A Daughter Tries to Make Sense of Her Mother’s Suicide

By Michael Greenberg

STEPPING BACK FROM THE LEDGE
A Daughter’s Search for Truth and Renewal
By Laura Trujillo

When a loved one dies by suicide, it can reverberate through the family for generations. In some instances, the emotional toll is worse than that of a murder. If — and this is a crucial “if” — the murderer is convicted and the motives and circumstances of the crime are aired, the family can at least clothe its grief in a conclusive story. In the case of most suicides, family members are left with the agony of guessing, and the guilt that ensues — I could have saved her, if only I’d heeded the signs — can lead them to imagine that they are inadvertently the killers themselves.

In her moving memoir, “Stepping Back From the Ledge,” a veteran journalist takes readers to this difficult place. Here’s the history, painful as it will be to read: On April 26, 2012, Laura Trujillo’s mother killed herself by jumping from the edge of the Grand Canyon. Mother and daughter were extremely close, and the circumstances surrounding the suicide make the web of Trujillo’s emotions a challenge to untangle.

Several months earlier, a visit to her stepfather at a rehab center where he was recovering from a stroke provoked vivid memories of his repeated intrusions into her bedroom to rape her from the time she was 15. The abuse continued throughout her adolescence, and to protect her mother, who seemed rejuvenated by her new marriage, Trujillo bore it in frozen silence. “She had her confidence now, joy, and I couldn’t ruin that, I told myself, no matter what he did to me.”

Trujillo was a happily married mother of four, with a fulfilling job as managing editor of The Cincinnati Enquirer. Recollections of her stepfather’s abuse shook the foundation of her life, to say the least, so her therapist suggested that she tell her mother what happened. Shock and guilt followed the revelation and their rich relationship became fraught and strained. Hoping to repair the rift and unburden herself of her trauma, Trujillo sent a long email to her mother, expressing all that she had felt and experienced. One of the haunting questions is whether her mother knew what was happening with her stepfather. “I told her I didn’t forgive her, because I didn’t need to forgive her. It wasn’t her fault. It was his.”

Two days after receiving the email, her mother killed herself. “I was certain I was responsible,” writes Trujillo. To make matters worse, her maternal grandmother and her mother’s siblings blamed her for the tragedy. They ostracized her and her children at the funeral, embracing the abuser, now a hobbled, elderly man, seemingly incapable of the crimes he had committed decades ago.

The loss of her mother plunged Trujillo into a deep depression. She plotted her own death, writing (and rewriting) goodbye notes to her husband and children. Trujillo ably describes the pernicious logic of suicidal depression. Ending it all became the only reasonable solution: “I truly believed at the time that my children would be better off without me — it seemed so normal and obvious.” The decision provoked a temporary sense of relief and calm. Enveloped by this feeling, she headed toward the Grand Canyon to join her mother.

How the author stepped back from this ledge constitutes the heart of the story. The process is slow, almost imperceptible at first. In a memoir like this, the author must be both scientist and lab rat, painstakingly dissecting her mother’s behavior and her own under duress. When Trujillo struggles to convey the most trying experiences, her inarticulateness becomes a form of eloquence. Among her realizations is that suicide is a mysterious and unknowable aspect of being human.

As mysterious are the ways we find to heal. Trujillo inherits a bracelet that her mother wore on her right arm on the day of her death. The bracelet is bent, and Trujillo wants to know if this is because of the impact of the fall. In the course of her investigative work, she reads the medical examiner’s autopsy report, which indicates she fell on the left side of her body. The “bend in the bracelet must have been simply from my mother squeezing it to fit on and off her wrist.” In the irresoluble shadow of suicide this fact offers comfort.

The most enduring pain is in the impossibility of understanding why. Trujillo’s mother had bouts of depression throughout her life. Is this knowledge enough to alleviate her daughter’s agony of self-blame? With suicide, Trujillo writes, “only one person ‘gets’ an ending; the rest of us are left with a story abandoned midsentence.” Fearlessly, Trujillo attempts to complete the sentence. For many who have been touched by suicide, her hard-earned story will be a helpful companion.

Complete Article HERE!

These are the best and worst U.S. places to die, report shows

  • Your end-of-life experience may be very different depending on where you live, according to a Policygenius report.
  • The report ranks the best and worst U.S. places to die based on funeral costs and services, green burials, palliative care, Medicare providers, at-home deaths and probate shortcuts.

By Kate Dore, CFP®

Your end-of-life experience may be very different depending on where you live, according to a Policygenius report that ranks the country’s best and worst places to die. 

