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A personal look at assisted dying

Well-known Salmon Arm resident uses new legislation to end life
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Image credit: Scales family Sally Scales, who ended her life under the new Medical Assistance in Dying (MAiD) law, holds a photo of herself as a nurse in earlier years.

香蕉视频直播淗ello. This is Sally Scales. S-c-a-l-e-s. I香蕉视频直播檓 in Salmon Arm and I am preparing to die tomorrow,香蕉视频直播 said the message on the voice mail.

The message was left overnight Monday, July 3 at the Salmon Arm Observer office.

Sally was one of the more than 400 British Columbians to use the Medical Assistance in Dying (MAiD) service since it became legal in Canada in June of 2016.

In her voice message, Sally said she was being blocked from using MAiD by her landlord because some tenants at Arbor Lodge seniors香蕉视频直播 residence did not want it to happen there.

Her son Peter Scales telephoned the newspaper July 4 to explain his mother had been moved to Bastion Place care facility where the assisted dying would go ahead.

She died at 11:30 that morning, as scheduled.

Peter says his mother had been in favour of medical assistance in dying since 1993 when Canadian Sue Rodriguez, who was suffering from ALS 香蕉视频直播 amyotrophic lateral sclerosis, or Lou Gehrig香蕉视频直播檚 disease, took her legal battle for assisted suicide to the Supreme Court of Canada. Although she lost her case in a 5-4 decision, she took her own life in 1994 with the help of an anonymous physician.

Peter says his mom remembered when Rodriguez asked, 香蕉视频直播榃hose body is this?香蕉视频直播 香蕉视频直播淪he said it香蕉视频直播檚 my own body and I hope the law can change in time for me.香蕉视频直播

He recalls that later Sally read an article by an oncologist who said he hoped to die at 75. As former owner of the Lakeshore News, Sally then wrote a column stating she香蕉视频直播檇 like to die at 85. Peter says people around town, including some from her church, told her quietly of similar wishes.

香蕉视频直播淪he knew she wasn香蕉视频直播檛 alone in wanting to die at her own time and of her own choosing.香蕉视频直播

Sally underwent open heart surgery 11 years ago, receiving a new valve and a quadruple bypass. At that time, 香蕉视频直播渟he said again and again that she was never going through that again.香蕉视频直播

Peter said Sally watched both her brothers die and her mother die of heart attacks.

香蕉视频直播淪he knew how the story was going to end.香蕉视频直播

The new valve Sally got worked well for about 10 years, but then it wore out 香蕉视频直播渢hrough no fault of the medical profession.香蕉视频直播

Although she was offered another valve, she refused.

香蕉视频直播淪he was done. She was 79. She didn香蕉视频直播檛 make it to her 85th.香蕉视频直播

Her heart was operating at a maximum 20 per cent efficiency, so she was short of breath, 香蕉视频直播榩uffing香蕉视频直播 and anxious a lot, Peter says.

香蕉视频直播淚t would scare her as maybe this was the time she was going to die.香蕉视频直播

As is required under the MAiD process, Sally filled out the application. She was assessed by a Salmon Arm doctor on June 23, says Peter. Then on June 28, a Revelstoke doctor assessed her in her room at Arbor Lodge. Later they agreed on a date of 11 a.m. July 4 to carry out MAiD in her room.

Peter says Sally was anxious about the paperwork.

香蕉视频直播淭here was less than she probably imagined, but it香蕉视频直播檚 certainly paperwork that needs to be done correctly. I think the whole MAiD community, the MAiD providers, are being appropriately extra careful. They don香蕉视频直播檛 want to be seen as killing people, but rather ending suffering.香蕉视频直播

Did Sally ever have second thoughts?

香蕉视频直播淣o, that wasn香蕉视频直播檛 her style. She didn香蕉视频直播檛 have second thoughts about anything,香蕉视频直播 he smiles.

Peter says her family was supportive of her decision.

The only glitch was being informed on July 3 that she wouldn香蕉视频直播檛 be permitted to die at Arbor Lodge, he says.

香蕉视频直播淪he was so happy she could die in her home 香蕉视频直播 which was Arbor 香蕉视频直播 surrounded by her things.香蕉视频直播

Peter sees the lodge香蕉视频直播檚 decision as hurtful.

香蕉视频直播淚t seemed like when we wanted to deal with just our mom and our grief, we had this needless logistical detail that seemed really cruel.香蕉视频直播

A note to Sally from operations manager Christina Lutz stated, in part: 香蕉视频直播淩espectfully, I do have to take into consideration the general feeling this sets about the house and the opinions of the other residents who live under this roof. Therefore, we will not allow this event to happen here and respectfully request that you find an alternate site.香蕉视频直播

Peter says his family scrambled on a long weekend to change locations and Bastion Place was very helpful in accommodating them.

