By Charles F. McKhann

ISBN-10: 0300086989

ISBN-13: 9780300086980

ISBN-10: 0585350876

ISBN-13: 9780585350875

Drawing on in-depth interviews with those who have been loss of life and with the physicians who cared for them, in addition to on his personal reports as a doctor, Dr. Charles McKhann argues persuasively that physician-assisted demise can be made legally on hand lower than sure conditions.

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The average lifespan after diagnosis can be ten or more years, and often much of the time is spent < previous page page_26 next page > < previous page page_27 next page > Page 27 in a nursing home. In the early stages, the Huntington's disease patient is not only demented but shows a variety of awkward, purposeless movements that give the impression of drunkenness. Later these movements are so uncontrolled that it is necessary to be restrained to a bed or a chair. Still later, tube feeding is often required because of difficulty swallowing.

She also was aware of her diagnosis before she lost the capacity to understand and talk about her illness. She made it clear that she did not want to go on living. For a year or two her most lucid hours were before daylight, and her husband taped some of her statements. ''You need a new wife. This one is no good anymore. All I am is garbage.  .  . When can I be dead?  . " Marguerite's family promised her that she would never go to a nursing home, and she died at home a few years later. In an interview Dr.

She had a family and many activities and interests. She also was aware of her diagnosis before she lost the capacity to understand and talk about her illness. She made it clear that she did not want to go on living. For a year or two her most lucid hours were before daylight, and her husband taped some of her statements. ''You need a new wife. This one is no good anymore. All I am is garbage.  .  . When can I be dead?  . " Marguerite's family promised her that she would never go to a nursing home, and she died at home a few years later.

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A Time to Die: The Place for Physician Assistance by Charles F. McKhann


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