Should Doctors be the Dealers of Death?

The past couple of weeks has been flooded by media about assisted suicide and ebola!  I will put my ebola lecture aside for this upcoming week as we are having a specific lecture covering it extensively to help educate our families and the public about it.  As for assisted suicide I felt I would lend some personal insight as to how I feel about it.
This summer my wife Hailey and I had the opportunity to serve one of the greatest families I have ever known, the family of Clyde and Carol Morgan.  Clyde and Carol were the next door neighbors to my wife growing up.  Hailey was particularly close to Clyde and Carol.  Carol became Hailey's best friend through the years and they went to movies, parties, and other events together on a regular basis.
Clyde passed away early in 2014 from complications to his lifelong battle with lupus.  His death was extremely painful for all who were deeply influence by his adventurous life, quick wit, and loving personality.
Shortly after his death Carol Morgan began to show signs of increased confusion and forgetfulness.  The onset of these symptoms was immediately attributed to the death of her husband as the symptoms became observable right after his death and funeral.  As the weeks went by we became more concerned as Carol continued to become more confused and forgetful.   One day Carol's daughter went to her home to check on her and noticed her neck was swollen. Carol was taken to her family doctor and later to the hospital due to suspicious swelling in the neck.  After a complete evaluation and through a cranial CT the doctors found cancer in Carol's brain.  Further biopsies revealed it was Glioblastoma Multiforme.
Glioblastoma Multiforme is the most common type of brain cancer.  It is caused by the over replication of astrocyte cells in the brain.  Astrocytes are a type of glial cells in brain. Glial cells are brain supporting cells. Astrocytes help to provide nutrients and structure to the neurons in the brain.  In Glioblastoma Multiforme the astrocytes multiply uncontrolled and smother the normal brain tissue killing the neurons of the brain causing a wide variety of symptoms depending on the location of the tumor.
Hailey and I were living next door to Carol when she was diagnosed with and began fighting her cancer. She started radiation and chemotherapy at a skilled nursing center.  After a month her insurance no longer covered the skilled nursing facility. With our CNA background, Hailey and I offered to step in and provide temporary 24 hour care for Carol in order to help her and her family get the best care possible until one of her children could move in with her. I don't think Hailey and I realized how difficult the struggle would be for Carol and ourselves.
Carol was such a sweetheart and the strongest individual I have ever met.  When we stepped in she was starting her first round of oral chemotherapy. The drugs made her so sick.  She would be so sick she couldn't sleep. She would beg us for over 30 minutes each night for us not to give it to her, but we  encourage her to continue the fight for her children. In the end she knew she wanted to fight for them.
Carol through all her pain, confusion, nausea, fatigue, and numerous other side-effects was always able to put on a smile each day and thank us for helping her.  Her struggle was very hard for me to watch.  I had never seen someone so close to me hurt so much and be so close to death.
The cancer was so aggressive in Carol's case, that even the oncologists stated it was one of the most aggressive cancers they had ever seen in their careers.  The combination of radiation and chemo was estimated to give her a year to live and unfortunately only gave her six weeks. After Hailey and I moved in, Carol lived for a little over three weeks. I can't even begin to explain the depth of grief I felt, let alone the grief of Hailey and Carol's family. I am so grateful that Carol fought and proved her love for life, her children, and God.
The very idea of taking a pill to end her own life was not even a consideration in Carol's mind. I am sure she knew this would be the very fight of her life, but she willing to FIGHT!  She wanted to live and enjoy her last moments.  I am sure she didn't want to spend her last moments sick in bed and fighting not only the cancer, but also the side-effects of chemo and radiation; however, she did! In so doing she demonstrated that life in the lowest of lows is worth living.  Life is a divine gift that God has given man to be stewards of.
We are stewards of our own lives primarily and then in the lives of those we love.  As a future physician my oath states "But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God."
To me, giving a pill to end a life is playing at God; therefore, against any doctor's oath to give such a pill. I feel the physicians who participate in assisted suicide are neither logical nor God-fearing men/women.  For if suicide was supposed to be a choice, why then do we not have biological mechanism for self termination? We do not.  The only options for suicide are self inflicted through external tools and instruments.
Suicide in numerous cases is due to many complications of the mind and soul, for those cases I leave judgement up to God; nevertheless, for an individual who is hoping to escape a struggle in life, I say it is cowardice.  Life is worth living in all of its highs and lows.
Having seen Carol Morgan and her divine struggle, I realize now that the fight is worth it.  If not worth it to them that struggle than worth it to those who saw the struggle.  Carol's fight demonstrated to me that God has a plan for all His children. Life is not easy! But it has purpose. Through Carol's fight with cancer I realized that I must appreciate the moments God has given me.  In the end the only things that matter are the relationships we leave behind and those we create for the eternities.
At the end of all this ranting thank goodness the judgements of all people is left up to God.  I cannot justify the actions of another person, nor understand why a person chooses things contrary to my beliefs.  I respect the choices of others when it comes to assisted suicide, but I do not condone them in the least. Sorry this post was a little long, but I felt it was a great topic for self-reflection for me and my past experiences relating to current events. Here are some pictures of Carol and her family and our experience with her. Notice she is always smiling! Love life people! Love you forever Morgan family!