The report gave each state and the District of Columbia a numerical score based on seven factors, including funeral costs and services, green burials, palliative care, Medicare providers, at-home deaths and probate shortcuts.

“I think the big takeaway of this project is to get people thinking about the costs associated with the end of life,” said Logan Sachon, senior managing editor of research at Policygenius. “Because some of them can be mitigated through planning.”

“If you look at the top 10 and bottom 10, there aren’t any specific things they all have in common,” Sachon said. “They are each kind of unique in their own way.”

Indeed, Vermont, ranked as the No. 1 place to die, was among the most expensive for funeral costs but scored highest for palliative care, which focuses on pain relief, management and emotional support.

Florida, known for its high population of retirees, came in last place, with the fewest Medicare providers per capita, and scored low for at-home deaths and palliative care.

The best places in the U.S. to die

  1. Vermont
  2. Utah
  3. Idaho
  4. Ohio
  5. South Dakota
  6. Maine
  7. Colorado (tie)
  8. Illinois (tie)
  9. New Hampshire
  10. Washington

The worst places in the U.S. to die

  1. Florida
  2. Alaska
  3. Texas
  4. Hawaii
  5. New York
  6. Georgia
  7. New Jersey
  8. North Carolina
  9. South Carolina
  10. Connecticut

It’s never too early for older Americans to prepare for end of life, Sachon said.

While the Covid-19 pandemic has boosted awareness about the need to be proactive, 67% of Americans still don’t have an estate plan, according to senior living referral service Caring.com.  

Experts recommend an advanced directive, also known as a living will, covering your medical care preferences. You’ll also need a health-care proxy or power of attorney, naming someone to make medical decisions on your behalf if needed.

Estate planning

The report also focuses on each state’s probate process, which determines the cost and time it takes to settle your estate.

As of June 2021, only 17 states and the District of Columbia have an estate or inheritance tax, according to the Center on Budget and Policy Priorities.

With different laws in every state, a local estate planning attorney may share some options to protect your assets and carry out your wishes, depending on where you live.

There’s no federal estate tax on wealth below $12.06 million for individuals in 2022, and with proper planning, married couples can transfer their unused exemption to their surviving spouse, effectively doubling it to $24.12 million.

However, this reverts to an estimated $6 million exemption in 2026 when provisions from the Tax Cuts and Jobs Act sunset.

Complete Article HERE!

‘I Prepare Wills for a Living, and Here Are 4 Things I Wish Every Family Would Talk About in Times of Health’

By Erica Sloan

As a thing that most people try to avoid, death isn’t a common topic of conversation. After all, discussing it requires confronting its inherent inevitably—but avoiding discussions surrounding it doesn’t just bring blissful ignorance, either. In fact, this tactic can leave your loved ones in the lurch when death does arrive. That’s why estate-planning attorneys suggest considering in advance how you’ll discuss your plans for death with your family, and above all, making a point to do so.

Death comes along with an emotional and logistical cascade of concerns for those close to the person who passed. While working with a palliative-care professional or death doula once death becomes imminent can certainly help with the emotional side of things, creating an estate plan ahead of time mitigates stress related to the logistics. “This is why we always say every adult should have a will,” says estate-planning attorney Rosalyn Carothers, JD. “For one, that allows you to direct what happens to any of your assets, and two, you’re making it easier and less expensive for your family members to help, as you’d have seen fit.”

“If you indicate clearly [to family members], ‘Here is my plan,’ then everyone can get on the same page, and it’s harder for someone to feel like they’re getting cheated.” —Patrick Hicks, JD, general counsel at Trust & Will

But, because of the inherent sensitivity of a will—deciding who gets what and what goes where—creating one only gets you halfway to solid death preparations. Learning how to discuss your plans for death with loved ones is the other half, both so that they know exactly where to find all the relevant documents in the event of death, and also so that they can help ensure your wishes are carried out effectively, without confusion, disagreement, or unwelcome surprises. “If you indicate clearly, ‘Here is my plan,’ then everyone can get on the same page, and it’s harder for someone to feel like they’re getting cheated, so to speak, when push comes to shove,” says estate planning attorney Patrick Hicks, JD, general counsel at Trust & Will.

Below, estate-planning attorneys share the key elements of end-of-life planning to talk about explicitly with family members, so that everyone knows what to expect should the unexpected occur.

