Archive for Death Certificate

Dementia and Other Terrible Dragons We Can’t Slay

What caused Dad’s death?

I don’t think I will ever know for sure.

Nonetheless, it’s a question that randomly nudges me during my hospice’s Interdisciplinary Group (IDG) as we discuss our patient’s recent deaths.

I know when my father died: the sixth day of February, in 2012. I know where he died: at the care facility where he spent his final two years. Or the where of his death could be identified as a particular town within Sacramento’s metropolitan area. I once knew his street address and room number. I still know the zip code of where he died, since it was the same one he’d had when living at his suburban home of forty-plus years.

How did he die? His death certificate had a heart-related cause of death. How could Dad’s death not involve his heart? At ninety-plus, the hard-working muscle in the middle of his chest must have been exhausted after all those decades. But on dreary days in long meetings, I wonder if dementia murdered him. Yep, I wrote murder. How foolish and melodramatic! But with dementia’s reputation for cruelty and relentlessness, didn’t it destroy Dad’s life as if wielding a thousand, or hundred thousand, paper cuts? At first dementia’s intent and weapons were overlooked, but each cruel, insubstantial slice lead to his demise.

Dad had an ample supply of stubborn in his DNA. He avoided doctors like black cats or sidewalk cracks. Only one neurologist examined him. That brief, awkward visit occurred well after dementia (along with a cranky knee, hearing loss, prostate problems, and a legion of other lesser ills) had its hooks into him. With little enthusiasm, the physician prescribed additional medication and appeared relieved when we departed. Read More →

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