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Design for the end of life | Elaine Fong | TEDxSanFrancisco


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what do you want to create where do you

what do you want to create where do you share this with others and how do you

share this with others and how do you

share this with others and how do you want them to feel as a brand designer I

want them to feel as a brand designer I

want them to feel as a brand designer I ask a lot of questions and practice

ask a lot of questions and practice

ask a lot of questions and practice empathy to understand from people their

empathy to understand from people their

empathy to understand from people their personalities and motivations behind the

personalities and motivations behind the

personalities and motivations behind the why of what they do to help them express

why of what they do to help them express

why of what they do to help them express themselves sometimes transforming ugly

themselves sometimes transforming ugly

themselves sometimes transforming ugly moments into unique ones or turning

moments into unique ones or turning

moments into unique ones or turning something ordinary into something

something ordinary into something

something ordinary into something memorable to help the face behind a

memorable to help the face behind a

memorable to help the face behind a brand express themselves through

brand express themselves through

brand express themselves through beautiful experiences but what happens

beautiful experiences but what happens

beautiful experiences but what happens when the experience you’ve been asked to

when the experience you’ve been asked to

when the experience you’ve been asked to design is death and a face behind that

design is death and a face behind that

design is death and a face behind that brand is your very own mother this was

brand is your very own mother this was

brand is your very own mother this was the design challenge I was faced with

the design challenge I was faced with

the design challenge I was faced with last year when my mom was diagnosed with

last year when my mom was diagnosed with

last year when my mom was diagnosed with stage four cancer and she asked us to

stage four cancer and she asked us to

stage four cancer and she asked us to support her end-of-life for 12 years she

support her end-of-life for 12 years she

support her end-of-life for 12 years she was in remission from a previous cancer

was in remission from a previous cancer

was in remission from a previous cancer she had a tumor behind her ear and this

she had a tumor behind her ear and this

she had a tumor behind her ear and this time it came back as bone cancer in one

time it came back as bone cancer in one

time it came back as bone cancer in one of her vertebrae what we all thought was

of her vertebrae what we all thought was

of her vertebrae what we all thought was back pain from arthritis revealed itself

back pain from arthritis revealed itself

back pain from arthritis revealed itself to be the worst it was the beginning of

to be the worst it was the beginning of

to be the worst it was the beginning of the end of her life but first let me

the end of her life but first let me

the end of her life but first let me tell you about my mom she was born in

tell you about my mom she was born in

tell you about my mom she was born in China in 1948 she and her twin brother

China in 1948 she and her twin brother

China in 1948 she and her twin brother grew up in a large family her mother was

grew up in a large family her mother was

grew up in a large family her mother was the second wife to her father and second

the second wife to her father and second

the second wife to her father and second wives and their children or in feud in

wives and their children or in feud in

wives and their children or in feud in the most positive light because it was

the most positive light because it was

the most positive light because it was just the cultural norm of the time and

just the cultural norm of the time and

just the cultural norm of the time and growing up in communist China in the

growing up in communist China in the

growing up in communist China in the 1950s as a daughter and not a son meant

1950s as a daughter and not a son meant

1950s as a daughter and not a son meant that my mom was not the pride of the

that my mom was not the pride of the

that my mom was not the pride of the family and she knew she wanted better

family and she knew she wanted better

family and she knew she wanted better and needed to get out so she got tough

and needed to get out so she got tough

and needed to get out so she got tough developed thick skin and decided to

developed thick skin and decided to

developed thick skin and decided to fight for her life she fled China to

fight for her life she fled China to

fight for her life she fled China to Hong Kong and when she was 22 she

Hong Kong and when she was 22 she

Hong Kong and when she was 22 she married my dad and they made their life

married my dad and they made their life

married my dad and they made their life in the United States and she continued

in the United States and she continued

in the United States and she continued to fight she was persistent fearless she

to fight she was persistent fearless she

to fight she was persistent fearless she never took no for an answer

never took no for an answer

never took no for an answer we always said that she could charm the

we always said that she could charm the

we always said that she could charm the skin off of a snake or just whip it into

skin off of a snake or just whip it into

skin off of a snake or just whip it into a straight line going up with her mom

a straight line going up with her mom

a straight line going up with her mom she fought for my sisters and I to get

she fought for my sisters and I to get

she fought for my sisters and I to get into the best classes in school even

into the best classes in school even

into the best classes in school even though they were full she fought for a

though they were full she fought for a

though they were full she fought for a prime real estate location for my dad so

prime real estate location for my dad so

prime real estate location for my dad so he could start his own business and as a