What to discuss with family about end-of-life issues, according to estate planning attorneys

1. End-of-life wishes

A handful of both pre- and post-death desires fit into this category—which covers what you’d like to happen in the event that you’re incapacitated or terminally ill (the details of which can be legalized in a living will) and how you’d like your body to be handled should you pass (like your preferences for burial or cremation, for instance). “You really want to let folks in your life know, ‘Hey, if I’m in this circumstance, do this or don’t do this,’ regarding life support, in particular, so that loved ones feel like they are intimately aware of what you would’ve wanted,” says Carothers.

Even if it’s all legally delineated in your estate plan, talking about these desires openly can spare the people in your life who survive you from some very difficult conversations, says Hicks. It’s also worth mentioning that, in the same conversation, you should tell loved ones exactly where they can find the documents detailing these wishes, so that there’s no need to search for them if and when the time comes.

2. Who will handle what when death nears

Once you start considering your plans for death, you’ll quickly run up against what Carothers calls the “who’s its” and the “what’s its.” This refers to “who” in your life is going to handle “what,” logistically speaking, when you’re about to pass and afterward—which is another big source of potential death-related conflict that can often be avoided with a conversation.

The most contentious roles to consider are who you’ll appoint as your financial and health-care agents under your powers of attorney, or the person (or people) you’re choosing to handle your finances and taxes and your medical decisions, respectively, whenever you become unable to do so. “Sometimes, people don’t want to speak to their kids or siblings about this because they don’t want to hurt anybody’s feelings,” says Carothers. “But, it’s better to let these loved ones know upfront who you’re choosing for what and why.” That way, there’s less chance of a dispute after the fact.

The same goes for clarifying whom you’ll be naming as the executor of your estate (once you have a will in place or while you’re creating one). This is the person who will settle your accounts, manage your personal assets, and disseminate the right assets to the designated beneficiaries of your will after you pass. Talking about this with family members lets everyone know whom they should turn to for any will-related matters post-death.

3. People to call in the event of an accident

Chances are, you may not even know exactly who among a parent or sibling’s friends or acquaintances you should contact directly should they become incapacitated or die. And if you do, it’s even likelier that you don’t have their contact info handy. “Nowadays, everything is just saved in everybody’s cell phones, but what happens if you lose a loved one’s phone in an accident or you just can’t unlock it?” says Carothers.

That’s why she suggests everyone keep a list of the few close friends whom they’d like to be contacted should something happen to them, along with their contact information, and inform loved ones where they can find it in the event of an accident. Also on that list should be the name and contact info of your accountant and homeowner’s insurance agent, if either or both applies, adds Carothers, since these are usually the most important people to reach in any situation where someone is nearing death.

4. Sentimental assets

Surprisingly, it’s often the sentimental pieces of property that tend to create the most tension among a decedent’s family members, says Hicks. “With valuable assets, a lot of the time, it gets quickly resolved, either according to the specific plan in place, or in a way where things get divided equally,” he says. “But it’s the things that don’t have a lot of economic value, but that have sentimental value which are typically not accounted for in a will, and then get fought over.”

That could mean a family photo album, an antique, a special piece of artwork, or any other kind of family heirloom that can’t just be cut up into parts and divided equally. “Not having a conversation upfront about who’s going to get which of these items often leads to disputes and disagreements,” Hicks says. Talking explicitly about sentimental pieces in advance can certainly get ahead of these potential arguments, though Carothers also suggests checking to see if your state allows you to file a memorandum along with your will that can include a written file of all these items, listing the person’s name to whom each should go.

Complete Article HERE!

1 in 2 older adults now die with a dementia diagnosis

by Kim Callinan

Nearly half of all older adults now die with a dementia diagnosis, up more than one-third (36%) in just the past two decades, according to a new study published in the Journal of the American Medical Association.

While these findings are disheartening, they also serve to underscore the importance of advance care planning for the care we want – and don’t want – should we get dementia. Thinking through these difficult decisions and having conversations with our loved ones and healthcare providers now, while we are still capable of making our healthcare decisions, will be a gift to our loved ones and to ourselves.

A good time to discuss your end-of-life care wishes with your family is when you are together, like Memorial Day weekend in May.

It’s important to keep in mind that dementia, as a public health crisis, came as a result of significant advancements in medicine.

As we have discovered cures or treatments for many diseases over the last century that used to be life-threatening, life expectancy has increased, and more people are dying with and from dementia. In short, medicine can prolong how long the body lasts, but not the mind.

