End-of-life concerns for senior citizen

DEAR DR. GOTT: I agree with your past writings on end-of-life issues and would like to see wishes granted to the elderly. This is their last wish on earth, and I think people deserve to choose their way of death. It would be easier on the person and on the family.

I’ve been through the agony of watching my baby, husband, mother, father and sister die. It is very heartbreaking.

Please give us more information on our end-of-life wishes being granted. I’m in my 80s and am already worrying about going to a nursing home and lying there until I die. That’s surely not a good thing to look forward to. Just give me a shot and let me die with my loved ones around me. That’s all I ask.

DEAR READER: If you strongly believe that you don’t want any uncomfortable experiences, such as resuscitation, when death is imminent, now would be a good time to put your wishes in a legal document. These documents vary from state to state, so have your family attorney put together all the necessary paperwork, including a power of attorney and a health-care proxy for you to sign. Ideally, your family members will abide by your wishes. You must consider, however, that they could take the collective position of wanting everything possible done to prolong your life. They love you and feel they are acting in your best interests.

Do not expect your doctor to give you “a shot� to facilitate your death. In most places, such an action is legally a felony.

It’s up to you to take the necessary steps now while your mind is keen and your wishes can be documented. Don’t wait until an emergency situation arises when such vital issues may be out of your control. Then, if you ultimately decide to go to a nursing home, I’ll expect you to be very active with the programs they offer, and want to hear from you when you win the shuffleboard competition or bridge tournament.

DEAR DR. GOTT: I’m a 42-year-old female recently diagnosed with fibromyalgia. I’ve been unable to work for four months. My meds keep getting changed, and I can’t function while in such pain, with stress and fatigue controlling my life. I have a long family history of lupus, but my doctor tells me I don’t have it. Some people don’t even believe I’m sick.

DEAR READER: Yours is a typical case that many physicians fail to understand or accept. Fibromyalgia is a controversial disorder, best explained as chronic, widespread pain of muscles and ligaments of unknown cause. Exhaustion, fatigue, widespread pain, joint stiffness, sleep disorders and a host of other ailments have been reported with this syndrome, which has affected about 5 million Americans.

If over-the-counter or prescription medications don’t provide relief, consider counseling, chiropractic, acupuncture, massage or yoga. Practice relaxation and stress-reduction techniques. Exercise to the extent you are capable. And, if your physician is incapable of working with you for relief of your symptoms, ask for a referral to someone such as a rheumatologist, who will better understand this complex condition.

To give you related information, I am sending you a copy of my Health Report, “Fibromyalgia.� Other readers who would like a copy should send a self-addressed, stamped, No. 10 envelope and a check or money order for $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

Peter Gott practiced medicine in Lakeville for 40 years.

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