Palliation

“ BURIAL ALIVE.—CREMATION FROM AN ÆSTHETIC AND RELIGIOUS POINT OF VIEW. Our great American poet, Edgar Allan Poe, says: “To be buried alive is beyond question the most terrific of all extremes which have ever fallen to the lot of mere mortality.”
Is any death more horrible than this? To be embraced, unprepared, down in the deep dark grave! To awake again with the greatest longing for life, suffering the most severe bodily tortures, in the coffin! To realize that there is no escape from inevitable death! ”

“ An incurable disease under the circumstances speedily finds a fatal termination. A patient laid up with a disease, which only admits of a palliative treatment, lives so long as the course of the medical treatment is continued, and will die almost simultaneously with its discontinuance. Just as a prop or a pillar can prevent the collapse of a tumbling edifice, so palliative measures, judiciously applied by a skilful physician, may keep off the inevitable in a disease which knows no radical cure. ”

“ Surely no funeral is like unto that of a doctor for pathos, and a peculiar sadness fell on that company as his body was carried out who for nearly half a century had been their help in sickness, and had beaten back death time after time from their door. ”

“ Tears, wailing, heart-rending death-scenes, the smell of carbolic acid, the cracking of the bones of those seized with cramp, the disgusting symptoms, the incessant tolling of the death-bell, the interment—no, the huddling away—of the dead, for in such cases there is no funeral pomp. All the order of life given up ”

“ They bore their sufferings with heroic fortitude, closing their white lips to repress the groans which every breath brought up, and clenching their strong hands in the intensity of mortal pain.
At nine o'clock I was called to hard tack and coffee, feeling the need of it to strengthen me for the work in hand.
We had a patient who occupied a small bed-room alone, whose wound was through the lungs, and mortal. He was young—too young to die away from the kind attentions of mother, and sisters, of whom he talked to me in the lull of his pain. ”

“ And a man with death's dews on his forehead, and blood on his coat and his cheek;
"I am dying — I feel death upon me — but yet, even yet, if God wills
I may crawl on my knees to the doctor's — yes, this is the last of the hills! ”

“ In the admirable liturgy of the churches of England and of Rome, there is a fervent prayer for protection against “battle, murder, and sudden death.” From death uncontemplated, unarranged, unprepared for, may Heaven in mercy deliver us! But if ever ready, as we should be for the inevitable event, the most kindly mode of infliction must surely be that which is most prompt and brief. To die unconsciously, as in sleep, or by apoplexy, or lightning, or overwhelming violence, as in the catastrophe of the Princeton, this is the true Euthanasia. ”

“ Hospice provides a humanitarian way for a terminally ill patient to approach death with dignity, in relative comfort in a supportive atmosphere, and surrounded by family members. Its most important element is concern for patients and their families. Hospice advocates personal care and concern, living comfortably until death, the absence of pain, maintenance of personal control, and the close .fellowship of the family unit. ”

“ The attending physician, herself, and all her friends were convinced that there was no hope of her recovery. She took leave [Pg 110] of those who stood by her bedside, and made her final preparations for death. On Wednesday, January 8th, she was all day in convulsions.... Towards six o’clock she grew better, but on the night of the third day became speechless, and was compelled to write her wants and wishes in pencil.
“At twelve o’clock that night, Miss Armer and the nurse, who watched by her bedside, believed her to be dying, if not dead. ”

“ You may talk and talk to the grief-stricken one who bends over the corpse in the coffin about death being a transition from a world of woe to a world of weal, and the distressed one may try to cherish the thought and proclaim belief, but the tears cease not to flow, the pain and anguish written upon every feature of the mourner refuse to give place to joy and gladness. ”

“ It was a tragical feeling, a taint or flavour in the mind, such as men often feel in hospitals when many are dying, the sense that Death was at work there, that Death lived there, that Death wandered up and down there and fed on Life. ”

“ Gloom, sadness, and despondency depress the vital forces and lead to death. We have seen patients rapidly sinking, who had given up all hope, and were quietly awaiting the coming of death, snatched, as it were, from its grasp, and restored to health, by words of cheer and encouragement. ”

“ Something stronger than Death and strong as God has told me I will return. When the solemn fir strikes his roots into my grave and the rank hemlock through the decayed coffin boards has absorbed my blood, I shall have returned to that home where my babe was held aloft among the roses, and where my wife sobbed "Farewell!" I fear not misery nor dread extinction. ”

“ It is a dreadful thing to wait and watch for the approach of death; to know that hope is gone, and recovery impossible; and to sit and count the dreary hours through long, long nights—such nights as only watchers by the bed of sickness know. It chills the blood to hear the dearest secrets of the heart—the pent-up, hidden secrets of many years—poured forth by the unconscious, helpless being before you; and to think how little the reserve and cunning of a whole life will avail, when fever and delirium tear off the mask at last. Strange tales have been told in the wanderings of dying men; ”

“ The bleeding is but new stanched, and such matters as seeing his father and mother may make the heart to swell, and so maybe the wound burst afresh and he die. An he would hope to live, he must rest quiet until to-morrow day. ”

“ Looking, however, on death in its purely human aspects, the mourner should consider how often in a long illness he wished the dying man could sleep; how consoling to his mind was the thought of every hour of peaceful rest; of every hour in which the patient was withdrawn from consciousness, insensible to suffering, removed for a time from the miseries of a dying life. ”

“ And though, when my day's work was over, I had no rarebit for supper, yet a vision came to me sometime between the dark and the daylight. I thought I saw myself fall ill and die, and my body was prepared for cremation. ”

