Tuesday, January 18, 2011

HW 30-Illness and Dying- Project

Everyone has some sort of definition on what death is, but most of our understanding of this concept is pretty vauge due to the fact that the word death can be interpreted in many ways. When our phones are not working we say they are dead or when somthing goes out of style we say it is dead, but even when we look at the word in a more literal sense it is still vague. obviously if we see a person on the floor unconcios, they are not breathing, their cold and have no pulse we will say that that person is dead. The problem somtimes is that certain senarios arent simmilar to this one. What if there is a person who uncounsios, and they way they recieve there blood and oxygen is artificail ,and yet there is electrical activity in the brain? Do we declare this person to be dead? According to the dominant view to this topic, which is in opposition to my families view, is that death occurs when there is no activity in the brain.

  Death was once defined as the cessation of heartbeat (cardiac arrest) and of breathing, but the development of CPR and prompt defibrillation have rendered that definition inadequate because breathing and heartbeat can sometimes be restarted. This is now called "clinical death". Events which were causally linked to death in the past no longer kill in all circumstances; without a functioning heart or lungs, life can sometimes be sustained with a combination of life support devices, organ transplants and artificial pacemakers."
What I discovered  through research was that today, where a definition of the moment of death is required, doctors and coroners usually turn to "brain death" or "biological death": People are considered dead when the electrical activity in their brain ceases (cf. persistent vegetative state). The possession of brain activities, or ability to resume brain activity, is a necessary condition to legal personhood in the United States. "It appears that once brain death has been determined … no criminal or civil liability will result from disconnecting the life-support devices." (Dority v. Superior Court of San Bernardino County)"

According to the National Geographic Death doesnt accur at one moment, death is a process, thus making it a frontier to understanding the balance between life and death. Science seems to show that when people hearts stop, organs and tissues can stay in a sort of quazi-daed state for hours. One thing that I found very interesting was a technique used to slow down the death process. Using the theraputic hypothermia, by wrapping sombody in a cooling device, and adding an icy saline chillled to just above freezing into the veins, this drops the body temp to 92 degrees-  Due to this chilling process it slows down the death process and blurs the border between life and death. Lenord Hayflick holds the world record for preserving human cells for 46 years, no one knew how many times a cell can devide until they die, but Hayflick descoverd that it took 50 times of cell devision before they died and called it the Hayflick limit.
 
This topic holds signifigance to me because my grandmother is reaching the end of her days. I remeber when our family came together when we had a family reuinion and after we were done partying we gad a serious descussion, what to do if my grandmother became a vegitable. Do we pull the plug because the brain would not be working or do we let her live until the whole sysytem shuts down? As a family we all agreed (rather violently) that a person is not dead until the whole body shuts down, and that pulling the plug would be out of the options.
 
 

Saturday, January 15, 2011

HW 29 Reading and Noting Basic Materials

Paying for Medical Care
"American Medicine is the envy of the world. It has some of the best hospitals. Highly skilled, well-trained, innovative doctors and has made significant advances in in biomedical research, but contradictory it is wasteful, inefficient, increasingly irrational and expensive" (Page 65 Landmark)
We devote about 17% of our gross domestic products to health care, which is far more than any other developed country. Despite such high spending our industrialized democracy doesn't guarantee health insurance to all, and according to the United States Census Bureau, 45 million Americans lack coverage. 59% of the United States workers with employer provided insurance have had to sit and watch that coverage diminish before their eyes even as the cost continuing to rise.


Facing Terminal Illness
 The thought that your story is on its final chapters can be very depressing and overwhelming. We all know we are gonna die, but not everyone "believes" they are going to die, but another way to view this situation in another light, would be from Tuesdays with Morrie: "Its only horrible if you see it that way. Its horrible to watch my body slowly wilt away to nothing. But its also wonderful because of all the time I get to say good-bye...Not everyone is that lucky" Pg 57
 I always find it inspirational how Morrie can make any bad situation seem not as terrible as people make it. I think that there is a certain reward in a death that is not quick. One gets time to reflect on life and not only that but although  your dying your not dead, giving one time  to experience the life they have left to the fullest.


The Process of Dying
 The process of dying effects not only the person who is dying but also the loved ones of the person also as seen in the touching story that Beth shared. The stages of death ,from the beginning to end, do take their toll on people(lying to ones self about their mortality, the stripping of pride). One key lesson that Beth got across was being sad about something one has no control over only leaves a person feeling miserable. The fact that they accepted death (the signing of the DNR) shows that they were moving on. One thing that I find interesting about death is that everyone wants an answer to what happens whether it be asking a monk to asking a preacher.