he could start his own business and as a

he could start his own business and as a teenager with me we fought a lot over

teenager with me we fought a lot over

teenager with me we fought a lot over bad boyfriends body piercings punk music

bad boyfriends body piercings punk music

bad boyfriends body piercings punk music it’s always true when they say mom’s

it’s always true when they say mom’s

it’s always true when they say mom’s always right the cancer she had in 2004

always right the cancer she had in 2004

always right the cancer she had in 2004 gave her a preview into her death at

gave her a preview into her death at

gave her a preview into her death at that time she had endured a lot of

that time she had endured a lot of

that time she had endured a lot of radiation and treatments a lot of

radiation and treatments a lot of

radiation and treatments a lot of radiation involved the side of her brain

radiation involved the side of her brain

radiation involved the side of her brain and she never forgot how the mental and

and she never forgot how the mental and

and she never forgot how the mental and physical side effects made her feel

physical side effects made her feel

physical side effects made her feel overcoming that cancer was a source of

overcoming that cancer was a source of

overcoming that cancer was a source of pride for her as well as traveling the

pride for her as well as traveling the

pride for her as well as traveling the world with my dad watching all of her

world with my dad watching all of her

world with my dad watching all of her daughters get married and seeing her

daughters get married and seeing her

daughters get married and seeing her grand grand babies grow up into

grand grand babies grow up into

grand grand babies grow up into teenagers her world was filled with

teenagers her world was filled with

teenagers her world was filled with beautiful experiences and a lot of color

beautiful experiences and a lot of color

beautiful experiences and a lot of color but she never talked about the shades of

