What Doctors Need to Learn About Death and Dying
Karen Wyatt MD is a family physician and the founder of End of Life University (eolupodcast.com). She spent much of her 25 year medical career working with patients in challenging settings, such as hospice, nursing homes and indigent clinics.
In a blog post, Dr. Wyatt writes:
These are the fundamental truths of death and dying that should be taught to every medical student from the first day of training:
- Death is inevitable.
Every living thing on Earth will die. Death ultimately cannot be avoided or prevented, even though it can and should be forestalled when reasonably possible. The fact that every patient eventually dies creates a sense of hopelessness and futility for doctors if they pit themselves against death as an enemy—for that is a battle that can never be won. But those who recognize that the end of life is actually the final stage of human development can help their patients face their last days with dignity and make reasonable choices for their care and treatment.
- Death is a mystery.
No matter how hard we try we simply cannot control or accurately predict when natural death will occur. In my hospice work I have seen many patients who lived far longer than expected, against all reasonable odds; and I have also seen patients who died much sooner than expected, from causes not related to their terminal illness. We have to accept this mysterious nature of death even while we work to circumvent it or prepare for its arrival.
- Death makes life more precious.
When life is perceived against the dark backdrop of death, we can see how it shines and glistens for us, ever more precious because it is fleeting. This is the gift that our mortal nature provides us—an opportunity to cherish each moment simply for the fact that it will not last.
- Dying provides an opportunity for transformation.
In my work with hospice patients, I have witnessed over and over the transformative power of love and forgiveness during the last days of life. When dying is respected as a natural part of life and time is allowed for the process to unfold, patients can turn their focus to matters of the heart and soul and find meaning in both life and death. But this does not happen when death is perceived as an enemy that must be resisted until the final breath is taken. Doctors can help their patients change focus by advising them with honesty when the time comes that pursuing further treatment is futile and will cause more harm than benefit.
Healing takes place, not when death is forestalled, but when life is embraced and affirmed in its entirety, from beginning to end. When doctors fully understand the nature of death and dying, they will become the true healers that are desperately needed in this world.
Written by Dr. Karen Wyatt