Dr. Zivot was one of my instructors during my anesthesiology residency at the University of Michigan in the late 90’s. I still remember rounding with him in the ICU. Brilliant, humble and personable.
*Im terminally ill myself and have lived probally a year longer than i was supposed too, my heart is shutting down, im at 15% muscle left, most die at 25%. The hardest thing for me is people dont want to hear it, or before i can even finish my story they interrupt me telling me all their illnesses. Even people im trying to say goodbye to cut me off and dont seem to care that im just letting them know before its over for me. Its very frustrating so i keep quite now, but inside i just want to scream at them and yell hey dummy im dying and im trying to say goodbye, but the worse part is so many think im lying cause i walk around and look healthy, but inside im hurting so bad because the pain, its like i have this big rock in my chest thats growing, and the more it grows the worse the pain. Sometimes i just go home and lay down because i feel so bad, my head hurts, my chest hurts and my inside hurts, but nobody wants to hear it. And btw im not afraid of dying at all because i know where im going, it would just be freaking nice if someone would listen to me and how i feel*
Hi,pls try krishns consciousness even your pain may eradicate,....for search for ikcon temples near you...or read their books online....may you get free from the cycle of death and birth :)
Medical assistance is dying is most definitely easier and more humane than suffering in unspeakable agony for weeks while terminal cancer eats you from the inside out, and your loved ones watch you waste away to a shell.
@@TheHigherVoltage never said it was. I'm only here looking for one who may be willing to help in a death. I do not care whether or not we call it murder or "medically assisted". I'm just here to find one willing to help.
@Cait L. ///// Thousands who have visited the afterlife have told us what it is like. Mediums contact them every day.. They even write books thru mediums. "Life in the World Unseen" can be downloaded for free.
There is a major difference. Lethal injection is performed on someone who does not want to die. But medical assistance in dying is given to someone who is eager and willing to take it to finish their lives without extended and excessive suffering.
@@springteen3743 before they started killing the Jews they started with a program to murder people with physical disabilities to ease the genetic and financial burden on the German Society and the state.
would you be willing to help someone die if they wanted to, and all you'd have to do is pull the trigger to the gun that is not your own and you'd be paid? Please only those willing respond or if you have information on where my odds of finding someone willing would be very likely.
Is it really your right when you need permission from some other authority? And is it equality if you can't assist someone in suicide but someone else can? Think about it.
@@chicken2423 my mother was put on life support, she could not breath on her own. So they would have put her in a nursing home, she could have lived a long time like that. I was the oldest child and had to make a decision. I spoke w/ all family members and we decided she would not want to live like that. So I had to tell the doc's, OMG I pulled the trigger. I have the same thing COPD every day my breathing gets worse and worse, I have thought about AS daily, this is a horrible life. I'm not a good wife, or mother, can't clean my home don't get out of bed barley bath. I feel like a discussing human being, not much reason to be here anymore. Sorry. I hope God does not consider me as a murderer, I had to do the same for my father. Omg 😥💔
I was a hospice nurse, and I must say in my 4 years never did I see a patient in true agonizing pain. Once you stop providing fluids and nutrition to a person, the body shuts down in the most peaceful of ways. I remember following this experience, my first day at an ICU I was horrified because I was not used to seeing so much pain!
Wow a different perspective but I'm still for assisted dying because once the medication is injected only have to suffer 1 min at most before my heart stops
Just became the organs progressively fail in either MAID or a state-mandated execution, it doesn’t necessarily follow that the dying process is painful or even uncomfortable, as he is trying to imply. If you are unconscious, you won’t necessarily be aware of it.
@Southampton Lock Picking Club At some point, it just looks like the patient is being kept alive so the hospital can make more money from the insurance. It's all a big SCAM! If people want to die they should have that choice.
um... if he ever has a long slow painful illness that meds don't touch and he feels nausea, no good sleep and endless suffering he may change his mind.
I don't think you actually listened to his reasoning. I've watched hundreds of videos and researched the topic. Palliative care is the better choice. They can keep pain and suffering at bay there as well. Natural death. The body shuts itself down systematically. I think you may be more worried about how a prolonged death makes you feel watching it rather than the person experiencing it.
@@gaillessard2786 I don't think they can keep pain and suffering at bay. Also don't forget the person who has to watch themselves wither away. It's not about me watching someone. There should be the choice and the person decides it's their death after all.
@@gaillessard2786 no, eso no es así, muchas personas piden eutanasia, porque los dolores son insoportables, a veces la morfina no sirve de nada, cuando hay mucho dolor, además con el tiempo el cuerpo de acostumbra a la morfina y no hace su efecto
As others have mentioned: so what? His point is that people ultimately die of multiple organ failure up to and including drowning in their own fluids. Yeah? OK? So what? They are unconscious. Surgeons do some pretty invasive procedures that would be pretty damn traumatic if the patient were concious. But they aren't and they none the wiser when they come to. It is admirable to ensure that people are aware of the implications of the decisions they may have, but it's inhumane to take a decision like this away from them.
I agree 100%. Of course, something's got to give: there has to be a cause of death. So autopsies will show that, and it doesn't look good. It is death. Under anesthesia, a lot of weird-looking, but life-saving things are done that would make us wince in empathic pain. But, we are still under anesthesia!!! So, please, Dr Zivot, drop that anti-MAiD fear tactic... Thanks.
This is such an interesting and difficult topic. Most of the comments I’ve read are those talking about when MAID would be welcomed and the most humane thing that can be done in many medical situations. I empathize and agree with your viewpoints, but I also can’t imagine how difficult it would be for me to provide MAID as medical care. Beneficence is a principle in medical ethics that requires healthcare providers to act in the best interest of their patients and to promote their well-being. It is based on the idea that healthcare providers have a moral obligation to do good and to prevent harm to their patients. In the context of medical practice, beneficence requires healthcare providers to provide treatments that will benefit their patients and to take actions that will promote their health and well-being. This principle emphasizes the importance of promoting the patient's welfare as the primary goal of medical care. The principle of beneficence is often cited as a justification for MAID, as it emphasizes the importance of promoting the welfare of patients and prioritizing their well-being above all else. Providing patients with the option to end their life in a peaceful and dignified manner can be an act of compassion and can help to alleviate their suffering. While I can logically understand this reasoning, and I agree with it, I still wrestle with the idea of providing such palliative care in my personal practice in the future. The principle of beneficence is also closely linked to the principle of non-maleficence, which requires healthcare providers to avoid causing harm to their patients. Critics of MAID might argue that intentionally ending a patient's life can be a violation of this principle. In practice, the principle of beneficence requires healthcare providers to carefully consider the potential benefits and risks of MAID for each individual patient, and to make decisions that prioritize their well-being and promote their dignity. Assessing the patient's physical and psychological pain is an essential part of making this decision, but defining the line of when death would be more beneficial than life seems like it would be extremely difficult, and I can see how those decisions could weigh heavily on a physician’s mind for decades. I wanted to say that your stories in the comments help me to see this ethical concept as a more tangible problem that physicians should be dealing with well before they have a patient who needs MAID. I still don’t know if I’d be comfortable with providing that service myself, I’m coming around to the idea that my personal beliefs are secondary to the needs of suffering patients, and I welcome further input as to how a medical student and future physician can prepare themselves for complex ethical dilemmas such as MAID.
I watched my Mom died. She had on some limited oxygen, for comfort measures only, not to prolong her life. She didn't suffer. She went peacefully. She had a look on her face that told me so. So this doctor is an ICU specialist. He spends his life prolonging life, but it doesn't always turn out that way. He means well, but I don't accept what he says well.
I watched the killing of my dear mare when she was 28 with a terrible painful colic. Whom I had shared my life for 26 of those years. She was aware, her eyes popped open, she started, then sank down and was gone. It was Thanksgiving day. The vet husband was there so he could be with her as she was on call that day. She cried, he cried, two friends who had cared for and ridden her and I cried. We all hugged each other. The other horses at the facility watched this; they saw her body in the field, lying in her favorite clover patch. They were very quiet for several days considering me when I approached them, very carefully. They knew she was dead. I saw my husband die; I saw my Mom die. I still cry for all of them. There were many others in my life who died; Being a living being is tough. Lest you think that I didn't care for these beloved souls.
I'm not entirely sure why we need to old or terminally ill to have a right to die. We should all have a right to assisted death regardless of age or health.
Not entirely sure what he is trying to say. Once a person becomes unconscious all of the bodily effects become null and void. Of course the bodies organs fail before death. It doesn't say anything about the immeasurable suffering of the individual while still conscious.
If people are allowed to die quickly under their own terms and that becomes the norm, it would be a HUGE blow to doctors' and hospitals' profit margins. They want you to be hospitalized for months on end where they can charge you/your estate hundreds of thousands of dollars.
Well, the large profits will go to psychopathic doctors who may be in assisted death jobs for the money, so they will coerce people into committing suicide even though they could've been saved and rehabilitated by a lifestyle change.
@@phoenixtoash2396 The Canadian government saved 80 million dollars by killing people instead of treating them, they now push MAID on nearly anyone they can, with the vote to extend it to any person as young as 12 who qualifies as having a mental illness coming in 2027. You really think their goal is to keep people ALIVE to make money? You have it exactly backwards
This fellow, eloquent and knowledgeable as he is, and every commenter here who says MAID is murder, need to thoroughly familiarize themselves with every step of the devastating and always fatal disease ALS. If anything, sufferers of that disease should be allowed, if they so wish, to die earlier on in the progression of that cruel onslaught.
It is legal and available to all humans to simply stop eating and drinking and welcome the reaper over the course of 7-10 days, VSED is often supported by hospice and a natural way to end a painful or terminal illness.
This is just another attempt to discourage people from doing what THEY HAVE THE RIGHT TO DO. LEAVE FOLKS ALONE!!!!!! IF THIS IS WHAT THEY WANT TO DO BCUZ THEY HAVE NO HOPE, LET THEM BE!
@@zythr9999 and I can see the TROLLS such as yourself on your job doing what you do best.... which is trolling. Joke's on you. If you are AGAINST this, then why would YOU be anywhere near this channel????? Exactly 🤣. (When your own comment backfires on yourself ). Don't bother replying. You're MUTED
I can’t say I have an opinion on assisted suicide. I think that choosing to have a gentle, quiet death instead of waiting for prolonged suffering to end is understandable, but I get the feeling that assisted suicide can very well become an abused power.
The body can only handle so much pain then you will faint and rest. In dying the pain is not greater than pulling a molar out by a bad dentist. Intense Pain is just your body saying that there is a life threatening damage on the body and if not correct it than you die peacefully. People should embrace pain and will not be so bad, just pretend that you are at a dentist visit then you would not be so troubled by it. Really is unnecessary suffering. Blessing 🙏
I often think about this topic because of its complexity. This is one of the examples when ethical principles are hard to align with the issue. I see how autonomy can be respected when someone dies of old age, and they would ask physicians to help them with the use of certain medications to expedite their death. But Joel Zivot mentioned an interesting point that when lethal injections are done for executions in prisons it is done not on convict autonomy, and usually convict is not even close to their death by natural course, they still might be healthy and not ready to die. Even when society decides through the court that this person deserves the death sentence, I do not think that many people are ready to step up and execute it without personal conflict about human life values. It was also interesting fact to learn from Joel Zivot's study that lethal injection brings death by creating organ failure. Knowing this fact would affect me too in my decision, I agree with the speaker, this is an extremely hard decision to make, and I am not sure I could do it either. I remember reading the book where the author talked about the physician who agreed to assist in lethal injections, and I was reflecting on their reasonings for why he did it. He knew that there was nothing he could do to stop it because he was not in charge of this decision. He also knew that if lethal injections cannot be done the right way without professional participation, he would not feel conflicted about helping with it because it is better when you think about the convict who might suffer greatly if something would go wrong. And I can agree too that lethal injections look less cruel than other methods that were done historically. It brings quicker and less painful death. If it is impossible to stop taking life at least mercy can be given when suffering can be reduced. It is important to consider all medical ethics principles - beneficence, non-maleficence, autonomy, and justice - when making decisions like this. However, doctors also have the autonomy to choose if they want to participate in assisting a person to die. It can conflict with patient autonomy if they want to choose death, but doctors refuse to do so because of personal values and beliefs. In my opinion, it is right to let doctors have a choice because it is better to have a doctor who is concerned and has values and beliefs than someone who does not. I also believe that with time doctors might progress to the level where they can have a good balance and less conflict as with the example of the doctor, I mentioned above who could see the way why he can do this even with the possibility of still having personal conflict inside.
@@This-Is-My-Little-Corner it's available in Canada. It's legal to die on your own terms via injection. But you need to apply for it, go through counselling and everything and when you are ready, you are ready.
A refreshing take on the subject; a brave thing to do in front of a 'regular' audience.I'm not an advocate of capital punishment or assisted dying. As a layman, it would seem to me that once you're unconscious, it really doesn't matter what happens after that. Like millions of others, I've been rendered unconscious with anaesthetic. One second you're in theatre prep, the next, you're coming round in recovery. The period in between is absent. Fortunately the vast majority come through. Some, sadly, don't. But if you die in this period, you never knew what hit you; the light never returned. I take some comfort in that. Maybe, just maybe, a different light may come on.
I was put under too but when I woke up I clearly remember a long dream. I don't remember any pain which there would have been major pain as I had major back surgery. As long as the person is not in pain once out I can't see it matters what they die of. As you say for them it's a few seconds and lights out painless - though of course some fear as it's the end of this body.
@@treelore5100 quizás te pusieron poca dosis, yo he tenido 5 sobredosis de heroína inyectada, y no soñé nada, quedé en coma profundo, es tan rápido que no da tiempo ni de quitarme la jeringuilla, luego despierto en el hospital, todo el tiempo de camino al hospital para mi no existió, porque no recuerdo absolutamente nada, fue como viajar en el tiempo. También tuve sobredosis de benzodiazepinas en pastillas, por un intento de suicidio, me comí varias decenas de pastillas, tranxilium 50 y trankimazin 2 mg, y recuerdo despertar en el hospital, pero igual, estuve en coma y no tengo ningún recuerdo del tiempo que estuve en coma.
While under anaesthetic for operation.your blood pressure is monitored and you have a breathing tube inserted so you dont suffocate or drown in fluids unlike executions. This doctor is scaring me. Ill look for other opinions.
Joel Zivot doesn’t talk about quality of life. My brother chose assisted dying after suffering from Huntington’s Disease for about 10 years. If Dr. Zivot had seen what my mother’s quality of life was in the last 10 years of her life of suffering from HD (she suffered for 20 years) he would better understand my brother’s choice.
He didnot try the pain and how life quality will change , but he never pay the cost of his or her suffering, in the end it is a human choice , what about who suffered mentally like me depression and cant work or even watch TV , who will feed him or pay his pills
He's an icu doctor. Do you really think he hasn't seen pain and suffering? There is undue stress involved to the body when drugged to death. A body has a very natural way of shutting itself down. Pain can be managed.
@@gaillessard2786 you are so very wrong. ALS is INCURABLE death is INEVITABLE... Your BRAIN is AWARE as you lose your limbs, your breathing, eating it's painful..... You have no clue
Thank you for your description of your mom and the spiral staircase. I was traumatized by my husband's journey down our hallway by the funeral home attendees. Things we don't think about.
I’m sorry for your loss and I’m not wanting to be crude or cruel, obviously, but I’m curious to know how exactly you realized that you were traumatized and what your symptoms were afterwards.
The topic of medical assistance in dying is multifaceted and raises significant ethical questions about patient autonomy and the responsibilities of healthcare providers. As healthcare providers, it is critical that we consider the legal and ethical implications of medical assistance in dying and make decisions that prioritize the patient's well being. This requires adhering to the principles of beneficence, non-maleficence, autonomy, and justice in our approach. To provide ethical medical assistance in dying, healthcare providers must prioritize the patient's values and beliefs while respecting their right to autonomy. It is important to ensure that the decision is voluntary, informed, and free from coercion. Additionally, healthcare providers must ensure that the provision of medical assistance in dying is in accordance with the patient's wishes and applicable laws and regulations. Ultimately, it is our responsibility as healthcare providers to provide medical assistance in dying in a manner that is ethical and in the best interests of the patient. This requires us to prioritize the patient's autonomy, respect their values and beliefs, and make decisions based on their well being.
Working in a long-term care facility, death has become a common sight. However, I still couldn’t bring myself to agree on medical-assisted death. The majority said that it is dying in dignity. But how can it be dignified if basically, you committed suicide? You were put down like a dog! And worst, like a criminal on a death row table.
This video did not progress the way I expected and I am glad I watched it in its entirety. Dr. Zivot has much more medical knowledge and experience than I do but I respectfully disagree with his statements on this matter. I agree that we must take patient's comfort into mind at all times and especially at the end of life and we must be sure that what we do is right for the patient, however, I do not think that by simply allowing nature to take course, it is more humane. I appreciated Dr. Zivot's story about his mother and I want to extend my condolences on her death. My own father-in-law is currently at home dying. His lungs are filled with fluid from the cancer, his legs are so swollen they are leaking out from the pressure blisters, his brain is speckled with the spread of cancer that the gamma knife couldn't remove, his belly is hard and protruding from the ascites and his kidneys are starting to fail. There is no easy way out and his death is inevitable. There is nothing that any doctor can do at this point other than to medicate him to the point of numbness. My husband is not ready to lose his father but he welcomes the relief that his death will bring to his physical body. Dr. Zivot is right that regardless of whether the death is caused by lethal injection or what we call physician assisted suicide, the medications are the same so therefore the process within the body would be the same but I don't think the situations should be compared. The outcomes are the same yet the reason behind them are completely different. A paper by Brandi McKinnon discussed that someone who followed utilitarian ethics would say that we must do what is right for the patient and there is greater good by alleviating the suffering. One could argue that by killing a person convicted of a crime, the positive benefits to society outweighs the negative so it is also ethical for that situation as well but the negative effect of the large amount of people who have to be involved in the euthanasia to me is more negative than a life sentence or likewise punishment.
Wanting to die from physical ailments that cause pain (and rightly might eventually kill you) is one thing, but what if your brain is directly causing such pain? That's where the pain is truly felt. And what if the brain has caused said pain (non-physical) for years, rendering you incapable of going on anymore: aka, the breaking point? I've struggled with wanting to die since I was 8 and it seems so difficult just to get it over with with a lack of assisted suicide regulations.
What it sounds like you are talking about, but not saying, is a mental illness. You can be treated. I'm sorry you are struggling but don't conflate the two scenarios. Physician assistant death is for people who are dying from an incurable illness with nothing but pain and suffering till they succumb.
@@shawnsg Please don't talk down to someone with mental illness. Until you've lived it, you don't know what can and can't be treated. My dr and I have talked about medical assistance in dying. I've been in treatment for 30 years, and my condition is slowly getting worse. There are no more treatment options for me. I have tried everything, including ECT. My body is in pain, my mind is in pain, I am forever exhausted. There are some instances where people who are mentally ill, have been granted the right to die, whether through the help of a physician, or death with dignity. You can't judge someone on their diagnosis alone. Especially in the case of people who are willing to go out and perform the act of suicide themselves, if they can't get the help through dr's. If a person is hurting that much, that they are willing to die no matter what, wouldn't it be the compassionate thing to do, to give them a peaceful death, at the very least. And I am saying this, assuming that this person's dr's, psychiatrist's etc, are in agreement with their choice
@@tommygirl6659 What kind of mental illness it is? Mental health includes many illnesses and disorders, but rarely there is something that requires assisted suicide because the majority of mental illnesses can be eased by lifestyle, diet changes, and physical activity. Perhaps even eliminate negative stimuli, like getting away from toxic people and not watching depressing media, and not listening to depressing music. There are a lot of negative stimuli that can contribute to mental illness, poor diet processed junk foods, sugars, fried foods, lack of physical exercise, and toxic people including toxic bosses. Lack of healthy engagements. A lot of people beat this, but not all psychologists are giving helpful advice either, many want you to come for years because they don't want to lose a client.
Excellent message. The organ failure tells us that it was not "peaceful" for the deceased soul. It may have appeared that way to the onlooker, but killing someone or committing suicide can never be painless.
I agree this was an important talk. I don't think the conclusion is that death from suicide "can never be painless." For one thing, we don't know what the relationship between the post-death organ failure and suffering is. Maybe in dying organ failure doesn't necessarily cause suffering. For another thing, we don't know the time of events. Maybe, for example, consciousness ends before organ failure sets in. Lots of questions, yes, but I wouldn't feel confident drawing a hard conclusion.
@@aiahzohar5636Exactly. I thought that was the weakest part of the talk. We know the body changes after it dies, so why are we meant to take for granted that this is not an example?
@@molybdaenmornell123hopp5 Someone in a chat room who tasted some pentobarbital (Ihave reason to believe the story is true) said the medicine is an absolutely amazing feeling. I'ts a powerful sleeping medicine. So, it seems to affect the brain in a calming way. Apparently people look peaceful, what else do we have to go on?
I remember when physician assisted suicide was legalized in Colorado. A few months later I was talking to a neighbor who was a nurse. I asked if she had dealt with this at all. She broke down crying and confessed that she had multiple patients. The problem was that this method of overdosing with barbiturates doesn’t work. The patients usually vomit them back up and are just more sick than before and have a worse death. They are given a bottle of pills and sent home with it. I understand the logic of allowing them to end their life in the comfort of their own home at their own time. However, the dangerous bottle of pills given them are not tracked or accounted for if chosen to never be used by the patient. It is also complicated that they end their life at home and family and friends either watch or come upon their dead body later if they choose to not disclose their decision. There is also the problem of relatives wanting patients to end their life so that they don’t spend all the inheritance on medical bills. She also said that she had seen patients do it as a sacrifice for their family, as they could not afford the medical care the keep them alive for 6 more months. It is also a terrible toll on the medical persons assisting the patient, to place the patient’s death on their conscience. We reduce this ethical issue to politics or a simple question of right vs wrong, when there are many facets, issues, and complications ignored or not discussed.
This seems to be a total lie, or else 11 states in America and a number of countries are all lying. You have to take anti-emetics first or you will throw them up. Just because one quack nurse in Canada didn't to it right because she wasn't tried right or was incompetent does mean it doesn't work.
I respect Dr. Zivot’s perspective on “medical assistance in dying,” and his comparisons to what he saw in the prison system with lethal injection. Considering the medical ethics principle of patient autonomy, I feel if a patient has the capacity to make his/her own medical decisions, he/she should be able to make the choice to decline any further care, or perhaps ask his/her provider for a palliative care referral or perhaps request care with a hospitalist. I don’t prefer to think of a patient necessarily asking for assistance in “dying,” but perhaps requesting assistance in being given the opportunity to die on his/her own terms. Patient autonomy is probably one of the most highly regarded and esteemed medical ethics principles in the U.S., and therefore, is typically of utmost importance to a medical provider. As Dr. Zivot mentioned, I concur many doctors are not prepared to hear when a patient decides that he/she no longer desires treatment. Doctors are trained to save lives and take care of patients. As much as doctors value patient autonomy, doctors struggle with the idea in allowing a patient to die. However, I appreciate Dr. Zivot’s final words regarding how doctors should provide “assistance in living” and remember that everyone dies eventually. While a doctor should not obviously adopt a careless attitude towards human life, physicians can not only respect human life, but also respect patient autonomy, even if that includes a patient’s desire to cease treatments.
Medical assisted suicide has been a hot topic for a while. I appreciate how the doctor talks about what people don’t usually know. All the documents, legalities and ethical issues involved with this. The decision to take one’s life is not only difficult for the physician helping but to the patient themselves. Making this decision to take your own life is not easy. Whether it is an acute battle or a chronic battle, to ends one life due to misery or to prevent suffering is a decision one should make for themselves. This should not have any negative stigma attached because this is something that should be talked about. Having something like this as an option is good for those who are suffering and can no longer live a normal lifestyle.
Omg i love u for this! I just lost my grandma a few days ago. The loving old school ones, the ones who raise u cuz ur still living healthy parents are selfish. I fear her caretakers, pwr of attrny (family) gave her this option without her comprehensible knowledge. Under her power of attorney who suddenly isolated her, her health declined rapidly in one year. Suddenly abandoned in a home still with him guarding her, her body shutdown but not her. She suddenly cldnt move her legs or arms or swallow. Almost a year. They declared her dead with he body still warm and slightly clenching my hand. Was she in acoma & he signed do not resistate, she wldnt. So the coronor came & took her. Im now obesssed with how long ir conscious after, her biggest fear was from a morphine effect, a dream of going to the morgue & seeing bodies everywhere. And here they took her body still warm? Wats dead. She had only a knee problem now year later her body is cacooning her. Family dont care. Its suddenly old age yet she has more energy than all of us, xooking driving paying bills planting. Then abandoned in the home, pale, thirsty only powder water cuz suddenly cldnt swallow. Finally slippin out, shes dead! As i was the onlt one holding her crying, with family, caretaker/pwr of att already boxing her stuff, laughing about who knows, i begam my dsrk curiousity for a quest of light in this hidden torture, wat do tjey feel after they die, the embalming, etc. If ur soul os determined like avoiding the subject like ur mom did, do they stay concious longer? What scientific proof is soul? I wosh so bad i cam go with her make sure shes situated and safe. But i cldnt return without her. Is she dead, ? Do we really die or trapped in a coffin. Have rhey opened ones in current times in u.s to see signs of struggle. Autopsies. Cheaper if die in a hospital but can any fam member get a copy or caretakers can restvassured as long as it iant them. Doctors do what they do but this law makes it so easy for greedy family members who quality of life cld never be a fraction of their precious yet strong quality.- do the most unthinkable. The new elder abuse.
In most locations where Assisted Life ending options are provided the pallative care team has lengthly and strict procedures that are followed, mandated and documented as well. Several medical opinions and multiple authorizations have to be in place. A power of attorney can not make this decision. They can only follow wishes outside the scope of assisted end of life care. I've seen cases and have had patients make the decision well in advanced that only few to no family members were really aware until the process was nearing to be set in motion. The way this doctor explained this was very outside the norms of pallative care. When a patient utilizes this option it is almost identical to a surgical procedure but with stronger dosages of medication combinations. Lethal injection is a combination of drugs that are available at that moment and potentially the same combination used consecutive times for condemned criminals. My condolences go to you and your family. As hard as it is to think about and possibly consider at the moment, your loved on is no longer suffering and in pain.
@@shawnsg eso no siempre es así, en españa hace poco certificaron la muerte de un hombre por sobredosis de barbitúricos, se había intentado suicidar en la cárcel, pues despertó en la autopsia 3 días después. El caso lo puedes encontrar en muchos periódicos si buscas en google Gabriel Montoya Jiménez
An important talk. Does this kind of organ failure MEAN there was suffering at the time of death? Can consciousness be obliterated BEFORE organ failure so the dying individual doesn't suffer through death?
I really appreciate the professor for his candid advice. I am african and we are not into all these medical death help. We may be poor in this continent but.we.still.apppreaciate life
You’re not actually upholding the “sanctity of life.” You’re imposing your own views and “morals” onto everyone who is suffering and denying them relief because you think you know better. Unfortunately, you can’t understand what it’s like to be in horrific pain and have no quality of life and the desperation of wanting relief. If we don’t allow pets to suffer because it’s considered cruel and flat out animal abuse, people should have that same option without needing your opinion or your approval.
@@susanenns7711 if you're worried about upholding the sanctity of life than you can choose to forgoe medical assistance in dying for yourself. But don't you dare try to make that decision for another.
We are taught how to live our best life, but you, Dr. Zivot, are the rare exception in teaching us about death and dying. Thank you for your excellent presentation. With much gratitude, also, for your compassionate, Pro-Bono Testimony in Dr. William Husel's trial in Columbus, Ohio. Your Testimony was very educational, and presented in such a way that anyone could understand death, dying, and compassionate care at end of Iife. I appreciate you, and I am grateful for the vast knowledge you shared which will be helpful to each individual regardless of their life circumstances at this time, and in the future. May God Bless you abundantly for who you are, for how well you express yourself as you educate others, and as you care for your ICU, dying patients.
I am not entirely sure why he equates physician-assisted death with the methodology of lethal injection used by the justice system. A very simple morphine drip over a short period of time would suppress a person's CNS and respiratory drive to a point where they would eventually stop breathing and pass. This is currently being done in places where it is legal. You can use other opioids, carbon monoxide, etc to induce death that does not involve patients drowning in their pulmonary fluid. I am unsure of his motivation for giving this talk, but the case being presented is a false dichotomy.
pues en los veterinarios lo que usan es pentobarbital sódico, no entiendo porqué no usan morfina, yo he tenido varias sobredosis de heroína y es la mejor muerte que hay, en cambio a mi perra la "eutanasiaron" con Dolethal y siento que no hizo bien las cosas, que mi perra murió con dolor. Y vi que hacía espasmos con el cuello, para nada me pareció una muerte indolora y un ponerla a dormir, la pusieron 4 inyecciones de ese líquido rosa.
@@pazcuellar2285 so it's said. Watch a few on TH-cam. You'll see an awareness and stress or fear even in people who are absolutely certain that they want to die.
It depends on the medications used and their side effects. Look up the effects on prisoners who were executed and struggled with their breathing. I suppose that as long as there’s no studies or development of new drugs, we’ll never have the option of a peaceful death or the option of choosing it if desired.
Seems like a place to float some ideas. Some stories are appearing about low birth rates. Some concern about disproportionate numbers of elderly. Fewer young. The idea being that there won’t be enough people to take care of the elderly. Currently society both legal and religious makes helping a person commit suicide a crime. I would like to start a conversation about the current situation. Suicide by gun is very bloody. The person committing suicide likely is alone. Perhaps law enforcement discovers the victim. Likely it impacts these officers. Perhaps family or friends. Then there is the cleanup. Who will clean up the blood. How will it affect them. What if the person intending to end their life could have conversations with family and friends. What if society had a conversation. What if laws were changed.
Yes a gun is bloody but I really would like to go out that way he can be done in the woods knowing my brain stem is totally destroyed it would be the best day of my life I would even be willing to let someone do it for me execution style
I've watched this twice and still don't really know what point he is trying to make outside of his own personal view. Not up to the usual TEDx standard.
This was a powerful speech he had me captured from the start till the end,it certainly made me think about assisted suicide I certainly agree with it,we should be able to choose 🌈💕🇦🇺🦋x
Could it be that perhaps the drug that's administered first renders them unconscious to the point of not feeling the ramifications of the actual drug meant to kill them? Something like having open heart surgery under anesthesia and not feeling a thing throughout the process until you wake up but alas those seeking solace in death don't have to worry about feeling the pain when they wake up because they don't wake up.
Yes of course. This guy is an anesthesiologist he should know better. For some reason he is just trying to scare monger. It seems professionally irresponsible. Now some anti-medical assistance in dying activist has picked up his ideas in Canada and is saying the Canadian government is literally torturing people to death with the equivalent of waterboarding.
This took a turn I was not expecting... To paraphrase another commenter, it's good that attention is being brought to how people may suffer as they die; however, I (and other commentors) would argue that this may be considered preferable to a prolonged demise. Informed consent should always be sought when possible for medical procedures, and potential MAiD patients should be able to make their own decisions with all the pros and cons in mind. I still support MAiD, which my grandma underwent 6 years ago today, and I hope improvements can be made regarding people's options; other loved ones of mind (and myself) may opt for this in the future, and I would want suffering during the process to be minimal for them, myself, and others.
Notice the doctor talks about his mother who just died so peacefully easily on her own he's living a pipe dream that doesn't happen with everyone and lethal injection and also the pills that you take from Oregon or other states are very peaceful you just go to sleep and you're off to heaven
A fine example of FUD. The arrogance of this doctor who is obviously against assisted dying - typically these people spread FEAR, UNCERTAINTY and DOUBT - he needs to take that crown off his head and allow his patients autonomy and choice, not spread ridiculous stories about autopsy results which would have had no relevance to method of death.
el pentobarbital tengo mis dudas que sea indoloro, llevé a mi perra a eutanasiar y vi que hacía espasmos con el cuello, para nada me pareció una muerte indolora y un ponerla a dormir, la pusieron 4 inyecciones de ese líquido rosa, dolethal
Let me start by saying that I oppose capital punishment. I am commenting about your using lethal injection as a model of the response patients may have in physician assisted suicide. Lethal injection takes place in a very stressed circumstance. Unsedated people are forcibly restrained on a table and poked with the IVs, after hours to days of fretful anticipation. It is likely that they are in a very high state of sympathetic arousal. As a neurologist I have seen pulmonary edema in the setting of brain injury and secondary sympathetic arousal. Relaxation by premedication might reduce the stress and the secondary pulmonary edema in lethal injection. The sympathetic stress response leading to pulmonary edema can occur even with total anesthesia, given that the pentobarb acts primarily as a respiratory depressant, so unresponsive people die of cardiac and cerebral anoxia, which is a which can take up to several minutes, and can be a strong stimulant of sympathetic hyperactivity in a totally comatose person. (Premedication with a beta blocker might also decrease the autonomic stress reaction.) Thus, pulmonary engorgement is not a good surrogate with which to measure suffering, as the person is no longer conscious or aware, although the body is stressed and reacting. I would posit, given the proper operation of the equipment, that most of the suffering in lethal injection occurs before the actual injection occurs. In physician assisted suicide the patient's emotional state may be more positive and less stressed. If a patient sees the process as a positive there may be a sense of relief or even satisfaction. Using a drug like propofol or midazolam in a high dose would marginally decrease the time of brain awareness compared to pentobarb.
Sol////// I have never seen the necessity for a drug 'cocktail' when one drug will do. Oral pentobarbital or seconal works. Your last sentence is quite correct.
In earlier times, cold calling sales people would call ask to speak to my mother, father, husband, all of who were dead. My phone voice sounded like a child. I always said flatly, "they're dead." The silence was deafening. Now when I need to kill a beloved pet, I have the vet kill it. I have always been frank. The Doctor is correct, in my opinion.
Medical assistance in living is in a rapid decline and in some cases, borderline inhumane. 1. In this country, a person needs to have the right insurance to allow them for medical assistance in living. 2. The medical system will provide a drug and the surgery for everything if you have the means to pay for it. You could have a tracheostomy tube to breathe, an ostomy in your abdomen to divert stool and two nephrostomy tubes on your lateral part of your mid back, or other urinary diversions located at the abdomen to collect and dispose of urine. I work in the medical field and have seen people who will do anything to live including this, but have also seen people who do it because their families want it. The right to die but medical assistance is extremely important and I don’t want to over simplify it by suggesting that people try “medical assistance in living”
La guillotina o un disparo en la nuca sería la muerte más piadosa a mi entender, ya que corta la conexión con el sistema nervioso, obvio q para la mayoría de la gente eso es brutalidad salvaje, pero en realidad escuchando esta charla me doy cuenta que no lo es en absoluto. Si pudiera elegiría la guillotina sin dudarlo, quien va a morir soy yo... qué importa la audiendica a mi alrededor ! Emprecé a cuestionarme sobre este tema cuando me enteré de que muchos presos condenados a muerte preferían la silla eléctrica a la inyección letal... Evidentemente ellos estaban al tanto de muchas de estas cosas de las que aquí se habla.
@@r.chavez5513 um there is a way,it's called an opioid overdose. People's CNS slows down so much to the point their heart stops. I witnessed my step dad die this way,it is often referred to as "comfort care" and usually takes place in a hospital. In fact I would arrange this for myself without having a terminal illness or being really sick. I think it's the ultimate way to go "Death by Design".
So now he claims patients have no hope of a good death. Believe me most MD/DO types see death as thier failure. Vets are light years ahead of MD/DOs on the concept of a good death. This mans mind was made up long before his training. Most executions are botched due the fact that physicians and real nurses are barred from partisipating...as in do no harm.. I start 10 IVs a day...I would guess the prison official much less. Watch videos of terminally people drinking the barbiturate cocktail and listen to the words of peace they utter..this video was a disservice to those truly ill and seeking control of their death with dignity
Actually I believe a physician legally has to attend an execution, BUT, they don't take part, they are just there to ensure that things are done right/legally. Normally they don't participate (as most don't believe in the death penalty), but are just there to oversee it
@@tommygirl6659 I would encourage you to read AMA and ANA policy on ethics. Forbidden to act in any role..MD/DOs who have attended have faced issues with licensing. I think it may be a leap to state that most don't believe in it. In the past, bullets , rope or an electric chair was less medical. Your argument seems to contradict itself. No not seems....really contradicts .
Very interesting talk. Could it not be done that a surgeon puts the condemned into anasthesia and then severs a key artery in the brain causing instant death? I know this seems morbid and it would look to witnesses gruesome but it would be painless and immediate.
I believe that physician-assisted suicide is a very polarizing issue that has been the center of some very intense debate among people. As th video talked about, there are people who are in favor of it because they believe that it gives patients the freedom to choose the manner and timing of their death, especially those that are struggling with unbearable pain or terminal illness. Hopefully allowing them to retain some sense of control and maybe some dignity on how to face the end of their life. I am one who leans towards the fact that we should allow people to have this option. Take out the fact that it could be "beneficial" for end of care costs, or that it would allow the physician more time with other patients who may actual benefit from further care. It boils down to the sole fact that every treatment (or non treatment) option should be the decision of the patient. However, I can see how others view this practice as a violation of the fundamental principles of medicine, where doctors are sworn to "do no harm." The argument, as I understand it, is that the physician's role is to save and improve lives, not end them prematurely. One thing that I think we both can agree on is that physician-assisted suicide may lead to the abuse of the practice, particularly if it becomes a means of getting rid of patients deemed as burdensome or if it discriminates against certain individuals. This is obviously a complex issue that raises important ethical, moral, and legal questions. But at the end of the day, I believe it is up to each person to weigh the pros and cons of this practice and determine where they stand. The decision must be made with careful consideration of the values and principles that guide each of our understanding of life, and death. It is important to engage in open and honest conversations about this sensitive topic to understand each other's perspectives and work towards a respectful and compassionate approach to end-of-life care.
I know this video is old, but it popped up on my feed. I have always been fascinated by euthanasia. Being originally from The Netherlands, I tend to see euthanasia as "normal". I have always been pro. However, I recently had to euthanize my dog (due to crippling arthritis) and my perspective has changed. At the time, I thought I was doing the right thing. The general consensus among veterinarians seems to be that euthanizing a dog is far better than letting the dog die of natural causes, as it will be a long drawn out, and painful process. Ever since I euthanized my beloved dog, I have been riddled with feelings of guilt and betrayal, and internal conflict. Was it really the right thing to do? Was it really better than a natural death? After watching this TEDtalk, I'm now also wondering if it was a painless as it looked. She was euthanized at home and the process seemed serene and peaceful to me as the onlooker. But after watching this TEDtalk I'm left wondering about that. I'm feeling so conflicted that I don't know if I will ever get another dog, because I don't ever want be in this position again. It makes me sad to think that I may have done the wrong thing by my faithful dog. But the alternative, of letting her suffer in pain until she died of natural causes / old age, makes me sad too. It's a lose-lose situation. Why do we feel that it is kinder to euthanize an animal, but we don't think the same when it comes to people when we both are mammals? I know one answer is that hospice care is not available for animals. But if an owner is committed to caring for the animal till the very end, and willing to give it painkillers at necessary intervals, why can that not be an option?
I've watched some of the people who allowed filming of their assisted deaths. I saw 3 or 4. None seemed peaceful or unproblematic. Before death there seems to be an awareness and stress or fear. The videos are available on TH-cam.
Well, the medications used are quite powerful. I would imagine that people will fear their death. Their bodies are literally shutting down. Respirations decrease, bodily functions are ceasing, but the mind is still functioning. It's not a matter of how they die, it's a matter of when they die. One can choose to let the body deteriorate and slowly become more dependent on others, or they can choose to die with their own perceived dignity. I can not speak for others or judge others if they choose when to die, especially if they have a terminal illness or are suffering constantly. But, I do know that if I am ever diagnosed with a terminal illness, I will live my life to my fullest until I can no longer, at that point I will try to have an assisted death.
I too have watched a fair number of assisted suicides, and I have seen the opposite. First they are given a sedative, and then they are given the pills, or depending on the actual death process, whether it's dr assisted suicide, or death with dignity, the patient, or the doctor, then injects or ingests the contents which will slow the heart, and breathing. By the time this is all happening, the patient is comatose. The actual dying, doesn't begin until the patient is unconscious. Actually, I believe in death with dignity, it is a concoction that you drink, and within an hour, you begin to fall asleep, and then your body starts to shut down. Watch Brittney Maynard's husband talk about her death, and how peaceful it was, she was in her own bed, surrounded by her husband and her mother, with soft music playing in the background. She slowly fell asleep/unconscious, and then died peacefully a short while later. It is by FAR a more peaceful, painless way of dying, then even palliative care can offer. They can help with pain, but not all pain
@@zythr9999 They don't use the same process with lethal injection. TBH, they COULD be more humane with death row prisoner's, if you've ever watched even a pet be put to death, you would know how peaceful it is, and maybe less than .0001% of the time does anything go wrong. I'll tell you the most painful part, is the anesthetic. As someone that underwent a treatment that required anesthetic, I can tell you that it's painful when they inject it. But once you're out, you don't feel anything, trust me on that one. Anything you seen after the prisoner is put to sleep, is just the body reacting, the prisoner doesn't feel anything. I too was paralyzed each time, and you don't feel it. I went through ECT, shock therapy, they shocked my brain into a seizure, and I tell you, I didn't feel a thing. The most painful part was the actual administration of the anesthetic
Apparently this doctor is looking for a way to justify denying assistance in dying to those who are suffering. If someone is suffering from terminal cancer or another condition that makes life intolerable, doctors can do little to help. He says they can "relieve" or 'reduce" pain. That still leaves people screaming in pain, even in hospice. They can't leave their beds. They're at the mercy of caregivers, who may be indifferent or even cruel. A lethal injection might lead to a few moments of pain, but you should compare those few moments with months and years of lying helpless in pain. I'm glad he refuses to use euphemisms. But he needs to recognize that there are things worse than dying. As he says, doctors want to "stop death." They don't care how miserable you are in the interim. He shows a gentleman with tubes and machinery; he doesn't ask how that feels to the patient nor does he point out that this gentleman will probably never know a happy life at home ever again.
Our process of medically assisted deaths are arranged unlike a prisoner in jail. Unlike prison, the person can choose to die with family at home, no longer suffering from illness/disease. Either way, no matter how the organs react, the person is choosing to no longer suffer.
I do not like injections. But if I decide to die with dignity, drink the medication and go sleep would be better than suffer with futile and painful medical procedures.
There's also eating rotting food, jumping off a bridge (though some may survive the fall), getting hit by a train (a schoolmates brother actually did this), and some other ways, some painful, some not.
I lost interest when he tried to involve his personal opinions on execution. Everyone is entitled to their opinion and to make it known, but doing so in the capacity of a lecturing physician is not acceptable.
It sounds so bad. Like a very bad word. And I myself, study medicine. I’ve been studying Medicine for 10+ years. It’s a very interesting thing. It’s a lot to deal with.
I thought that before assisting suicide the patient would be injected with anesthesia and make them sleep before the lethal injection is used, so to me the patient is not feeling anything, just like any other patient that underwent surgery. 🤔or no anesthetic are used during assisted suicide?
Wow, the sheer arrogance of this man. No empathy, no acknowledgment that a person might be the ultimate authority on how they want to live or die. Major God complex. This is a shameful lecture and I hope I never get a Doctor Who believes he is the one to decide matters of life and death that no matter what he says in this talk he is going far beyond his medical purvey.
🗣📢 *HEY TED TALKS, PLEASE LISTEN!* Those of us with hearing disorders get excluded when the sound quality has problems, like here. Whatever is wrong it is causing an ongoing metallic PING that is pummeling my brain in a most unpleasant way. Do you not hear it or maybe you do but think it is no big deal. It in fact is a big deal, so much so that I stopped the video to write this and when done I am leaving to avoid the migraine that would occur if I do not. I know it's hard to try to accommodate all human frailties, it's impossible when you are unaware they exist. So please consider this an awareness wake up call regarding those whose hearing rivals that of the animal kingdom. We would like to not only be invited to the table but allowed to remain with the absence of audible pain. Thank you from one who is tired of begging.
Mi TIO.En Mexico suffria mucho. Y Querida morir. El Querida que lo Matara. Pero no podimos.hasta que Dios se lo llevo. Me pongo a pensár, a UN animal esta suffrindo.lo Matamos. Pero a una persona no Podemos.Quitar su vida.
A real doctor will always try best to make you feel better or save your life , a real doctor a good person will never look Dead as a good option, that is call integrity.
If you search terms such as "assisted dying" or "assisted suicide" or "euthanasia", you will find that it is overwhelmingly European/white people who favour it and who seek it for themselves. The countries in which the most assisted deaths occur are also relatively wealthy, industrialized nations. Western nations, and mostly northern as well. These are also societies with relatively low birth rates, yet they typically have disproportionately high rates of resource consumption and waste. If you add all the factors together, it begins to look as though perhaps an imbalance is being corrected by reducing the Euro/white/Western/consumer society portion of humanity.
Wow, nice way to bring in hate. Anyway, with over a billion Chinese and over a billion Indians, don't think you are going to be the winner when white people are gone.
con pentobarbital no me pareció indolora la muerte de mi perra con dolethal, que es con pentobarbital, hacía espasmos con el cuello y gestos raros con la mandíbula, eso con las sobredosis de heroína no pasa. Además me dio la sensación que estaba en coma y no muerta, deberían obligar a los veterinarios a confirmar la muerte mediante electrocardiograma, porque las catalepsias suelen pasar mucho en casos de sobredosis. Y el problema es que los animales pueden ir vivos al congelador, estando en coma pero no muertos, y eso ha pasado en españa. Antes de meterlos al congelador deberían obligarlos a confirmar la muerte con máquinas avanzadas.
Dr. Zivot was one of my instructors during my anesthesiology residency at the University of Michigan in the late 90’s. I still remember rounding with him in the ICU. Brilliant, humble and personable.
*Im terminally ill myself and have lived probally a year longer than i was supposed too, my heart is shutting down, im at 15% muscle left, most die at 25%. The hardest thing for me is people dont want to hear it, or before i can even finish my story they interrupt me telling me all their illnesses. Even people im trying to say goodbye to cut me off and dont seem to care that im just letting them know before its over for me. Its very frustrating so i keep quite now, but inside i just want to scream at them and yell hey dummy im dying and im trying to say goodbye, but the worse part is so many think im lying cause i walk around and look healthy, but inside im hurting so bad because the pain, its like i have this big rock in my chest thats growing, and the more it grows the worse the pain. Sometimes i just go home and lay down because i feel so bad, my head hurts, my chest hurts and my inside hurts, but nobody wants to hear it. And btw im not afraid of dying at all because i know where im going, it would just be freaking nice if someone would listen to me and how i feel*
It’s a shame. People are so self centred. I really wish you the best. That they listen to you soon. 💕
I'm listening
I hear you ok
Would any of you you be willing to assist in a deeath? Your only job would be to pull the trig and you'd be paid...e
Hello Lee, are you still on earth ? I am in the same boat. Peace brother.
Hi,pls try krishns consciousness even your pain may eradicate,....for search for ikcon temples near you...or read their books online....may you get free from the cycle of death and birth :)
Medical assistance is dying is most definitely easier and more humane than suffering in unspeakable agony for weeks while terminal cancer eats you from the inside out, and your loved ones watch you waste away to a shell.
Would any of you you be willing to assist in a deeath? Your only job would be to pull the trig and you'd be paid...k
@@chicken2423 You're talking about murder. That's not medical assistance in dying.
@@TheHigherVoltage never said it was. I'm only here looking for one who may be willing to help in a death. I do not care whether or not we call it murder or "medically assisted". I'm just here to find one willing to help.
@Cait L. ///// Thousands who have visited the afterlife have told us what it is like. Mediums contact them every day.. They even write books thru mediums. "Life in the World Unseen" can be downloaded for free.
@@TheHigherVoltage yet they choose to be murdered. You're making it sound like it's cold-blooded murder 😂😂
There is a major difference. Lethal injection is performed on someone who does not want to die. But medical assistance in dying is given to someone who is eager and willing to take it to finish their lives without extended and excessive suffering.
Yes but the Nazis also started off with compassionate death and we know how that turned out.
@@ashesandposieswhat you saying makes no sense 🤔
@@springteen3743 before they started killing the Jews they started with a program to murder people with physical disabilities to ease the genetic and financial burden on the German Society and the state.
@@springteen3743 it was also called euthanasia
Everybody should have the right to die when they're suffering
would you be willing to help someone die if they wanted to, and all you'd have to do is pull the trigger to the gun that is not your own and you'd be paid? Please only those willing respond or if you have information on where my odds of finding someone willing would be very likely.
Is it really your right when you need permission from some other authority? And is it equality if you can't assist someone in suicide but someone else can? Think about it.
@@chicken2423 Gun is too quick and messy.
@@chicken2423 that’s not the same but yes
@@chicken2423 my mother was put on life support, she could not breath on her own. So they would have put her in a nursing home, she could have lived a long time like that. I was the oldest child and had to make a decision. I spoke w/ all family members and we decided she would not want to live like that. So I had to tell the doc's, OMG I pulled the trigger. I have the same thing COPD every day my breathing gets worse and worse, I have thought about AS daily, this is a horrible life. I'm not a good wife, or mother, can't clean my home don't get out of bed barley bath. I feel like a discussing human being, not much reason to be here anymore. Sorry. I hope God does not consider me as a murderer, I had to do the same for my father. Omg 😥💔
Spoken like a man who doesn't want to die every second of every day because the pain is unbearable
I was a hospice nurse, and I must say in my 4 years never did I see a patient in true agonizing pain. Once you stop providing fluids and nutrition to a person, the body shuts down in the most peaceful of ways. I remember following this experience, my first day at an ICU I was horrified because I was not used to seeing so much pain!
Wow a different perspective but I'm still for assisted dying because once the medication is injected only have to suffer 1 min at most before my heart stops
you don't suffer at all. The first medication they give you puts you into a deep deep sleep. You don't feel a thing :)
It could actually take 1-15 minutes. I’m still for it.
Nicole B P I feel that it’s a persons right to choose 🌈💕🇦🇺🦋x
I'm sorry that you are sufferring. May God bless you.
@Cait L. There absolutely is painless death.
Being an ICU doc you'd think he would understand that suffering for weeks or months is much less desirable than suffering for a minute or 2.
AMEN sister!
Just became the organs progressively fail in either MAID or a state-mandated execution, it doesn’t necessarily follow that the dying process is painful or even uncomfortable, as he is trying to imply. If you are unconscious, you won’t necessarily be aware of it.
@Southampton Lock Picking Club At some point, it just looks like the patient is being kept alive so the hospital can make more money from the insurance. It's all a big SCAM! If people want to die they should have that choice.
He never said one was better etc, he just contributed information without too much judgement.
Not everyone wants to get done quickly with the last thing they will ever do.
um... if he ever has a long slow painful illness that meds don't touch and he feels nausea, no good sleep and endless suffering he may change his mind.
Tree Lore I totally agree with you.
True👍
I don't think you actually listened to his reasoning. I've watched hundreds of videos and researched the topic. Palliative care is the better choice. They can keep pain and suffering at bay there as well. Natural death. The body shuts itself down systematically. I think you may be more worried about how a prolonged death makes you feel watching it rather than the person experiencing it.
@@gaillessard2786 I don't think they can keep pain and suffering at bay. Also don't forget the person who has to watch themselves wither away. It's not about me watching someone. There should be the choice and the person decides it's their death after all.
@@gaillessard2786 no, eso no es así, muchas personas piden eutanasia, porque los dolores son insoportables, a veces la morfina no sirve de nada, cuando hay mucho dolor, además con el tiempo el cuerpo de acostumbra a la morfina y no hace su efecto
As others have mentioned: so what? His point is that people ultimately die of multiple organ failure up to and including drowning in their own fluids. Yeah? OK? So what? They are unconscious. Surgeons do some pretty invasive procedures that would be pretty damn traumatic if the patient were concious. But they aren't and they none the wiser when they come to.
It is admirable to ensure that people are aware of the implications of the decisions they may have, but it's inhumane to take a decision like this away from them.
i was thinking the same think
I agree 100%. Of course, something's got to give: there has to be a cause of death. So autopsies will show that, and it doesn't look good. It is death. Under anesthesia, a lot of weird-looking, but life-saving things are done that would make us wince in empathic pain. But, we are still under anesthesia!!! So, please, Dr Zivot, drop that anti-MAiD fear tactic... Thanks.
This is such an interesting and difficult topic. Most of the comments I’ve read are those talking about when MAID would be welcomed and the most humane thing that can be done in many medical situations. I empathize and agree with your viewpoints, but I also can’t imagine how difficult it would be for me to provide MAID as medical care. Beneficence is a principle in medical ethics that requires healthcare providers to act in the best interest of their patients and to promote their well-being. It is based on the idea that healthcare providers have a moral obligation to do good and to prevent harm to their patients. In the context of medical practice, beneficence requires healthcare providers to provide treatments that will benefit their patients and to take actions that will promote their health and well-being. This principle emphasizes the importance of promoting the patient's welfare as the primary goal of medical care. The principle of beneficence is often cited as a justification for MAID, as it emphasizes the importance of promoting the welfare of patients and prioritizing their well-being above all else. Providing patients with the option to end their life in a peaceful and dignified manner can be an act of compassion and can help to alleviate their suffering. While I can logically understand this reasoning, and I agree with it, I still wrestle with the idea of providing such palliative care in my personal practice in the future.
The principle of beneficence is also closely linked to the principle of non-maleficence, which requires healthcare providers to avoid causing harm to their patients. Critics of MAID might argue that intentionally ending a patient's life can be a violation of this principle. In practice, the principle of beneficence requires healthcare providers to carefully consider the potential benefits and risks of MAID for each individual patient, and to make decisions that prioritize their well-being and promote their dignity. Assessing the patient's physical and psychological pain is an essential part of making this decision, but defining the line of when death would be more beneficial than life seems like it would be extremely difficult, and I can see how those decisions could weigh heavily on a physician’s mind for decades.
I wanted to say that your stories in the comments help me to see this ethical concept as a more tangible problem that physicians should be dealing with well before they have a patient who needs MAID. I still don’t know if I’d be comfortable with providing that service myself, I’m coming around to the idea that my personal beliefs are secondary to the needs of suffering patients, and I welcome further input as to how a medical student and future physician can prepare themselves for complex ethical dilemmas such as MAID.
here because it was recently announced that canada will be making MAID available to those with mental illnesses
I watched my Mom died. She had on some limited oxygen, for comfort measures only, not to prolong her life.
She didn't suffer. She went peacefully. She had a look on her face that told me so.
So this doctor is an ICU specialist. He spends his life prolonging life, but it doesn't always turn out that way.
He means well, but I don't accept what he says well.
I watched the killing of my dear mare when she was 28 with a terrible painful colic. Whom I had shared my life for 26 of those years. She was aware, her eyes popped open, she started, then sank down and was gone. It was Thanksgiving day. The vet husband was there so he could be with her as she was on call that day. She cried, he cried, two friends who had cared for and ridden her and I cried. We all hugged each other.
The other horses at the facility watched this; they saw her body in the field, lying in her favorite clover patch. They were very quiet for several days considering me when I approached them, very carefully. They knew she was dead.
I saw my husband die; I saw my Mom die. I still cry for all of them. There were many others in my life who died; Being a living being is tough. Lest you think that I didn't care for these beloved souls.
That was beautiful.
I'm not entirely sure why we need to old or terminally ill to have a right to die. We should all have a right to assisted death regardless of age or health.
Not entirely sure what he is trying to say. Once a person becomes unconscious all of the bodily effects become null and void. Of course the bodies organs fail before death. It doesn't say anything about the immeasurable suffering of the individual while still conscious.
Would any of you you be willing to assist in a deeath? Your only job would be to pull the trig and you'd be paid...i
If people are allowed to die quickly under their own terms and that becomes the norm, it would be a HUGE blow to doctors' and hospitals' profit margins. They want you to be hospitalized for months on end where they can charge you/your estate hundreds of thousands of dollars.
There’s several states that allow it the USA and the biggest opposition isn’t from the medical system,but from the religious groups.
Well, the large profits will go to psychopathic doctors who may be in assisted death jobs for the money, so they will coerce people into committing suicide even though they could've been saved and rehabilitated by a lifestyle change.
The religious groups have the same reasons underlying their concerns. Numbers. They aren't kidding anyone.
@@phoenixtoash2396 The Canadian government saved 80 million dollars by killing people instead of treating them, they now push MAID on nearly anyone they can, with the vote to extend it to any person as young as 12 who qualifies as having a mental illness coming in 2027. You really think their goal is to keep people ALIVE to make money? You have it exactly backwards
There's no way of knowing that any death is painless, natural or otherwise.
This fellow, eloquent and knowledgeable as he is, and every commenter here who says MAID is murder, need to thoroughly familiarize themselves with every step of the devastating and always fatal disease ALS. If anything, sufferers of that disease should be allowed, if they so wish, to die earlier on in the progression of that cruel onslaught.
It is legal and available to all humans to simply stop eating and drinking and welcome the reaper over the course of 7-10 days, VSED is often supported by hospice and a natural way to end a painful or terminal illness.
Excellent talk. He gives a unique perspective on assist dying and definitely many issues to think about.
This is just another attempt to discourage people from doing what THEY HAVE THE RIGHT TO DO. LEAVE FOLKS ALONE!!!!!! IF THIS IS WHAT THEY WANT TO DO BCUZ THEY HAVE NO HOPE, LET THEM BE!
I agree
I can see the flies flapping their wings in agreement with your comment.
@@zythr9999 and I can see the TROLLS such as yourself on your job doing what you do best.... which is trolling. Joke's on you. If you are AGAINST this, then why would YOU be anywhere near this channel????? Exactly 🤣. (When your own comment backfires on yourself ). Don't bother replying. You're MUTED
@@KAMALAISHERNAME LOL I did not say if I was for or against, You want something to complain about LOL.
Remember no one can stop anyone from killing themselves. Just ask the millions that have done it before euthanasia was invented.
I respect Joel Zivot for his opinion. It is clear he is not an advocate of medical aid in dying. I am.
I can’t say I have an opinion on assisted suicide. I think that choosing to have a gentle, quiet death instead of waiting for prolonged suffering to end is understandable, but I get the feeling that assisted suicide can very well become an abused power.
Yes - a trusted other would be helpful to oversee the event on behalf of the to-be departed.
Would any of you you be willing to assist in a deeath? Your only job would be to pull the trig and you'd be paid...i
@@chicken2423 ///// No trigs, no pay. Legal consequences is of prime importance.
@@chicken2423 you still here chicken
The body can only handle so much pain then you will faint and rest. In dying the pain is not greater than pulling a molar out by a bad dentist. Intense Pain is just your body saying that there is a life threatening damage on the body and if not correct it than you die peacefully. People should embrace pain and will not be so bad, just pretend that you are at a dentist visit then you would not be so troubled by it. Really is unnecessary suffering. Blessing 🙏
I often think about this topic because of its complexity. This is one of the examples when ethical principles are hard to align with the issue. I see how autonomy can be respected when someone dies of old age, and they would ask physicians to help them with the use of certain medications to expedite their death. But Joel Zivot mentioned an interesting point that when lethal injections are done for executions in prisons it is done not on convict autonomy, and usually convict is not even close to their death by natural course, they still might be healthy and not ready to die. Even when society decides through the court that this person deserves the death sentence, I do not think that many people are ready to step up and execute it without personal conflict about human life values. It was also interesting fact to learn from Joel Zivot's study that lethal injection brings death by creating organ failure. Knowing this fact would affect me too in my decision, I agree with the speaker, this is an extremely hard decision to make, and I am not sure I could do it either.
I remember reading the book where the author talked about the physician who agreed to assist in lethal injections, and I was reflecting on their reasonings for why he did it. He knew that there was nothing he could do to stop it because he was not in charge of this decision. He also knew that if lethal injections cannot be done the right way without professional participation, he would not feel conflicted about helping with it because it is better when you think about the convict who might suffer greatly if something would go wrong. And I can agree too that lethal injections look less cruel than other methods that were done historically. It brings quicker and less painful death. If it is impossible to stop taking life at least mercy can be given when suffering can be reduced.
It is important to consider all medical ethics principles - beneficence, non-maleficence, autonomy, and justice - when making decisions like this. However, doctors also have the autonomy to choose if they want to participate in assisting a person to die. It can conflict with patient autonomy if they want to choose death, but doctors refuse to do so because of personal values and beliefs. In my opinion, it is right to let doctors have a choice because it is better to have a doctor who is concerned and has values and beliefs than someone who does not. I also believe that with time doctors might progress to the level where they can have a good balance and less conflict as with the example of the doctor, I mentioned above who could see the way why he can do this even with the possibility of still having personal conflict inside.
MAiD is definitely a good choice to those who are severely suffering unbearable pain and those who knows who will no longer live a quality life.
What is that? I have never heard of that
@@This-Is-My-Little-Corner Medical Assistance in Dying.. Where a medical doctor will assist the patient in dying by giving them a lethal injection..
@@This-Is-My-Little-Corner it's available in Canada. It's legal to die on your own terms via injection. But you need to apply for it, go through counselling and everything and when you are ready, you are ready.
Life in itself is so disappointing that not even single wish is fulfilled throughout one's life including the last wish that is MAID.
A refreshing take on the subject; a brave thing to do in front of a 'regular' audience.I'm not an advocate of capital punishment or assisted dying. As a layman, it would seem to me that once you're unconscious, it really doesn't matter what happens after that. Like millions of others, I've been rendered unconscious with anaesthetic. One second you're in theatre prep, the next, you're coming round in recovery. The period in between is absent. Fortunately the vast majority come through. Some, sadly, don't. But if you die in this period, you never knew what hit you; the light never returned. I take some comfort in that. Maybe, just maybe, a different light may come on.
I was put under too but when I woke up I clearly remember a long dream. I don't remember any pain which there would have been major pain as I had major back surgery. As long as the person is not in pain once out I can't see it matters what they die of. As you say for them it's a few seconds and lights out painless - though of course some fear as it's the end of this body.
@@treelore5100 quizás te pusieron poca dosis, yo he tenido 5 sobredosis de heroína inyectada, y no soñé nada, quedé en coma profundo, es tan rápido que no da tiempo ni de quitarme la jeringuilla, luego despierto en el hospital, todo el tiempo de camino al hospital para mi no existió, porque no recuerdo absolutamente nada, fue como viajar en el tiempo. También tuve sobredosis de benzodiazepinas en pastillas, por un intento de suicidio, me comí varias decenas de pastillas, tranxilium 50 y trankimazin 2 mg, y recuerdo despertar en el hospital, pero igual, estuve en coma y no tengo ningún recuerdo del tiempo que estuve en coma.
While under anaesthetic for operation.your blood pressure is monitored and you have a breathing tube inserted so you dont suffocate or drown in fluids unlike executions. This doctor is scaring me. Ill look for other opinions.
@@Jgp4xzdmqnmil but if you drown in fluids, you wouldn’t be aware of it anyway.
5 minutes in and still no talk about assisted dying options
Amelia Bedelia 14:14
Honestly I wouldn’t waste the time
Would any of you you be willing to assist in a deeath? Your only job would be to pull the trig and you'd be paid...
So far, no useful information .....🤨
Joel Zivot doesn’t talk about quality of life. My brother chose assisted dying after suffering from Huntington’s Disease for about 10 years. If Dr. Zivot had seen what my mother’s quality of life was in the last 10 years of her life of suffering from HD (she suffered for 20 years) he would better understand my brother’s choice.
He didnot try the pain and how life quality will change , but he never pay the cost of his or her suffering, in the end it is a human choice , what about who suffered mentally like me depression and cant work or even watch TV , who will feed him or pay his pills
Would any of you you be willing to assist in a deeath? Your only job would be to pull the trig, you'd be paid, and wont blow back on you...
He's an icu doctor. Do you really think he hasn't seen pain and suffering? There is undue stress involved to the body when drugged to death. A body has a very natural way of shutting itself down. Pain can be managed.
@@gaillessard2786 you are so very wrong. ALS is INCURABLE death is INEVITABLE... Your BRAIN is AWARE as you lose your limbs, your breathing, eating it's painful..... You have no clue
Thank you for your description of your mom and the spiral staircase. I was traumatized by my husband's journey down our hallway by the funeral home attendees. Things we don't think about.
I’m sorry for your loss and I’m not wanting to be crude or cruel, obviously, but I’m curious to know how exactly you realized that you were traumatized and what your symptoms were afterwards.
The topic of medical assistance in dying is multifaceted and raises significant ethical questions about patient autonomy and the responsibilities of healthcare providers. As healthcare providers, it is critical that we consider the legal and ethical implications of medical assistance in dying and make decisions that prioritize the patient's well being. This requires adhering to the principles of beneficence, non-maleficence, autonomy, and justice in our approach.
To provide ethical medical assistance in dying, healthcare providers must prioritize the patient's values and beliefs while respecting their right to autonomy. It is important to ensure that the decision is voluntary, informed, and free from coercion. Additionally, healthcare providers must ensure that the provision of medical assistance in dying is in accordance with the patient's wishes and applicable laws and regulations.
Ultimately, it is our responsibility as healthcare providers to provide medical assistance in dying in a manner that is ethical and in the best interests of the patient. This requires us to prioritize the patient's autonomy, respect their values and beliefs, and make decisions based on their well being.
thank you! God bless
Working in a long-term care facility, death has become a common sight. However, I still couldn’t bring myself to agree on medical-assisted death. The majority said that it is dying in dignity. But how can it be dignified if basically, you committed suicide? You were put down like a dog! And worst, like a criminal on a death row table.
That's cultural, In ancient Rome it was honorable.
This video did not progress the way I expected and I am glad I watched it in its entirety. Dr. Zivot has much more medical knowledge and experience than I do but I respectfully disagree with his statements on this matter. I agree that we must take patient's comfort into mind at all times and especially at the end of life and we must be sure that what we do is right for the patient, however, I do not think that by simply allowing nature to take course, it is more humane. I appreciated Dr. Zivot's story about his mother and I want to extend my condolences on her death. My own father-in-law is currently at home dying. His lungs are filled with fluid from the cancer, his legs are so swollen they are leaking out from the pressure blisters, his brain is speckled with the spread of cancer that the gamma knife couldn't remove, his belly is hard and protruding from the ascites and his kidneys are starting to fail. There is no easy way out and his death is inevitable. There is nothing that any doctor can do at this point other than to medicate him to the point of numbness. My husband is not ready to lose his father but he welcomes the relief that his death will bring to his physical body. Dr. Zivot is right that regardless of whether the death is caused by lethal injection or what we call physician assisted suicide, the medications are the same so therefore the process within the body would be the same but I don't think the situations should be compared. The outcomes are the same yet the reason behind them are completely different. A paper by Brandi McKinnon discussed that someone who followed utilitarian ethics would say that we must do what is right for the patient and there is greater good by alleviating the suffering. One could argue that by killing a person convicted of a crime, the positive benefits to society outweighs the negative so it is also ethical for that situation as well but the negative effect of the large amount of people who have to be involved in the euthanasia to me is more negative than a life sentence or likewise punishment.
Wanting to die from physical ailments that cause pain (and rightly might eventually kill you) is one thing, but what if your brain is directly causing such pain? That's where the pain is truly felt. And what if the brain has caused said pain (non-physical) for years, rendering you incapable of going on anymore: aka, the breaking point?
I've struggled with wanting to die since I was 8 and it seems so difficult just to get it over with with a lack of assisted suicide regulations.
What it sounds like you are talking about, but not saying, is a mental illness. You can be treated. I'm sorry you are struggling but don't conflate the two scenarios. Physician assistant death is for people who are dying from an incurable illness with nothing but pain and suffering till they succumb.
@@shawnsg Please don't talk down to someone with mental illness. Until you've lived it, you don't know what can and can't be treated. My dr and I have talked about medical assistance in dying. I've been in treatment for 30 years, and my condition is slowly getting worse. There are no more treatment options for me. I have tried everything, including ECT. My body is in pain, my mind is in pain, I am forever exhausted. There are some instances where people who are mentally ill, have been granted the right to die, whether through the help of a physician, or death with dignity. You can't judge someone on their diagnosis alone. Especially in the case of people who are willing to go out and perform the act of suicide themselves, if they can't get the help through dr's. If a person is hurting that much, that they are willing to die no matter what, wouldn't it be the compassionate thing to do, to give them a peaceful death, at the very least. And I am saying this, assuming that this person's dr's, psychiatrist's etc, are in agreement with their choice
I wish I could pay someone's to kill me execution style with a shotgun
@@tommygirl6659 What kind of mental illness it is? Mental health includes many illnesses and disorders, but rarely there is something that requires assisted suicide because the majority of mental illnesses can be eased by lifestyle, diet changes, and physical activity. Perhaps even eliminate negative stimuli, like getting away from toxic people and not watching depressing media, and not listening to depressing music. There are a lot of negative stimuli that can contribute to mental illness, poor diet processed junk foods, sugars, fried foods, lack of physical exercise, and toxic people including toxic bosses. Lack of healthy engagements. A lot of people beat this, but not all psychologists are giving helpful advice either, many want you to come for years because they don't want to lose a client.
Excellent message. The organ failure tells us that it was not "peaceful" for the deceased soul. It may have appeared that way to the onlooker, but killing someone or committing suicide can never be painless.
I agree this was an important talk. I don't think the conclusion is that death from suicide "can never be painless." For one thing, we don't know what the relationship between the post-death organ failure and suffering is. Maybe in dying organ failure doesn't necessarily cause suffering. For another thing, we don't know the time of events. Maybe, for example, consciousness ends before organ failure sets in. Lots of questions, yes, but I wouldn't feel confident drawing a hard conclusion.
@@aiahzohar5636Exactly. I thought that was the weakest part of the talk. We know the body changes after it dies, so why are we meant to take for granted that this is not an example?
@@molybdaenmornell123hopp5 Someone in a chat room who tasted some pentobarbital (Ihave reason to believe the story is true) said the medicine is an absolutely amazing feeling. I'ts a powerful sleeping medicine. So, it seems to affect the brain in a calming way. Apparently people look peaceful, what else do we have to go on?
I remember when physician assisted suicide was legalized in Colorado. A few months later I was talking to a neighbor who was a nurse. I asked if she had dealt with this at all. She broke down crying and confessed that she had multiple patients. The problem was that this method of overdosing with barbiturates doesn’t work. The patients usually vomit them back up and are just more sick than before and have a worse death. They are given a bottle of pills and sent home with it. I understand the logic of allowing them to end their life in the comfort of their own home at their own time. However, the dangerous bottle of pills given them are not tracked or accounted for if chosen to never be used by the patient. It is also complicated that they end their life at home and family and friends either watch or come upon their dead body later if they choose to not disclose their decision. There is also the problem of relatives wanting patients to end their life so that they don’t spend all the inheritance on medical bills. She also said that she had seen patients do it as a sacrifice for their family, as they could not afford the medical care the keep them alive for 6 more months. It is also a terrible toll on the medical persons assisting the patient, to place the patient’s death on their conscience. We reduce this ethical issue to politics or a simple question of right vs wrong, when there are many facets, issues, and complications ignored or not discussed.
This seems to be a total lie, or else 11 states in America and a number of countries are all lying. You have to take anti-emetics first or you will throw them up. Just because one quack nurse in Canada didn't to it right because she wasn't tried right or was incompetent does mean it doesn't work.
I respect Dr. Zivot’s perspective on “medical assistance in dying,” and his comparisons to what he saw in the prison system with lethal injection. Considering the medical ethics principle of patient autonomy, I feel if a patient has the capacity to make his/her own medical decisions, he/she should be able to make the choice to decline any further care, or perhaps ask his/her provider for a palliative care referral or perhaps request care with a hospitalist. I don’t prefer to think of a patient necessarily asking for assistance in “dying,” but perhaps requesting assistance in being given the opportunity to die on his/her own terms. Patient autonomy is probably one of the most highly regarded and esteemed medical ethics principles in the U.S., and therefore, is typically of utmost importance to a medical provider. As Dr. Zivot mentioned, I concur many doctors are not prepared to hear when a patient decides that he/she no longer desires treatment. Doctors are trained to save lives and take care of patients. As much as doctors value patient autonomy, doctors struggle with the idea in allowing a patient to die. However, I appreciate Dr. Zivot’s final words regarding how doctors should provide “assistance in living” and remember that everyone dies eventually. While a doctor should not obviously adopt a careless attitude towards human life, physicians can not only respect human life, but also respect patient autonomy, even if that includes a patient’s desire to cease treatments.
Medical assisted suicide has been a hot topic for a while. I appreciate how the doctor talks about what people don’t usually know. All the documents, legalities and ethical issues involved with this. The decision to take one’s life is not only difficult for the physician helping but to the patient themselves. Making this decision to take your own life is not easy. Whether it is an acute battle or a chronic battle, to ends one life due to misery or to prevent suffering is a decision one should make for themselves. This should not have any negative stigma attached because this is something that should be talked about. Having something like this as an option is good for those who are suffering and can no longer live a normal lifestyle.
