Till death do us part!

Posted by Sonalimantoo



Death. Mortality. End of Life. Something inevitable, yet rarely discussed and a source of intense discomfort for most. When mentioned, it is considered inauspicious and rude in many cultures. Death is an integral part of the workday for a Critical Care Physician like me. But it was never a topic of discussion in Medical School or training

 

Death is inevitably encountered by every physician at some point and by every human. Then why aren’t we talking about this routinely? I know your doctor should be bringing this up. The funny thing is, as health care providers, we are still fumbling with the topic ourselves. We are not routinely trained to talk about something we are supposed to prevent. Until our system incorporates Death as a mandatory topic to be discussed, I urge you to be proactive.

 

If we work so hard to create a life we love, why not consider how we would like to die. Life and Death both can turn out vastly different from what we expect, yet we make every effort to create a life we value. If asked how one would choose to die, the most common response is “I want to die in my sleep, at home, surrounded by my loved ones” Yet, hospitals are proof that this doesn’t always happen. 

 

People want their health care decisions to reflect their core values. When a family member is hard pressed to make decisions at the end of life (for a patient unable to do so for themselves) a prior discussion can at least point them in the right direction. Better yet, a “living will” can give specific guidance about our preferences regarding treatment choices. Appointing a “POA for health” or “Health Care Proxy” can ensure a loved one is entrusted with the responsibility of making decisions that mirror your values, when you cannot do so yourself. In the United States, where there are clear-cut guidelines and laws in place, it is only a small number of patients (usually the chronically ill) who actually make their wishes known. In India, patients rely on the trust, relationship and conversations between the doctors and family to guide care at the end of life. Legality is still vague.

Expression of grief by patients and families can take on many forms. Slowly accustomed to the spectrum of human grief, I have learnt to recognize patterns. Guilt and making up for lost time by continuing life support for a helpless family member, even when there is little hope. The inability to face one’s own mortality by asking for every medical test and intervention available. Families stating that their loved one is a “fighter” and wouldn’t want to ever “give up”. Interpreting the preparation of end of life care as pulling the plug and giving up. For me, dealing with the strongly ingrained belief “Death is Failure” is both draining and emotionally exhausting. 

 

Is fighting a battle at the end of life a courageous struggle or a resistance, lack of acceptance and fear of facing the inevitable? We face these issues because we never ever talk about death till we absolutely have to. Maybe, even if we did make every effort to do so, it would still be incredibly painful and hard. After all, it is difficult to face our own mortality, let alone prepare for such a final event in reality. We can at least begin to try.

 

Historically, one might have gone through the dying process at home, either due to old age or sickness. Increasingly, this is becoming the exception rather than the rule. Most people are rushed to the nearest health care facility at the earliest sign of pain and distress.

 

We draft wills for our real estate and valuables. What about our most valuable asset, our body, the only constant space we inhabit throughout our lives?  When we make the effort to eat healthy and work out; We invest in our health, quality of life and living well. When we discuss death, learn about palliative care and learn more about the choices available at the end of life; we invest in our end of life experience and dying wellWellness is more than living well, it includes dying well. The choices we make will, to a large extent, determine both our quality of life and death. 

 

My job is to ease suffering, as a health care provider, not simply “Save Lives”. I am thankful and relieved, when patients die well under my care. Palliative Care, an emerging field, is providing non-aggressive care to patients who opt for it.

 

A large chunk of my day involves talking with dying patients and their families. Even though we save lives, it can be far more gratifying to care for someone dying well with grace. Much more than it is to connect more devices to a survivor of resuscitative efforts with little hope of meaningful recovery. Doctors are trained to alleviate discomfort and resuscitate those very ill. Doctors cannot prevent people from dying. Globally, the phenomena of death is not something we have been able to accept gracefully.

 

It is a privilege to be by the bedside of someone dying. It is humbling to have family meetings that help loved ones better understand what the prognosis of a critical illness might be. It is enlightening to learn how my patient lived their life and how they might want to die. It is a joy when I am able to provide care that is in sync with the core values of my patient. It is not giving up hope. There is dignity and grace in dying well. But first let’s talk about Death. Please



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THEY WILL ALL GROW YOUNGER!