but she never talked about the shades of

but she never talked about the shades of grey she never talked about how that

grey she never talked about how that

grey she never talked about how that preview into her death gave her 12 years

preview into her death gave her 12 years

preview into her death gave her 12 years to silently prepare and brace herself

to silently prepare and brace herself

to silently prepare and brace herself for the end this time when we gathered

for the end this time when we gathered

for the end this time when we gathered around her in the hospital she had an

around her in the hospital she had an

around her in the hospital she had an announcement to make

announcement to make

announcement to make she said that she did not want to do any

she said that she did not want to do any

she said that she did not want to do any treatments no surgery she was ready to

treatments no surgery she was ready to

treatments no surgery she was ready to go she looked at us point-blank and said

go she looked at us point-blank and said

go she looked at us point-blank and said that she did not want to live life

that she did not want to live life

that she did not want to live life trapped to a bed unable to feed herself

trapped to a bed unable to feed herself

trapped to a bed unable to feed herself unable to use the bathroom for herself

unable to use the bathroom for herself

unable to use the bathroom for herself she did not want to become a vegetable

she did not want to become a vegetable

she did not want to become a vegetable and she wanted to exit this world

and she wanted to exit this world

and she wanted to exit this world knowing exactly who she was she was

knowing exactly who she was she was

knowing exactly who she was she was adamant in the state of Washington where

adamant in the state of Washington where

adamant in the state of Washington where my mom lived death of dignity has been

my mom lived death of dignity has been

my mom lived death of dignity has been in effect since 2009 and for those of

in effect since 2009 and for those of

in effect since 2009 and for those of you who aren’t familiar death with

you who aren’t familiar death with

you who aren’t familiar death with dignity is legislation that empowers

dignity is legislation that empowers

dignity is legislation that empowers individuals to decide for themselves to

individuals to decide for themselves to

individuals to decide for themselves to move on when science

move on when science

move on when science has confirmed the end is near it gives

has confirmed the end is near it gives

has confirmed the end is near it gives individuals the legal right to decide

individuals the legal right to decide

individuals the legal right to decide and act for themselves to move on when

and act for themselves to move on when

and act for themselves to move on when faced with a terminal illness Death with

faced with a terminal illness Death with

faced with a terminal illness Death with Dignity is legal in five out of 50 US

Dignity is legal in five out of 50 US

Dignity is legal in five out of 50 US states and is one of many end-of-life

states and is one of many end-of-life

states and is one of many end-of-life care options available it was this

care options available it was this

care options available it was this particular end-of-life care option that

particular end-of-life care option that

particular end-of-life care option that my mom wanted and she asked us to

my mom wanted and she asked us to

my mom wanted and she asked us to support her through this we were

support her through this we were

support her through this we were devastated and none of us knew what to

devastated and none of us knew what to

devastated and none of us knew what to say so she spoke first I want a private

say so she spoke first I want a private

say so she spoke first I want a private ceremony at home immediate family only

ceremony at home immediate family only

ceremony at home immediate family only this is the outfit that I want to wear

this is the outfit that I want to wear

this is the outfit that I want to wear and don’t spend any money on flowers but

and don’t spend any money on flowers but

and don’t spend any money on flowers but if you do I like yellow ones I want my

if you do I like yellow ones I want my

if you do I like yellow ones I want my ashes scattered on Mount Rainier and

ashes scattered on Mount Rainier and

ashes scattered on Mount Rainier and afterwards for you all to have a dinner

afterwards for you all to have a dinner

afterwards for you all to have a dinner party you know nothing fancy casual

party you know nothing fancy casual

party you know nothing fancy casual maybe with some southern style food and

maybe with some southern style food and

maybe with some southern style food and some music she knew exactly what she

some music she knew exactly what she

some music she knew exactly what she wanted she wanted a celebration after a

wanted she wanted a celebration after a

wanted she wanted a celebration after a lot of tears and listening Hospice came

lot of tears and listening Hospice came

lot of tears and listening Hospice came in to consult with us on next steps and

in to consult with us on next steps and

in to consult with us on next steps and we learned that we needed signatures

we learned that we needed signatures

we learned that we needed signatures from two doctors in order to proceed

from two doctors in order to proceed

from two doctors in order to proceed with Death with Dignity her primary care

with Death with Dignity her primary care

with Death with Dignity her primary care physician said he would sign but only if

physician said he would sign but only if

physician said he would sign but only if her oncologist signed off first her

her oncologist signed off first her

her oncologist signed off first her oncologist was shocked he was so

oncologist was shocked he was so

oncologist was shocked he was so surprised that she was ready to make

surprised that she was ready to make

surprised that she was ready to make such a swift decision he said you know

such a swift decision he said you know

such a swift decision he said you know like it’s stage 4 cancer but you could

like it’s stage 4 cancer but you could

like it’s stage 4 cancer but you could live for another six months maybe even

live for another six months maybe even

live for another six months maybe even longer

longer

longer don’t you want to have more time to live

don’t you want to have more time to live

don’t you want to have more time to live don’t you want to enjoy life for as long

don’t you want to enjoy life for as long

don’t you want to enjoy life for as long as you can my mom said she wanted to

as you can my mom said she wanted to

as you can my mom said she wanted to death with dignity this is my time this

death with dignity this is my time this

death with dignity this is my time this is what I want he told her no we were

is what I want he told her no we were

is what I want he told her no we were really confused her cancer was confirmed

really confused her cancer was confirmed

really confused her cancer was confirmed Hospice just came in and walked us

Hospice just came in and walked us

Hospice just came in and walked us through the process

through the process

through the process as a doctor and an educated man of

as a doctor and an educated man of

as a doctor and an educated man of science he is trained to problem solve

science he is trained to problem solve

science he is trained to problem solve diseases his expertise is to find

diseases his expertise is to find

diseases his expertise is to find solutions for illnesses not to relate to

solutions for illnesses not to relate to

solutions for illnesses not to relate to my mom’s personal view on life we needed

my mom’s personal view on life we needed

my mom’s personal view on life we needed to understand where he was coming from

to understand where he was coming from

to understand where he was coming from he was honest and said look I’m new to

he was honest and said look I’m new to

he was honest and said look I’m new to Washington I just transferred here from

Washington I just transferred here from

Washington I just transferred here from California where this law was recently

California where this law was recently

California where this law was recently made legal I have never experienced this

made legal I have never experienced this

made legal I have never experienced this before I need time to think about it no

before I need time to think about it no

before I need time to think about it no I won’t sign he looked at my sisters and

I won’t sign he looked at my sisters and

I won’t sign he looked at my sisters and I to back him up and we looked at her

I to back him up and we looked at her

I to back him up and we looked at her mom and she was overcome with

mom and she was overcome with

mom and she was overcome with disappointment and burst into tears this

disappointment and burst into tears this

disappointment and burst into tears this was a woman who never took no for an

was a woman who never took no for an

was a woman who never took no for an answer

answer

answer and after 12 years of preparing for her

and after 12 years of preparing for her

and after 12 years of preparing for her end she found herself fighting again she

end she found herself fighting again she

end she found herself fighting again she was fighting for her life to end for her

