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Dying Doc: Don't Keep Me Alive

ALS patient explains why he chooses quality of life over quantity

By Kevin Spak,  Newser Staff

Posted Jul 27, 2009 1:13 PM CDT

(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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COMMENTS
Showing 3 of 7 comments
oldgoat
Jul 28, 2009 7:12 AM CDT
After watching several family members suffer through waiting for the end I really hope that when my time comes that I either go reasonable quick or that I am lucky enough to have a assisted suicide. I believe strongly in the idea that quality of life is far more important that length of life. I should have the right to determine the option of ending my time here. It serves no purpose to me or my family to see a member waste away.
inky
Jul 28, 2009 6:20 AM CDT
Been there wtih both parents; wish they'd had this option but it was a long time ago. This gives me hope for our future as a compassionate society.
riffran
Jul 28, 2009 2:19 AM CDT
I firmly like the idea of quality over quantity. Laying in a bed slowly rotting with tubes in the stomach and or bladder with frequent bouts of pneumonia or urinary tract infections fecal impactions or the lack of the simple ablity to swat at an errant fly crawling over my face does not appeal to me. I love my parents. And I love them enough not to let them suffer that fate. And to let them go. Sorry folks not all conservatives are pro life at all cost nut jobs. And not all dems are willing to pull the plug on their loved one either. I had to help make that choice for a uncle and to comfort a long time bud when his father was going and to tell him letting pop go without all the heroics to vainly try to save him from a terminal condition. Was ok. Until you walked that walk try not to judge others for that choice too hard

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