Nine Truths About Death and Dying

by David Kuhl

Nine truths about death and dying emerged from the intensive conversations Vancouver doctor David Kuhl had with people who were terminally ill:

Time changes:  Being told that your disease will likely result in death causes time to freeze – then change.  Linear time, which the Greeks called chronus, gives way to kairos, time noted for its dimension of depth.

Bad news:  It’s hard for health care providers to break the bad news about terminal illness without adding to a patient’s suffering.  If your doctor’s communication failures have caused you to lose faith in him or her, it may be time to find a new one.

Confront pain:  Pain is part of living with a terminal illness.  It can usually be controlled, or at least diminished.  Once the pain is under control, a dying person can start to focus on emotional or spiritual issues.

Get in touch:  Terminally ill people need to be touched.  It counteracts their sense of aloneness.  As a dying friend, “May I hold your hand?”  Do you mind if I put my arm around you?” or “May I hold you?”

Life review:  Now is the time to review your life:  your achievements, disappointments, relationships and losses.  Start by thinking about your life’s “branching points,” such as marriage, career moves, relocations, retirement.

Truth-telling:  Speak frankly to the people you want to make up with.  Arrange to meet in a quiet place, start the conversation by saying, “I feel a little awkward about this,” and say what’s on your mind.

Parent and child:  Relationships with your parents and children come to the fore at the end of life.  Consider writing letters to them – not necessarily to send or leave behind, but to clarify your feelings.

True self:  Dying often strips off a person’s mask, revealing the true self. Take this gift:  Think about your life and who you are.

Transcendence:  Discover the sense of a higher power, whatever form that takes for you.  As spiritual discovery unfolds, the fear of death recedes.

Related Reading:
Cancer without fear
Experience Holy Spirit living
Need advice? Ask us.

- Ideas contained in What Dying People Want: Practical Wisdom for the End of Life, by David Kuhl (Doubleday Canada, 317 pages, $34.95)

- Used with permission from the Vancouver Sun (article adapted from David Kuhl's book by Rebecca Wigod

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