Anon (Name supplied)
Tells how her mother, in pain and with an unacceptable quality of life at age 80, suicided in the path of a train.
My Mother died in 1991 aged 80. It was not a dignified death as she had wished. She'd had a number of heart attacks. Her quality of life had deteriorated to an unacceptable degree — she wished to die.
After her last massive heart attack she found herself in hospital.She was in terrific pain that did not abate for a number of days. As a member of DWDV of long standing Mother knew exactly what her wishes were and communicated them clearly to the medical staff. She wanted to be free of pain regardless of the consequences.. I was there when she was told that she would only be offered adequte pain relief if she agreed to have an operation- a quadruple by pass. I so wanted my Mother to live I am afraid I too urged her to have the operation. Finally she gave in, hoping, she told me later, to die on the operating table.
Well, she didn't die on the operating table. Instead, she became even more adamant that she would not allow this to happen again. She confided in me that she would soon take her own life. I knew she'd hoarded all kinds of pills in preparation for this event but didn't want to think about this as she said she was worried that if she took all her pills the other residents of her hostel woud not be trusted with being in charge of their own medication ever again.
And so my frail, diminutive mother,ever thoughtful of others' well-being decided against that plan. But it didn't occur to her that the train driver would have to live with the memory of a small, old lady just standing there in front of his train with her hands covering her eyes, waiting for the end to her misery.
(Name supplied)
Meg Wolk
Talks About Her Husband Paul Who Died of Motor Neurone Disease.
Introduction (by Dr. Rodney Syme, President DWDV):
Paul Wolk talked to me during the early stage of his illness, but unfortunately did not make contact when he reached the later difficult stage. This was a pity because DWDV can provide valuable advice to DWDV members with difficult end of life problems that may avoid such tragic deaths. So please do not hesitate to contact us if you feel you need some advice, and do not wait until the situation is desperate.
Meg Wolk Continues:
Paul Andrew Wolk was a larger than life character. When we first started dating I found his crazy sense of humor and love of life infectious. He worked so hard to keep in great shape and took so much pride in his appearance. I told him once jokingly “I’ve never met anyone so self absorbed!” He was a perfectionist. Circumstances were difficult for our relationship to begin with, Paul had two girls 5 and 7 years, I had two boys Shaun 5 and Ashley (disabled) was 7. Paul found dealing with my disabled son quite daunting, he had not been confronted with the “disabled” lifestyle. A home full of helpers coming and going, the 24 hours of care involved.
Our relationship began with him taking me away from my “caring” role, showing me how to live life again. Every second weekend when we were “childfree” we had so many wonderful adventures. Fishing, shooting, AFL, Horse racing, camping just living in our own world as “best friends” and “lovers” for 2 days of every 14 he took me away from reality and showed be how to have fun and laugh again.
At the end of the football season of 2001 Paul was struggling with groin injuries and weak left foot, after many tests there were no conclusive results. Maybe it was due to the fact he had had previous surgery on his groin and knee. May 2002 Paul became concerned, he had seen “60 Minutes” a story on Motor Neuron Disease and Euthanasia he was certain that he had the systems of MND. We discussed Euthanasia and both fully supported the right of a human being that is facing a terminal illness to choose to die with dignity.
We made an appointment with a Neurologist and after numerous tests our worst fears we realized. The Doctor announced that Paul had Motor Neuron Disease, the prognosis was 3-5 years... No Treatment... No Cure!!! As we walked to the car Paul said to me “I want to give you the opportunity to walk away, you already have a son who is disabled, you don’t want to watch me become a cripple.” I loved Paul so much that nothing could stop me from being by his side we had to make the most of the time we had, not waste a minute.
From that day on we lived life to the max. Disneyland, Las Vegas, Hawaii, Vanuatu, Bali, fishing and camping. All the things we thought we would have a lifetime to enjoy had to be squeezed into 2 years. We had tough times the stress was unbearable sometimes. For such a brave, “self absorbed” person to deal with firstly a leg brace then a walking stick then a wheelchair and finally ‘home help” was heart wrenching. I had to be supportive when it was against his character to be dependant on others. We got so tired mentally, physically and emotionally, Paul knew this battle was one he couldn’t win. Without the support of our friends and my family we would not have been able to do what we did and make the most of our limited time.
In June 2004 we organized what we knew would be our last holiday. Paul had trouble eating and sleeping were both exhausted. We flew to Bali, our favorite holiday destination. A friend of mine came along to help out. I had to feed Paul and help him drink his cocktails, he loved sitting on the beach in his wheelchair, bargaining with the locals for watches and gifts for the kids.