was fighting for her life to end for her

was fighting for her life to end for her right to die in hospice and palliative

right to die in hospice and palliative

right to die in hospice and palliative care there are three main focus areas

care there are three main focus areas

care there are three main focus areas for support comfort spirituality and

for support comfort spirituality and

for support comfort spirituality and peace it’s a testament to our society

peace it’s a testament to our society

peace it’s a testament to our society that this level of care is available

that this level of care is available

that this level of care is available ranging from pragmatic to natural and

ranging from pragmatic to natural and

ranging from pragmatic to natural and holistic if you can afford it as a

holistic if you can afford it as a

holistic if you can afford it as a family we decided to care for our mom at

family we decided to care for our mom at

family we decided to care for our mom at home and in order to create a

home and in order to create a

home and in order to create a comfortable space for her we needed to

comfortable space for her we needed to

comfortable space for her we needed to get creative in the initial stages of

get creative in the initial stages of

get creative in the initial stages of her diagnosis she was mobile with the

her diagnosis she was mobile with the

her diagnosis she was mobile with the help of a walker even though she was

help of a walker even though she was

help of a walker even though she was frail in order to get blood circulation

frail in order to get blood circulation

frail in order to get blood circulation flowing through her legs we needed to

flowing through her legs we needed to

flowing through her legs we needed to get creative with her exercises we

get creative with her exercises we

get creative with her exercises we decided to have fun so we would see how

decided to have fun so we would see how

decided to have fun so we would see how many Beatles songs it would take for her

many Beatles songs it would take for her

many Beatles songs it would take for her to walk around the kitchen island X

to walk around the kitchen island X

to walk around the kitchen island X amount of times all of us singing along

amount of times all of us singing along

amount of times all of us singing along to love me do and let it be we watched

to love me do and let it be we watched

to love me do and let it be we watched YouTube videos to learn how to give her

YouTube videos to learn how to give her

YouTube videos to learn how to give her haircuts

haircuts

haircuts and the house didn’t have a shower on

and the house didn’t have a shower on

and the house didn’t have a shower on the main floor so on the weekends we

the main floor so on the weekends we

the main floor so on the weekends we would sneak our mom into my sister’s

would sneak our mom into my sister’s

would sneak our mom into my sister’s office and use the handicap-accessible

office and use the handicap-accessible

office and use the handicap-accessible shower this deluge of hot steaming water

shower this deluge of hot steaming water

shower this deluge of hot steaming water my mom’s body felt so amazing to her it

my mom’s body felt so amazing to her it

my mom’s body felt so amazing to her it was one of the last little luxuries that

was one of the last little luxuries that

was one of the last little luxuries that she wished for compared to the sponge

she wished for compared to the sponge

she wished for compared to the sponge baths that we gave her a lot of her time

baths that we gave her a lot of her time

baths that we gave her a lot of her time was spent resting in bed and we would

was spent resting in bed and we would

was spent resting in bed and we would watch documentaries together in classic

watch documentaries together in classic

watch documentaries together in classic Warren Beatty movies sometimes she’d

Warren Beatty movies sometimes she’d

Warren Beatty movies sometimes she’d asked me for a mood board of beautiful

asked me for a mood board of beautiful

asked me for a mood board of beautiful images of Mount Rainier so she could

images of Mount Rainier so she could

images of Mount Rainier so she could look forward to her her ashes would rest

once a month she would see her

once a month she would see her oncologist for status updates and it was

oncologist for status updates and it was

oncologist for status updates and it was very clear from test results that her

very clear from test results that her

very clear from test results that her cancer was growing every time she plead

cancer was growing every time she plead

cancer was growing every time she plead with him to have her Death with Dignity

with him to have her Death with Dignity

with him to have her Death with Dignity wish fulfilled and he’d say no and she’d

wish fulfilled and he’d say no and she’d

wish fulfilled and he’d say no and she’d go home disappointed at this point she

go home disappointed at this point she

go home disappointed at this point she was in a chest brace and a wheelchair

was in a chest brace and a wheelchair

was in a chest brace and a wheelchair because her bones could no longer

because her bones could no longer

because her bones could no longer support her it’s easy for us to think of

support her it’s easy for us to think of

support her it’s easy for us to think of design as aesthetics or creating visuals

