How do you see a good death?

An emergency room physician has written a great piece comparing what dying is like today compared to a century ago.  The experience today isn’t necessarily better. Everyone needs to read I Know You Love Me — Now Let Me Die by .

The majority of humans will experience a gradual decline and loss of function in their lives before they die. Everyone–healthy or otherwise–needs to talk with loved ones NOW about what quality of life means, and how they would prefer to spend their last days. Because we WILL die.

Unfortunately, one can have all the Advance Directive paperwork in place and still have one’s wishes overridden by the hospital if the papers are not in the right hands at the right time. Also, Advanced Directives cannot cover every possibility–for instance, do you want your pneumonia treated with antibiotics if you’re already cognitively impaired by dementia? That’s why it’s so important to make sure loved ones know your wishes and will ensure they are carried out to the best of their ability.

Visit The Conversation Project to get started.

Tropical Sniffles, or Under the Wonderful Weather

 The night before we left for our Hawaiian vacation, I had developed a stuffy nose and sore throat, and slept only three hours because I couldn’t breathe through my CPAP.  On the plane, I went through an entire pack of Kleenex.  In the Kapaa condo, I collapsed at 8 PM with a fever, but awoke at 1:30 AM with screaming sinuses.  To avoid waking hubby, I hung out in the darkened bathroom playing Whirlyword on my phone with tissue stuffed up my nose for two hours.  I finally got back to sleep around 3:30 AM.

This morning, I awoke to guava juice, sunshine, tropical breezes, a balcony overlooking a lovely garden, and the crow of Kauai roosters.  If I’ve got to be sick, this is the sickroom I want!

  
Today was a Kauai afternoon with 3 generations of family, good Hawaiian food, whales breaching offshore, the sound of crashing waves below, and a stellar sunset. I just sat in a corner of the lanai and soaked it all in while life happened all around me.

  
 I am sated.  Sometimes it’s enough to just BE.

————–

Thanks to Steve and Gerry for crowdsourcing the blog title

Take It Personally: How decoding your genes might unlock the future of health care

Denver’s “5280” magazine just published a terrific article on precision medicine called  Take It Personally: How decoding your genes might unlock the future of health care by Julie Dugdale (click on the link to read it). It’s a top-level summary of the benefits and issues that arise from using genomic data in medicine.  One of the main players in the article is the University of Colorado School of Medicine, and some of the providers I work with at CU are quoted (Dr. Dara Aisner and Dr. Robert Doebele).

P.S.  I play a bit role in the article (as a lung cancer case study)