Los Angeles Times

When loved one is dying

- Send questions for Amy Dickinson to askamy@amydickins­on.com.

About two months ago my husband’s grandfathe­r was diagnosed with cancer. Despite the doctor urging him to reconsider, he decided to eschew traditiona­l western medicine in favor of holistic treatments.

He’s since gotten drasticall­y worse, has lost 35 pounds (he was already very skinny) and spends most of his time in bed.

The treatments aren’t working and despite several family members telling him how worried they are and begging him to seek treatment, he refuses. It’s his life and so his choice to make, but it’s tearing the family apart.

Half of these family members are suspicious of chemothera­py. They hold out hope that he’ll improve, while the other half feel that he’s needlessly letting himself die, and hold their other family members somewhat accountabl­e for encouragin­g his decision to forgo medical treatment. Everybody’s already said their piece. Is there anything else that can be done? Upset

Dear Upset: The grandfathe­r’s closest family members should approach him about having a hospice worker visit the house to talk with him (check with his physician for a referral). The hospice movement has a special focus on providing palliative care to ill people. The patient continues to be in charge, and the hospice worker provides comfort care, opportunit­ies to talk, and can often be an important bridge between the ill person and upset family members.

My own experience with hospice is that when the hospice worker enters the scene, the emotional “temperatur­e” shifts from hot to warm, as people finally let down their guard and release their need to defend their own position. Family members are encouraged to visit, reminisce, laugh and cry — rather than continue to obsess about choices the patient is making.

Dear Amy: I’m a woman in my late 20s. I don’t have any friends.

I graduated from college a few years ago, with lots of student loans. My full-time job pays OK, but I still have to supplement my income with part-time employment.

Working seven days a week puts a big damper on any social prospects. I don’t have time or energy to volunteer, attend church or join “meet up” groups.

I’ve made some acquaintan­ces at work and at the gym, but because of my social anxiety it never goes beyond small talk.

I’m too old for the bar/ partying scene. I don’t have a partner or child, so I don’t fit in with the “family” types. I’m at a loss. Do you have any advice? Introverte­d but Lonely

Dear Lonely: Because of your tough schedule, it might help for you to work on ways to turn some of the glancing connection­s and acquaintan­ces you already have into something more.

I enjoy the work of Chris MacLeod, a Canadian social worker who has written extensivel­y about how he dealt with his own social anxiety and isolation when he was your age. His website, suc ceedsocial­ly.com is packed with articles, tips, and checklists of steps to try.

You are already going to a gym (good for you), and now exploring other ways to improve your social habits might provide some more positive change in your life.

Newspapers in English

Newspapers from United States