design as aesthetics or creating visuals

design as aesthetics or creating visuals design is also a tool for communication

design is also a tool for communication

design is also a tool for communication a combination of creativity and empathy

a combination of creativity and empathy

a combination of creativity and empathy earlier I referred to my mom’s death as

earlier I referred to my mom’s death as

earlier I referred to my mom’s death as a design challenge which I know sounds

a design challenge which I know sounds

a design challenge which I know sounds strange and off-putting it’s a challenge

strange and off-putting it’s a challenge

strange and off-putting it’s a challenge because for obvious reasons but it

because for obvious reasons but it

because for obvious reasons but it involved design because it required us

involved design because it required us

involved design because it required us to talk about it to talk about it with

to talk about it to talk about it with

to talk about it to talk about it with her doctors and hospice and with our

her doctors and hospice and with our

her doctors and hospice and with our families to make decisions by having the

families to make decisions by having the

families to make decisions by having the conversation it allowed us to come

conversation it allowed us to come

conversation it allowed us to come together to grasp what was happening so

together to grasp what was happening so

together to grasp what was happening so we could have a shared language with a

we could have a shared language with a

we could have a shared language with a common goal for understanding one night

common goal for understanding one night

common goal for understanding one night when I was sitting next to my mom I was

when I was sitting next to my mom I was

when I was sitting next to my mom I was caressing her arm and I noticed that the

caressing her arm and I noticed that the

caressing her arm and I noticed that the texture of her skin was unusually dry

texture of her skin was unusually dry

texture of her skin was unusually dry and the color of her flesh was

and the color of her flesh was

and the color of her flesh was doll I had been so focused on executing

doll I had been so focused on executing

doll I had been so focused on executing her end-of-life wishes that I realized I

her end-of-life wishes that I realized I

her end-of-life wishes that I realized I didn’t know what the end of her life

didn’t know what the end of her life

didn’t know what the end of her life that felt like I didn’t know what she

that felt like I didn’t know what she

that felt like I didn’t know what she was going through because I just

was going through because I just

was going through because I just accepted it so I asked her what does it

accepted it so I asked her what does it

accepted it so I asked her what does it feel like what does what feel like

feel like what does what feel like

feel like what does what feel like cancer what does your cancer feel like

fire

fire she said my bones are on fire and

she said my bones are on fire and

she said my bones are on fire and everywhere under my skin is burning and

everywhere under my skin is burning and

everywhere under my skin is burning and every time I move it just makes it worse

every time I move it just makes it worse

every time I move it just makes it worse my whole body is on fire after a moment

my whole body is on fire after a moment

my whole body is on fire after a moment she said are you mad at me no why would

she said are you mad at me no why would

she said are you mad at me no why would I be mad at you for wanting to move on

I be mad at you for wanting to move on

I be mad at you for wanting to move on for wanting to go to heaven because it’s

for wanting to go to heaven because it’s

for wanting to go to heaven because it’s my time I looked her in the eye and I

my time I looked her in the eye and I

my time I looked her in the eye and I said I’m really proud of you I think

said I’m really proud of you I think

said I’m really proud of you I think you’re brave I think you’re a designer

you’re brave I think you’re a designer

you’re brave I think you’re a designer like me she perked up she’s like oh

like me she perked up she’s like oh

like me she perked up she’s like oh really you think I’m a designer yes

really you think I’m a designer yes

really you think I’m a designer yes you’re creating the experience that you

you’re creating the experience that you

you’re creating the experience that you want to have you’re designing how you

want to have you’re designing how you

want to have you’re designing how you say goodbye she took my hand and said

say goodbye she took my hand and said

say goodbye she took my hand and said you understand the next visit to her

you understand the next visit to her

you understand the next visit to her oncologist was her last one what started

oncologist was her last one what started

oncologist was her last one what started as a small cluster in one vertebra

as a small cluster in one vertebra

as a small cluster in one vertebra expanded throughout her spine and pushed

expanded throughout her spine and pushed

expanded throughout her spine and pushed its way forward into her sternum and her

