Life of me who decide

Life of me who decide
Life of me who decide
The intersection of staff reporter and will it be blue May 22 autumn Yang, CCTV the intersection of news hookup and program broadcast a piece of news: The Supreme Judicial Court of South Korea judges that can respect vegetable's patient's will for the first time, stop lengthening the treatment of the life, leave patient's death. The incident is such: In February of 2008, some of 75 -year-old South Korean women's money will fall into vegetable's state because of brain injury. Her children say, do not lengthen the life, " die dignifiedly " by the breathing machine It is mother's will. After the requirement for the excision breathing machine is refused by the hospital, some children put forward the lawsuit to the hospital with gold. The district court of the west of Seoul accepts gold some " in November of 2008 Dignity dies " Request,later Seoul high court too February at this year judge whether excise by breathing machine. On May 21, 9 results which judges agrees to with the majority of the Supreme Judicial Court of South Korea decide to uphold decision. The court says: "If the patient will obviously die within short time, we can say that has already entered death stage. In this case continue treating, will damage life dignity, can stop treating according to the patient's will. " South Korean media think " dignity dies " dispute So is expected to realize and legalize. This piece of news is mediocre in China's response, even few people notice it. To most Chinese, " dignity dies " A word means what they do not understand, even may be the first time hear of. Just on the same day, " choose with dignity " by name Seminar hold in Beijing,is it from various circles of society personage discuss by questions same in meeting - -If the will that people have signed to express oneself to die before death " Advise in advance before death " ,Could they under certain conditions make the decision to one's own life and death? Have such a plot in the intersection of thinking and TV play that initiate by the intersection of Terry and incident " whether youth of me who decide ": Grand-mother's grandfather comes down with heart disease in hospital, the doctor tells relatives, patient's condition is critical, can only medicine support the life, but the hope cured is very few by step up. Give up or continue using medicine? The grandmother decides resolutely: Medicines stop. She says, everyone stops letting nature take its course grand-mother's grandfather's going to this step. Let him walk honourably, quietly. After relatives agree, doctors pulled out the tube which maintains grand-mother's grandfather's life. This plot is true, it is a personal experience of director Zhao BaoGang. Grand-mother's grandfather's prototype is Zhao Bao's just father in the drama, and that stopped medicine decision was Zhao Bao. In fact, extend the life of hopeless and quality, it has already been a topic that the whole world pays close attention to. The typical case in this respect is the favourable death with inferior and fertile base of Sri Lankan of American woman's Thailand. In 1990, it becomes vegetables because of the malpractice, can only rely on eating the tube and maintaining the life that Thailand's sharp Sri Lankan's base was inferior and fertile. Her husband applied to pull out the taking food and managing of the wife to the court in 1998. It is opposed that Terry's parents have said, and begun the marathon legal lawsuit. In February of 2005, Terry was pulled out and eaten and managed third time, its parents lodged a appeal. Finally, 11 U.S.A. touring to appeal court make, award, refuse, insert, take food, in charge of for Terry again. 13 days later, Terry dies in the enormous dispute that is initiated by her. The Terry incident has put forward a question: With the progress of medical science, a lot of people going to the life end can't be serene to leave away, stand first aid measures such as heart massage, trachea intubate,etc. instead. And after first aid succeed, rely on life support system maintain life to have at all quality probably. Is such a life meaningful? Reviewed a colleague of principle of medical treatment and once described family's experience to the reporter: The mother-in-law suffered from lung cancer for two years, cost the medical fee of hundreds of thousands yuan, did not manage at last. Before being approaching one's end, numerous old men have been already extremely thin and weak that fought in different parts between home and hospital. Though the doctor says, if continue using the life to support the system to extend for a few days, but the old man ignores objection of family, let the doctor stop medicines resolutely, give up treating. Delay it above the sick bed, it is the agony to patient and his family, are tormented, have caused the wasting greatly of medical resources too to society. There is digital display, the all-inclusive cost of China's hygiene was 14,300 million yuan in 1980, reached 759 billion yuan by 2004, among them government's hygiene expenditure rises to 129,300 million yuan from nearly 5,200 million yuan, but the personal hygiene expenditure is from 3 billion yuan (account for 21% of the all-inclusive cost) It has risen to 407,100 million yuan ' Accounts for more than 53%) of the all-inclusive cost . The energetical lady offered a piece of data in week of Chinese think tank: All spend 75% of hospitalization cost of all one's life of people in the last rescue. Come from this, countries all over the world begin the purpose to review medical science, adjust the principle of medical treatment. As serious the intersection of disease and medical expert, Beijing rejuvenate the intersection of director and mat build, experience countless the intersection of life and death and scene tomorrow. According to his introduction, critical disease medical association and American division of chest disease of U.S.A. learnt to successively issue two significant files in 1990, propose two basic principles: When being useless, should allow to stop all treatments first, as ICU doctor confirms; Second, the treatment of decision that the