‘We’re going to talk about death today – your death’: a doctor on what it’s like to end a life rather than extend one

I used to focus on maternity and newborn care, but when Canada legalised assisted dying in 2016, I began helping people with a different transition
The patient referral comes through my reliable old fax machine on a single sheet of paper. “Thanks for seeing this 74-year-old gentleman with end-stage liver failure. He’s been following the news carefully and is eager to make a request for an assisted death. I hear you’ll be providing this service here in Victoria – courageous! I look forward to your assessment. Summary of his file is below.” I read it twice to myself before sharing it with Karen, my office manager. We look at each other for a short moment before I break the silence. “His name is Harvey. I’m going to need a chart.”
While Karen makes a chart for Harvey – demographics on the front sheet, blank request forms in the back – I dial his number. His wife, Norma, answers. As Harvey isn’t mobile, I agree to meet them at their home.
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