However, the default mode within our medical system is to extend the patient’s life, regardless of the quality of life, even for people with advanced dementia. We even subject advanced dementia patients to aggressive end-of-life interventions that inflict needless suffering with little thought.

Dementia patients take comfort from their surroundings; transferring them to a hospital causes agitation, upset and in the most extreme situations, trauma. Yet, nearly six out of 10 nursing home residents with advanced dementia (57%) go to the emergency room at least once in the last month of life.

Furthermore, emergency room physicians are trained to extend life. This reality means you could be subjecting a patient with advanced dementia to cracked ribs as a result of cardiopulmonary resuscitation (CPR), an uncomfortable urinary catheter, or a breathing tube.

A small percentage of people may want these aggressive interventions. However, more than nine out of 10 Americans (92%) agree that a person should “have the legal right to put in writing in advance that they want their caregiver and medical team to stop medical treatments when they are at a specific stage of dementia,” according to a 2018 survey by NORC and the University of Chicago commissioned by my organization.

The way to solve this crisis is to balance our advances in medicine with empathy and respect for the voice and wishes of the individual; to be seen and heard as an individual and not just as a patient.

While every person does have a legal right to forgo treatments, operationalizing this desire is not clear-cut. Dementia is a progressive disease: it’s not always obvious to loved ones the point at which their loved one would want to forgo treatments. Is it when they no longer recognize you, even if they seem otherwise happy? Is it only if they get violent? Or perhaps it takes multiple factors (e.g., can no longer eat, speak, dress themselves or carry on a conversation)?

I encourage all of us to give our loved ones the gift of clarity by filling out the free-of-charge Compassion & Choices dementia values and priorities online tool (values-tool.compassionandchoices.org); this tool helps you create a personalized care plan, based on your selected preferences, that your health care proxy can use to care for you should you get dementia.

While unfortunately there is no cure for dementia, we can take proactive steps to die naturally, potentially with less suffering, through advance care planning.

Complete Article HERE!

Inside the rise of human composting and other green burial practices

The quest to save the planet doesn’t end when your life does.

By Vanessa Taylor

Everybody’s going to die. That’s a fact of life. And there’s one thing everybody who dies has in common: We all got bodies. And when we die, something needs to happen with them. Most of the time, this involves cremating or embalming and burying — processes that tend to emit a lot of harmful chemicals into the atmosphere. But with our climate apocalypse creeping ever closer unless we change our ways, conventional funerary practices are no longer cutting it. Enter: the green funeral movement.

Many Americans have been trying to pursue green funerals for a while. Traditional embalming and bury-in-a-coffin approaches involve the use of about 20 million feet of wood, 4.3 million gallons of formaldehyde and other embalming fluids, 1.6 million tons of reinforced concrete, 17,000 tons of copper and bronze, and 64,500 tons of steel, according to the Green Burial Council. Cremations are increasingly popular, likely because they’re often billed as the more environmentally friendly option of after-death care, but it’s harmful in its own way: It’s estimated that cremations in the U.S. alone account for about 360,000 metric tons of carbon dioxide emissions every year.

If you look online for truly green funeral practices, you might see the more creative forms like eternal reefs or biodegradable burial pods. There are also companies like Return Home, which specializes in human composting, getting into the game. Return Home’s human composting method is a 50-day process that begins with the body being placed into a wooden cradle with organics like alfalfa and sawdust at the bottom. From there, the body is covered with more plant material and placed into a special HVAC system.

“The most important part of this [is] that we believe the body should not be altered at all,” Return Home CEO Micah Truman tells Mic. “By that we mean we don’t cut, grind, or separate at any point.” At most, Truman explains, Return Home sometimes has to reduce down the remaining bone at the end of 30 days to make for a suitable end product. But after that, he says, “We have soil that we give back to the families.”

In order to make a burial “green,” says Caitlyn Hauke, president of the Green Burial Council International, you just need “to not inhibit decomposition, allowing the body to go back to the earth naturally.”

That means a green burial can be as simple as ditching aspects of conventional burials that are bad for the environment. For example, each year, over 8,000 gallons of formaldehyde — one of the chemicals used in embalming — is put into the ground with dead bodies. But this chemical doesn’t stay inside of dead bodies forever; it leaks. Forgoing the embalming process can do a lot for sustainability.

Caskets themselves can be quite an issue, too. According to Milton Fields, the amount of casket wood buried each year is equivalent to about 4 million acres of forest. There’s also the use of concrete. As Carol Lilly, a professor of history and the director of international studies at the University of Nebraska at Kearney, tells Mic, “Many cemeteries insist on using concrete vaults for all burials because they help to prevent ground sinkage and thus serious maintenance problems.” But to produce just a single pound of concrete releases 0.93 pounds of carbon dioxide.

