Dying: I don’t want to be there when it happens
way possible.”
This means total and effective palliative care for every person. Myers reported one shocking problem. Some doctors are not providing adequate painkillers, even when patients have only a short time to live, for fear of causing addiction. This reasoning boggles my mind as years ago I heard this same asinine argument when I was trying to legalize heroin for patients in agony at death’s door.
Dr. Myers is concerned this reluctance will be compounded by the current epidemic of opioid drug deaths. Since doctors are being blamed for causing this problem by over-prescribing opioids, they may be less likely to prescribe them to dying patients. But from my research, dying patients do not become addicted to painkillers when they are used for pain. Addiction occurs when drugs are used repeatedly for pleasure. So let’s stop blaming doctors for all of the opioid deaths.
Another major obstacle according to Dr. Myers is that medical students get very few hours of training in palliative care. This is concerning, given the universal need.
Today the Supreme Court of Canada and some U.S states have declared a legal right to request doctor-assisted death. But we do not have a right to adequate palliative care!
The brutal truth is that for the majority of people, palliative care is not an option as it is just not available. For example, today 40 per cent of cancer patients do not get palliative care during their final year of life. And in some areas of the country, less than half of those who die in a hospital receive palliative care.
The problem will get worse as today 80 per cent of patients being treated in palliative care facilities are suffering from cancer. Since we are an aging population the demand for palliative care centers will increase.
Dr. Francis W. Peabody, a professor at The Harvard Medical School, is remembered for his remark, “The secret of caring for the patient is caring for the patient.”
There is no better example than caring for loved ones at the end of life. So what can be done to assure we leave this planet with the least possible trauma? The primary need is to fund the training of doctors and other medical personnel in palliative care.
If you feel this plea for better palliative care strikes a chord, send a donation to Gifford-Jones Professorship in Pain Control and Palliative Care, University of Toronto. Queen’s Park Crescent West, Toronto, Ontario, M5S 3H2 or call 1-416-978-7898. You can also give online at donate.utoronto.ca/give/show/97
Like Woody Allen, we’d all prefer not to be there when death occurs. But unless we quickly discover Ponce de Leon’s Fountain of Youth, you can be assured you will be there sooner or later.
Visit Dr. Gifford-Jones’ website at docgiff.com, or email: info@docgiff.com.