SoylentNews

charon writes:

The New York Times has a long form profile of a doctor who operates a hospice for dying patients. A fascinating look into a subject most people are afraid to even think about.

Now, at the morning meeting, [Dr. B. J.] Miller began describing the case of a young man named Randy Sloan, a patient at U.C.S.F. who died of an aggressive cancer a few weeks earlier at Zen Hospice. In a way, Sloan's case was typical. It passed through all the same medical decision points and existential themes the doctors knew from working with their own terminal patients. But here, the timeline was so compressed that those themes felt distilled and heightened.

And then there was the bracing idiosyncrasy of everything Miller's staff had been able to do for Sloan at Zen Hospice. Rabow told me that all palliative-care departments and home-hospice agencies believe patients' wishes should be honored, but Zen Hospice's small size allows it to "actualize" these ideals more fully. When Miller relayed one detail about Sloan's stay at the hospice — it was either the part about the sailing trip or the wedding — one doctor across the conference table expelled what seemed to be an involuntary, admiring, "What?"

Everything Miller was saying had a way of sharpening an essential set of questions: What is a good death? How do you judge? In the end, what matters? You got the sense that looking closely at Sloan's case might even get you close to some answers or, at least, less hopelessly far away.

Original Submission