Learning lessons from ‘Being Mortal’
Being mortal
I sincerely urge all of you, my dear readers, to sign up today for the upcoming important events being sponsored by Sonoma Valley Hospital and held at Vintage House senior center. These events are to help all adults document their health care wishes before a medical crisis.
Vintage House senior center and Sonoma Valley Hospital are partnering with My Care, My Plan: Speak Up Sonoma County to present two community screenings and discussions of “Being Mortal,” the PBS documentary based on the book by Atul Gawande.
The documentary will be shown from 2 to 4 p.m. Thursday, Sept. 10, at Vintage House, 264 First St. E. A second showing, at the Sebastiani Theatre, is scheduled from 1 to 3 p.m. Sunday, Sept. 13. Robert Cohen, MD, chief medical officer at Sonoma Valley Hospital, will introduce the film, and facilitators from the countywide advance care planning community initiative, My Care, My Plan: Speak Up, Sonoma County, will lead the post-film discussions. Readers’ Books will sell Gawande’s book at a discount at both locations.
Advance health care directive workshops
To help individuals take action and legally document their treatment wishes, two facilitated workshops on completing an Advance Health Care Directive will be held on Thursday, Sept. 24, and Thursday, Oct. 8, both from 1:30 to 3:30 p.m., at Vintage House. County facilitators will be available to help attendees understand how to complete an advance health care directive.
For information about attending the film screenings or workshops, call Vintage House at 996-0311 or Sonoma Valley Hospital at 935-5257.
I’ve signed up for the Sept. 24 workshop at Vintage House, and Sweetie and I plan to see the film at the Sebastiani on Sept. 13. Will you and your friends join me? I sincerely hope so.
Thankfully we had a directive
I recently learned just how important it is to have an up-to-date advance health care directive. Shortly after returning from Portland, Oregon, where we visited our son, Sky, his wife, Amy, and our grandson, Shiloh, my sister Carol called me in a panic.
“Please come to Jacksonville! Now!” Her husband of 53 years, Curt Wilson, had just suffered a hemorrhagic stroke and was on the way to the hospital in Medford with the EMT team. Since her diagnosis and treatment for breast cancer last year, Carol had been experiencing occasional fainting spells. She no longer drove. Now she was stuck at home while Curt was whisked away to the hospital.
Bill and I immediately packed up, and took off to Jacksonville, Oregon, just over the border. It was a long, hot, smokey trip and we didn’t arrive until after 9 p.m. that night. Right away, Carol asked if we’d take her to the hospital.
Covered with tubes and wires
Curt was in intensive care, covered with tubes and wires, with monitors beeping constantly, watched over by a nurse. The clunky respirator kept a steady beat, slow and rhythmical. Curt was unconscious, but did not look particularly uncomfortable. After an hour of concerned watching, we returned to Carol and Curt’s home, where Sassy the dog (who had witnessed the entire episode: the fall, the prolonged vomiting, and the cessation of breath) awaited Curt’s return.
The next morning we proceeded to the hospital again, repeating the round trip several times that day, and again each day after, with mounting anxiety. Curt’s condition did not change.
Alive, but not alive
Finally, after CT scans and radiology images, three doctors joined us to confirm that Curt was in a vegetative state and could not recover.
Meanwhile, Curt’s younger brother Johnny arrived from Athens, Georgia. He was eager to keep vigil with Curt and sat by his bedside 24 hours a day, keeping in touch by phone with his wife and children back in Athens.
Eventually, we found Curt’s medical directive and, in accordance with his recorded wishes, we extubated him. That is, we pulled out all of the tubes and drains and wires. Miraculously, Curt continued to breathe in a steady rhythm not unlike the ventilator, slow and rumbly. Even after all water and nourishment were removed (again, per his wishes) he continued to live on … for five more days.
His final breath
Finally, late on the fifth day, around 9:10 in the evening, Curt took his final breath, and then was still. Bill and I arrived at his room within minutes. His body was still warm, still pliable. Johnny had just been washing Curt, running ice around his furrowed brow. Within the hour, Curt’s body was cold, as if no life had ever been present.
It was clear to all of us that whatever was Curt had departed with his last breath. He was gone. But still we sat there a long time to honor his earthly shell.
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