its way forward into her sternum and her

its way forward into her sternum and her rib cage all within four months this

rib cage all within four months this

rib cage all within four months this time there was no begging

time there was no begging

time there was no begging he said the cancer is growing really

he said the cancer is growing really

he said the cancer is growing really fast she looked at him in the eye and

fast she looked at him in the eye and

fast she looked at him in the eye and said I know

two days later she got her two

two days later she got her two signatures and sign legal documents and

signatures and sign legal documents and

signatures and sign legal documents and prescription to proceed with Death with

prescription to proceed with Death with

prescription to proceed with Death with Dignity the fight was over and she won

Dignity the fight was over and she won

Dignity the fight was over and she won it was actually one of the happiest days

it was actually one of the happiest days

it was actually one of the happiest days of her life I want to be clear and say

of her life I want to be clear and say

of her life I want to be clear and say that I don’t think it was wrong of Ian

that I don’t think it was wrong of Ian

that I don’t think it was wrong of Ian colleges to hesitate on death of dignity

colleges to hesitate on death of dignity

colleges to hesitate on death of dignity it was his responsibility to have a

it was his responsibility to have a

it was his responsibility to have a conversation with us to guide us in

conversation with us to guide us in

conversation with us to guide us in understanding and needing us to be

understanding and needing us to be

understanding and needing us to be curious about all medical treatments

curious about all medical treatments

curious about all medical treatments that were available until it was very

that were available until it was very

that were available until it was very clear her illness was terminal and I

clear her illness was terminal and I

clear her illness was terminal and I completely respect him for that it was

completely respect him for that it was

completely respect him for that it was also our responsibility to have a

also our responsibility to have a

also our responsibility to have a conversation with him to guide him in

conversation with him to guide him in

conversation with him to guide him in understanding our mom’s wishes for her

understanding our mom’s wishes for her

understanding our mom’s wishes for her end of life he needed to be curious

end of life he needed to be curious

end of life he needed to be curious about that alternative as well when it

about that alternative as well when it

about that alternative as well when it came time to fill the prescription we

came time to fill the prescription we

came time to fill the prescription we learned there were two options the first

learned there were two options the first

learned there were two options the first was a liquid form its immediate effect

was a liquid form its immediate effect

was a liquid form its immediate effect varied upon body type and could take

varied upon body type and could take

varied upon body type and could take anywhere from two hours to two days to

anywhere from two hours to two days to

anywhere from two hours to two days to go into effect we were also informed

go into effect we were also informed

go into effect we were also informed that it can burn the throat going down

that it can burn the throat going down

that it can burn the throat going down and patients have a hard time swallowing

and patients have a hard time swallowing

and patients have a hard time swallowing it because sometimes they have gag

it because sometimes they have gag

it because sometimes they have gag reflexes and it’s hard for family

reflexes and it’s hard for family

reflexes and it’s hard for family members to watch the cost of that

members to watch the cost of that

members to watch the cost of that medicine was $400 the second option was

medicine was $400 the second option was

medicine was $400 the second option was a pill its effect much faster much

a pill its effect much faster much

a pill its effect much faster much easier for patients to swallow the cost

easier for patients to swallow the cost

easier for patients to swallow the cost of this was $4,000 and either recovered

of this was $4,000 and either recovered

of this was $4,000 and either recovered by insurance our healthcare system

by insurance our healthcare system

by insurance our healthcare system policies and regulations are intended to

policies and regulations are intended to

policies and regulations are intended to protect and support us what patients

protect and support us what patients

protect and support us what patients scenarios and experiences are yet to be

scenarios and experiences are yet to be

scenarios and experiences are yet to be designed what systems need to be

designed what systems need to be

designed what systems need to be revisited because at this moment there

revisited because at this moment there

revisited because at this moment there was a lot here that could use a redesign

was a lot here that could use a redesign

was a lot here that could use a redesign we were so close to bringing her piece

we were so close to bringing her piece

we were so close to bringing her piece her dying was complicated enough how

her dying was complicated enough how

her dying was complicated enough how difficult

difficult

difficult the system need to be in order to give a

the system need to be in order to give a

the system need to be in order to give a patient a peaceful death