He seemed so relaxed, he knew everyone in the resort and with me helping him communicate, they all made a point of having a chat and a laugh with him. He was spotted speeding down “Legian Street” on a number of occasions with me trying to keep up. We had a ball! Our last night was beautiful, sitting on the beach with friends watching the breathtaking sunset. We were teary because we knew we would never be here again together. I am so glad we got to enjoy that holiday we felt so at ease, no stress, so in love...
Paul said “when we go home, it will be cold, I will be stuck in the house”. We had already made contact with “Dignatis” a legal Euthanasia organization in Switzerland and had been planning to travel there after Christmas. On Saturday we loaded onto the plane on the red eye flight, it was uncomfortable but we got back to Melbourne then drove home to Wodonga. The kids were more than happy with all their “Bali presents” we were exhausted but it was a trip to remember, something special.
After a couple of days recovering and getting used to the cold weather again, Paul’s eldest daughter helped me put Paul into bed on the Tuesday night, he was uncomfortable and after laying down complained of chest pain. I had to sit him up the pain was unbearable. I suggested we go to the hospital to my surprise he agreed. When I had mentioned the hospital before he had said “If I go to hospital, I’m afraid I’ll never come home”.
We went to casualty and he was admitted with Pneumonia. On Wednesday more tests showed fluid on the lungs, he was treated with I.V. antibiotics. On Thursday a change of position and his lung had almost collapsed. He had trouble breathing and monitors were showing a decline in his Oxygen saturation. The Dr suggested a trachea. Paul looked at me and said “No, but I need to see my girls”. I rang our families and his daughters (10 and 12) they all came to his bedside. The room was full of his loved ones.
Between shallow breaths and loosing color he went around the room and managed to tell each his last wishes and goodbyes. Lastly he turned to me, by his side, holding his Oxygen mask. He didn’t have to say anything, our love was so strong. We both knew we had been blessed to have known that type of love and devotion. The nurse checked the monitors and he turned and said to her “I’ve had enough”.
There was nothing anyone could do, it was time, he had said his goodbyes, I love you’s, he didn’t want to live any longer.... He started to gag and struggle for breath, they asked me again if he wanted to be tubed. I got close to his ear and whispered “it’s alright my darling, if you want to stay. I will be here for you.” He squeezed my hand and shook his head. The Dr and nurse suctioned him with a tube down his nose. Slowly the color came back into his face and he started to breathe a little easier. He said to me “don’t let me choke, I don’t want to choke to death”. What could I do?
From Thursday afternoon till Saturday evening so many friends came to visit. The Critical Care Unit had never seen visitors lined up. Paul had lived such a busy life, he was loved by many. Paul had trouble being understood, he had so much to say to his friends and family, we were both extremely worn out. I fell onto my stretcher bed in his room at about 1.00am, the nurses woke me at 1.20am to tell me Paul wanted me. I got up and went to his side he said “I couldn’t wake you, I was scared”. So for the next 5 ½ days I was in the chair next to him so he could reach me. The Reverend and a close friend came in to comfort him daily.
On Sunday more visitors, some traveled miles and miles to say “Good Bye”. He told the doctors that afternoon “Take everything out, I just want morphine” they told him he wouldn’t last long without fluids and medication. He said “I’ve had enough”.
The next four days were heartbreaking. He was in extreme pain asking for more morphine. Paul spent most of Monday making me take notes on all last minute details for his funeral (I think he would have been impressed with the service and approx. 900 people who attended). I had to list some special things to be given to his friends. This got harder and harder, I was taking notes, giving him oxygen, keeping his mouth moisten turning and massaging his dehydrating body. His muscles were wasting away in front of my eyes.
The hospital staff were very kind and started to worry about my health, but I was sure that the time was coming soon and I would stay by his side, I’d cope somehow. He was getting agitated and frustrated because I was finding it very hard to understand what he was trying to tell me. He had so much to say, so much to organize. The visitors were stopped, neither of us had the strength to see anyone. Early in the hours of Tuesday July 6th, I told Paul “it’s your birthday, 38” we cried, nothing happy about this birthday, it would definitely be his last. We used a spelling board to take some more notes, but he was extremely weak.
Wednesday, Thursday and Friday Paul was slipping in and out of consciousness he was in intense pain when awake and developing bedsores. By now I had not slept for 7 days and eaten little, I didn’t know how much longer I could hold up, my eyes were sore and crusty and I was emotionally and physically drained. How much longer does he have to suffer, Paul was the bravest person I have ever known.
Midday Friday 9th of July 2004, as Paul dozed off again I sat to read a magazine in the chair beside him, I was straining to read with only a streak of light coming through the curtain. A few minutes later, a woman knocked and brought a food tray in to the room. I thought it was strange because I hadn’t ordered food for a week. As I looked across Paul’s bed to watch her set down the tray I instantly knew Paul had gone. The color was already starting to drain from his gaunt face.
