Nine Truths About Death and Dying
by David KuhlNine 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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