patient a peaceful death

patient a peaceful death the price tag difference was eye popping

the price tag difference was eye popping

the price tag difference was eye popping for sure but it wasn’t our decision to

for sure but it wasn’t our decision to

for sure but it wasn’t our decision to make this was our mom’s call she said

make this was our mom’s call she said

make this was our mom’s call she said that’s crazy

that’s crazy

that’s crazy are you kidding me I’ll take the $400

are you kidding me I’ll take the $400

are you kidding me I’ll take the $400 one I’m leaving anyway

the night before her death we had a

the night before her death we had a dinner party at her house at her request

dinner party at her house at her request

dinner party at her house at her request we made a beautiful feast of roast

we made a beautiful feast of roast

we made a beautiful feast of roast chicken colorful salad strawberry

chicken colorful salad strawberry

chicken colorful salad strawberry shortcake sparkling wine we made a

shortcake sparkling wine we made a

shortcake sparkling wine we made a playlist of her favorite tunes

playlist of her favorite tunes

playlist of her favorite tunes was a mix of the Bee Gees Dusty

was a mix of the Bee Gees Dusty

was a mix of the Bee Gees Dusty Springfield and Elvis we told stories we

Springfield and Elvis we told stories we

Springfield and Elvis we told stories we laughed she gave a toast she was so

laughed she gave a toast she was so

laughed she gave a toast she was so happy she was glowing the whole night

the morning of her last day and

the morning of her last day and end-of-life care assistant came to the

end-of-life care assistant came to the

end-of-life care assistant came to the house to help us through the process as

house to help us through the process as

house to help us through the process as preparations were underway I kept

preparations were underway I kept

preparations were underway I kept stealing glances at her to see how she

stealing glances at her to see how she

stealing glances at her to see how she was doing every time I saw her her eyes

was doing every time I saw her her eyes

was doing every time I saw her her eyes were bright and her mouth was smiling

were bright and her mouth was smiling

were bright and her mouth was smiling and she just kept giving me a thumbs up

and she just kept giving me a thumbs up

and she just kept giving me a thumbs up because she wanted us to feel brave we

because she wanted us to feel brave we

because she wanted us to feel brave we learned there were three medications in

learned there were three medications in

learned there were three medications in total the first was to slow down her

total the first was to slow down her

total the first was to slow down her heart rate the second was for anti

heart rate the second was for anti

heart rate the second was for anti nausea and the third was her final

nausea and the third was her final

nausea and the third was her final medication the assistant before he

medication the assistant before he

medication the assistant before he handed her the medication said that by

handed her the medication said that by

handed her the medication said that by law she had to declare out loud that it

law she had to declare out loud that it

law she had to declare out loud that it was her intention to go to sleep and to

was her intention to go to sleep and to

was her intention to go to sleep and to not wake up by law none of us could help

not wake up by law none of us could help

not wake up by law none of us could help her hold the cup or help her drink it

her hold the cup or help her drink it

her hold the cup or help her drink it she needed to do it for herself and he

she needed to do it for herself and he

she needed to do it for herself and he warned her that it could burn and to

warned her that it could burn and to

warned her that it could burn and to take her time my mom took the cup with

take her time my mom took the cup with

take her time my mom took the cup with two hands and pounded it back like a

two hands and pounded it back like a

two hands and pounded it back like a shot of whiskey

she looked at my dad and smiled closed

she looked at my dad and smiled closed her eyes and at 45 minutes she was gone

her eyes and at 45 minutes she was gone

her eyes and at 45 minutes she was gone I know the experience that we had is not

I know the experience that we had is not

I know the experience that we had is not common for many people they don’t get

common for many people they don’t get

common for many people they don’t get the chance to say goodbye the way that

the chance to say goodbye the way that

the chance to say goodbye the way that we did for some death is full of

we did for some death is full of

we did for some death is full of uncertainty and can often be a waiting

uncertainty and can often be a waiting

uncertainty and can often be a waiting game watching her mom deteriorate wasn’t

game watching her mom deteriorate wasn’t

game watching her mom deteriorate wasn’t easy and neither was caring for her

easy and neither was caring for her

easy and neither was caring for her there were many parts of the experience

there were many parts of the experience

there were many parts of the experience that were not beautiful that involved

that were not beautiful that involved

that were not beautiful that involved the expected tubes needles bedpans and

the expected tubes needles bedpans and

the expected tubes needles bedpans and fluorescent lights caring for her was

fluorescent lights caring for her was

fluorescent lights caring for her was possible because my sister Nancy took on

