A Review of "On Death & Dying" (a book by Elisabeth Kübler-Ross, M.D.)

October 30, 2012
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Elisabeth Kübler-Ross, M.D. is one of the foremost authorities on the subject of the dying and the ultimate state, which we all face, death. Now deceased herself, she was a Swiss-American, who in the latter part of her life, established a center in southern California to study these issues and to offer counseling and support to families who have lost loved ones. The center is called Shanti Nilaya (Home of Peace) near San Diego. Her father discouraged her study of medicine. Today, we are grateful she persisted. She graduated from the University of Zurich School of Medicine in 1957. She was the oldest of a set of all-girl triplets. (Wikipedia)
In On Death and Dying, Dr. Kübler-Ross details what she terms the 5 stages of death: denial and isolation, anger, bargaining, depression, and acceptance. Each chapter begins with a quote from the Indian philosopher and author, Rabindranath Tagore. A favorite of mine appears several times in the book. “Death belongs to life as birth does. The walk is in the raising of the foot as in the laying of it down.” (from Stray Birds, CCLXVII) Modern medicine has given most of us the hope that we can live forever. When that turns out not to be the case, most of us don’t know how to cope or offer comfort to those who are ill and are in the process of dying.
Dr. Kübler-Ross developed her theories through a series of interviews with actual terminally-ill patients.
She defines the first stage (when one hears one has a terminal illness or a family member is so afflicted) as denial and isolation. The length of each of these stages varies from person to person, but all must travel through them. So on hearing one has a terminal illness, the typical reaction is to deny that the illness is that serious. She cites an example of a woman who thought the X-rays were bound to have been mixed up or switched. This also to tends to occur when the patient is given the diagnosis of their illness by someone who doesn’t know them well or who is rushed for time. Next, comes anger. Why me and other such questions. Thirdly, the patient will attempt to bargain with God. He/she thinks, “If He’ll only heal me this time, I will promise to go and volunteer at the local soup kitchen.” When this fails, the fourth stage is entered–depression. The patient realizes and is sad about what will be lost, and how the family left behind will cope. At this stage, it is very important to let the patient express these emotions. Finally, acceptance develops. This does not mean happiness, but it is a level of peace about the situation that he/she is in. It is frequently characterized by a lessening  of interest in the outside world.
So what does Dr. Kübler-Ross counsel us to do to help the terminally ill in their final days? Well, it is not very hard or complicated. Mostly, she found that they  want to be told the truth about their illness and what is happening to them. Terminally-ill adults do not want to be treated as children. Even though they might not have been directly told that they have a terminal illness, they usually can deduce that fact from the changed manner of medical personnel. Also, they want people to listen to them. They want someone with whom to discuss their fears and to be there for them, even if it is nothing more than holding their hand when they don’t feel like talking or wiping the sweat from their brow. Even if the patient falls ill and then rallies several times  before the end, they have appreciated frank discussions about their  situation. They also are grateful for kind words and interest in them as people, especially by their medical caretakers.
In essence, then, attending and consoling the dying is not hard. It just takes sensitivity and time to listen. Their time is limited, so during their illness, they need to be center-stage in not just the technical sense of offering pills and the latest medical tests.  If your schedule permits it, this is a book well worth reading. We all need to face this issue, just not for others, but for ourselves, too. One day our final day will come.

Hook Law Center Attorney Presented to Virginia Society of Enrolled Agents

Andrew Hook and Jessica Hayes attended the Virginia Society of Enrolled Agents conference on Thursday, October 25, 2012.  Mr. Hook spoke to the attendees on the topics of Social Security – When should someone start taking social security?  How does social security tie in with IRS? • Medicare – When to apply for Medicare? • Medicaid • What are the legal limits of advice an EA or other tax professional can give? 

Ask Kit Kat

Hook Law Center: Kit Kat, how can someone save on pet care?
Kit Kat: Well, one thing that my mom does is to buy dry food and cat litter in large quantities. Pet Smart is one store, like a lot of the grocery stores, that posts costs per ounce. Not that you have to buy a 25 lb. bag of dry food, but even a medium size bag of dry food will be cheaper per ounce than the smallest size.
Also, in a Wall Street Journal article from September 29, 2012 called, “Paying Less for Pet care,” by Emily Glazer it said that there are 3 ways to save: 1) steer away from products labeled ‘premium’ and look for things tagged as ‘complete & balanced’ or ‘100% nutritious.’ These other labels meet minimum standards for nutrition established by the Association of American Feed Control Officials. Sometimes there is an 85% per pound cost savings. 2) She says that, according to Consumer Reports, cheaper prices for specific brands are available online as opposed to in-store shopping at such websites as: PetCareRx.com or 1800PetMeds.com. 3) Also, compare prices that different veterinarians charge. Charges among veterinarians can vary widely. Does the cost of an annual physical exam include everything or there are extra charges for the various lab tests that are performed?
So I hope that helps. We pets love our humans and thank them every day for the care they give us.
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Upcoming Seminars

Hook Law Center is presenting a Veteran’s Aid & Attendance Seminar at Memory Care at Norfolk, 1516 Harmon Street, Norfolk, VA  23518 on November 7, 2012 at 6 p.m.  To r.s.v.p., please call 757-588-4663 or 757-399-7506.
Hook Law Center is presenting a Veteran’s Aid & Attendance Seminar at Georgian Manor, 651 Riverwalk Parkway, Chesapeake, VA  23320-6819 on November 14, 2012 at 6 p.m.  To r.s.v.p., please call 757-436-9618 or 757-399-7506.
Hook Law Center is presenting a Veteran’s Aid & Attendance Seminar at The Ballentine, 7211 Granby Street, Norfolk, VA  23505 on December 12, 2012 at 6 p.m.  To r.s.v.p., please call 757-440-7400 or 757-399-7506.
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