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| Me and Pat in Lewes, DE during his last visit this past March. Looking forward to spending more time with him next month. |
Just little over a month to go until I have my PET-SCAN to see if and how far my prostate cancer has spread. My appointment is June 11th. Pat will be down here then. However, he won't be here when I see my urologist and inform him that I will not seek any further treatment for my prostate cancer. I'm done with treatments.
I've been doing more research on what happens to a man when his prostate cancer returns and he doesn't get for treatment. Specifically I asked "Is it very painful?" Sure, this is a concern of mine. Nobody is a big fan of pain and especially me. The answer of course is yes. But then the answer qualifies "it varies." I'm hoping I'm on of those cancer patients that can get out of this life relatively pain free. Then there are the side effects, mainly bowel changes. Of course I expected that. Well, I've had that problem in various stages my whole life. I'll deal with that if and when it happens.
I also did research as to why men choose assisted suicide instead of further debilitating treatment and as I suspect they are the same reasons why I will not seek treatment. These are:
Loss of Autonomy: The most cited reason (often over 90% of the cases) is the desire to maintain control over one's life and the circumstances of death.
This is me. I've been in control of most of my life and I have no desire to give over control to the medical establishment to experiment with my body and quality of life at this time of my life when I will die. To be helpless and dependent on others would be sheer torture both mentally and physically to me.
Decreased Quality of Life: Many express that they are no longer able to engage ion activities that make life enjoyable.
This is also one of my main reasons that I will not seek delay methods to delay my eventual death. I don't want to be dependent on a pump to get the urine out of my bladder because radiation has destroyed my urethra canal through scar tissue like my friend Rich. Rich also originally got prostate cancer when I did in 2013. His returned in 2019 and he got radiation treatment which had this awful side effect. He has decided to seek any and all treatment to delay his eventual death from prostate cancer, at eighty-four years old I'm ready to make my grand exit from this life. I will not live my remaining life that way he has chosen.
Loss of Dignity: This is a major concern for patients facing the final stages of terminal illness.
Again, another major reason for my decision not to seek treatment. I only have one person in my life who can take care of my (Pat) and I'm not going to lay that burden on him. I was privileged to be Bill's full-time caregiver for the remaining three years of his life and glad of it. I would have had it no other way. But I do not want to put that burden on anyone else in my life. Bill often told me he would have killed himself because he was so unhappy that he couldn't see and physically do the things that made life interesting for him. He said the only reason he didn't take himself out was because of me. He didn't want to put that burden on me. That's how unselfish Bill was. But with Pat and I it is a different situation. We life apart even though we're now married. Since 2013, coincidentally the same year I was diagnosed with prostate cancer, we have been getting together quarterly and since Bill's death we have continued that pattern. This works for us. Even if and when Pat is approved for his green card and come and life in the U.S. permanently, we will continue to live apart. He in Palm Springs and me here in Delaware. And we will continue to get together quarterly. If I live that long that is.
Pain Management: While concern about future pain is a factor, it is often ranked lower than the psychological desire for autonomy and dignity.
I feel the same way. I do have a concern about pain as we all do but the first two factors, autonomy and dignity are my primary concerns.
Notice that the concern about death doesn't actually appear in this AI generated research. I too don't have a concern about dying. I a confident I will return to my real home in a place many call Heaven. There I know I will rejoin Bill's spirit. He awaits me. As do our pets and my other family members and friends I have made in this lifetime. Yes, I do believe we have many lives or reincarnations. Quite frankly, I'm ready to take some time off from this particular life this time around. I've learned a lot, which I believe is the purpose of our human life on this planet. But I am tired now, both physically and mentally. Also, and perhaps more importantly, I am at peace with my decision not to prolong my life any longer in a much reduced debilitated state.
You know it's interesting, I see day by day how life is already passing me by. When I go out, which is a lot less these days, I feel almost invisible. Prior to caring for Bill I could still turn some heads when I went out in public. Taking care of Bill really aged me. I'm not complaining but being Bill's full-time caregiver took a toll on me both physically and mentally. As I knew it would. That's why I passed on the requests to take care of my friends Bob M. and Wayne J. when they were dying. They had no one close to them to be their caregivers. The hospital begged me to sign them out when I visited them. I felt so guilty but I couldn't. I knew I had to preserve my energy to take care of Bill should that time come. And it did and I was able too. When I go, I don't want to put that burden on Pat. And he would be the only one who would even care. I have no one else. I've been estranged from my one surviving brother. He's full blown into the Trump MAGA cult. He's lost. And he has alienated his whole family from me. And my other relatives, they all have their own lives.
Time marches on. A new generation is on the horizon. My generation is slowly fading away. I'm ready to go. I'm just thankful that I have the opportunity to do it on my own terms.