If all you can see is death, then I would suggest you look more closely. |
I was recently honored to
consult on a blog post by my friend, Paul Louis
Metzger , entitled “Lights Out: Shining a Light on Caring for
the Dying in a Multi-Faith World.” (It can be found here.)
He begins by asking, “What would you do if you were a chaplain or pastor or
trusted friend given the honor of caring for someone of another faith tradition
who is approaching death?” For some, there would be some complications, or
obstacles that might prevent them from doing so. For me? Well, I have cared for
many outside my faith community, including some whose beliefs differ greatly
from my own. But recently, a similar question has been asked, and I now am the
one facing the complications and obstacles.
The question is deceptively
simple. Would you attend the patient’s death? The answer should not be all that
complicated, either.
Can you make death out of life? Certainly. But why would you? |
After all, I have attended
myriad deaths, from a variety of causes, in many different venues. As a hospice
chaplain, most of the deaths have been serenely accommodated with a gathering
of loved-ones clearly aware of the impending last breath. As a police chaplain
and as a pastor, however, I have been present when life ended traumatically, amidst
the valiant efforts of emergency medical professionals. In a hospital waiting
room, I have notified next-of-kin of their loved-one’s death when it was our
own law-enforcement officers who fired the fatal shots. I have left the bedside
of the woman wounded by her suicidal son, just long enough to confirm that her husband,
in the emergency suite next to hers, had not yet succumbed to his wounds. When
he died a short time later, I was there to tell her so. I have participated as
a first responder and in critical-incident stress debriefings with witnesses to
horrific carnage literally on the front porch of police headquarters. There are
more and more scenes that come to mind even as I write this, so before I lose
track of my point, let me hope that I have clearly illustrated it. There are very
few kinds of death that I have not already witnessed.
So, to my ears, the subtext
of the deceptively simple question above is this: “Given that I have attended
all these deaths under so many and widely-varied circumstances, why would there
be any death from which I would
choose to be absent? Especially if it is a patient or parishioner with whom I
have an ongoing relationship?”
The complications and
obstacles I face occur in the specific context of this simple question. My
struggle arises primarily from the fact that I have attended some spectacularly
overwhelming non-deaths. Those have
included SWAT-calls, hostage rescues, and other interventions where the
survival of those involved was far less than guaranteed. I have been present
when lives were saved by extraordinary medical interventions. And I have been
called to the scene when we simply needed someone to argue in favor of life
with someone who was intent on ending their own. And that brings me to the
reasons you do not want to invite me to
your suicide, physician-assisted or otherwise.
I will try to stop you.
Sometimes what we see is not really life. So, definitely not a time to choose death. |
I was one of the founding
members of the board of directors and executive committee of The Suicide Task
Force of Larimer County. It later became The Suicide Resource Center. Now, since
October, 2011 it has a new name. In order to differentiate themselves from
other organizations that want to provide you with the resources by which you
may commit suicide, the team is called the Alliance for Suicide Prevention. Due to
excellent training, and whatever it is about God’s will that passes for “luck,”
as both a police chaplain and as a pastor I have yet to lose the argument on
behalf of life. Do not mistake me, though. I have friends and colleagues who
have lost that argument, though. They were in attendance at a completed suicide
and, had I continued in that field, it would only be a matter of time before I
was, too. But in each case, we say and do all we know to prevent that suicide from
being completed.
That is what I have done in
the past; it is what I will continue to do in the future.
So, imagine for a moment that
you are not the dear friend invited to attend, but the patient preparing to
implement your legally-protected, physician-prescribed, self-administered, and
invariably-lethal solution to an unacceptable life. Try to visualize yourself
terminally ill, told that your life retains far too much quantity for the
declining level of quality—and that the logical decision is to proactively and
preemptively end your life? Do you have that picture of a life-not-worth-living
firmly in your mind? Good. Now, consider whether you want me to be there.
Please understand, I would be
very honored to receive your invitation to be present in that very special moment.
But I would also hope to bring your breakfast in the morning, and to be present
with you for many more days, weeks, or months.
Don't fear the reaper, but don't rush the hourglass. What do you need with all that extra sand? |
No matter how convincing the
arguments in favor of death may be, I will argue in favor of life. No matter
how others seek to terrorize you with wild fantasies of unmitigated agony, I
can testify to you that it is only the rarest of patients who choose to experience higher levels of
pain as a trade-off against greater awareness of the dying process (or simply being
as mentally acute as possible for the visit of one more friend or family
member). As a hospice chaplain I have seen the life-enhancement that is
possible through palliative care (including psycho-socio-spiritual assistance
far beyond what most would imagine could ever be made available in our
cost-benefit-ration-driven healthcare system) even when the experience
surpasses the worst physical deterioration that suicide advocates promise you.
You have the option to accept care that neither prolongs your life nor hastens
its end, but helps you to live until you die.
So, yes, please, do invite me
to attend your going-away party. Just understand that I will still want to win
the argument. I will plan to visit with you some more on the morning after. I
will never stop encouraging you to give life one more try.
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