do upon a serious illness and then death.

    "Geez, I do not know, did Jay want a funeral, a cremation?? Do we just toss him in the Dumpster?? He never did say, what an a** ..."

    Might not be a bad idea for a new topic on this. Hinting Dr. Fusco??
     
  11. pjo1966

    pjo1966 New Member

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    Here's a question for our resident MD... if gays are not allowed to donate blood, how about donating organs? I know one of the stipulations for a male blood donor is that they have to check a box off saying that they have not had sex with another man since 1979 or something like that. It seems to follow that we would not be allowed to donate organs either. I find that blood donation stipulation a little archaic. I am HIV negative and have been in a monogamous relationship for 4 years. Why wouldn't they be able to take a blood donation from me?
     
  12. efusco

    efusco Moderator Emeritus
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    <div class='quotetop'>QUOTE(pjo1966\";p=\"75124)</div>

    I don't know for sure, but probably you'd be ruled out. And it is a bit archaic and presumptuous these days to think that a random "presumed" heterosexual donor is less likely to have HIV than a known gay donor who's repeatedly tested negative and has been in a monogamous relationship.
     
  13. jayman

    jayman Senior Member

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    Doc:

    Thanks for the new thread!

    As far as the issue of gay blood donors, since the blood is tested anyway, what's the big deal? I'm not Pro Gay or Anti Gay, just being pragmatic. As Evan mentioned, you really can't prove the "average" heterosexual has blood any "safer" than a homosexual who is HIV-.

    Here's a hot potato: at what point should the State determine that further intervention is not only too costly, but ethically unwise?

    I should define "State" as any government. We all have Socialized medicine to a certain extent, and the cost of extending medical care can become exotically expensive eg intubation, feeding, diagnostics, etc. This cost eventually is borne by taxpayers.

    I ask as there have been some recent cases in Manitoba where the family wanted to continue intrusive medical care for an elderly Alzheimer patient, but the medical opinion was that further care would only prolong suffering.

    It seems the issue has become polarized: people like me who say don't even shock a flat line, and those who want to continue life support until the body starts to decay. Either way, there are gut-wrenching emotions involved.
     
  14. efusco

    efusco Moderator Emeritus
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    There is a convalescent period that can vary from weeks to as much as 6 months when the patient is infected but has not yet mounted an immune response and thus will test negative. Also, there are false negatives.

    I do think there should be a system in place to allow folks who wish to donate to test once, swear they're monogamous, retest in 6 months, reattest their monogamy and become donors. But I think there's a little bit of a sense that they're reassuring the public that they don't take blood from those 'dirty' gays and thus they can safely get it.

    In reality it probaby serves more to perpetuate the myths.
     
  15. jayman

    jayman Senior Member

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    Evan:

    I didn't know that ... have to think and reevaluate some of my preconceived notions about how HIV works.

    That said, it seems to me that it wouldn't matter if you're dealing with a "dirty" gay or a woman who beds down 3-5 guys a week. HIV is all the same, isn't it?
     
  16. pjo1966

    pjo1966 New Member

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    That's me. Dirty, dirty, dirty.
     
  17. jayman

    jayman Senior Member

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    <div class='quotetop'>QUOTE(pjo1966\";p=\"75151)</div>
    I don't think Evan meant it *that* way. It was more of a general comment about the Donor Questionnaire. As he stated, it serves to perpetuate myths.
     
  18. pjo1966

    pjo1966 New Member

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    I know what he meant... I should have put a :wink:
     
  19. efusco

    efusco Moderator Emeritus
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    <div class='quotetop'>QUOTE(jayman\";p=\"75150)</div>
    Pretty much...lower risk of transmission heterosexually, but yea, a really promiscuous person is at high risk too. However, I'm pretty sure the donor form screens for that too. Multiple partners is an exclusion criteria too....but for organ donors I don't know if/how they would ask that.

    And it all assumes honesty on the donor's part.
     
  20. jayman

    jayman Senior Member

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    <div class='quotetop'>QUOTE(pjo1966\";p=\"75153)</div>
    Sorry! :oops: