Bio
I am 62, divorced, basically without living relatives, endlessly curious, spiritually imaginative and always embarking on one sort of journey or anot...
 
 
 
 

Most Popular

Ethical Dilemma: How Far To Take a Medical Proxy

  • Share This Post
  • Pin It
  • 10
  • Sparkle (
    )
     

Thanks so much for your wonderful responses to the previous ethical dilemma in this series. You've weighed in on clandestine affairs, whether or not to help a neighbor's child, how to handle a clerk's error, and what to do about a thieving co-worker. Today's dilemma offers yet another challenge.

You have a cousin who has no next of kin except for you. Because of that, he has recently made you his health care proxy "just in case." Before getting all the documents signed and notarized, including a living will, you went out for lunch. It gave you both a chance to discuss the decisions he would like made by you should he ever be unable to make them for himself.

For example, he did want a "Do Not Resuscitate" order in his records, but only if resuscitating him would be to a bad state. "If I get a heart attack while walking down the street, for heaven's sake, DO CPR! " he said.

"Oh, YUCK, for that I have to kiss you? There better be a volunteer around!" you replied. You both laughed at that. Steve is as close to you as a brother, and there has always been a great interplay between you.

The very thought of ever losing him hurts. So, you both spark up the conversation with other things. After all, you thought, he is in his 40's, there is no need to get a decision from him on all the details right away. You did discuss his definite opinion about not wanting his life continued by elaborate machinery, or if he is in a condition where there is no hope for a meaningful recovery.

But when you started to talk about organ donation, he paused. "You know, I'm actually undecided about that -- I can see that it is important, but it does give me the creeps. I'm not sure I am ready to talk about being sliced and diced up. That we can talk about later."

Well, later never came. A few months passed, and your cousin was in a bad car accident and you needed to make a decision about taking him off life support. That decision was clear. It was very hard, but it was clear.

At that point, his doctor entered the room and told you that they have a patient that could use his heart. Will you agree to an organ donation?

You know what you would do in that case, but you never had a clear message from Steve, except that the thought "gave him the creeps."

What would you do?

Would your decision be different if the request was made for multiple organs?

~~ Contributing Editor, Mata H. also blogs right along at Time's Fool

  • 10
  • Sparkle (
    )
     

Comments

Post comment as twitter logo facebook logo
Sort: Newest | Oldest
Mata H 5 pts

A will, a medical proxy, power of attorny -- all are critical documents to have in place. I agree 100%!!

~~ Contributing Editor, Mata H. also blogs right along at Time's Fool ( http://timesfool.blogspot.com )

Mata H 5 pts

Thanks for your honesty. This part of why it is so imporant to ask the difficult questions we can anticipate before we need the answers. It is a tough one to be sure. Thx again.

~~ Contributing Editor, Mata H. also blogs right along at Time's Fool ( http://timesfool.blogspot.com )

JennaHatfield 9 pts

Uh. Hmm.

As someone who will most likely need a kidney in the future, my knee-jerk reaction is donation. I have some ethical hang-ups though with his lack of affirmative response, but I'm not sure that they would negate that initial response.

This one is probably the hardest one for me to have answered. I watched my grandmother make the decision to cremate my grandfather even though she didn't agree with it, because my grandfather had said that was what he wanted. As such, if my very close cousin didn't actually want donation... I don't know. Again, my knee-jerk would probably prevail.

Contributing Editor Jenna Hatfield (@FireMom ( http://twitter.com/FireMom )) blogs at Stop, Drop and Blog ( http://stopdropandblog.com ) and The Chronicles of Munchkin Land ( http://thechroniclesofmunchkinland.com ). She is a freelance writer and newspaper photographer.

Skye 5 pts

I vehemently disagree with her choice, but it's her body so I would not go against it. If I'm in that position, I'm going to be apologizing to the people in the ER as much as I can, but there's nothing I'm willing to do against her wishes since I would not want her to go against my wishes (*for* organ donation) based on her personal feelings.

If I knew my cousin well enough to make an educated guess about what he would have come around to deciding if we had a chance to buckle down and talk it through, I would feel comfortable making a judgment call.

Reading this, I'm SO glad we got our wills and medical powers of attorney finally finished last month! Don't want to leave anyone else in that kind of position who hasn't volunteered and gotten a chance to get all the info.

Skye Kilaen

Flooded Lizard Kingdom ( http://www.lizardkingdom.org ) | Heroine Content ( http://www.heroinecontent.net )

Mata H 5 pts

Thanks for your reply. Are you saying you would go against what he wanted even he had clearly sad NO to transplants?

~~ Contributing Editor, Mata H. also blogs right along at Time's Fool ( http://timesfool.blogspot.com )

Mata H 5 pts

What if he had said that he didn't want it to be done? Would you still?

mata

~~ Contributing Editor, Mata H. also blogs right along at Time's Fool ( http://timesfool.blogspot.com )

Mata H 5 pts

Thanks for your response. It is so important to get these details ironed out early, regardless of someone's age.

Mata

~~ Contributing Editor, Mata H. also blogs right along at Time's Fool ( http://timesfool.blogspot.com )

MFA Mama 5 pts

I'd donate his heart and anything else they could use. Because a) we're operating under the premise that he's a good guy who's maybe just a little ignorant about the process and b) he's gone. In fact, I know this'll be unpopular with some, but even if he'd said he was against organ donation but left the choice in my hands I'd donate his organs.

In the name of transparency, I say this as the spouse of someone with multiple donor organs, but my answer would have been the same before I met my husband.

lattelove 5 pts

I absolutely would donate his organs.

His life is already gone, and they're are thousands waiting for vital organs to live another lifetime.
Despite his concerns about it, I think the most ethical decision is to give another human being life, rather than to try to discern what a dead family members wishes were, after he's gone.

BarbD 5 pts

Had my cousin not already chosen the "do not resuscitate" option, I don't *think* I would. But I feel from my knowledge of him and our previous discussions that despite his squeamishness, he would have eventually come around to donating his organs.

Or quite possibly, I'm simply justifying my own feelings about donating organs (I'm for it) by projecting my beliefs on my cousin.

I'm also influenced by being very good friends with a woman whose husband benefited from a heart transplant. I've seen this gift of life goes on. I love the idea that, until his death earlier this year (unrelated to his transplant), they celebrated two birthdays -- his natal birthday and a few days later, the date of his heart transplant.