What Doctors Know About Death That the Rest of Us Don’t
https://www.doximity.com; 7/13/15

Yet another story recently surfaced about how precisely doctors don’t die like all others. Doctors die quietly in the home, flanked by family—not inside the hospital like Americans. This difference has become ascribed to information about the limits of contemporary medicine and knowledge about the horror of lingering deaths on life support, plus there is doubtless truth in those ascriptions. As a physician and writer, I believe that there are also another more subtle but essential contributor, which is related to the stories we tell ourselves about death.

The language we use about death is illustrative of the attitudes. We bring fighting and overcoming disease, of courage and bravery, of beating the percentages. We also discuss about it stopping, letting go, losing the battle. It’s like we feel that death isn’t inevitable, we incorporate some choice inside the matter. We even say to each other, “If I die,” and “If you die,” not “When we die”—just as if our possibility of dying weren’t exactly 100%.

Our society has stories about deaths which might be admirable and deaths which can be not. The narratives aren’t nearly people that begin rivers to avoid wasting drowning children or whorrrre shot in an effort at armed robbery. An airplane passenger who dies in the terrorist bombing is known as the hero, however, if that same airplane passenger died of any stroke ahead of the terrorist boarded the plane, he'd are just considered unfortunate. Diseases even get different amounts of cool points. Cancer is frequently for this battle narrative; individuals who haven’t yet died from complications in their kidney failure don’t arrive at call themselves “survivors.” Heart attacks are easier to mention than liver cirrhosis. AIDS was maybe the most shameful strategy to die until activists changed the narrative, and from now on this can be a noble disease. Breast cancer underwent exactly the same gilding with pink gold on account of activism.

When I was in high school graduation, my English teacher had us read a quick story with regards to a man whose brother was killed with a falling pig. I have often contemplated that character, about precisely how complicated grieving might be when your beloved dies in a very way that is socially uncomfortable. Death by falling pig is disturbingly comical, but grieving can be complicated for all those whose family and friends have ended from causes our society considers shameful, for instance mental illness or addiction. It ought not be so. A child who lost her mother to complications of schizophrenia is as deserving in our sympathy growing up who lost her mother from the World Trade Center on 9/11. The manner of these deaths shouldn't alter our opinion on the worth of those women’s lives or even the significance with their daughters’ losses.

The narratives our society ways to use death aren't only an issue for surviving loved ones, they may be perhaps a far greater problem for your dying. We want to believe death is optional, and then we don’t speak about it, and now we don’t make plans for your deaths. When informed they have terminal illness, we target the fight, and not on making our exit on the world as graceful as you can. When our close relatives take their deathbeds, we show our passion for them by lauding their courage, by not “letting go of,” and also exhorting physicians to “do everything.”

The secret doctors know is usually that the stories aren’t true. There’s no more noble about dying from cancer than from alcoholism. There isn’t a battle against death to become fought, just treatments to pass through once the disease is treatable and symptoms to pass through if your treatment therapy is futile. Death has become inevitable, but once their deaths are imminent, doctors just want to get comfortable and spend the past days with family. It turns out that this is exactly what many of us want, so we will surely have it whenever we can just bring ourselves to allow go of narratives that don’t sound right and find at ease with the reality.




“Under the care of Leo J. Borrell, M.D. since December 2001, I have seen a remarkable improvement in my mother’s condition. She is responding dramatically to the new regiment Dr. Borrell has prescribed”

- Beth Rose


Feb 3, 2008

The Interdisciplinary Team; The Role of the Psychiatrist

by Dr. Leo J. Borrell, featured in Assisted Living Consult for November/December 2006. A HealthCom Media Publication