Last Name 4
Physician:Good morning, sir.
Mr.Annwyn:Good morning, doctor. And, ah, I have made up my mind. I still wantthose pills.
Physician:Mr. Annwyn, this is a serious decision to make. I suggest you takemore time thinking because this isn`t regular surgery or anythinglike that.
Mr.Annwyn:Doctor, I fully understand how serious this is. I mean, I have beenthinking about this over the past two years. After I had retired fromAfghanistan in April 2014, I returned to Seattle and realized howhard my life had become. I have struggled enough to survive, and I amready for PAD.
Physician:I know how much you suffer every day, sir. However, after checkingyour eligibility, I found that you didn’t meet some of therequirements that qualify you as a PAD recipient in the state ofWashington. Sorry, Mr. Annwyn, but I can’t provide you the pills.
Mr.Annwyn:What are they? I mean, the requirements that I don’t meet?
Physician:In the state of Washington, some of conditions that an individualmust meet for him or her to be eligible for PAD include havingterminal illnesses and physicians have confirmed that an individualhas less than six months to live. In such a case, the patient canrequest lethal doses to kill the patient (Kennethet al 8).Mr. Annwyn, you are very physically healthy at this point.
Mr.Annwyn:Doctor, please, just look at me. I lost both legs in Afghanistan, andhad seven concussions on record, and was diagnosed PTSD beforeretirement. I could die at any time within the following six months.
Physician:I can’t argue you with that, sir. But that doesn’t contradict thefact that your body, even after amputation, is very healthy. Andalso, sir, if you stay calm and conscious like what you are doingright now, you can manage to limit the impact of PTSD on your lifedown to the minimum. If you’d like, I know some great psychologistswho might be able to help you.
Mr.Annwyn:No, doctor. I’ve spent enough time with those people. They want toconvince me that my PTSD is controllable and treatable, but I knowall that is just an illusion. When PTSD comes, I fall intounconsciousness almost immediately. How is something like thatcontrollable? It is like a beast in my body, and it is way beyond mycontrol.
Physician:Mr. Annwyn, I understand how much you had to experience, and I feelsorry to hear that. But still, PTSD isn’t a terminal disease. Sir,you are a veteran. While I sincerely appreciate how much you havecontributed to our country, I also admire the characteristics in you.I am positive that you can overcome PTSD with the courage you haveproved as a great soldier.
Mr.Annwyn:Doc, if it is easy like that, why am I here twice? You are a doctor,so you have probably met lots of veteran patients before. Can’t youtell how much we suffer from the battlefield?
Physician:Sir, PAD is the absolute last option to take. We want to help youfind out other ways to get better.
Mr.Annwyn:So tell me, how can I get better? I am not a well-educated person, soI probably won`t be able to understand everything you say, butplease, do introduce me some other ways.
Physician:Okay, thank you for your willingness to listen to me, have you everconsidered joining support groups. I understand that you are goingthrough a lot, but even when things seem hard, PAD is should only beused as a last option when it has been confirmed that there is no wayout (Nicole et al 2).
Mr.Annwyn:I understand Doc, but as you can see, my sufferings are equal to thatof a terminally ill patient, what will support groups help me withnow and they cannot restore my limbs?
Physician:Joining support groups will help you have people you can talk tofrequently. On the other hand, medical practices are guided by theHippocratic Oath which requires every doctor to safeguard life at allcost. Terminating your life knowing very well that you are stillhealth can greatly damage my reputation as a physician.
Mr.Annwyn:Butdon`t I have a say in my life? Look at the anti-psychotic medicationsthat I have to take and their effects on my body. I am alwaysexhausted, and I fear that soon, they will accumulate and becometoxic. What should prevent me from ending my life now?
Physician:It is true that everyone has a say regarding his or her life, but allthese procedures are there to protect the patient. Good things canstill happen in your life.
Mr.Annwyn:The only things happening in my life are miseries. When I see myfellow veterans and friends looking at me sympathetically, it damagesmy ego and self-esteem. It seems that I am no longer the same personto them. I have extended my pains to them. They suffer emotionallyand psychologically because they know that there is nothing that theycan do now to help me (Quill, Timothy, Back and Block 6).