“ DEATH. In cases of sudden death interment should be deferred till signs of putrefaction begin to appear, especially when no gradation of disease has preceded, as in cases of apoplexy, hysterics, external injuries, drowning, suffocation, &c. No sooner has breathing apparently ceased, and the visage assumed a ghastly or a death-like hue, than the patient, after his eyes are closed, is too often hurried into a coffin, and the body, scarcely yet cold, is precipitated into the grave. So extremely fallacious are the signs of death that the semblance has been frequently mistaken for the reality. ”

“ Since the period of which I now write, I have often witnessed the closing scene of mortality, and various are the opinions I have heard, as to which point of time, between the moment of death and the first appearance abroad of the survivors in their mourning apparel, is the saddest, the most afflicting, or the most trying—whether the moment of dissolution, the first appearance of the undertaker, the laying out in the apparel of death, the bringing of the coffin, the last frantic kiss and look, the screwing down, the carrying out, the dull thud of the clay upon the coffin lid. ”

“ The violence of the paroxysm often tarns the color of the face into a livid purple, the throbbing of the heart becomes spasmodic, but, when the hopes of the sufferer are almost reduced to the supposed euthanasia of strangulation, the rigor suddenly relaxes, a deep gasp fills the lungs to their very bottom, and a few minutes after the breathing becomes quiet and regular, and only a cold perspiration reminds the patient that he has passed through the chill shadow of death. ”

“ He strives; the pomp around seems worse than vain.
Some instinct makes him in advance to feel
The Aruspices' fingers in his heart:
Death's hideous face no splendours can conceal,
Nor gold, nor flowers; we see the shade, and start. ”

“ If he deals only with palliatives, to assuage for a brief period the present suffering, when he can remove the cause, and restore the patient to permanent and perfect health, he is but a quack and an impostor. ”

“ I also had a few people who were beyond help because their vital organs had been so badly damaged that they knew they were dying, and they wanted to die in peace without medical intervention, in a supportive hospice cared for by people who could confront death. ”

“ Resuscitation means the drawing forth of the spirit from the body, and its introduction into the spiritual world; this is commonly called the resurrection. The spirit is not separated from the body until the motion of the heart has ceased, for the reason that the heart corresponds to the affection of love, which is the very life of man, for it is from love that everyone has vital heat ”

“ Upon the tangled grass.—But then there came
The damp clod harshly on the coffin-lid,
Curdling the life-blood at the mourner's heart,
While audibly it spake to every ear
"There is a time to die." ”

“ He who sleeps here, when dying, mistaking the approach of death for the return of health, whispered with his latest breath, 'I am better now.' Let us believe, in spite of doubts and dogmas, of fears and tears, that these dear words are true of all the countless dead. ”

“ One leaf in every human heart. You have known persons who were near drowning, but they were afterward resuscitated, and they have told you that in the two or three minutes between the accident and the resuscitation, all their past life flashed before them—all they had ever thought, all they had ever done, all they had ever seen, in an instant came to them. ”

“ I have every reason to believe that this feeling is always experienced by the newly dead. Persons who have been resuscitated after drowning, suspension by the neck, and asphyxia all unite in testifying, that so far as their experience went, death was a pleasant feeling, and its joys supreme, even in what to spectators may have seemed the terrible passing hour. This sensation, like all others, cannot be verbally described; it was as if the keenest pleasures known to us in the body were infinitely prolonged and strung out over the entire nerve-sea, instead of a single organ or two. ”

“ No sooner had the doctor cast an eye upon his fallen patient, but he presently calls out to the lady, “Lord, Madam, what mean you to send for a physician to a dead man?, For shame, keep him not above ground any longer. Upon my word, madam, he has been dead so long, that he stinks again, and if you don’t bury him quickly, the very scent of his corps will breed a plague in your family” “I have had a coffin in the home some time, replied the lady, but was loth to have him buried so soon, for fear he should come to life again.” ”

“ I must drag my lengthening chain until I die! I must live in pain and disgust, bound to a corpse, covered with a leprosy, because the angel whose mission it is to save me will not come down from her heaven and touch me with her finger. ”

“ We speak with bated breath and in whispered tones, and thought is busy with the past. It is impossible not to feel strangely moved while gazing on the crumbling relics of mortality committed ages ago, with pious care and many tears, to their last, long rest. ”

“ But it seems probable that in the minds of many suicides there has been, below any religious faith, or philosophical dogma, the deeply-rooted conviction that death was a sleep and permanent rest, an eternal oblivion in the grave, and they consequently came to regard it as the grand solatium for present heart-breaking grief of mind, or intolerable pain of body. ”

“ To take the case of malignant disease: today the sufferer from carcinoma experiences in spirit, in dread, in foreknowledge, ten times the inevitable anguish of the body; of old such a person would die after great physical pain assuredly, but not after months or years of unspeakable mental agony. And of old the torments of the body might, and often did, become transmuted into the joys of the spirit ”

“ What then will be the feelings of the dying man when he is told that he is dying? " Set thine house in order: for thou shalt die and not live." With what fear, will he not be told that his illness is mortal, that he must make his peace with God, and receive the Blessed Sacrament, and bid farewell to the world? ”

“ A soul bleeding to death, till Christ were sent for, and cried for in all haste, to come and stem the blood, and close up the hole in the wound with His own hand and balm, were a very good disease, when many are dying of a whole heart. We have all too little of hell-pain and terrors that way ”

“ Death is supposed to be, in every case, the departure of the spirit from the body, and when the sick person is approaching death the friends and relatives, led by the medicine-man, will often sit around the invalid and sing their petitions to the departing spirit in the hope that it may be led to repent and return to the body. ”