Hektoen International

A Journal of Medical Humanities

Category: End of Life

  • A time to live and a time to die

    Amera HassanMinneapolis, Minnesota “Well to be honest, doc, I don’t quite care whether I do live or die.” He said it so nonchalantly and he was smiling too, a crow-footed wrinkle on either side of his eyes. When this patient was first admitted to the floor, he was in an undignified state, with flies wafting…

  • Medicalization of death and dying: Room for growth in end-of-life care

    Rose ParisiAlbany, New York, United States In recent years, the way in which Americans cope with death and dying has evolved considerably and become institutionalized and over-medicalized. Whereas over time people have died in their homes, untethered to wires and machinery, modern medicine has turned people into patients and handed them over to medical professionals…

  • Saying goodbye

    Anthony PapagiannisThessaloniki, Greece Her head is bald, her face pale. Only a couple of weeks have passed since her latest cycle of chemotherapy, which imposed its ravages but offered no benefit. The disease is marching relentlessly ahead, the survival horizon drawing closer each day. She is alive only with the help of strong medications that…

  • A series of messages

    Fung Kam YanHong Kong It was a Sunday. I sat outside the ward in my white coat, my eye protection fogging up, trying to catch my breath through the KF94 mask. My grandmother was inside, also struggling to breathe. The nurse said that only two visitors were allowed because of COVID-19 restrictions. It did not…

  • Please don’t die in the hospital

    Alexandra DeFeliceFalls Church, Virginia, United States I don’t like the way people die in the hospital. I don’t like the color schemes, the paleness that seeps into every empty wall, every window shade, every floor tile; every cafeteria counter, every elevator sign, every parking lot stripe—the paleness, the sterile acceptance, that appears, eventually, in every…

  • Allowing my death—a delusory end-of-life decision

    Wolfgang LedererInnsbruck, Austria Together with the gift of life, I have received its finiteness, its perishability. As death is inescapable, when might I allow my life to end? Certainly, my life expectancy has to be longer than average, and I demand good physical and mental health right down to the last minute. Furthermore, my life…

  • Dream on

    Paul RousseauCharleston, South Carolina, United States ChartThis is a 32-year-old female with widely metastatic breast cancer admitted to the hospital for control of shortness of breath and pain. ____ Melissa sits slumped, mouth open, snoring. I pull a chair bedside and gently touch her shoulder. Her head jerks, startled. She wipes drool from her chin…

  • Piano lessons

    James StemmleWest Virginia, United States The piano teacher was angry, irritable, incontinent, and in pain. Dying of cancer, she eventually went home with hospice care. The hospice lady asked, “What would a good day look like?” They rigged things in her home to live at least one good day: a bed on the first floor…

  • As my mother lay dying

    Peter MeyersWashington, D.C., United States My mother was sitting up in bed when I walked into her hospital room. When I asked her how she was doing, she grinned and responded, “Super!” Her doctor, standing nearby, added that she was the happiest and most easygoing patient on the ward. That was not the mother I…

  • Life lessons from death

    Pedro T. LimaRecife, Brazil “How would you like to die?” the professor asked without breaking eye contact. I averted my gaze to ponder the question, but no answers came to mind. “I’ve never thought about it. I guess that I would hope to be with people I love,” I stuttered, still collecting my thoughts. “You…