Physician.Okay, but are you also aware that there are special equipment thatyou can use to carry put some basic tasks?
Mr.Annwyn: Yes, but will that heal my PTSD?
Physician:Certainly not but at least you would have solved some parts of theproblems.
Mr.Annwyn:What about the costs, I am sure owning and maintaining such equipmentrequire a lot of money.
Physician:No material possession can be equated to human life.
Mr.Annwyn:Even still then, it means draining more money from my friends andexhausting even the little that I had stored for myself. Does thatseem right for you?
Physician:What about looking for sponsors. Am confident that the government hassome special financial arrangements for people who are injured inwars like you.
Mr.Annwyn:The government funds does not cover everything. I have alreadyfinished mine, and I doubt if there are additional funds available.
Physician:Don`t give up. Avoid complicating things and be optimistic, you justneed to knock on the right doors, and things will turn out okay.
Mr.Annwyn:I cannot blame my close friends and relatives because they have beenmy companions for the past two years. Some have hard to borrow loansto help me. It is evident that by opting for physically assistedsuicide, I will be doing them well and saving them a lot of time andmoney.
Physician:Do you think that if they were here, they would approve of youractions knowing very well that laboratory results show that your bodyis in a good state?
Mr.Annwyn:Even if they do not approve, I will die in peace knowing very wellthat I sacrificed my life for a common interest (Emanuel,Onwuteaka-Philipsen, Urwin & Cohen 5).
Mr.Annwyn:Plus, I am sure that there are people who are looking for body partssuch as Kidney, lungs, and liver. Why don`t you agree to my demandsand I will willing fully sign the consent form?
Physician:I am afraid hospitals don`t run like that, some protocols must befollowed?
Mr.Annwyn:what is protocol when human lives are at risk, and there is a willingperson ready to pay the ultimate price for many of donating his bodyparts?
Physician:That will be very unethical, besides, if such was the case, what willprevent other doctors from harvesting body organs from peopleunintentionally. Don`t you know that some people have refusedeuthanasia and have ended up even living longer lives than whatphysicians had estimated?
Mr.Annwyn:But they died eventually? Right?
Physician:We all die at one point in our lives. It just that in normal deaths,nobody chooses the time.
Mr.Annwyn:Well, I want to be exceptional and choose my date today or sooner.
Physician:I am afraid terminating life when all requirements for mercifulkilling have not been met is undermining its significance andsacredness. Both Christian and Islamic teachings are againsteuthanasia because it undermines powers of the giver of life (Quill,Timothy., Back and Block 7).
Mr.Annwyn:But where was he when all things were happening to me?
Physician:Am afraid that is a question that I cannot answer but think of thosewho lost their lives? Think of their families, their friends? Atleast you can see them and laugh at their jokes. Why would you wantall that to end yet others are yearning for half of what you have?
Mr.Annwyn:Please Doc. I don’t think any of convincing is going to work.
Physician: Actually, I am not convincing you, I just want you to see that thereis more to life than misery and even in such times, assisted suicideis usually not the best alternative.
Mr.Annwyn:What about showing respect for my autonomy
Physician:You have done great service for the country, and your loss shows yourpatriotism, it should not be a source of shame.
Mr.Annwyn:Okay answer me please, have you ever imagined seeing your loved onessad when they look at you, yet you are supposed to be a hero?
Physician:Yes, it can be very heartbreaking
Mr.Annwyn:Well, that’s what I usually go through each time I meet my friends,it is very hurtful.
Physician:I understand, but am also certain that some of them are slowly copingwith the situation and sooner or letter everything will be okay.
Mr.Annwyn:Okay, and what about when I visit the hospital and all that I can seefrom eyes of nurses and doctors are signs that death is imminent? Doeyes also lie these days?
Physician:Medically speaking, during times like this, you are experiencing alot of stress and depression can at times mislead the mind intointerpreting things differently (Kenneth et al 4).
Mr.Annwyn:I am very tired of this life and am afraid that you either help me orI find my means of ending my life.
