在生命的尽头你想要什么演讲稿Word文档下载推荐.docx

在生命的尽头你想要什么演讲稿Word文档下载推荐.docx

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Well,weallneedareasontowakeup.Forme,itjusttookxx,xxvolts.

Iknowyou'

retoopolitetoask,soIwilltellyou.

Onenight,sophomoreyearofcollege,justbackfromThanksgivingholiday,afewofmyfriendsandIwerehorsingaround,andwedecidedtoclimbatopaparkedcommutertrain.Itwasjustsittingthere,withthewiresthatrunoverhead.Somehow,thatseemedlikeagreatideaatthetime.We'

dcertainlydonestupiderthings.Iscurrieduptheladderontheback,andwhenIstoodup,theelectricalcurrententeredmyarm,blewdownandoutmyfeet,andthatwasthat.Wouldyoubelievethatwatchstillworks?

Takesalicking!

Myfatherwearsitnowinsolidarity.

Thatnightbeganmyformalrelationshipwithdeath--mydeath--anditalsobeganmylongrunasapatient.It'

sagoodword.Itmeansonewhosuffers.SoIguesswe'

reallpatients.

Now,theAmericanhealthcaresystemhasmorethanitsfairshareofdysfunction--tomatchitsbrilliance,tobesure.I'

maphysiciannow,ahospiceandpalliativemedicinedoc,soI'

veseencarefrombothsides.Andbelieveme:

almosteveryonewhogoesintohealthcarereallymeanswell--Imean,truly.Butwewhoworkinitarealsounwittingagentsforasystemthattoooftendoesnotserve.

Why?

Well,there'

sactuallyaprettyeasyanswertothatquestion,anditexplainsalot:

becausehealthcarewasdesignedwithdiseases,notpeople,atitscenter.Whichistosay,ofcourse,itwasbadlydesigned.Andnowherearetheeffectsofbaddesignmoreheartbreakingortheopportunityforgooddesignmorecompellingthanattheendoflife,wherethingsaresodistilledandconcentrated.Therearenodo-overs.

Mypurposetodayistoreachoutacrossdisciplinesandinvitedesignthinkingintothisbigconversation.Thatis,tobringintentionandcreativitytotheexperienceofdying.Wehaveamonumentalopportunityinfrontofus,beforeoneofthefewuniversalissuesasindividualsaswellasacivilsociety:

torethinkandredesignhowitiswedie.

Solet'

sbeginattheend.Formostpeople,thescariestthingaboutdeathisn'

tbeingdead,it'

sdying,suffering.It'

sakeydistinction.Togetunderneaththis,itcanbeveryhelpfultoteaseoutsufferingwhichisnecessaryasitis,fromsufferingwecanchange.Theformerisanatural,essentialpartoflife,partofthedeal,andtothiswearecalledtomakespace,adjust,grow.Itcanbereallygoodtorealizeforceslargerthanourselves.Theybringproportionality,likeacosmicright-sizing.Aftermylimbsweregone,thatloss,forexample,becamefact,fixed--necessarilypartofmylife,andIlearnedthatIcouldnomorerejectthisfactthanrejectmyself.Ittookmeawhile,butIlearnediteventually.Now,anothergreatthingaboutnecessarysufferingisthatitistheverythingthatunitescaregiverandcarereceiver--humanbeings.This,wearefinallyrealizing,iswherehealinghappens.Yes,compassion--literally,aswelearnedyesterday--sufferingtogether.

Now,onthesystemsside,ontheotherhand,somuchofthesufferingisunnecessary,invented.Itservesnogoodpurpose.Butthegoodnewsis,sincethisbrandofsufferingismadeup,well,wecanchangeit.Howwedieisindeedsomethingwecanaffect.Makingthesystemsensitivetothisfundamentaldistinctionbetweennecessaryandunnecessarysufferinggivesusourfirstofthreedesigncuesfortheday.Afterall,ourroleascaregivers,aspeoplewhocare,istorelievesuffering--notaddtothepile.

Truetothetenetsofpalliativecare,Ifunctionassomethingofareflectiveadvocate,asmuchasprescribingphysician.Quickaside:

palliativecare--averyimportantfieldbutpoorlyunderstood--whileitincludes,itisnotlimitedtoendoflifecare.Itisnotlimitedtohospice.It'

ssimplyaboutcomfortandlivingwellatanystage.Sopleaseknowthatyoudon'

thavetobedyinganytimesoontobenefitfrompalliativecare.

Now,letmeintroduceyoutoFrank.Sortofmakesthispoint.I'

vebeenseeingFranknowforyears.He'

slivingwithadvancingprostatecancerontopoflong-standingHIV.Weworkonhisbonepainandhisfatigue,butmostofthetimewespendthinkingoutloudtogetherabouthislife--really,aboutourlives.Inthisway,Frankgrieves.Inthisway,hekeepsupwithhislossesastheyrollin,sothathe'

sreadytotakeinthenextmoment.Lossisonething,butregret,quiteanother.Frankhasalwaysbeenanadventurer--helookslikesomethingoutofaNormanRockwellpainting--andnofanofregret.Soitwasn'

tsurprisingwhenhecameintocliniconeday,sayinghewantedtoraftdowntheColoradoRiver.Wasthisagoodidea?

Withalltheriskstohissafetyandhishealth,somewouldsayno.Manydid,buthewentforit,whilehestillcould.Itwasaglorious,marveloustrip:

freezingwater,blisteringdryheat,scorpions,snakes,wildlifehowlingofftheflamingwallsoftheGrandCanyon--alltheglorioussideoftheworldbeyondourcontrol.Frank'

sdecision,whilemaybedramatic,isexactlythekindsomanyofuswouldmake,ifweonlyhadthesupporttofigureoutwhatisbestforourselvesovertime.

Somuchofwhatwe'

retalkingabouttodayisashiftinperspective.Aftermyaccident,whenIwentbacktocollege,Ichangedmymajortoarthistory.Studyingvisualart,IfiguredI'

dlearnsomethingabouthowtosee--areallypotentlessonforakidwhocouldn'

tchangesomuchofwhathewasseeing.Perspective,thatkindofalchemywehumansgettoplaywith,turninganguishintoaflower.

Flashforward:

nowIworkatanamazingplaceinSanFranciscocalledtheZenHospiceProject,wherewehavealittleritualthathelpswiththisshiftinperspective.Whenoneofourresidentsdies,themortuarymencome,andaswe'

rewheelingthe