agent of patient and patient has the right. He thinks what way help is provided for patient that on the point of death, it is the question that critical medical science needs pondering deeply. "When all of ours fail to respond to any medical treatment, when we draw the bad conclusion of patient's prognosis with experience and evidence, our purpose changes, change from curing patients into letting a patient not leave painfully. Therefore, strengthen the therapeutic task and expand to helping patient and relative to choose the medical care of ' the best death ' again. Accord with ethics. " World Health Organization proposed such 3 in 1990 " Relax the medical principle " : Pay attention to the life and think the death is a kind of normal course; Neither accelerate, nor delay dying; Offer the method which relieves agony and discomfort disease. This shows, the comfortable ideal that one does not involve the behavior of causing death actively and bring the maximum to seriously ill and the approaching one's end one again, becoming the trend in the whole world. Though the natural death which a lot of people do not agree to intervene of the patient's life and death that determined who has the right, but another following question floats above the surface of water: Who has the right to determine the patient's life and death, especially when the patient falls into consciousness unclearly or unable to express one's own will? Chen Yi's son Chen XiaoLu has touched this question while recalling the scene that father passed away because of cancer of colon: "Father lies on the sick bed, all over tube is inserted all over, the doctor carries on various treatments for him ceaselessly, suck the phlegm, wash, stand up. He is very in pain. Do I ask silently, can not rescue? My idea at that time was very simple, since everybody knew that it is unable to save the situation, why waste resources, let patients increase the agony in vain? I still remembered the doctor's answer so far at that time. The doctor has said two sentences, Is the first sentence that ' you have the final say '? Is the second sentence that ' we dare '? " In fact, if has expressed the will of natural death before the patient, the decision that can be given to family found the basis. The intersection of daughter and some point Luo of Luo Ruiqin remember experience before the approaching one's end mother-in-law. "The mother-in-law was stopped up by a mouthful of phlegm suddenly while standing up, the heartbeat was breathed and stopped suddenly, the doctor uses the life and supports the system as soon as possible. When we go, the mother-in-law has already been inserted the breath machine, though the heart is still beating, but not breathed independently, and totally lose mind. The doctor says that it is almost impossible to want to resume original life quality, but use the life to support the system to drag for much time, require us to discuss as soon as possible, had better enter and strengthen the ward, because could get the most professional treatment there. The expenses which strengthen the ward are expensive, though mother-in-law's unit is very delighted, show no matter how much it may cost they all bear, however, with mother-in-law's present situation, must live and strengthen the ward? That means she wants to stay and does not know how much time in the state that this kind of life has no quality at all. If the mother-in-law still can express, what will she say? "In my memory, the mother-in-law is not the problem that it is similar to talk about. Like a lot of people, she has said more than once in some occasions, if is seriously ill, she hope, cut into throat, insert tube, waste, also painful. I study medicine to come from, know very well the mother-in-law has already fallen into the state that she has wanted to fall into least. I think I am obligated to explain the situation to my husband and the mother-in-law's family. No matter how difficult, it is time that we should make the choice. "The mother-in-law's situation continues worsening, because the long-term nerve ending is malnutritive, the cover makes edema and ulcer to present quickly, the urethra has been infected with the respiratory tract. "In the afternoon of that day, I went to see the mother-in-law again. Stand in front of the bed, I am drawing her hands. Though she is going into a coma deeply, I feel it from the warmth of coming in her body. When I called her gently, I see eyeball of her rotate under half entire eyelid even. All of my resolution collapse in a moment. I ask oneself, we do it in this way, whether is the hope that really accords with the mother-in-law on earth? Are we protecting her from receiving the agony on earth? I suddenly thought, life and death were so abysmal. How do we know our choice is correct? "On the same day evening, I phone all persons, tell my doubt and wavering. I say I have totally lost confidence to the decision before this. Fortunately, reason than I of elder brothers, they have adhered to the original decision. "Later, when we put mother-in-law's relic in order, found a message that she inserted in the diary, do not use the requirement excessively rescued while writing to her absolutely clearly to one's own life end. She also says, because I study medicine, she entrusts me with power to make decision of these questions. " Firmly believe one's own decision correct, give up therapeutic decision let relative still heart put into and struggle. Let point Luo order, feel a gratified one, she find mother-in-law insert those message on the diary. This one that can be interpreted the informal edition as " Advise in advance before death " . Peaceful and comfortable and harmonious in the life end " advise in advance before death " Birthplace U.S.A.. In August of 1976, California of U.S.A. passed " natural death bill " at first ( NaturalDeathAct) ,Allow the patient not to use the life to support the system according to one's own will and natural death. Hereafter, every state of U.S.A. made this kind of law in succession. " law of natural death " Allow the adult patient to finish one to call " Advise in advance before death " ( LivingWill) Or " point out in