God's Plan of the Ages!
All Blessings Which Shall Flow to All….

"But truly as I live, all the earth shall be filled with the glory of the Lord." Numbers 14:21
God shall wipe away all tears from off all faces.
Isaiah 25:8; Revelation 7:17
All wars shall cease.
Isaiah 2:4; Micah 4:3
All evil shall be suppressed.
Psalm 37:10; Revelation 20:2,3
God's judgments shall teach righteousness to all.
Isaiah 26:9; 28:17
Nothing shall ever hurt nor destroy.
Isaiah 11:9
Truth shall triumph in the earth.
Psalm 85:11
God shall write His Law in the hearts of men.
Jeremiah 31:33
All shall know Him from the least to the greatest.
Jeremiah 31:34
Earth shall be filled with the knowledge of God.
Habakkuk 2:14
God shall pour out His spirit upon all flesh.
Joel 2:28; Acts 2:17
All iniquity shall be remembered no more.
Isaiah 55:7
All shall rejoice as sorrow and sighing flee away.
Isaiah 35:10
There shall be no more death, sorrow or pain.
Revelation 21:4,5
There shall be no more sickness.
Isaiah 33:24
The eyes of the blind shall be opened and the ears of the deaf shall be unstopped.
Isaiah 35:5
The earth shall yield her increase.
Psalm 67:6
The desert shall blossom as the rose.
Isaiah 35:1
The ransomed of the Lord shall return from death.
Isaiah 35:10
One shall not build and another inhabit, nor plant and another take, nor shall any labor in vain.
Isaiah 65:22,23
Every man shall sit under his own vine and fig tree.
Micah 4:4
God shall multiply the fruitage of the earth.
Psalm 67:6; 85:12
There shall be showers of blessing.
Ezekiel 34:26
The earth shall become like a Garden of Eden.
Isaiah 51:3

Good News!

Message: JOHN 3:16

LIFE
WHY?
Through the first human couple, in the Garden of Eden, Adam and Eve, the sentence of death passed upon the entire human race.
>Genesis 2:7 “and man became a living soul/being.”
>Ezekiel 18:4 the word of God states: “the soul that sinneth it shall die.”

Adam and Eve were told by God where they would go;
> Genesis 3:19 “till thou return unto the ground; for out of it thou wast taken; for dust thou art, and unto dust shalt thou return.”

> Romans 5:19 “For as by one mans disobedience many were made sinners, so by the obedience of one shall many be made righteous.”

HOW?
> John 3:16 “God so loved the world that he gave his only begotten Son.”
>1 Cor. 15:22-23 “As in Adam all die, even so in Christ shall all be made alive.”
Furthermore in 1 Tim. 2:4-6 it is explained; ”Who will have all men to be saved and come to a knowledge of the truth. For there is one God, and one mediator between God and men, the man Christ Jesus, who gave himself a ransom for all, in due time.”
A perfect human life for another perfect human life (a corresponding price) The first life defective and it’s posterity; the “last Adam, a quickening spirit.” The risen Lord Jesus who was “holy, harmless, undefiled and separate from sinners.” “The Word” or “Logos” who was made flesh, and in love and obedience to God his Father “poured out his soul unto death.” Isaiah 53:12 Jesus stated in John 6:51 “and the bread I will give is my flesh, which I will give for the life of the world.” The ransom-price, the right to life, to be applied in due time.

1 John 2:2 “And he is the propitiation for our sins; and not for ours only, but for the whole world.”

The offer of justification to life as in Romans 5:18 “so by the righteousness of one, upon all men unto justification of life.” on the terms of Romans 10:10 “…believeth unto righteousness.” “…confession unto salvation.” If there is a first resurrection, then there is more than one implied also.
> 1 Cor. 15:38 “…a body as it hath pleased Him.”
>1 Cor. 15:40 “the glory of the celestial is one, the glory of the terrestrial is another.”