                                                         Carol and Clyde at our wedding!

                     Carol in the hospital after tests and getting ready to start chemo and radiation!

                                                  Carol and her kids. Her pride and joy!

Is God in Medicine?

I sure hope God is in medicine.  In only two short years, I will be out the classroom and begin rotating between different specialties in the medical profession. Then in four years, I will be in my residency tending to patients who need physical, mental, and often spiritual help.  I can't imagine the pressure that I will face when it's my turn to save the life of another human being, one of my spiritual brothers or sisters.

I know that God is in the medicine.  For I would not be in medical school had it not been for countless divine miracles and the loving sacrifices of many, especially my wife and family.  I hear about so many who struggle to get into medical school, often applying two to four times before they get in. Through the last little savings we had, and through family loans, Hailey and I scratched by just enough to take the MCAT and apply to just four medical schools.  With the stress of a baby on the way and being the poorest we have ever been on our own, Hailey and I put all our chips in.  With some amazing letters of recommendations from professors, researchers, and a friend, I was lucky enough to get an interview and acceptance to the top school of my choice.  Some people may say I deserved it or that I worked hard to get in, but honestly getting into medical school is more than handwork, dedication, and accomplishments. I feel these things are only about 50% of the struggle.  The rest involves luck, interview skills, timing, and divine help.  Why did the interviewers feel I said something special? Why did they choose me over another kid who had better grades, scores, and accomplishments?  I feel my greatest strength comes from the truth I know about God.  That is that He is real. He loves me. He knows my struggles. He loves everyone equally. 

God knew I needed to get into school, he knew I was under a lot of pressure. I prayed for help in my interview as I struggled dealing with the anxiety and pressure of being successful for my little family.  I was interviewed only 7 days after Olive was born.  I was sleep deprived, stressed, and scared that all our hard work would have been in vain.  But as I was on my knees praying the night and morning before my interview I remember feeling peace, love, and strength from God.  I began seeing all the things He had done for me in my life.  From the opportunities I had through my education and research I was able to gain the experiences needed to become a successful physician. Through my work I gained countless hours of medical experience and met my wife Hailey. Through my study abroad for international business I found a medical research opportunity. God places people and experiences in our lives so that we can be our best selves and accomplish our goals if we are true to ourselves and what we believe.

In the field of medicine I don't believe a doctor has gone through his career not seeing a miracle.  Life contains so many questions. Science and medicine can answer so many of those questions.  But for the questions science can't explain, believing in God and Jesus Christ provides answers for me. I am a Mormon and proud to say that God is in my life and I always want him to be.

For an awesome story about surgery and prayer by one of the greatest heart surgeons of all time here are a few links:
Russel M. Nelson Bio
http://www.healthcare-administration-degree.net/20-most-innovative-surgeons-alive-today/
Story of Prayer and Heart Surgery: Begins at the paragraph heading "Personal Experience with Prayer"
https://www.lds.org/general-conference/2003/04/sweet-power-of-prayer?lang=eng

Getting Ahead To Stay Ahead: Test Block #2

I completed my second round of exams better than the first.  This is great for me because as the semester comes to an end I will feel less pressure to have to ace all my finals as my grades will be high enough to buffer my grade. This test block I switched up my studying strategies for a few classes which helped give me more time to study.  For Anatomy and Physiology, I ended up skipping the majority of the lectures.  This sounds like a bad thing not going to class, but Anatomy and Physiology are pretty straight forward subjects. Learn what the structure is, why it's that way, what it does, and what can go wrong with it. The lectures have long handouts and power points that I can download and read on my own. So instead of class I would go to my study cubicle and review the material in half the time and begin memorizing the material. I did a similar strategy for Cell Biology. I feel medical school is tough, but definitely doable if it's my full time job and extra job on the side.  Lecture time is about 32-40 hours a week, which is a lot compared to many other medical schools. Many MD schools put students on self study programs or only have lectures schedule in the morning and not the afternoon. DO schools have added curriculum through Osteopathic Manipulative Medicine techniques and philosophy. So even after spending 32 hours a week in the classroom, I put in 4-5 hours a day studying on my own in order to stay ahead.

Anatomy and Osteopathic Medicine this test block focused on the anatomy and functions of the upper limb. Lectures covered the shoulder, elbow, and wrist extensively. I learned about all the nerves, arteries, veins, muscles, fascia, tendons, and bones of the arm. I also learned about how to diagnose the more common disfunctions of these joints. The hardest exam for sure was Anatomy lecture, same as last test block. Anatomy lecture tests have so much material. 

Other subjects covered topics such as regulation of the blood and circulatory system, DNA replication, and protein synthesis. Histology was also a huge subject this test block as we added an image exam to this test block.  The image exam was easier than I thought it was going to be and that is only because I studied my butt off for it. We were shown images from muscle, nerves, bone, lymph nodes, spleen, connective tissue, bone marrow, blood, and many more. We had to identify the type of cells located in these tissues. In the end I took 9 exams and I have one more exam this upcoming Wednesday.  This exam is for Osteopathic Medicine and covers muscle and fascial treatments that we have learned so far this semester. 

Let's hope I can get back in the mood to study some more. Usually after an exam block I take a few days to recoup and give my brain a break. But we will see how it goes.