living your best to the end

modern medsModern Medicine can keep you alive

Machines, medications and man-made parts: modern medicine continues to find and develop life-saving and life-prolonging interventions.

Advancements in heart research include:

  • Bypass surgery
  • Man-made implantable cardiac devices like pacemakers

When organs fail, there’s dialysis for kidney failure, and transplants for kidney, lung, liver and heart. Cancer continues to be researched, and survival rates and life expectancy has greatly increased. For neurological (brain) illness and injury, medications and interventions are emerging, and rehab helps with increased function. Even infections – which were regularly the cause of death in past generations – are now treated with antibiotics.

However,  as the body winds down, so-called ‘Heroic Measures’ may do more harm than intended.  CPR (Cardio-Pulmonary Resuscitation) Breathing Machines (ventilators), Feeding tubes and specific medications can be considered  Heroic Measures or seem more like Futile Treatment. When making decisions about any of these, it can help to understand the longer-term results and possible complications.

Men writing about The End of Life

Men writing from the inside out about life’s end. In the picture in The New Yorker, sitting with his dog, on a bench by a park, Roger Agnell, looks none of his 93 years. Famous for his sports writing, ‘This Old Man’ is Agnell’s reflection on life, starting ith what is and isn’t working- kind of a Medical History but with the life that was going on around the health issues. The lower-middle sector of my spine twists and jogs like a Connecticut county road, thanks to a herniated disk seven or eight years ago. This has cost me two or three inches of height, transforming me from Gary Cooper to Geppetto. My left knee is thicker but shakier than my right. I messed it up playing football, eons ago, but can’t remember what went wrong there more recently. I had a date to have the joint replaced by a famous knee man (he’s listed in the Metropolitan Opera program as a major supporter) but changed course at the last moment, opting elsewhere for injections of synthetic frog hair or rooster combs or something, which magically took away the pain. I walk around with a cane now when outdoors—“Stop brandishing!” I hear my wife, Carol, admonishing—which gives me a nice little edge when hailing cabs. In the New York Times, James Collins (author of Beginner’s Greek – a novel) title had me gearing up for a grim diagnosis: My office supplies are going to outlive me But, no! No health issue prompts Collins. Instead, it’s when he takes stock of the sheer number of staples in his office he...

Infections in the elderly how to best treat: Are antibiotics always the answer

Although my 96 year old aunt (pictured at left, between me and my cousin – her daughter) had no symptoms of a bladder infection, a urine test resulting from cloudy pee revealed she indeed had a Urinary Tract Infection (UTI. My aunt hadn’t complained about pain or discomfort, my cousin – her ‘power of attorney’ – authorized treatment with antibiotics. Many would agree.

I want to die in my sleep like my grandfather… not screaming and yelling like the passengers in his car.

Will Shriner

Comedian

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