Planning to Die: A 5-part guide to understanding the values of wills / Part 2 The Medical Perspective

Guest Blog: Katie Ortman, blogger

My dad designed an Advance Directive form thirty years ago for his patients. It is one page. It states things like, “If I have a terminal condition, in general, I would or would not want these things done” (for example, dialysis, feeding tube, cardio pulmonary resuscitation, antibiotics). In the state of Nebraska, where he resides, the page does not need to be notarized, it just requires a witness. He then asks his patients to discuss with their loved ones and send him a copy, and he saves it on file.

On multiple occasions, he has had to tell families, this is what my patient indicated to do in this scenario. Usually it’s the daughter from California who hasn’t been around. The siblings in Omaha have been there day to day, and they understand it’s time for their mom to pass. At the 11th hour, the daughter flies in and feels guilty she hasn’t been there. My dad must explain the directive and what her mother’s wishes were.

My dad talks about this with 100% of his patients, even the 20-year-old, healthy ones. When they are healthy, it’s a lot easier to talk about. About 90% of his patients have filled out the form, and he continues to bring it up, typically at their annual physical exam, with each patient who has not filled one out.

“Most people see the wisdom of it and are anxious to do it. Where it gets hairy is when you’re putting it into place. You may have a disagreement with family members, and you sit down to talk about it. You have to explain, ‘It’s not what you want, it’s what mom wants,’” my dad explained.

Furthermore, if he has a patient who is really sick and does not want to be resuscitated, he will have them write DNR (do not resuscitate) and put it on their refrigerator so first responders know that.

My dad’s dad had a “do not hospitalize” order, in addition to his DNR wish. This was something he and my dad (and his siblings) had discussed at length. He was living in a nursing home at 96 years-old.

When my dad received the call at 4am in 2005 that my grandpa had severe abdominal pain and rectal bleeding, he reminded the nursing home that his dad did not want to be hospitalized. They made him comfortable and let nature take its course. My grandpa died two days later.

When my dad suggests the “do not hospitalize” order to patients and their families, the inevitably say, “You can do that?!”

If you do not have these documents in place, each state has a plan for you if something happens (either incapacity or death), making your loved ones jump through legal hoops to be able to step in and help when you need it. For example, if you’re in a car accident and you do not have a Medical Power of Attorney or a Durable Power of Attorney, your loved ones must file a guardianship/conservatorship to make decisions on your behalf. It is time consuming and expensive. Instead of caring for you, they are left sitting in a lawyer’s office. Always a party.

If you’re thinking, “This doesn’t apply to me; I’m super healthy,” you are sorely mistaken. My friend and author Katie McKenna wrote a memoir called How to Get Run Over by a Truck. She was young and healthy and on a quick morning spin the day she was pummeled by an 18-wheeler. Thank God she lived to tell her story, which I highly recommend reading.

Death is the definition of inevitability. It’s the one guarantee in life. What are you doing for yourself and your loved ones to prepare? Ambiguity in your end of life care only leads to confusion, guilt and heartache for your loved ones.

Omaha is my hOmaha. I had a pretty sweet childhood, but when I was thirteen, my mom was diagnosed with pancreatic cancer. She died two years later. The darkest days of my life followed, and I found myself losing my self esteem.

I left Nebraska in 2000 to go to college in St. Paul, MN. I found my friends for life and a little bit of myself. But my 20s brought more hardship and more damage to my self worth.

In 2008, I moved to Denver to be near my sisters and their children. My nephews and niece are my whole heart. I met a Godsend and amazing therapist in my late 20s and finally started to come back to life. In my 30s, I was tested again. May of 2013, I was diagnosed with ocular melanoma in my left eye. November of 2014, at 32 years old, it metastasized to my liver.

Living with stage IV, incurable cancer has its challenges, but more than anything, it has its blessings. I live and love more freely than I ever have. I trust in the unending love and support from so many friends and family. I have a gorgeous husband and beautiful pup who love me unconditionally. And for the first time in decades, I truly love myself. Life is good.

My posts and stories are meant to inspire and educate. I want to inspire those facing hardships to trust that happiness is possible. I want to help those dealing with illness to know their power to take control of their health.

If you have any topics you’d like me to explore, please message me.

To get up to date info on my treatment, follow my CaringBridge site:

Thank you for visiting my blog!


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