WHEN?
Acts 24:15 (“Just and Unjust”)
In Hebrews 11:3 the statement is made that “the worlds (ages) were framed by the word of God.” All human history is shaped by the justice, love, wisdom and power of God; in permitting evil for
THY KINGDOM COME
mans education, and the gift of his son for our redemption!
> Acts 17:31 “he hath appointed a day, in that which
he will judge the world in righteousness by that man whom he hath ordained.”
> Daniel 12:2 “Many that sleep in the dust of the earth shall awake.” (unconscious aspect of death)
>2 Peter 3:8 “one day with the Lord as a thousand years.”
The “Judgment Day” = is the “Kingdom.”
Jesus stated in John 5:28-29 “All that are in the graves shall hear his voice” “they that have done good, unto a resurrection of life; and they that have done evil unto a resurrection of judgment.” (original meaning in early Greek MSS) NOTE: the location of the dead is clearly stated to be the same before their disposition upon resurrection!
JESUS also include in this resurrection;
>Matt. 12:41-42 “the men of Nineveh shall rise in judgment.” >Matt. 10:15 “more tolerable for the land of Sodom, and Gomorrah.” (Literally)
> Matt. 19:28 “the 12 tribes of Israel.”
Jeremiah 31:16 “from the land of the enemy.”
These all having died in total or relative ignorance, and inherited weakness, prior to the millennial day of judgment!

>Jesus stated again in John 12: 47-48 “if any man hear my words and believe not, I judge him not-the word I have spoken, the same shall judge him in the last day.” >>A resurrection by judgments during the “times of restitution” Acts 3:21. When the true “way of holiness” Isaiah 35:8 will be prepared for mankind! Isaiah 11:9 “shall not hurt or destroy.” Isaiah 26:9 “when thy judgments are in the earth, the inhabitants will learn righteousness.” With Satan bound a 1,000 years!
1 Cor. 15:23 “every man in his own order.”

THE CALL OF OUR PRESENT AGE! John 6:44,65
Acts 15:14-18 “God did at the first visit the Gentiles, to take out of them a people for his name.”>> A spiritual church for his Son; the Christ. (the Spirit and the Bride)
Rev. 22:17. Jesus said: “Deny self and follow me” Matt. 16:24 “ sanctify them through thy truth” >>John 17:17 “ be thou faithful unto death, and I will give thee a crown of life” Rev 2:10. The completion of this “first resurrection” ends this age! THEN-Rev. 21:2 “new Jerusalem coming down out of heaven” >>Acts 7:48 “God dwelleth not in temples made with hands.” Then the “millennial” reign of Christ actually begins!
Psalm 102:18 “the people that shall be created"!!!

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Message: Good News!

Do not leave the earth out of the picture!>>> Yes,Isaiah 24:5 is the present condition!."the earth is polluted under the inhabitants"//, but this will change as the general resurrection unfolds! >>>For example,in Ezekiel 36:10-11 God states" i will multiply men upon you,all the house of Israel,ALL of it ! "++-vs.11"and will do better, than at your beginnings: and you shall know that I am the Lord!". (Multiplied by the resurrection promised to them in Ezekiel 37+Isaiah 42+49:6-9"say to the prisoners,go forth;"!>>> .see Ezekiel 36:31"then shall you remember your own evil ways"etc.That generation!/those people will remember because they have been made alive again under the new covenant made with Israel!(Jeremiah 31-all..)remember the words of Moses.>>>Deut.30:2-8"return and obey"// Of course everyone gets another opportunity! That is what the prophets spoke of! The nations shall benefit in order; >>>Zech.8:23"the nations".>>>Zech.12:7-13"the tents of Judah first"!>>> Deuteronomy 18:18"a prophet from among their brethren" (Jesus Christ was a Jew..) Wait for it ! >>>(John 5:28-29)..

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Message: A KINGDOM IS ….

future

Psalm72***"Give the king thy judgements,O God,and thy righteousness unto the king's son. He shall judge thy people with righteousness,and thy poor with judgement."./>>vs.4-He shall judge the poor of the people,he shall save the children of the needy--/>>>vs.13-He shall spare the poor and needy,and shall save the souls of the needy.!"//>>As the first advent was a precursor to the return of Jesus Christ;---i.e.the miracles of healing,sustenance,and resurrection enacted by the power of God,--so also at his return! />>see Ephesians 1:10, for example,on a global scale!>> 1Tim.2:4"God will have ALL men to be saved,and to come to a knowledge of the truth"->>>-Deuteronomy32:4"the Rock,his work perfect"! >>>John 5:28-29"all those in the tombs will hear his voice"(his son's-Jesus Christ),;>>a visible resurrection to a new life and opportunity ,as the earth is healed by God !!!