Physician:Please don’t think of suicide. You are a brave man. What wouldpeople say? Do you want all your legacy to be in vain?
Mr.Annwyn:But that is what is already happening now.
Physician:NO! When people look at you, they see a selfless man who sacrificedhis comfort for his country.
Mr.Annwyn:You are only trying to make me feel good for what has already beendone and cannot be changed. Let me be. If I cannot get any help here,I will have to explore other means.
Physician:Not actually, personally, I support the death penalty because ithelps one does a dignified death.
Mr.Annwyn:Why not let me die a dignified death then as you purports?
Physician:With your current state, that will be murder. I could lose my licenseand damage my reputation as a government doctor. Am sure even youwould not like such a thing to happen (0.
Physician:I would advise you join social groups made up of people who haveexperienced similar ordeals as yours. That could help.
Mr.Annwyn:Time for such things already passed Doc. I am afraid that this is myfinal decision after in-depth thinking.
Physician:Okay, please give me three best reasons why you deserve the pill.
Mr.Annwyn:Okay. I deserve to be granted PAD because I have resorted to such anoption in pursuit of happiness. I have suffered emotionally,psychologically and physically and now, enough is enough (Chambaereet al 3).
Physician:Okay, another main reason?
Mr.Annwyn:Health care institutions and the government are being hypocritical.Even you agree that PAD needs to be legalized. Even when thegovernment has banned it or enacted several policies to deter suchactions, doctors are still doing it in secret. Why not agree to myconcerns and save lives using my body organs?
Physician:Okay. Your last major reason why you deserve PAD?
Mr.Annwyn:Importantly, as in the case of terminal disease, death is inevitable.Even if I do not die from either concussion, neglect or poverty, PTSDcan make one think about crazy stuff like suicide. I don`t want tocommit suicide, yet I can save more people by donating my body organs(Quill, Timothy, Back and Block 4).
Physician:I will offer a counter-argument to three major points. I hope thatafter I finish you will give PAD a second thought.
Mr.Annwyn:I am not sure about the second thought thing but you can go ahead.
Physician: You have claimed that your decision to opt for PAD is in pursuit ofhappiness right?
Mr.Annwyn:Yes. I am tired and frustrated with my state
Physician:Haven’t you ever been happy since you lost both legs in Afghanistanand was diagnosed with PTSD and suffered seven concussions?
Mr.Annwyn:I have but on very few occasion
Physician:Okay so that you remain alive and I maintain my job, why don’t youtry to think critically into what made you happy and engage in thesame or similar activities?
Mr.Annwyn:I don’t even remember the last time I was that happy?
Physician:At least try Mr. Annwyn. Your sacrifice is much greater, and if youstill have an opportunity to live, please enjoy. I see countlesspeople battle for that essential breath in the ER.
Mr.Annwyn:what about other reasons?
Physician:Those who carry out PAD illegally will one day face the wrath of thelaw, let’s not dwell so much on that I am sure you understand theimportance of obeying the constitutions/
Mr.Annwyn:Lastly, I am sure that in your case results have shown that your bodyis still in good condition and you need not fear about death.
Mr.Annwyn:It`s very stressing Doc and I am afraid that although even after Ihave spoken to you and received some encouragement when I returnhome, things will get back the way they were before I came here.
Physician:Regarding that, I will see if I can arrange for you to join localsupport groups, at least that will keep you engaged and busy. s
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Chambaere,Kenneth, et al. "The European Association for Palliative CareWhite Paper on Euthanasia and physician-assisted suicide: Dodgingresponsibility." PalliativeMedicine 30.9(2016): 893-894.
Emanuel,E. J., Onwuteaka-Philipsen, B. D., Urwin, J. W., & Cohen, J.Attitudes and practices of euthanasia and physician-assisted suicidein the United States, Canada, and Europe. JAMA, 316(2016).(1), 79.
Quill,Timothy E., Anthony L. Back, and Susan D. Block. "Responding topatients requesting physician-assisted death: physician involvementat the very end of life." JAMA 315.3(2016): 245-246.
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