I couldn’t move for a few moments, I was relieved but in shock. I finally reached over and cradled his delicately frail body and held him. I cried tears of pain, sadness and relief. His suffering had finished. I called the Charge Nurse, Cause of Death: MND, Pneumonia, heart failure. I think the death certificate should also have mentioned bravery. I rang our families, I knew that Paul’s friend would take care of the Funeral arrangements. I needed to get out of that room, the darkness and grief was overwhelming.
Our memories are so special and will always be in my heart, a part of my heart will never recover from the pain we both had to face during those last days in hospital. Only those that have experienced watching their loved ones suffering could understand... It is so hard to deal with the grief of loosing someone so close, but to try to push those memories of suffering and pain aside to make way for the “wonderful memories” is a struggle. Pain is inevitable when diagnosed with MND or any other terminal illness, but suffering should be optional.
It is so cruel and inhumane to watch someone die like this. Someone would be jailed if they let it happen to any other species. Euthanasia should be the right of any human being that is faced with a terminal illness. Paul was a member of Voluntary Euthanasia Society of Victoria Inc. and Dignatis (Switzerland). He strongly believed in Euthanasia, but was never allowed the privilege.
Meg Wolk
Removed address
Sandy Williamson
Extracts from a Ray Martin interview with Sandy Williamson, a Motor Neurone Disease sufferer, and her two sisters (Carmen and Sue) on 60 Minutes.
Sandy Williamson's last wish was to die with dignity. She was determined to take her life whilst she was still physically able to do it. Read the full interview at NineMSN
SANDY:"...the law says you have to do it yourself. And for me, that means that I have to use my hands and right now, I'm very, very rapidly losing the use of my arms and my hands. I tried to brush my teeth last night and I couldn't make my right hand work. So if I lose the ability to end my own life, then I will be trapped.....
RAY MARTIN: How about the difficulty for you two women that you've got — Victorian law says that you can't be with your dying sister. I suspect in the same room when she dies, that that's against the law.....
CARMEN: It's incredibly unfair. It's incredibly unfair. She should be allowed to have whoever she wants with her. I want to be here. I want to be here for her.
RAY MARTIN: You want to be in this room when she takes it?
CARMEN: I would want to be like, you know, holding her in my arms if that's what she wanted. You know, to make her feel as loved as possible......
RAY MARTIN: A few days later, Sandy took the pills, but she didn't die. Instead, she dropped into a deep coma, into a twilight zone where she has been for the past five days. Rushed to hospital by her family doctor, Sandy is now back home but still in that coma. While her sisters Sue and Carmen wait and wonder why things went wrong.....
CARMEN: The system could have worked so much better for her. It would have been so much more pleasant. She could have had everybody she loved around her. They could have held her hands, held her. She had to do it alone......
Footnote: Sandy Williamson died 4 days later in a coma in the Alfred Hospital in Melbourne.
Shameful Country That Makes The Old Suffer So — Stephen Clarke
My mother is dying. At 83, she is 30 kilograms below her fighting weight, too weak to get out of bed unassisted, permanently nauseous and unable to eat more than a few mouthfuls without retching and often gripped by dizzy spells even while lying supine. She reckons she's had enough.
She's done her level best, a tough best conditioned by an orphaned childhood, in the backblocks of the Riverina during the Depression, accented by a long spell in calipers with her polio, and raising children in the guest house she helped run from the age of 20, when Dad was away at sea for most of the year.
She's endured all the prescribed medical interventions: drugs and ECT for the nausea accompanying the anti-depressants, the whole dazzling pharmacopoeia that the industry has assembled to keep the elderly in a fit state to pay bills as long as humanly possible - knee replacements in her late 70s and the excruciating, useless rehab that went with that, long lonely stays in depressing private clinics where the doctors had trouble bringing her name to mind, and major surgery last year to install the aortic valve of a pig. As I say, she's done her best, but now she just wants to go.
She could just give up her medication, but she dreads the prospective outcome, a stroke that fails to carry her off and leaves her even more miserable than she already is.
She's beautiful, dignified and courageous.
In all this she's never been seen to shed a tear of self-pity - humorous and reassuring to all of us who love her and have to watch this dire process. What she desperately needs is appropriate care from a doctor, the same reluctant but loving care that veterinary surgeons extend to cats and dogs every day.
But she can't have that. She couldn't talk about it on the phone without becoming a criminal, for God's sake - even if she were able to get to the phone. The same Government that has abjured so many services to the living on the grounds that self-help, market forces and freedom of choice are sacrosanct, has decreed that Mum, dying, can't make this decision for herself, and that we who love her must also stand around and watch the consequences on pain of losing our own freedom.
Shame on us all for bowing under the hypocritical, mindless yoke of this dismal administration, both champions of laissez-faire and double-speaking thought police as it suits them.
Stephen Clarke
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