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>> MESSIAH >> ( WAS/IS) >> A JEW..
( a Hebrew )
♦The only one of the descendants of Abraham who could fulfill, and will fulfill , the old testament prophecies spoken of concerning the Messiah !
Genesis 22:8 ("God will provide himself a lamb"), as stated by Abraham..
Exodus 12:6 ("the congregation of Israel shall kill it in the
( evening"), (the lamb of the Passover).
Leviticus 16:6 ("Aaron shall offer his bullock of the sin-offering").
( type of Jesus ).
Leviticus(l6:15("the goat of the sin-offering for the people")
( type of the church ).
Numbers 28:3 ("two lambs")>>("day by day")—>>("a continual burnt-
("offering") (effective forever!").
Deuteronomy 18:15 Moses stated ("the Lord thy God will rise up
*** Unto thee a prophet from the midst of thee…”)
An atonement price, for all time , and effective for those long-dead, would have to be better than that of lambs ,goats, and cattle! >>>Please note ; the tabernacle picture in Leviticus 16 is ongoing , through-out human history until the present time; this culminates ,and merges into the temple picture narrated by Solomon ! ***Then Messiah’s king dom actually begins !
***Daniel 9:26 >> ("shall Messiah be cut off, but not for himself!").Note the satisfaction for sins completed in this scripture!
Isaiah 11:1 >> ("a rod out of the stem of Jesse")
Isaiah 42: all >> ("give thee for a covenant of the people").
***Isaiah 53:7 >> ("he is brought as a lamb to the slaughter")
Isaiah 53:8 >> ("for the transgression of my people")...
Micah 5;2 >> (" shall he come forth unto me to be ruler in Israel")! ">>> 4:8 (" 0 tower of the flock")

A spiritual king, to restore and accomplish the fulflllment of the promises made to Israel by God, his Father !!!
Genesis 15:15 >> ("for all the land which thou seest, to thee will I give it and to thy seed forever!"). This promise will be realized soon!

Then Israel’s "judges" will be restored “ as at the first “ (Isaiah 1:26) (Abraham , Isaac, Jacob, David, with many others! >>> See Ezekiel 36:11( “do better unto you than at your beginnings”), >>(to answer Moses’ prayer, in Psalms 90,) >>>*Ezek.36:26(“new heart”),>> Ezek.36:31(“then shall ye remember your own evil ways”), That generation! Literally! They will be resurrected to earth,>> in the fulfillment of Ezekiel 37 (“the whole house of Israel”)>>> the “6 million+ lost in the Holocaust generation also!! >>> This is echoed in many of the Prophets’ statements ;>> * Jeremiah 31:1 (“at the same time”),>>*Jeremiah 31:27 (“I will sow the house of Israel and the house of Judah with the seed of man, and the seed of beast.”) Jeremiah will get his land !* .( Jer.32:11),>( *Isaiah 29:23 (“when he (Abraham) seeth his children, the work of my hands, in the midst of him”)!>>>*Isaiah 33:24 (“the inhabitant shall not say I am sick: the people that dwell therein shall be forgiven their iniquity!”)
The population of earth is blessed in order !>> >*Zechariah 8:22 (“ all languages of the nations”),>> to a fair trial for eternal life, under wonderful conditions!> See* Isaiah 35:all! >>>*Isaiah 65:20(“ as a child a sinner shall die an hundred years old”), the minimum age,( when decided), on the way to eternal life..You will be there! >>See *Isaiah 51:3(“wilderness like Eden”), 51:6(“my salvation shall be forever”),>>and* Isaiah 25:7(“destroy in this mountain the face of the covering cast over all people”)..vs.8 (“He will swallow up death in victory”)!
These scriptures all apply to natural Israel , as well as the spiritual nation..>>>*Psalms 104:30-31(“Thou sendest forth thy spirit,they are created,and thou renewest the face of the earth”..(“the glory of the Lord shall endure forever: the Lord shall rejoice in his works!")



Posted by A1bhrodeo


I enjoyed reading this article but the biblical quotes in the comments are very overdone


Posted by Heather


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