advance " Legal for file,for disease if you can't use by life, support system not to be lasted choiced in latter stage. This kind of file must have two adults to sign and witness at least. Foundation patient of the doctor " Advise in advance before death " Act, does not shoulder any legal liability to because the death that the system causes of stopping, using the life support. The patient is no longer regarded as committing suicide, does not influence its relative to get insurance indemnity too. Among 20 years, " advise in advance before death " With " law of natural death " Nearly expand to the whole America and Canada. Even in the relatively conservative Asia area, such legal spirit is rooted in the hearts of the people day by day. The law expert of South Korean medical circle says, 80% people think " dignity dies " in South Korea It is essential. But " dignity dies " Involve questions such as the religious ethics of the law,etc., propose establishing and is made up of government official, religion personage and medical science, law expert to unite the committee to study relevant cases together, help people to leave this world dignifiedly, calmly. In 1996, Singapore made" medical treatment pointed out the decree in advance", and implemented in July of 1997. In May of 2000, Taiwan allowed the patient to refuse skill of recovering of the heart and lungs at disease in latter stage of end through " relaxed the medical regulations peacefully ". In 2004, Hong Kong legal reform committee took the place of and made decision and instructed the sub-committee to release the consultant service in advance, keep the existing law and popularize in a manner to legislate " Point out in advance " The conclusion of the concept, proposed proposing in Hong Kong area what uses points out forms in advance at the same time. But in China, the death is still most topics unwillings to mention of people. This makes " Advise in advance before death " The popularization in China seems remoter. However, the situation is changing. The intersection of point and piece Luo open one the intersection of public service and website before the some 3 year such as volunteer - -" choosing and dignity " ,Devoted to popularizing and propagating " Advise in advance before death " Knowledge and idea. Websites have got the support of experts and scholars such as Wu Weiran, Hu YaMei. In May of 2009, they put out first " advise in advance before death " Folk for text " the mine five hope ",including: I yes or not need any medical care; I hope to use or not use the life to support to treat; I hope how others treat me; I want to let my family and friend know something; I hope who helps me. The suggestion through " the five hope of me ", let more people know what " advise in advance before death " ,And set up " Advise in advance before death " How can help to realize the personal will at the life end, set up " advise in advance before death " in order to impel Turn under China's social environment into a fact. "It is a kind of right to choose not to use the life to support the system in order to keep dignity, need knowing and safeguarding. " Luo clicks and clicks and says. Just as former Deputy Director Duan BingRen of Municipal Standing Committee of the National People's Congress in Beijing says, should let people accept " advise in advance before death " ,Accept the natural death not intervened, will let people understand soon, what it brought to somebody is peaceful and comfortable, harmonious; Meanwhile, in order to make this system not utilized maliciously, it is necessary to offer legislative authority for it on the premise of according with the constitution. Only this, people are in one To at the time of the death, could really " have the right to determine one's own life and death " . Chain one: While reporting the Terry case, Chinese media has used " euthanasia " Concept. But this case has nothing to do with the euthanasia in the legal meaning, but natural death. Natural death have different name in some country, known as " dignity die " in South Korea . The difference of euthanasia and natural death lies in, euthanasia refers to in order to lighten the agony which enters the approaching one's end state patient, making the patient serene through injecting measures such as medicines,etc. finishes the life. The approaching one's end patient or vegetable that natural death mean, hope having any recovery stops using the breathing machine, eating treatment means such as the skill of recovering of tube and heart and lungs. Chain two: " choosing and dignity " Launch the website one volunteer at 2006 every one of about " Advise in advance before death " Investigation. During the time for 4 months, they release 1200 to print the questionnaire in Beijing, Shanghai, Guangzhou, Xi'an, Chongqing together, retrieve 1098 parts of valid questionnaire. The investigation result reveals, it has not already been the taboo to talk about the death and approaching one's end in the urbanite with higher schooling, most people cooperate; Have witnessed the person of relatives and friends' approaching one's end bad state can treat more actively approaching one's endly, answer " talk about the death, it is approaching one's end to arrange, the life does not use the life to support the system at end " Wait for the question attitude to be more positive; Medical worker and person believing in Buddhism are more willing to talk about the death than common people, it is said " Advise in advance before death " With liking to continue understanding" Advise in advance before death " Person proportion than high; Having imagined one's own approaching one's end philtrum, the proportions of women are slightly higher than men, medical worker's proportion is slightly higher than the general level; Have imagined the approaching one's end person is more willing to make the decision, fill in " advise in advance before death " by oneself And choose not to use the life to support the system; Accept " advises in advance before death " Main obstacle last psychology and idea,reveal whether there aren't the obstacle investigation.


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