The Portal Archive September 2011 | Page 11

THE P RTAL September 2011 quadriplegia from cervical injury. Those returning from war zones could make another group in this category. I do accept that all these conditions have to be borne courageously but I am always struck by the strong desire to live and survive that all patients often show. It was once expressed to me by a patient with quite crippling osteoarthritis that ‘living sure beats the alternative..’. Page 11 financially on the state or personally to their families or dependants. There may even be pressure from within families to ‘end life’ as can happen now with requests for termination of pregnancy. With a severely depressed patient, surely the actions of a responsible doctor would be not to endorse Only once has a patient expressed to me support for deliberate self harm. ‘assisted dying’ and this was a patient without a chronic or terminal condition. We all learn from experiences in life – being supportive to a dying patient will be a humbling Possible effects of the legalisation of ‘assisted dying’ and enriching though distressing experience but we in General Practice in the UK will show support and compassion for the patient and other family members. Possibly some important I feel very uncomfortable at the prospect of such positive influences and conversations with the dying a proposal becoming law and feel we should be person might be lost. encouraging reverence for life rather than the opposite. At the very centre of what doctors do is the ‘doctor/ Conclusions As doctors, we must continue to make care of our patient relationship’. patients our first priority and always aim to relieve If the doctor’s duty was other than to preserve life, symptoms and distress. The advice we give patients this would undermine our function and respect for will always be based on our training, our continued vulnerable groups – we all need equality of care and medical education, our judgement and experience – illness provision including the disabled and those with Of course, it might not always be what a patient wants to hear. learning difficulties. We should promote reverence for life and always In the future if such a proposal were to become law, anyone with a chronic condition, whether physical help patients till they die with dignity. or mental, may feel under pressure to make a value Reference www.gmc-uk.org judgement on themselves either not to be a burden Congratulations Congratulations to Ordinariate Deacon James Bradley who served as deacon for the Holy Father, Pope Benedict XVI, at the World Youth Day Opening Mass in Plaza de Cibeles, Madrid, on Thursday 18th August. Deacon James sang beautifully the Gospel according to Matthew, the parable of the house built on rock (Matthew 7: 24-17). The Tunbridge Wells Ordinariate Blog reported that someone on Facebook had wondered if Deacon James had “asked the Holy Father for the Gospel blessing in Latin”, because “a smile seemed to creep into the eyes of Pope Benedict XVI”! Whatever the reason for the Pope’s joy, it was a great joy for all of us to see Deacon James serving as an ambassador for the Personal Ordinariate of Our Lady of Walsingham. You can still watch EWTN coverage’s of the Mass at www.tiny.cc/WYD-Mass from which the above photograph was captured.