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MONDAY, NOVEMBER 23, 2009
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 OPINION 
12

Dying Doc: Don't Keep Me Alive

ALS patient explains why he chooses quality of life over quantity

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(Newser) – Martin Welsh considers himself a lucky man, with a loving family and innumerable friends. “Life has been truly wonderful,” the 55-year-old doctor writes in the Los Angeles Times. But soon, that life will end, and he doesn’t want his doctors to do anything to prolong it. Welsh has ALS, a neurological illness that’s already paralyzed one of his arms and both of his legs, and left him unable to speak.

“It’s not that I’m a quitter,” he writes, but “there will come a limit.” He doesn’t want a feeding tube or a tracheotomy. He considers the 100 things he does each day that make life what it is, like kissing his wife or even brushing his teeth. As those things fall away, the pain will eventually outweigh the joy of living. “I am not afraid of dying,” he writes, “and that is a wonderfully comforting thing.”

Clinging to life in a hospital isn't a very peaceful way to go.
Clinging to life in a hospital isn't a very peaceful way to go.
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I have seen so many 'good' deaths as a physician that I know this passage can be peaceful, spiritual and even comforting to those left behind. I hope for such a death. - Martin Welsh

I worry about feeding tubes and ventilators. It has been my experience that these things are at times started almost automatically, and once they are started, they are next to impossible to stop. - Martin Welsh

I may well be ready to die before my family and friends are ready to say goodbye. But they know that the choice of quality over quantity has to be mine to make. - Martin Welsh

Our government and some national religious leaders even weighed in, as if they had a right to do so. - Martin Welsh, on cases where a person was kept alive 'beyond all quality of life'

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12 comments
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jeebus
Jul 27, 09 1:29 PM CDT
We euthanize our sick pets, but not sick people. Who should be making life and death choices for terminal people? The sick person and their families? or a bunch of 17th century, bible thumping, witch burners? Reply
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+13
Cat-Lover
Jul 27, 09 1:50 PM CDT
I wonder what the crazies on the Right have to say about this? I favor freedom of choice at both the beginning and end of life. That's fully balanced. Reply
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+6
IN RESPONSE:
kokuaguy
Jul 27, 09 4:56 PM CDT
I happen to know what Corona_king thinks about this because I asked him in a post on this site. His posted reply was lengthy and thoughtful, and it's the reason I gave him the affectionate pet name "Libertarian Nazi." He agrees with you and me on this issue Cat-Lover. I personally would go a step further than Dr. Welsh and make the case for assisted suicide here. Like Alzheimer's, ALS renders the victim incapable of using the method now legal in Oregon and Washington, because the victim must be able to self-adminsiter the lethal "medication." An ALS victim is usually capable of communicating with others up to the end, but of course our long term care facilities are filled with folks who would call in Dr. Kevorkian in a minute if they were mentally capable of doing so, but cannot because of dementia or Alzheiimers. I favor an ADVANCE MEDICAL DIRECTIVE for them that would authorize families to permit euthanasia when the conditions agreed to in advance have been fulfilled. For instance, when the victim is incabable of recognizing loved ones and incapable of feeding himself / herself.
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+4
TerrifiedCitizen
Jul 27, 09 2:28 PM CDT
A very practical and brave man. Reply
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+8
anchower
Jul 27, 09 3:16 PM CDT
I'm pro-quality-of-life. Reply
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+7
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