I watched someone die the other night. It was while I was working in the ER on a clinical rotation. Every time I tell someone I get the same reaction. A shocked face. That sounds terrible. Followed by a worried are you all right? And the thing is I am. It really didn’t bother me. Maybe it should have. But it just didn’t.
To be honest I’m a little surprised by that fact too. I thought watching someone die would somehow be more profound than it was. I don’t know what I expected. But it wasn’t what happened. To be honest I’m not even sure when the patient actually died. At what point he went from living to dead. Because in reality a freshly dead human lying on a hospital bed and a live human lying on a hospital bed don’t really look that different. I wasn’t sad. I wasn’t worried. I was mildly interested in an academic sense. But that was it.
In fact, at different points throughout the code I wondered why we didn’t let the man just die in peace. Why on earth we were putting this man’s body through so much trauma on the very slight chance that we might be able to force it to keep working. Because I’ll be very honest with you. CPR is totally brutal. To mimic the human heart takes an immense amount of force. Ribs break and the entire body shakes each time the chest is compressed. And the chest is compressed a lot. Think one hundred times a minute. At one point while I was doing compressions I actually felt something cracking under my hands. I assume it was a rib but who knows. And at this point it doesn’t really matter does it?
But at almost 90 years old why were we trying to force this man’s body to keep on going? Nurses, techs, and the doctor were all piled into the room. There was no room to move. Everyone was yelling for different things at once. I was at the head bagging the patient which essentially means I was putting air into his lungs through the tube down his throat. And he kept gasping for air. Not consciously of course. He was already way past the point of consciousness. His dying brain was just doing what it was programmed to. Trying to get oxygen in a last ditch effort to keep itself going.
It looked miserable. And every time compressions were stopped to check for a pulse. The readings on the monitor would drop and start to approach zero. And I really just couldn’t stop wondering. Why are we prolonging this? His body wants to die. Why are we trying so desperately to stop it? Death happens. To us all. We’re all going to die. And it was obviously this man’s time. Not in any kind of spiritual religious sense. But physically. You could just tell. His body was done. There was nobody home. Whether we were making his heart was beat or not.
Maybe that’s cold of me. But to me death was the natural outcome in that situation. It was the thing that needed to happen. And I wasn’t saddened by that fact. And I wasn’t disturbed by it either. I was more disturbed by the violence of what we were doing to this man’s body than anything else.
But it made me realize that death itself is easy. Not painless but easy. One moment he was alive. Then he wasn’t. Like I said. I don’t even know when that moment was. Was it when we started CPR? Was it when we stopped? Or was it when the monitors finally went to zero and the heart monitor showed a flat line? I couldn’t tell you. I don’t know.
But I can tell you that if he had come back he was going to be in a massive amount of pain. And for what? A few more years until he was put through the same thing all over again? I do know one thing though. Once I reach a certain age I will most likely be signing a DNR. I’m not so afraid of death that I want to cling to life no matter the cost. When my time comes. And hopefully it won’t come for a while. I want to be allowed to go by the people who are still here. I want my body to be allowed to do what it’s supposed to.
And yes, that includes dying.





