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Slow Medicine: Just What the Doctor Ordered

Carol Bradley Bursack
Carol Bradley Bursack
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Carol Bradley Bursack is Answering questions
Author, blogger and eldercare columnist

For over twenty years author, columnist and speaker Carol Bradley...

Carol Bradley Bursack

Wednesday, May 14, 2008
View All of Carol Bradley Bursack's Posts
The books pile up these days, and there's so much good information out there that I really want to read them all. Many come through publicists who know I read and write about books on aging, dementia, brain research, pharmaceuticals, and all kinds of caregiving. Many just show up in my mail box, unan...
  1. Untitled Comment
    Sue
    Wednesday, May 14, 2008 at 10:18 PM

    Thanks for bringing this book to our attention Carol.  To me, slow medicine seems to present an opportunity for caregivers and loved ones to cherish the journey together. Though death is not a happy occasion for those of us left behind, it can be a learning journey and one that we might walk away more with some sense of grace.

     

    I invite others to join our discussion - I imagine there are many of you who have similiar experiences with choices at death with a loved one.

     

    All the best, sue

    Reply
  2. Untitled Comment
    N.C.
    Saturday, May 17, 2008 at 11:58 AM

    Slow medicine is indeed a new approach for long-term illness and esp. for the end stage of Alzheimer's and other diseases.

    It depends on the culture. Usually caucasians or North American/Europe accept this. For Asians, some cultures are conservative and would be shy from it. However, in modern time, gradually most people/cultures accept this new concept. For older people, like my mother, it would be very difficult to accept. Or she would think we are not being nice. (For herself, she would.) For my father and my father-in-law, they are really really pro-life. When a person is pro-life, he/she does not understand or care for the suffering (not that they don't care for that), but he/she just felt one cannot terminate one's life like that.

    For both sides, it is easier said than done. At the last moment, it is sad and emotional, no one can really know what to do although rationally you know what has to be done.

    It also has to do with the understanding of the medical procedures. For example, when my late mom-in-law was in the hospice, the doctor stopped feeding excepy regular IVs. My father-in-law was upset and asked them to put it back. It didn't really matter much because she died a few days later. He just felt it was  cruel.

     

    So that is all I want to say. I hate to quote my private family's situations as they are private to my parents or father-in-law.

    But it is the truth.

     

    Nina

    Reply
    re: Untitled Comment
    Carol Bradley Bursack
    Saturday, May 17, 2008 at 12:16 PM

    What so many people don't understand is that this is not about hastening death in any way. It's about not putting people thorough procedures that won't help them live longer or more quality lives, but will give them pain and expense. It's about not going the "heroic" route of doing a mastectomy on an 85-year old who already has COPD (breathing problems) and couldn't withstand all the treatments, anyway.

     

    You are right that some elders don't understand this. But many do, when the time comes for them to make the decision. If someone has dementia, and they haven't made their wishes known before hand, then it becomes much more difficult. That is a blantant plug for everyone to get a Health Directive so your family knows how you feel about being kept "alive" on machines and such. Many people say "we're waiting for God to take him" when God would take him if we got out of the way and quit providing artificial life. This does not mean we shouldn't treat the treatable, at all. Once again, it's about treating that which can't really be treated in cases where the treatment won't work and will cause nothing but more pain and misery.

     

    Thanks, again, Nina. You are so very insightful.

    Carol

    Reply
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