[Dr. H's Clipboard] Acceptance Comes with Humility

Published: Thu, 11/23/17



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Acceptance Comes with Humility
At 79, Hank had reached life expectancy. Yet, he was being treated for cancer in his liver duct with an experimental immunotherapy medication. Hank became delirious from having a temperature of 105 degrees, so he sought treatment in the ER. His vital signs were stable, but his survival was questionable.

The ER physician did a quick assessment of the situation with the intention to "pass judgment and reach a verdict."

Did Hank deserve to live or die?
What did Hank want?
What did his family want?
Who decides?


Hank’s daughter, Jill, claimed to be his medical power of attorney (POA) and moved front and center. Hank’s wife listened intensely and was sitting near his stretcher where several family members were also gathered around. Jill was well aware that there was no cure for Hank's cancer, yet she hoped he might live as long as possible. That meant Hank would need IV fluids, antibiotics, and admission to the ICU. There was a real concern that Hank could die in the hospital.

Hank was confronting a type of judgement day: Would he experience the rewards of heaven through a good death, or would he be sentenced to the purgatory that occurs in being hospitalized? Hank’s fate was up to Jill.

The judicious proceedings during judgement day can help caregivers understand how humility supports acceptance:

 
Resource Article

What Can COPD
(Chronic Obstructive Pulmonary Disease)
Caregivers Do to Help Themselves
and Their Loved Ones?


What the article says (but doesn’t say):
  • One of the most important things caregivers can do is to simply recognize that what they’re being asked to do is challenging (why can’t it be manageable?)
  • COPD is a progressive disease that can be managed but not cured. (How can caregivers better reconcile "no cure" to mean pursing viable alternatives to their loved ones becoming healthy again?)
  • The median duration of the caregiving period was 7.2 years. (Do caregivers have any control over this duration?)
  • That’s a long time to have to care for someone, especially when the intensity of that care will likely increase over time. (Is there a way to shorten the survival of patients and lessen their suffering?)
  • Because many COPD patients have comorbidities, or other diseases that require treatment, that can increase obligations on the caregiver even more. (Which diseases require mandatory treatment?)
  • One way caregivers can help educate themselves is by attending support group meetings. (Agreed and join DrH4Caregivers on Facebook!)
  • It may be helpful for caregivers to go to doctor’s appointments with the patient and ask any questions of the doctor that could help with carrying out that treatment at home. (In particular, when would the caregiver defer on calling 911?)
  • Caregivers might focus their efforts to learn the best course of action to take when the patient experiences dyspnea or breathlessness. (Let’s call this "advance care planning")
There was no mention of home-based palliative care in this article, which is the best way COPD caregivers can help themselves and their loved ones.

 
Hear Dr. H
February 7, 2018
8am - 2:00pm
The 4 Seasons to Caregiving Symposium
Del Webb Medical Center – Auditoriums A & B
14502 W Meeker Blvd.
Sun City West, AZ 85375

 
AVAILABLE ON AMAZON SOON

Is Palliative Care Right For YOU?
by Kevin J. Haselhorst, MD

 
The key to making medical decisions
is understanding palliative care:
Palliative Care
is the
bridge between
advance care
and end-of-life care.


When you no longer have your health,
how will you spend your time and money?


Is quality of life more important than
staying alive at any cost?


This booklet will teach you:
  • What palliative care means in practical terms
  • The value of making your own medical decisions
  • How to gain peace of mind with chronic illness
Command respect during your next
doctor visit by saying,
"I receive palliative care."


Learn more at KevinHaselhorst.com


 
Kevin's World

BON VOYAGE!

Hitting the high seas to visit a paradise is like enjoying Thanksgiving to the max. Thanksgiving is expected to be a cornucopia of all good things, leaving nothing to want.  My all-inclusive Bahaman cruise felt like a well-deserved vacation, but excessive eating, drinking, sun and gambling are risky and involved some losing more than winning. And while trying to be healthy, a Thanksgiving cruise might be self-destructive to the waist line!

When I can have it all, but don’t need it all, I realized that proportion control is very important to my made-to-order omelet. Too much cheese and too many ingredients make it impossible for the cook to fold my masterpiece into a bite-size meal. Despite having plenty in life and access to the best medical care in the world, my goal this Thanksgiving is to be grateful for getting by with less, making life manageable, and sailing onward without feeling weighted down.

 
 
Tributes & Wishes
#TributeTuesday
Share a tribute to a loved one who has died, or to mark the anniversary of their death.

From November 21st: #TributeTuesday: "Blessed by the rains" in South Florida and the Bahamas for the past 10 days, I’m thankful for the tourism industry!



#WishfulWednesday
Have a wish for the weekend? Post your plan on Wednesday. Practice expressing end-of-life wishes during the prime of life

From November 8th: #WishfulWednesday: How about combining 2 weekend getaways and planning a 10-day vacation to the ocean?

 
How to Approach Living While Dying

Living While Dying

Please support this film that makes “living while dying” easier for everyone to engage.

Help spread the word about
this Generosity fundraiser!


UPDATE

Immense Possibilities is a weekly public TV
and internet series that featured an interview with Cathy Zheutlin about Living While Dying

Watch the interview: (10 minutes)
Watch on Vimeo 


Cathy needs to raise more money for the music, the sound mix and the color corrections.  

Please help get the word out to others you think
might want to back this project!  


Only have time for 24 seconds? 

As Cathy explores the reality of her loved ones facing death, she turns the camera around and looks at herself.

How will she approach living while dying?

The end result of the film is to have viewers ponder and pick their own rite of passage.