Omg i love u for this! I just lost my grandma a few days ago. The loving old school ones, the ones who raise u cuz ur still living healthy parents are selfish. I fear her caretakers, pwr of attrny (family) gave her this option without her comprehensible knowledge. Under her power of attorney who suddenly isolated her, her health declined rapidly in one year. Suddenly abandoned in a home still with him guarding her, her body shutdown but not her. She suddenly cldnt move her legs or arms or swallow. Almost a year. They declared her dead with he body still warm and slightly clenching my hand. Was she in acoma & he signed do not resistate, she wldnt. So the coronor came & took her. Im now obesssed with how long ir conscious after, her biggest fear was from a morphine effect, a dream of going to the morgue & seeing bodies everywhere. And here they took her body still warm? Wats dead. She had only a knee problem now year later her body is cacooning her. Family dont care. Its suddenly old age yet she has more energy than all of us, xooking driving paying bills planting. Then abandoned in the home, pale, thirsty only powder water cuz suddenly cldnt swallow. Finally slippin out, shes dead! As i was the onlt one holding her crying, with family, caretaker/pwr of att already boxing her stuff, laughing about who knows, i begam my dsrk curiousity for a quest of light in this hidden torture, wat do tjey feel after they die, the embalming, etc. If ur soul os determined like avoiding the subject like ur mom did, do they stay concious longer? What scientific proof is soul? I wosh so bad i cam go with her make sure shes situated and safe. But i cldnt return without her. Is she dead, ? Do we really die or trapped in a coffin. Have rhey opened ones in current times in u.s to see signs of struggle. Autopsies. Cheaper if die in a hospital but can any fam member get a copy or caretakers can restvassured as long as it iant them. Doctors do what they do but this law makes it so easy for greedy family members who quality of life cld never be a fraction of their precious yet strong quality.- do the most unthinkable. The new elder abuse.
My condolence.
Thats how i talk too. This world i tell ya. Drive ya sane
In most locations where Assisted Life ending options are provided the pallative care team has lengthly and strict procedures that are followed, mandated and documented as well. Several medical opinions and multiple authorizations have to be in place. A power of attorney can not make this decision. They can only follow wishes outside the scope of assisted end of life care. I've seen cases and have had patients make the decision well in advanced that only few to no family members were really aware until the process was nearing to be set in motion. The way this doctor explained this was very outside the norms of pallative care. When a patient utilizes this option it is almost identical to a surgical procedure but with stronger dosages of medication combinations. Lethal injection is a combination of drugs that are available at that moment and potentially the same combination used consecutive times for condemned criminals. My condolences go to you and your family. As hard as it is to think about and possibly consider at the moment, your loved on is no longer suffering and in pain.
Take comfort in knowing medicine doesn't operate the way you are describing. If she was declared dead, then she was dead.
@@shawnsg eso no siempre es así, en españa hace poco certificaron la muerte de un hombre por sobredosis de barbitúricos, se había intentado suicidar en la cárcel, pues despertó en la autopsia 3 días después. El caso lo puedes encontrar en muchos periódicos si buscas en google Gabriel Montoya Jiménez
An important talk. Does this kind of organ failure MEAN there was suffering at the time of death? Can consciousness be obliterated BEFORE organ failure so the dying individual doesn't suffer through death?
I really appreciate the professor for his candid advice. I am african and we are not into all these medical death help. We may be poor in this continent but.we.still.apppreaciate life
You are rich for still upholding the sanctity of life
You’re not actually upholding the “sanctity of life.”
You’re imposing your own views and “morals” onto everyone who is suffering and denying them relief because you think you know better.
Unfortunately, you can’t understand what it’s like to be in horrific pain and have no quality of life and the desperation of wanting relief. If we don’t allow pets to suffer because it’s considered cruel and flat out animal abuse, people should have that same option without needing your opinion or your approval.
@@susanenns7711 if you're worried about upholding the sanctity of life than you can choose to forgoe medical assistance in dying for yourself. But don't you dare try to make that decision for another.
@@mandadick7093 Love your comment 🍀
We are taught how to live our best life, but you, Dr. Zivot, are the rare exception in teaching us about death and dying.
Thank you for your excellent presentation.
With much gratitude, also, for your compassionate, Pro-Bono Testimony in Dr. William Husel's trial in Columbus, Ohio.
Your Testimony was very educational, and presented in such a way that anyone could understand death, dying, and compassionate care at end of Iife.
I appreciate you, and I am grateful for the vast knowledge you shared which will be helpful to each individual regardless of their life circumstances at this time, and in the future.
May God Bless you abundantly for who you are, for how well you express yourself as you educate others, and as you care for your ICU, dying patients.
I am not entirely sure why he equates physician-assisted death with the methodology of lethal injection used by the justice system. A very simple morphine drip over a short period of time would suppress a person's CNS and respiratory drive to a point where they would eventually stop breathing and pass. This is currently being done in places where it is legal. You can use other opioids, carbon monoxide, etc to induce death that does not involve patients drowning in their pulmonary fluid. I am unsure of his motivation for giving this talk, but the case being presented is a false dichotomy.
pues en los veterinarios lo que usan es pentobarbital sódico, no entiendo porqué no usan morfina, yo he tenido varias sobredosis de heroína y es la mejor muerte que hay, en cambio a mi perra la "eutanasiaron" con Dolethal y siento que no hizo bien las cosas, que mi perra murió con dolor. Y vi que hacía espasmos con el cuello, para nada me pareció una muerte indolora y un ponerla a dormir, la pusieron 4 inyecciones de ese líquido rosa.
This guy gives me the creeps... something about him... couldn't finish watching it. Would hate to have him as my doc!
Very interesting. I had imagined assistance in dying as being a peaceful thing. Now I have a new picture. Thank you for that information.
It is. They induce you to a deep coma and from there you don't feel a thing.
@@pazcuellar2285 so it's said. Watch a few on TH-cam. You'll see an awareness and stress or fear even in people who are absolutely certain that they want to die.
It depends on the medications used and their side effects.
Look up the effects on prisoners who were executed and struggled with their breathing.
I suppose that as long as there’s no studies or development of new drugs, we’ll never have the option of a peaceful death or the option of choosing it if desired.
Seems like a place to float some ideas. Some stories are appearing about low birth rates. Some concern about disproportionate numbers of elderly. Fewer young. The idea being that there won’t be enough people to take care of the elderly. Currently society both legal and religious makes helping a person commit suicide a crime. I would like to start a conversation about the current situation. Suicide by gun is very bloody. The person committing suicide likely is alone. Perhaps law enforcement discovers the victim. Likely it impacts these officers. Perhaps family or friends. Then there is the cleanup. Who will clean up the blood. How will it affect them.
What if the person intending to end their life could have conversations with family and friends. What if society had a conversation. What if laws were changed.
Yes a gun is bloody but I really would like to go out that way he can be done in the woods knowing my brain stem is totally destroyed it would be the best day of my life I would even be willing to let someone do it for me execution style
Listen you got to be a special person to even choose that profession. Trust me I would never do it. Never.
I've watched this twice and still don't really know what point he is trying to make outside of his own personal view. Not up to the usual TEDx standard.
Yes, me too. Lol Trying to figure out whats the point
"Not up to the usual TEDx standard." Even though TEDx has no standard, he still fails to reach it with his confused scare mongering.
This was a powerful speech he had me captured from the start till the end,it certainly made me think about assisted suicide I certainly agree with it,we should be able to choose 🌈💕🇦🇺🦋x
Could it be that perhaps the drug that's administered first renders them unconscious to the point of not feeling the ramifications of the actual drug meant to kill them? Something like having open heart surgery under anesthesia and not feeling a thing throughout the process until you wake up but alas those seeking solace in death don't have to worry about feeling the pain when they wake up because they don't wake up.
Yes of course. This guy is an anesthesiologist he should know better. For some reason he is just trying to scare monger. It seems professionally irresponsible. Now some anti-medical assistance in dying activist has picked up his ideas in Canada and is saying the Canadian government is literally torturing people to death with the equivalent of waterboarding.
This took a turn I was not expecting...
To paraphrase another commenter, it's good that attention is being brought to how people may suffer as they die; however, I (and other commentors) would argue that this may be considered preferable to a prolonged demise. Informed consent should always be sought when possible for medical procedures, and potential MAiD patients should be able to make their own decisions with all the pros and cons in mind.
I still support MAiD, which my grandma underwent 6 years ago today, and I hope improvements can be made regarding people's options; other loved ones of mind (and myself) may opt for this in the future, and I would want suffering during the process to be minimal for them, myself, and others.
There's no way around the suffocation part. Most of us will suffocate
Notice the doctor talks about his mother who just died so peacefully easily on her own he's living a pipe dream that doesn't happen with everyone and lethal injection and also the pills that you take from Oregon or other states are very peaceful you just go to sleep and you're off to heaven
Canada: abolishes death penalty and capital punishment
Also Canada: implements MAID for non terminal patients
I would be afraid of not being saved,if I did that
A fine example of FUD. The arrogance of this doctor who is obviously against assisted dying - typically these people spread FEAR, UNCERTAINTY and DOUBT - he needs to take that crown off his head and allow his patients autonomy and choice, not spread ridiculous stories about autopsy results which would have had no relevance to method of death.
el pentobarbital tengo mis dudas que sea indoloro, llevé a mi perra a eutanasiar y vi que hacía espasmos con el cuello, para nada me pareció una muerte indolora y un ponerla a dormir, la pusieron 4 inyecciones de ese líquido rosa, dolethal
If the organs don’t fail, how is the person supposed to die?
braindeath = no brain activity. a lot of people assume assisted suicide is a way to simply turn off the brain but its not the case at all.
@@trigremlin pentobarbital seems to be the brain to sleep, no?
Let me start by saying that I oppose capital punishment. I am commenting about your using lethal injection as a model of the response patients may have in physician assisted suicide.
Lethal injection takes place in a very stressed circumstance. Unsedated people are forcibly restrained on a table and poked with the IVs, after hours to days of fretful anticipation. It is likely that they are in a very high state of sympathetic arousal. As a neurologist I have seen pulmonary edema in the setting of brain injury and secondary sympathetic arousal. Relaxation by premedication might reduce the stress and the secondary pulmonary edema in lethal injection. The sympathetic stress response leading to pulmonary edema can occur even with total anesthesia, given that the pentobarb acts primarily as a respiratory depressant, so unresponsive people die of cardiac and cerebral anoxia, which is a which can take up to several minutes, and can be a strong stimulant of sympathetic hyperactivity in a totally comatose person. (Premedication with a beta blocker might also decrease the autonomic stress reaction.) Thus, pulmonary engorgement is not a good surrogate with which to measure suffering, as the person is no longer conscious or aware, although the body is stressed and reacting. I would posit, given the proper operation of the equipment, that most of the suffering in lethal injection occurs before the actual injection occurs.
In physician assisted suicide the patient's emotional state may be more positive and less stressed. If a patient sees the process as a positive there may be a sense of relief or even satisfaction. Using a drug like propofol or midazolam in a high dose would marginally decrease the time of brain awareness compared to pentobarb.
Sol////// I have never seen the necessity for a drug 'cocktail' when one drug will do. Oral pentobarbital or seconal works. Your last sentence is quite correct.
I agree with you here. We are not legally forced to go through this so MAiD is way better than lethal injection of a prisoner.
I guess there is no such thing as died w dignity.
There's no dignity in self murder!!!
@@mariem7250 //// But there is relief of overwhelming pain and misery.
In earlier times, cold calling sales people would call ask to speak to my mother, father, husband, all of who were dead. My phone voice sounded like a child. I always said flatly, "they're dead." The silence was deafening. Now when I need to kill a beloved pet, I have the vet kill it. I have always been frank. The Doctor is correct, in my opinion.
Medical assistance in living is in a rapid decline and in some cases, borderline inhumane. 1. In this country, a person needs to have the right insurance to allow them for medical assistance in living. 2. The medical system will provide a drug and the surgery for everything if you have the means to pay for it. You could have a tracheostomy tube to breathe, an ostomy in your abdomen to divert stool and two nephrostomy tubes on your lateral part of your mid back, or other urinary diversions located at the abdomen to collect and dispose of urine. I work in the medical field and have seen people who will do anything to live including this, but have also seen people who do it because their families want it. The right to die but medical assistance is extremely important and I don’t want to over simplify it by suggesting that people try “medical assistance in living”
La guillotina o un disparo en la nuca sería la muerte más piadosa a mi entender, ya que corta la conexión con el sistema nervioso, obvio q para la mayoría de la gente eso es brutalidad salvaje, pero en realidad escuchando esta charla me doy cuenta que no lo es en absoluto. Si pudiera elegiría la guillotina sin dudarlo, quien va a morir soy yo... qué importa la audiendica a mi alrededor !