possible because my sister Nancy took on

possible because my sister Nancy took on the difficulty of moving mom into her

the difficulty of moving mom into her

the difficulty of moving mom into her house and my sister Jenny is a nurse and

house and my sister Jenny is a nurse and

house and my sister Jenny is a nurse and managed her pain until the very end in

managed her pain until the very end in

managed her pain until the very end in an odd way there was a lot of comfort

an odd way there was a lot of comfort

an odd way there was a lot of comfort because we were figuring out this whole

because we were figuring out this whole

because we were figuring out this whole mess together I can’t imagine what it

mess together I can’t imagine what it

mess together I can’t imagine what it would have been like if my mom lived in

would have been like if my mom lived in

would have been like if my mom lived in a state where this was not legal how

a state where this was not legal how

a state where this was not legal how long and how painful would it have been

long and how painful would it have been

long and how painful would it have been this year thirty US states are

this year thirty US states are

this year thirty US states are considering death with dignity and what

considering death with dignity and what

considering death with dignity and what that means for actual legislation is

that means for actual legislation is

that means for actual legislation is unknown but what is clear is that there

unknown but what is clear is that there

unknown but what is clear is that there are a lot more people who want to have a

are a lot more people who want to have a

are a lot more people who want to have a say all over the world there are many

say all over the world there are many

say all over the world there are many cultures and families who practice their

cultures and families who practice their

cultures and families who practice their own rituals of death these rituals are

own rituals of death these rituals are

own rituals of death these rituals are expressions based on their unique

expressions based on their unique

expressions based on their unique situations and environments if you could

situations and environments if you could

situations and environments if you could design your own death what would the

design your own death what would the

design your own death what would the experience be like and how would you

experience be like and how would you

experience be like and how would you want it to feel I’m not a healthcare

want it to feel I’m not a healthcare

want it to feel I’m not a healthcare professional and I’m not an inventor of

professional and I’m not an inventor of

professional and I’m not an inventor of science I’m a brand designer that

science I’m a brand designer that

science I’m a brand designer that creates experiences by connecting with

creates experiences by connecting with

creates experiences by connecting with human emotion

human emotion

human emotion what I know from my mom’s experience is

what I know from my mom’s experience is

what I know from my mom’s experience is that it gave us the tools to talk about

that it gave us the tools to talk about

that it gave us the tools to talk about death by sharing her story with friends

death by sharing her story with friends

death by sharing her story with friends and strangers I’ve learned there is a

and strangers I’ve learned there is a

and strangers I’ve learned there is a lot of curiosity behind this by having

lot of curiosity behind this by having

lot of curiosity behind this by having the conversation it helps us to perhaps

the conversation it helps us to perhaps

the conversation it helps us to perhaps reframe or even rebrand death from

reframe or even rebrand death from

reframe or even rebrand death from feeling scary or desolate or bleak to

feeling scary or desolate or bleak to

feeling scary or desolate or bleak to reimagining it as honest noble and brave

my mom was born a fighter and she became

my mom was born a fighter and she became a designer at the end of her life today

a designer at the end of her life today

a designer at the end of her life today she would have turned a 69 years old and

she would have turned a 69 years old and

she would have turned a 69 years old and it’s her birthday wish that I share her

it’s her birthday wish that I share her

it’s her birthday wish that I share her story with you death is a universal

story with you death is a universal

story with you death is a universal human experience what I’ve shared with

human experience what I’ve shared with

human experience what I’ve shared with you is more than a conversation between

you is more than a conversation between

you is more than a conversation between myself and my family it’s a conversation

myself and my family it’s a conversation

myself and my family it’s a conversation that belongs to all of us

that belongs to all of us

that belongs to all of us patients doctors healthcare providers

patients doctors healthcare providers

patients doctors healthcare providers policy makers family members together we

policy makers family members together we

policy makers family members together we all have a say in creating beautiful

all have a say in creating beautiful

all have a say in creating beautiful experiences from the very beginning but

experiences from the very beginning but

experiences from the very beginning but more importantly at the end thank you

more importantly at the end thank you

more importantly at the end thank you [Applause]

”

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