Of Pain, Life, Death and other things…
I’ve been thinking about it a lot lately. We are getting old. I’m hitting twenty-something now, and kids in buses call me uncle instead of Aiya. Us getting older means our parents and grandparents are getting older too. I’ve kind of been conditioned to death in a sense, cos my maternal grandmother has been really ill for the past year or so, and now it’s a matter of time, or sorts.
Then it was Gutterflower’s mom going in for surgery to remove some tumours, my closest-thing-I-have-to-a-better-half’s mom getting a colonoscopy, which turned out to be clean, followed by pissu perera’s friend’s mom getting cancer, and this morning the wise-uncle-from-the-bus (who’s quite an interesting character, BTW) declared that his golaya is having cancer.
The contemplation on death is also fed by the unbearable amount of chronic pain that I have in my lower back. I’m becoming something in the line of a druggie. A House MD of sorts (I used to be witty, mean and sarcastic from before. It’s not anything new.), but it’s Tramadol, and not Vicodin in my case. I’m so hooked on the sensation of not having pain, that I pop the pills like I’m chewing M&Ms. And then it’s going back to my ADHD meds (Ritalin) to keep me awake, as Tramadol has quite a strong woozy feeling packed into it when it’s wearing off. And if you’re wondering, yes, I do have ADHD. I though you would’ve noticed by now.
My mother (who is in prime health) is adamant that if she is someday diagnosed with cancer, we shouldn’t treat her. She wants to live with it as long as she can, and then let the cancer take over. I’ve been telling her that I’m getting a court order which states she’s bonkers, and I’m going ahead with the treatment.
This got me thinking, if we look at it from a choice perspective, one should have the choice to make decisions about one’s health, including the choice of getting treatment or not. So what happens to deciding when I don’t want to live anymore? I don’t know if there is a possibility to leave DNR (Do Not Resuscitate) instructions in Sri Lanka. But I do know that the majority of medical professonals would not even consider euthanasia (Medically assisted death) which is a highly debated topic, since they are highly reluctant when it comes to abortions.
So the questions I’m laying out are,
- Should one be able to refuse medical treatment?
- Should euthanasia be allowed / legalized?
- Should abortion be allowed / legalized?
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1. Yes, as long as that choice is made under full mental capacity.
2. Yes. We allow our pets to be ‘put to sleep’ when there is nothing else left to do medically and pallitative care does not give much pain relief (resistance to morphine for example). If every option that can possibly be looked at to treat the illness has already been looked at, and the only thing left is a slow, painful, INEVITABLE passing away, letting ‘nature take it’s course’ is forcing someone to suffer against their will. It should be a legal option that should be available to individuals and families to take, were they to decide to do so.
3. Yes. I’m 100% pro-choice and somewhat pro-life as I don’t think abortion should be approached lightly in a ‘oh darn, I don’t have a condom but it’s okay I’ll just abort the kid if it comes to that’ way. It should be the woman’s choice though, simply because the alternatives (plan B: coat hanger) are far worse. Women are not baby-making machines, they should have access to legal family planning options and they should get to have a say in their reproductive choices.
Just my two cents worth!
Darwin - March 12, 2008 at 1:21 pm
Which is actually worth more than two cents!
(Okay, failed attempted at a lame joke!)
pinkboxinggloves - March 12, 2008 at 1:30 pm
The choice should be allowed as a last resort, yes. TO THE INDIVIDUAL/S IN QUESTION – which means the mother of the child in an abortion, the patient in euthanasia, and your mother regarding the treatment. Not anyone else who thinks they know better
offtopic: Something occurred to me while watching a teledrama and Im just curious: @ present what happens in an (for want of a better term) “abortion situation” for an unmarried pair, if the father wants the child and is wanting and able to take care of everything and raise the child and its just the mother that simply doesnt want a child.
Dili - March 12, 2008 at 4:19 pm
yes to all. choice is important. treating a patient against their will or taking away their freedom of choice is dehumanizing and is cause for unnecessary suffering.
T - March 12, 2008 at 5:55 pm
1. Yes, but I’m unsure about the issue of whether parents should be able to refuse treatment for their children because of religious beliefs etc.
2.Yes, and I agree with Darwin, as long as the person has made the choice when sane.
3. Yes.
RD - March 12, 2008 at 6:21 pm
RD made an interesting point. Can parents choose the treatment options for their child?
This is quite a complicated issue. If the base for them to refuse treatment is religious grounds (and people who take religion as grounds for not taking / giving medical care are blunt about it), then it’s not a choice.
But if the decision has been arrived at after careful consideration of the pros and cons, and after adequate consultation with medical professionals, then I’m okay with the parents’ choice.
pinkboxinggloves - March 12, 2008 at 7:18 pm
“But if the decision has been arrived at after careful consideration of the pros and cons, and after adequate consultation with medical professionals…” – even after all of that it is possible for people to refuse treatment.
Frankly I think kids treatment should be handed to the medics, because of this sort of issue. Of course in places like SL doing that just might be like signing the death warrant. But for children its downright inhumane to refuse treatment because the kids dont know any better and they shouldn’t suffer for the parents beliefs.
Dili - March 12, 2008 at 9:57 pm
The reasons for me to keep both parties, is that sometimes you get the occasional medic who tries to get experimental with kids. In that kind of context, better to have the parents in as well.
And for worst case scenarios, you have the court to resort to.
pinkboxinggloves - March 13, 2008 at 4:34 am
Usually when the court settles things it’ll be all over
Guess stuff wont have a real solution for a long time coming.
Dili - March 13, 2008 at 6:57 am
sorry that was supposed to be “…stuff like this wont have a real solution…”
Dili - March 13, 2008 at 6:59 am
A YES to all three.
My thoughts on these are on the same line as Darwin’s. However these should apply only to adults with clear sanity.
Azrael - March 13, 2008 at 7:58 am
yes to all three. choice is important. darwin has listed it all out clearly..
pissu perera - March 13, 2008 at 1:52 pm
Oops that looks very very bad.
Pinky why don’t I post that straight away on my blog and you can link back. Did I write that much. By garr.
So please delete the above and I’ll link a blog post.
Half Doctor - March 14, 2008 at 1:54 am
Erm…
pinkboxinggloves - March 14, 2008 at 6:11 am
Sorry for the delay but this is the link.
Half Doctor - March 14, 2008 at 8:38 pm
You might find this link helpful, they are UK guidelines but I think the same applies back in SL
http://www.ethics-network.org.uk/ethical-issues/end-of-life/ethical%20issues%20end%20of%20life.pdf
Personally, putting animals to sleep and putting a patient to sleep seems like two ends of the spectrum. One will never how painful it is for the patient and their family , and doctors should help to alleviate pain but one is taught ‘primum non nocere’ and advanced directives are there for a reason .
moo - March 15, 2008 at 5:11 am
Well maybe one has the right to refuse medicine.. but the other two.. i dont think anyone has the right to take anyone else’s life.. whether it be for medical reasons or not ( I know a lot of pp will disagree with me, but its just my opinion).. Human life is precious and very rare, so I don’t think abortion or euthanasia should be legalized.. cos its morally wrong.. we as humans have no right to take each others lives or any animals life for that matter… ppl who understand Buddhism a bit will agree with me I think…
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CyberPolice - June 13, 2009 at 2:36 pm