Monthly Archives

November 2017

Finding the final arrangements you want and can afford

By | Funeral Planning | One Comment

When contemplating what you want when it comes to the disposition of your body, it helps to go in with the understanding that very few services are required by law. Whether you choose a simple cremation with no ceremony, body burial preceded by a conventional funeral, or donating your body to anatomical study, the legal requirements that must be fulfilled at death are so minimal most people are surprised. And this holds true in every state in the country. If you’re willing to clear your mind of what you think you have to do for a funeral, your planning will go more smoothly and more quickly.

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A break for Thanksgiving

By | Gratitude | 3 Comments

While not everyone who reads this message, because of their own circumstances, will feel like being thankful this week, I thought I would take a break from our usual discussions to share a few thoughts that my own family has embraced for several years on Thanksgiving. It is an incomplete and changing list of some of the things we have to be thankful for, with a measure of reality thrown in to keep us from feeling too smug about being Americans, or living in America. The thoughts are intentionally not sectarian or religious. I hope they have a universal human quality about them.

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Finding and being a good (or great) health care advocate

By | Advance Directives, Healthcare Power of Attorney, Healthcare Proxy, Surrogate | 5 Comments

One problem with advance directives is that often they are not honored. It is critical that you have a good advocate who demands that you get only the care you want and do not get what is not wanted, not only at end of life but at any time you encounter a medical institution. You will need to choose someone who meets the legal requirements to act as a health care or medical agent, which some states call a proxy, surrogate, or representative. I call this person your “advocate.” State requirements differ greatly, so be sure to use your state’s forms for naming a health care or medical agent, not generic documents like the “5 wishes.”

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ALS and the End-of-Life Choice

By | ALS | 3 Comments

Once ALS starts, it almost always progresses, eventually taking away the ability to walk, dress, write, speak, swallow, and breathe and shortening the life span. How fast and in what order this occurs is very different from person to person. While the average survival time is 3 years, about twenty percent of people with ALS live five years, 10 percent will survive ten years and five percent will live 20 years or more.

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