Emprecé a cuestionarme sobre este tema cuando me enteré de que muchos presos condenados a muerte preferían la silla eléctrica a la inyección letal... Evidentemente ellos estaban al tanto de muchas de estas cosas de las que aquí se habla.
I need to speak to the speaker of this talk or someone. Pronto so everyone upvote all of my comments.
If dying is painful then there are very powerfull pain killers that will cause a person to die without feeling pain.
No there isint people cant die from pain pills
@@r.chavez5513 um there is a way,it's called an opioid overdose. People's CNS slows down so much to the point their heart stops. I witnessed my step dad die this way,it is often referred to as "comfort care" and usually takes place in a hospital. In fact I would arrange this for myself without having a terminal illness or being really sick. I think it's the ultimate way to go "Death by Design".
How many times you say I'm a doctor
My child has passed, period.
So now he claims patients have no hope of a good death. Believe me most MD/DO types see death as thier failure. Vets are light years ahead of MD/DOs on the concept of a good death. This mans mind was made up long before his training. Most executions are botched due the fact that physicians and real nurses are barred from partisipating...as in do no harm.. I start 10 IVs a day...I would guess the prison official much less. Watch videos of terminally people drinking the barbiturate cocktail and listen to the words of peace they utter..this video was a disservice to those truly ill and seeking control of their death with dignity
Actually I believe a physician legally has to attend an execution, BUT, they don't take part, they are just there to ensure that things are done right/legally. Normally they don't participate (as most don't believe in the death penalty), but are just there to oversee it
@@tommygirl6659 I would encourage you to read AMA and ANA policy on ethics. Forbidden to act in any role..MD/DOs who have attended have faced issues with licensing. I think it may be a leap to state that most don't believe in it. In the past, bullets , rope or an electric chair was less medical. Your argument seems to contradict itself. No not seems....really contradicts .
@@chrisgreene9745 I’m just going by what I’ve read
S
No harm meant...just been in ICUs and ER for 35 years.
Very interesting talk. Could it not be done that a surgeon puts the condemned into anasthesia and then severs a key artery in the brain causing instant death? I know this seems morbid and it would look to witnesses gruesome but it would be painless and immediate.
I believe that physician-assisted suicide is a very polarizing issue that has been the center of some very intense debate among people. As th video talked about, there are people who are in favor of it because they believe that it gives patients the freedom to choose the manner and timing of their death, especially those that are struggling with unbearable pain or terminal illness. Hopefully allowing them to retain some sense of control and maybe some dignity on how to face the end of their life. I am one who leans towards the fact that we should allow people to have this option. Take out the fact that it could be "beneficial" for end of care costs, or that it would allow the physician more time with other patients who may actual benefit from further care. It boils down to the sole fact that every treatment (or non treatment) option should be the decision of the patient. However, I can see how others view this practice as a violation of the fundamental principles of medicine, where doctors are sworn to "do no harm." The argument, as I understand it, is that the physician's role is to save and improve lives, not end them prematurely. One thing that I think we both can agree on is that physician-assisted suicide may lead to the abuse of the practice, particularly if it becomes a means of getting rid of patients deemed as burdensome or if it discriminates against certain individuals. This is obviously a complex issue that raises important ethical, moral, and legal questions. But at the end of the day, I believe it is up to each person to weigh the pros and cons of this practice and determine where they stand. The decision must be made with careful consideration of the values and principles that guide each of our understanding of life, and death. It is important to engage in open and honest conversations about this sensitive topic to understand each other's perspectives and work towards a respectful and compassionate approach to end-of-life care.
Ok so I want the decision. Die a terrible death or multiple organ failure. I should still have the choice.
I know this video is old, but it popped up on my feed. I have always been fascinated by euthanasia. Being originally from The Netherlands, I tend to see euthanasia as "normal". I have always been pro. However, I recently had to euthanize my dog (due to crippling arthritis) and my perspective has changed. At the time, I thought I was doing the right thing. The general consensus among veterinarians seems to be that euthanizing a dog is far better than letting the dog die of natural causes, as it will be a long drawn out, and painful process. Ever since I euthanized my beloved dog, I have been riddled with feelings of guilt and betrayal, and internal conflict. Was it really the right thing to do? Was it really better than a natural death? After watching this TEDtalk, I'm now also wondering if it was a painless as it looked. She was euthanized at home and the process seemed serene and peaceful to me as the onlooker. But after watching this TEDtalk I'm left wondering about that. I'm feeling so conflicted that I don't know if I will ever get another dog, because I don't ever want be in this position again. It makes me sad to think that I may have done the wrong thing by my faithful dog. But the alternative, of letting her suffer in pain until she died of natural causes / old age, makes me sad too. It's a lose-lose situation. Why do we feel that it is kinder to euthanize an animal, but we don't think the same when it comes to people when we both are mammals? I know one answer is that hospice care is not available for animals. But if an owner is committed to caring for the animal till the very end, and willing to give it painkillers at necessary intervals, why can that not be an option?
Joel should visit Belgium and get a better understanding of euthanasia vs death row injection.
It's too expensive,to stay on all the machines
What do u plan
I've watched some of the people who allowed filming of their assisted deaths. I saw 3 or 4. None seemed peaceful or unproblematic. Before death there seems to be an awareness and stress or fear. The videos are available on TH-cam.
Well, the medications used are quite powerful. I would imagine that people will fear their death. Their bodies are literally shutting down. Respirations decrease, bodily functions are ceasing, but the mind is still functioning. It's not a matter of how they die, it's a matter of when they die. One can choose to let the body deteriorate and slowly become more dependent on others, or they can choose to die with their own perceived dignity. I can not speak for others or judge others if they choose when to die, especially if they have a terminal illness or are suffering constantly. But, I do know that if I am ever diagnosed with a terminal illness, I will live my life to my fullest until I can no longer, at that point I will try to have an assisted death.
I too have watched a fair number of assisted suicides, and I have seen the opposite. First they are given a sedative, and then they are given the pills, or depending on the actual death process, whether it's dr assisted suicide, or death with dignity, the patient, or the doctor, then injects or ingests the contents which will slow the heart, and breathing. By the time this is all happening, the patient is comatose. The actual dying, doesn't begin until the patient is unconscious. Actually, I believe in death with dignity, it is a concoction that you drink, and within an hour, you begin to fall asleep, and then your body starts to shut down. Watch Brittney Maynard's husband talk about her death, and how peaceful it was, she was in her own bed, surrounded by her husband and her mother, with soft music playing in the background. She slowly fell asleep/unconscious, and then died peacefully a short while later. It is by FAR a more peaceful, painless way of dying, then even palliative care can offer. They can help with pain, but not all pain
Use what they do when they put a prisoner to death.
@@tommygirl6659 Or do it how they do in prison when putting an inmate to death.
@@zythr9999 They don't use the same process with lethal injection. TBH, they COULD be more humane with death row prisoner's, if you've ever watched even a pet be put to death, you would know how peaceful it is, and maybe less than .0001% of the time does anything go wrong. I'll tell you the most painful part, is the anesthetic. As someone that underwent a treatment that required anesthetic, I can tell you that it's painful when they inject it. But once you're out, you don't feel anything, trust me on that one. Anything you seen after the prisoner is put to sleep, is just the body reacting, the prisoner doesn't feel anything. I too was paralyzed each time, and you don't feel it. I went through ECT, shock therapy, they shocked my brain into a seizure, and I tell you, I didn't feel a thing. The most painful part was the actual administration of the anesthetic
Anyone else wondering, why wouldnt he think of carrying her body down the stairs?
He used this Platform to give himself some comfort when his Mother died. Not at all what I expected to watch
Could you explain this comment please?
Apparently this doctor is looking for a way to justify denying assistance in dying to those who are suffering. If someone is suffering from terminal cancer or another condition that makes life intolerable, doctors can do little to help. He says they can "relieve" or 'reduce" pain. That still leaves people screaming in pain, even in hospice. They can't leave their beds. They're at the mercy of caregivers, who may be indifferent or even cruel. A lethal injection might lead to a few moments of pain, but you should compare those few moments with months and years of lying helpless in pain. I'm glad he refuses to use euphemisms. But he needs to recognize that there are things worse than dying. As he says, doctors want to "stop death." They don't care how miserable you are in the interim. He shows a gentleman with tubes and machinery; he doesn't ask how that feels to the patient nor does he point out that this gentleman will probably never know a happy life at home ever again.
Isn't nitrogen the best way?
insightful
Our process of medically assisted deaths are arranged unlike a prisoner in jail. Unlike prison, the person can choose to die with family at home, no longer suffering from illness/disease. Either way, no matter how the organs react, the person is choosing to no longer suffer.
I do not like injections. But if I decide to die with dignity, drink the medication and go sleep would be better than suffer with futile and painful medical procedures.
There's also eating rotting food, jumping off a bridge (though some may survive the fall), getting hit by a train (a schoolmates brother actually did this), and some other ways, some painful, some not.
I lost interest when he tried to involve his personal opinions on execution.
Everyone is entitled to their opinion and to make it known, but doing so in the capacity of a lecturing physician is not acceptable.
It sounds so bad. Like a very bad word. And I myself, study medicine. I’ve been studying Medicine for 10+ years. It’s a very interesting thing. It’s a lot to deal with.
I thought that before assisting suicide the patient would be injected with anesthesia and make them sleep before the lethal injection is used, so to me the patient is not feeling anything, just like any other patient that underwent surgery. 🤔or no anesthetic are used during assisted suicide?
Assisted dying is about choice Doctor, do they not teach about choice in medical school?
The government approved a do not resuscitate order for me. Which they violated. Three times already.
So why is this being pushed onto veterans with PTSD? Ones who have kids too
WOW 👏
Can a mircle healing occur
Wow, the sheer arrogance of this man. No empathy, no acknowledgment that a person might be the ultimate authority on how they want to live or die. Major God complex. This is a shameful lecture and I hope I never get a Doctor Who believes he is the one to decide matters of life and death that no matter what he says in this talk he is going far beyond his medical purvey.
🗣📢 *HEY TED TALKS, PLEASE LISTEN!*
Those of us with hearing disorders get excluded when the sound quality has problems, like here. Whatever is wrong it is causing an ongoing metallic PING that is pummeling my brain in a most unpleasant way. Do you not hear it or maybe you do but think it is no big deal. It in fact is a big deal, so much so that I stopped the video to write this and when done I am leaving to avoid the migraine that would occur if I do not. I know it's hard to try to accommodate all human frailties, it's impossible when you are unaware they exist. So please consider this an awareness wake up call regarding those whose hearing rivals that of the animal kingdom. We would like to not only be invited to the table but allowed to remain with the absence of audible pain. Thank you from one who is tired of begging.
propofol and phenobarbital
Mi TIO.En Mexico suffria mucho.
Y Querida morir.
El Querida que lo Matara. Pero no podimos.hasta que Dios se lo llevo.
Me pongo a pensár, a UN animal esta suffrindo.lo Matamos.
Pero a una persona no Podemos.Quitar su vida.
A real doctor will always try best to make you feel better or save your life , a real doctor a good person will never look Dead as a good option, that is call integrity.
No one asked to be here. I think we have the right to leave this horrible place.
If you search terms such as "assisted dying" or "assisted suicide" or "euthanasia", you will find that it is overwhelmingly European/white people who favour it and who seek it for themselves. The countries in which the most assisted deaths occur are also relatively wealthy, industrialized nations. Western nations, and mostly northern as well. These are also societies with relatively low birth rates, yet they typically have disproportionately high rates of resource consumption and waste. If you add all the factors together, it begins to look as though perhaps an imbalance is being corrected by reducing the Euro/white/Western/consumer society portion of humanity.
Wow, nice way to bring in hate. Anyway, with over a billion Chinese and over a billion Indians, don't think you are going to be the winner when white people are gone.
WHO CARES! DEAD IS DEAD!
con pentobarbital no me pareció indolora la muerte de mi perra con dolethal, que es con pentobarbital, hacía espasmos con el cuello y gestos raros con la mandíbula, eso con las sobredosis de heroína no pasa.
Además me dio la sensación que estaba en coma y no muerta, deberían obligar a los veterinarios a confirmar la muerte mediante electrocardiograma, porque las catalepsias suelen pasar mucho en casos de sobredosis. Y el problema es que los animales pueden ir vivos al congelador, estando en coma pero no muertos, y eso ha pasado en españa. Antes de meterlos al congelador deberían obligarlos a confirmar la muerte con máquinas avanzadas.