< < Kippa Shuo > > is a [serious] debate program, often explaining the way of life with some funny and exaggerated words and tones. However, the latest issue of Kippa Shuo is the most dull in three years because it talks about a dull topic-life and death.
The suffering terminally ill patient wants to give up his life, should he be encouraged to survive?
Pro: Yes.
Opposition: No.
The First Argument of the Positive Party (Li Lin)
Grandma has moderate Alzheimer’s disease. She can’t tell the difference between hot and cold. She takes a bath in cold water in winter. Grandma forgot his name when she looked at her grandson with a big smile. Apart from physical and mental torture, is there anything in the world that is more painful than forgetting all the pain? However, Grandma must be encouraged and kept, because as long as she is there, the home is there, the love is there, and the soul is there.
The First Debate Against the Party (Dong Jing)
Today, science and technology are very developed. It opens up a third way between death and life: half dead and not alive-living artificially.
There was once a patient with advanced lung cancer, I lived in ICU for four years. Tracheotomy was inserted with a ventilator, ulcerated nasal cavity was inserted with a gastric tube for feeding, and many bedsores grew on my lower body. For four years, the old man could not speak with a ventilator, and the only expression of emotion was [crying]. Grandpa Zhang choked up before he died and said that only his wife could understand the syllable: “I hate you, why don’t you let me go?” We should not blindly encourage others to survive, abruptly support love into hate. We should learn to face death, respect and accept the decision of relatives.
The Second Argument of the Positive Party (Hu Jianbiao)
The patient may not have no will to survive, or he may just be afraid of the next course of treatment. Our encouragement and persuasion may be a courage for him to live.
Many patients with incurable diseases who have been delayed for a long time are afraid of not having a filial son in front of the hospital bed for a long time. Afraid of being rejected by family members when leaving; Afraid to leave is not decent enough-patients may be afraid of being dragged down if they want to give up.
Therefore, don’t miss it because of misunderstanding. The encouragement at this time is not only to let relatives get rid of the pain, but also to have a love choice.
The Second Argument of Opposing Parties (Qiu Chen)
For ordinary people and diseases that can heal, encouragement is a kind of warmth and happiness, because it is encouragement to survive. However, encouraging terminally ill patients to survive is a curse.
There is also a choice between life and death, and you can choose to live the last period of time. Once terminally ill patients enter the hospital, they may not be able to come out again for the rest of their lives. Their bodies are filled with various catheters. These catheters flow in with life-sustaining liquid medicine, and flow out with your consciousness, self-esteem and your temperature.
We should not use our love to kidnap other people’s lives and ask others to live for ourselves.
The Third Argument of the Positive Party (Ming Chen)
It is because of pain that patients really make the decision to give up their lives.
When the pain is extreme, it is the time to make this decision. But when the pain has passed or the pain has eased slightly after morphine, the patient will tearfully say to the doctor, “Is it possible?” Try it again! The patient’s will is not firm, and pain kidnaps their will.
Gently push the patient to take a brave step forward, because of the progress of science and technology, the patient may wait until the spring blooms again.
The Third Debate of Opposition (Huang Zhizhong)
At the end of the terminal illness, the patient has heard too much encouragement. In fact, he may not want to hear how unwilling his relatives are to leave him, but how much he misses him.
People will die, not today, but also one day. Encouraging words are social and will hinder real communication. Once encouraging words are said, many true words are hard to say.
Encouraging words are to close the words of real communication. While patients can still listen and respond, they should speak their true feelings in time.
Positive Conclusion Debate (Gao Xiaosong)
An American girl named Terri Schiavo was a vegetable in 90.
In 1998, her husband wanted to pull out the tube and give up because the girl had said that she would choose to leave if she became a vegetable. However, the girl’s parents firmly opposed it. The two sides disagreed and went to court, causing quite a stir in the United States, leading to the weekend overtime legislation in Congress. The weekend legislation and the national vote, the seesaw battle of life led the girl to pull out the tube and intubate three times.
If life has no quality at all, one should choose to give up.
But here, patients can still choose whether to survive or not, which shows that life still has quality. As long as patients can still think and express, we should encourage terminally ill patients, whether out of free will or quality of life.
Opposing Party Settlement Debate (Cai Kangyong)
It is difficult to say goodbye because the Chinese are not used to practicing it.
A very beautiful dancer, she got brain cancer, living life as a party. Relatives and friends should continue to play in the party. But she has to go first. She doesn’t want the whole audience to put down their glasses and turn off the music because of his departure. She hopes it will be a happy farewell ceremony. Death can deprive people of their lives without depriving you of dignity and warmth.
We should all learn to say goodbye and face death. Instead of keeping each other, because life cannot be kept.
Should doctors encourage terminally ill patients to survive?
Whether to live or not, in fact, the core of the discussion is these three points:Quality of life、Free will以及Face death calmly.
The positive side encourages terminally ill patients to survive, often on the premise that patients have a certain sense of freedom and quality of life.
The opposition chose to give up because the patient’s life at the end of the terminal illness was not decent enough and lost his dignity. Relatives should face the death of the patient calmly.
As a doctor, how to weigh terminally ill patients?
First of all, it is the principle of respect: the principle of respect is first to respect the patient’s own rational requirements (this mainly involves free will), and then to consider the reasonable requirements of the patient’s family members and guardians. It mainly respects the patient’s life, life value and personal dignity.
Secondly, it is the principle of no injury: in clinical decision-making, we should try our best to reduce and avoid the injury to patients (this mainly involves the quality of life). In clinical practice, many treatments are a double-edged sword with both advantages and disadvantages. Medical staff should obtain the best therapeutic effect with the least injury and design the most reasonable personalized treatment scheme for patients.
Then, there is the principle of advantage: the duty of medical staff is to cure patients and promote their health and welfare. However, the personal interests and needs of patients involve the whole family, especially the families of tumor patients. Many families are directly dragged down. When various conflicts of interest occur, we should consider how to maximize the interests and obtain the consent of all parties.
Finally, it is the principle of justice: the implementation of medical work should take into account the fair distribution of benefits, risks and costs, and put limited treatment resources into the patients with the most ideal treatment effect.
Grasping the above four points has the basic ethical basis.
Death Education and Death [Experience]
In addition to [cold] ethical considerations, tender death education is also what we need. Apart from our medical personnel themselves, we should also let family members and patients know how to face death correctly and calmly in practical work.
However, as Cai Kangyong said, we Chinese are used to not practicing this matter. Before, many citizens at home and abroad lay in coffins to experience death. The farewell ceremony of “fake death” allowed the experiencer to touch death at zero distance.
Finally, I end the whole article with the story told by exotic congressman Ma Dong. Ten years ago, Ma Dong was unable to face his father’s sudden death and never let it go. Three years after his father left, he had a dream to let him go gradually. In the dream, his father said to him: “I really left today. I am very happy to be father and son with you for a lifetime. It is predestined friends to get together again…”