Crazy customers! Why all customers are irrational under pressure.Marketing trends keynote speaker

Trust is the most important thing. Future of logistics and supply chain management - keynote speaker

Future of Sales and Marketing beyond COVID - hybrid event in Vilnius: physical audience of 800 + 300 virtual. Digital marketing, location marketing. How to create MAGIC in new marketing campaigns. Future of Marketing Keynote Speaker

Chances of 2 people in 70 having same birthday? Managing Risk in Banking and Financial Services. Why the greatest risks are combinations of very unlikely events, which happen far more often than you expect. Keynote speaker on risk management

Compliance is Dead. How to build trust. Reputation of banks and financial services. Compliance Risks. Why 100% compliance with regulations, ESG requirements etc is often not enough to prevent reputational damage

Life's too short to do things you don't believe in! Why passionate belief in the true value of what you are selling or doing is the number one key to success. Secret of all leadership and marketing - keynote for 1100 people in Vilnius October 2021

Why you can't innovate on Zoom or Teams meetings - Innovation is almost impossible unless breathing same air, in same room

Why the key to rapid innovation is team diversity - survey global CEOs. Innovation keynote speaker

Future Manufacturing 5.0. Lessons from personal life for all manufacturers. Manufacturing Keynote

Future of Manufacturing: diagnostics; predictive analytics, little data and cybersecurity. Keynote

Manufacturing 5 0: The truth about robots, robotics and automation. Future of Manufacturing Keynote

Manufacturing 5.0 - why Manufacturing 4.0 not enough. Agility and Innovation: Manufacturing Keynote

Living Wills - letter to my doctor just in case... Why it is so important to write down how you would like to be treated when too sick to be able to communicate. Future Health

Futurist Keynote Speaker: Posts, Slides, Videos - Future Health Care and Pharma Keynote Speaker

Living wills may be damaged by legislation

As a doctor who has specialised in the care of the dying I have often thought about how I would like to be treated when close to death. Should I write down my thoughts now just in case I am too weak to speak one day - and if I did, should my "living will" be legally binding on all who read it ?

The main reason why euthanasia and living wills are so much in the news is because of bad medicine. It is a scandal that people are still dying in terrible pain because of ignorance or obsession with cure at all costs. Many so-called technological advances are simply medicine gone stark raving mad.

Medics are trained to make people better and are often hopelessly frustrated by incurable illness. Medics also have to publish research to get top jobs so there is pressure to try out unproven treatments. Quality of life can disappear under a forest of needles, wires, electronic gadgets, and needless operations.

Time after time I have seen those who are dying with AIDS or cancer trapped in hospitals waiting for useless tests when they could be at home. Others in coma following accidents or strokes often linger for months, hovering in that twilight zone between life and death, sustained by massive effort even when there is no hope of any kind of reasonable existence in the future.

The machine is unthinking and the results can be horrific. A friend went into hospital at the age of 75 with advanced cancer for an exploratory operation which showed massive tumour. A day or two later she had a heart attack and was dying peacefully. Despite her expressed wishes for no heroics the "crash" team was called and violent attempts were made to revive her with massive electric shocks and injections. She died anyway - without peace or dignity because no one had stopped to think.

As a reaction to all this many are now writing down in advance what they want to happen at the end and want it legally binding. Communication is always a good thing and anything that helps a doctor to understand his or her patient's wishes is to be encouraged. Many treatment decisions are difficult and a strongly expressed view can be very helpful - even if written in advance.

It can be hard to be allowed to die - and I am not talking about euthanasia which is a deliberate act designed to kill. If I was dying of very advanced cancer with many complications I would make it absolutely clear to my doctor that my next pneumonia should be my last. There is no need to "strive officiously to keep alive" when the end is in sight so why pump me full of antibiotics ?

However once a written directive is backed by law then doctors risk prosecution if the exact wording is not followed regardless of circumstances - medicine by lawyers. But how could you agree if you thought the person might have been depressed, under pressure or feeling a burden? How could you be sure that every medical option had been fully explained and understood ? There is also doubt over our ability to get the diagnosis or prognosis right. These issues also affect the euthanasia debate. Many legal experts say an Act of Parliament for Living Wills could be a back door route for legalised euthanasia.

Involving police, magistrates, judges, jury and prisons is no way to care for the dying - much better to encourage good communication, compassionate common sense and expert appropriate treatment taking into account the expressed wishes of the individual.

Related news items:
Newer news items:
Older news items:

Thanks for promoting with Facebook LIKE or Tweet. Really interested to read your views. Post below.

Join the Debate! What are your own views?



Search for your future

Our cookie policy

We use cookies for statistical purposes. To comply with the e-Privacy Directive we need to ask your consent to place these cookies on your computer.

Your use of this site indicates acceptance of these terms. I accept