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Reimagining End-of-Life Care | Kate Riley | TEDxSunValley


for over 30 years I have been a part of

for over 30 years I have been a part of people’s lives entering into personal

people’s lives entering into personal

people’s lives entering into personal narratives in the most intimate of

narratives in the most intimate of

narratives in the most intimate of settings in the beginning I found myself

settings in the beginning I found myself

settings in the beginning I found myself being pulled in in ways that I didn’t

being pulled in in ways that I didn’t

being pulled in in ways that I didn’t really understand I listened

really understand I listened

really understand I listened asked very few questions and learned to

asked very few questions and learned to

asked very few questions and learned to accept the fate of some pretty special

accept the fate of some pretty special

accept the fate of some pretty special people all had one thing in common all

people all had one thing in common all

people all had one thing in common all were entering the end of life

were entering the end of life

were entering the end of life then one day decades later I began to

then one day decades later I began to

then one day decades later I began to ask some serious questions there’s one

ask some serious questions there’s one

ask some serious questions there’s one universal truth that underlies every

universal truth that underlies every

universal truth that underlies every human story and that is somewhere in the

human story and that is somewhere in the

human story and that is somewhere in the end of our life story we will all die

end of our life story we will all die

end of our life story we will all die I’m here today to present an idea an

I’m here today to present an idea an

I’m here today to present an idea an idea based on my experiences my

idea based on my experiences my

idea based on my experiences my education and my research death entered

education and my research death entered

education and my research death entered early into my life experience and if

early into my life experience and if

early into my life experience and if anyone had asked me when I was a young

anyone had asked me when I was a young

anyone had asked me when I was a young girl if this was all okay I was said no

10 years ago I received a phone call

10 years ago I received a phone call from Florida my father had fallen the

from Florida my father had fallen the

from Florida my father had fallen the result a broken neck during a phone

result a broken neck during a phone

result a broken neck during a phone conversation with him I heard him say

conversation with him I heard him say

conversation with him I heard him say wearily Kate I cannot do this and I knew

wearily Kate I cannot do this and I knew

wearily Kate I cannot do this and I knew exactly what he meant so I flew to

exactly what he meant so I flew to

exactly what he meant so I flew to Florida to be with him

Florida to be with him

Florida to be with him he was now in ICU and during an

he was now in ICU and during an

he was now in ICU and during an impromptu end-of-life dialogue the

impromptu end-of-life dialogue the

impromptu end-of-life dialogue the question was posed dad do you want to

question was posed dad do you want to

question was posed dad do you want to die with a ventilator in place paralyzed

die with a ventilator in place paralyzed

die with a ventilator in place paralyzed from the waist down he nodded and

from the waist down he nodded and

from the waist down he nodded and yes and then began to cry uncontrollably

yes and then began to cry uncontrollably

yes and then began to cry uncontrollably it would take my father seven long weeks