Lutz reiterated in a telephone interview that some residents didn香蕉视频直播檛 like the plan.

香蕉视频直播淪ally was saying what was happening and the other people who lived here were not comfortable with it.香蕉视频直播

Lutz said the lodge was happy to have Sally as a resident for nearly a year.

香蕉视频直播淪he brought spice and laughter and good feelings to our home and we wish the family well.香蕉视频直播

Sally香蕉视频直播檚 three children 香蕉视频直播 Peter, Richard and Linda, and three of her five grandchildren were present during her final hours.

He says a nurse and physician attended, the nurse inserting an intravenous (IV) line.

香蕉视频直播淪he arrived and made sure that Sally was comfy and well-positioned on the bed. She stayed with Sally until the doctor was ready,香蕉视频直播 Peter says.

Peter and his niece then watched the doctor prepare the syringes, labelling them to have them in the right order.

When it was time to administer the drugs, Peter and his niece left the doctor and Sally alone in the room.

香蕉视频直播淢y mom was an old nurse; she said only professionals香蕉视频直播, the rest of you be somewhere else.香蕉视频直播

He said Sally香蕉视频直播檚 family was allowed to go in after 12 minutes.

Peter describes MAiD as compassionate and efficient.

香蕉视频直播淚 am so glad it was available. I think we were all glad香蕉视频直播 We had watched mom suffer for far too long.香蕉视频直播

He said Sally thanked all the staff, but also asked them their life stories.

香蕉视频直播淪he was true to form, right to the last minute.香蕉视频直播

Peter is a historian by occupation and one of his greatest personal interests is religion and beliefs.

香蕉视频直播淚 think it香蕉视频直播檚 a measure of a compassionate society,香蕉视频直播 he says of assisted dying. 香蕉视频直播淚t香蕉视频直播檚 a tough moral quandary for each person and for society. Is it more compassionate to extend life or to end suffering? In Sally香蕉视频直播檚 case she saw it as ending suffering, not ending life.香蕉视频直播

Peter says he香蕉视频直播檚 grateful his family could prepare for Sally香蕉视频直播檚 death and spend time with her, knowing what was coming. On the practical side, he says it allows families to put papers in order, to learn important details such as where the will is located.

Interior Health provides statistics for B.C.

From the start of MAiD in June 2016 to May 31 this year, the BC Coroner香蕉视频直播檚 Service has recorded 66 MAiD deaths in Interior Health and 435 in B.C. IH states it cannot provide numbers of individual communities because of small numbers and privacy concerns.

IH also states there is no designated location where MAiD can occur. To date in IH, it香蕉视频直播檚 been provided in individual homes, in hospitals, in residential care facilities and in hospice locations.

香蕉视频直播淭here may be times, given this is still a relatively new service in IH and in B.C., where there are challenges in accommodating MAiD in a specific location香蕉视频直播,香蕉视频直播 wrote an IH spokesperson in an email. 香蕉视频直播淚n those cases, we would work with patients and families to find the best possible alternate location.香蕉视频直播

Trailblazing was not new to Sally Scales. Peter recounts a favourite memory of his mom香蕉视频直播檚 nursing career.

When she came to Salmon Arm from St. Paul香蕉视频直播檚 Hospital in Vancouver, he says, she discovered that all the nurses were wearing skirts and starched caps, rather than the more practical pants the St. Paul香蕉视频直播檚 nurses were wearing.

Peter says the administrator shouted at her. He referred to the nurses as 香蕉视频直播渉is girls香蕉视频直播 and said he liked them in the uniforms.

香蕉视频直播淭hat gave my mom her first crusade in Salmon Arm,香蕉视频直播 Peter says. 香蕉视频直播淪he hated being called a girl, especially by a hospital administrator. I think she might have taken it from a doctor.香蕉视频直播

In speaking publicly about medically assisted dying, Peter hopes his mother香蕉视频直播檚 story will help reduce the stigma about death and MAiD.

香蕉视频直播淭hey香蕉视频直播檙e separate but interwoven. A lot of people have trouble talking, not necessarily about MAiD, but about death. It香蕉视频直播檚 part of life and it香蕉视频直播檚 inevitable.香蕉视频直播



Martha Wickett

About the Author: Martha Wickett

came to Salmon Arm in May of 2004 to work at the Observer. I was looking for a change from the hustle and bustle of the Lower Mainland, where I had spent more than a decade working in community newspapers.
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