Dying with Dignity ( Physician Assistance)
Physicians increasingly support the concept of dying with dignity, but few have been part of one, even in states where it’s legal.
Although many physicians support the idea of dying with dignity , few have participated in one, and some have even declined to do so.
Those are some of the insights from a new Medscape Medical News poll, which shows that overall, the number of physicians who support the concept of assisted death appears to be on the rise. However, even in states where it is legal, few doctors have been part of an assisted death.
According to the poll of almost 300 physicians, 16% said they practice in states with a physician-assisted dying law. Yet only 17% of those physicians who practice where there’s such a law said they have used assisted dying with a patient. Thirteen percent said they’d received a request but had declined, and 70% said they’d never been asked to assist with a patient’s death.
On the other hand, 62% of doctors who practice in states that do not allow dying with dignity reported that they had been in a situation in which they wished the patient could have been able to exercise that right. Also, 56% respondents believe the passage of physician-assisted dying laws is a positive development.
A separate Medscape ethics report published in December 2016 found that 57% of doctors said physician-assisted death should be available to the terminally ill, up from 54% in 2014 and 46% in 2010.
In the new poll, many respondents also wrote comments that reflected the struggle between patient wishes and not wanting to prolong suffering, and the physicians’ commitment to “First, do no harm.” They differentiated between withholding components of ICU care, for instance, and actually helping to end someone’s life.
“Our role is to ease the suffering of the dying patient and their family. I am acutely aware that our modalities of treatment can become modalities of torture. As such, components of ICU care should be withheld at times,” Medscape reported that Dr Jesse Pewarchuk, MD, a pulmonologist, said.
He added, “I am very concerned that patient-assisted suicide could be misused.”
Physicians also expressed concern regarding mentally ill patients.
Medscape also reported on comments from psychiatrist Edward Childe, MD. He said he was in favor of physician-assisted death, but pointed out, “I would be hesitant to prescribe it for the mentally ill because I have found that severely ill patients who have worsened with years of physical treatments have been able to become well with modified psychoanalytic therapy.”
According to the advocacy group Dying with Dignity, six states have assisted death laws, and many more are considering them this year or legislative session.
All these are with use of the peaceful pill medications in some cases called Nembutal ( Pentobarbital sodium). Most doctors also have assisted in getting patients these medications even in places where they are not legal.
Dr Philip an Australian based medical doctor and also a fighter for Voluntary Euthanasia and Dying with dignity laws also confirmed to have discreetly shipped over 80 + bottles of the medication.
Others such as Dr Hardy, Dr Jesse and some with identity with-held for security purposes also have done this .
An increasing rate of scams online for the sale of Nembutal these days , getting patients in desperate need get ripped off , brought about the idea of these physicians assisting patients them selves.
” It is better to always buy your nembutal from a physician , then just ordering anything over the internet you can find in the name of Nembutal ”
Contact physicians that are willing to assist you if you need the medications .
Dr Jesse Pewarchuk