it would take my father seven long weeks

it would take my father seven long weeks to die an institutional death a death

to die an institutional death a death

to die an institutional death a death gone wrong a travesty four years ago

gone wrong a travesty four years ago

gone wrong a travesty four years ago after my mother was diagnosed with

after my mother was diagnosed with

after my mother was diagnosed with metastatic cancer she returned home sat

metastatic cancer she returned home sat

metastatic cancer she returned home sat down in her favorite chair in her living

down in her favorite chair in her living

down in her favorite chair in her living room looked at me and said I just want

room looked at me and said I just want

room looked at me and said I just want everyone to let me die my over soul is

everyone to let me die my over soul is

everyone to let me die my over soul is calling me home

calling me home

calling me home her smile held the wisdom of soul nine

her smile held the wisdom of soul nine

her smile held the wisdom of soul nine months later my mother would slip away

months later my mother would slip away

months later my mother would slip away at home and on her own terms

at home and on her own terms

at home and on her own terms a death well done my parents deaths

a death well done my parents deaths

a death well done my parents deaths changed me informed me and expanded my

changed me informed me and expanded my

changed me informed me and expanded my worldview when I got back from my

worldview when I got back from my

worldview when I got back from my father’s funeral I kept thinking there’s

father’s funeral I kept thinking there’s

father’s funeral I kept thinking there’s got to be another way

got to be another way

got to be another way there’s got to be a better way and then

there’s got to be a better way and then

there’s got to be a better way and then after being with my mother for nine

after being with my mother for nine

after being with my mother for nine months during her conscious dying

months during her conscious dying

months during her conscious dying process I started looking at the way in

process I started looking at the way in

process I started looking at the way in which people died and urgent questions

which people died and urgent questions

which people died and urgent questions arose why are we not having deeper

arose why are we not having deeper

arose why are we not having deeper conversations with our loved ones ahead

conversations with our loved ones ahead

conversations with our loved ones ahead of time I just recently learned from a

of time I just recently learned from a

of time I just recently learned from a physician that only 50% of us will have

physician that only 50% of us will have

physician that only 50% of us will have any say in the end 50% which means we’ll

any say in the end 50% which means we’ll

any say in the end 50% which means we’ll do the math so I’m curious how many

do the math so I’m curious how many

do the math so I’m curious how many people in this room in this theater want

people in this room in this theater want

people in this room in this theater want to have a say at the end pans I can

to have a say at the end pans I can

to have a say at the end pans I can barely see the back but I see a lot of

barely see the back but I see a lot of

barely see the back but I see a lot of hands

hands

hands so the second thing that came up for me

so the second thing that came up for me

so the second thing that came up for me was what has happened to the lost art of

was what has happened to the lost art of

was what has happened to the lost art of sacred I’m it used to be that we cared

sacred I’m it used to be that we cared

sacred I’m it used to be that we cared for our loved ones at home lovingly and

for our loved ones at home lovingly and

for our loved ones at home lovingly and tenderly to include death care and then

tenderly to include death care and then

tenderly to include death care and then the next question was why is there not a

the next question was why is there not a

the next question was why is there not a place here in this incredible Valley the

place here in this incredible Valley the

place here in this incredible Valley the Wood River Valley to have a guest house

Wood River Valley to have a guest house

Wood River Valley to have a guest house for people to go to at the end of their

for people to go to at the end of their

for people to go to at the end of their life something better several weeks ago

life something better several weeks ago

life something better several weeks ago while seated in a waiting room in

while seated in a waiting room in

while seated in a waiting room in Ketchum my friend Leslie to my left I

looked up at the painting across from us

looked up at the painting across from us and I was pulled into it and I said

and I was pulled into it and I said

and I was pulled into it and I said Leslie imagine driving up through

Leslie imagine driving up through

Leslie imagine driving up through property just like that the flowers the

property just like that the flowers the

property just like that the flowers the running creek to a home where you will

running creek to a home where you will

running creek to a home where you will go and live out the remainder of your

go and live out the remainder of your

go and live out the remainder of your days being lovingly cared for on every

days being lovingly cared for on every

days being lovingly cared for on every level well what happened next took me by

level well what happened next took me by

level well what happened next took me by complete surprise

complete surprise

complete surprise Leslie pulled out her tablet her boogie

Leslie pulled out her tablet her boogie

Leslie pulled out her tablet her boogie board and wrote one word it read guests

and I asked you want to be a guest in

and I asked you want to be a guest in the guest house and she nodded yes you

the guest house and she nodded yes you

the guest house and she nodded yes you see Leslie is entering her fourth year

see Leslie is entering her fourth year

see Leslie is entering her fourth year with ALS she is showing up ahead of time

with ALS she is showing up ahead of time

with ALS she is showing up ahead of time she has a say right now in what she

she has a say right now in what she

she has a say right now in what she wants

wants

wants so this vision of mine that came in

so this vision of mine that came in

so this vision of mine that came in really dropped into my heart and my mind

really dropped into my heart and my mind

really dropped into my heart and my mind two years ago is very very real for me

two years ago is very very real for me

two years ago is very very real for me and I am going to ask all of you to

and I am going to ask all of you to

and I am going to ask all of you to envision a beautiful space right here in

envision a beautiful space right here in

envision a beautiful space right here in our community where people that want

our community where people that want

our community where people that want this differently to think about ways

this differently to think about ways

this differently to think about ways that you can individually help support

that you can individually help support

that you can individually help support this dream come true not only for Leslie

this dream come true not only for Leslie

this dream come true not only for Leslie but for every one of us that that really

but for every one of us that that really

but for every one of us that that really does want to see something different at

does want to see something different at

does want to see something different at the end of our story

the end of our story

the end of our story a special place where actually our

a special place where actually our

a special place where actually our stories still matter until our final

stories still matter until our final

stories still matter until our final breath and beyond I know this community

breath and beyond I know this community

breath and beyond I know this community I know that there’s something waiting I

I know that there’s something waiting I

I know that there’s something waiting I don’t know if there’s land out there I

don’t know if there’s land out there I

don’t know if there’s land out there I don’t know if there’s a home but there

don’t know if there’s a home but there

don’t know if there’s a home but there are a lot of people right now that are

are a lot of people right now that are

are a lot of people right now that are co-creating this right now and so I ask

co-creating this right now and so I ask

co-creating this right now and so I ask you to hold that vision and to think

you to hold that vision and to think

you to hold that vision and to think about ways that you can participate in

about ways that you can participate in

about ways that you can participate in this it’s time to have a place where

this it’s time to have a place where

this it’s time to have a place where people can go to live and die with an

people can go to live and die with an

people can go to live and die with an absence of burden and a place where life

absence of burden and a place where life

absence of burden and a place where life and death is honored thank you

and death is honored thank you

and death is honored thank you [Applause]

”

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