“Green burial” is a new term for an old practice.

Changing the funeral industry to be more sustainable might seem like a big undertaking. But the problems with conventional funerals are actually quite new. As Lilly explains, “Death rituals and funerary practices in the United States have changed dramatically over the past 200 years.”

And because funeral traditions vary widely between different faiths and groups, some communities’ death rituals are closer to being sustainable than others. “Funeral service is a highly segregated industry, both in terms of race and in terms of religion,” Truman, the CEO of Return Home, explains. “I’m Jewish, and there are Jewish funeral homes. There’s an African American funeral home downtown that builds a lot of community there. And that’s the way it’s always been.”

This separation isn’t necessarily bad. Sarah Chavez, the executive director of the Order of the Good Death, a death acceptance organization, tells Mic, “There are often so many small details that need to be adhered to [in funerals] … It can be a big comfort to know that your needs will be accommodated without having to teach someone what has to be done, and explain why it is so important.”

In looking at how death rituals vary, it’s important to remember that “green burial” is a new term for an old practice. “What we call green burial has always been practiced by people of Muslim and Jewish faiths because of their beliefs,” Chavez says. In Islam, it’s customary for bodies to be washed and shrouded, in a process known as ghusl. The bodies are then buried as quickly as possible either without a coffin (if local laws permit) or in a plain wooden one, which is biodegradable. Similarly, in Judaism, bodies are washed without embalming, wrapped in a plain shroud, and buried in a wooden casket without any metal or nails.

In the U.S., handling the dead used to be much more of a family affair. The phrase “funeral parlor” comes from visitations once being held in a family’s home “parlor” room, Lilly explains. It wasn’t until after the Civil War that embalming become hugely popular and funerals became professionalized. Death rituals — once deeply personal — were gobbled up by the new funeral industry.

“Although funeral home employees are largely well intended … Americans have become too far distanced from our deceased loved ones as a result, which may make the grieving process even more difficult,” Lilly tells Mic. “Death in American society during the 20th century became overly sanitized and often almost invisible.”

The U.S. has once again been taking up a cultural transition — this time towards green burials. In 2018, a survey by the National Funeral Directors Association found that nearly 54% of Americans are considering green burials, and 72% of cemeteries said they were seeing an increased demand, too.

“Our younger generations are teaching us how to die better.”

Since its launch in July 2020, Return Home has helped 45 families across various communities. Truman has found a bittersweet theme among his clients. “One of the most amazing things that’s happened to us is that young people are personally requesting it,” he shares. “It’s been unbelievable. Painful, but amazing. … We’re realizing that our younger generations are teaching us how to die better.”

But this shift in learning how to die better is about more than changing how people are buried. Overall, it’s a massive reexamination of how death is approached in the U.S. As Chavez says, it’s not just about “how these spaces can be used to care for the land, but each other — especially people from historically marginalized communities who are often not able to access the end-of-life options they desire.”

This can take shape in a number of ways. There can be community funds to help address funeral costs. Green burial practitioners can also do more to honor cultural differences, like accommodating ancestral rituals that need to be held at gravesites or holding ceremonies like Quinming, Obon, or Dia de los Muertos on funeral grounds. In the same vein, cemeteries can also respond to tragedies within their communities, rather than seeing themselves as a depoliticized site.

“Community altars are often created in response to deaths stemming from violence or police brutality,” Chavez says. These altars are often torn down by state officials in ways that can compound a community’s trauma. “Green burial grounds might consider creating a community altar or garden, providing an alternate space for collective mourning.”

Death itself isn’t evil. And while some might find it uncomfortable, neither is decomposition. At the end of the day, people are from the earth, and we’re meant to return to it. As Truman says, “It’s absolutely vital that we make sure the last thing we do on this planet is give back.”

Complete Article HERE!

What It Feels Like to Mourn a Parent in Your 20s and 30s

Grieving is never easy, especially when you belong to a generation that can find it difficult to grow up.

by Olivia Atkins

We expect to outlive our parents, but dealing with their death while still transitioning into adulthood hits hard. Millennials are increasingly adulting later in life, whether through choice or due to a lack of job and housing security, continuing to act care- and commitment-free for longer. With the late 20s and early 30s believed to be the best years of your life, as suggested by a recent YouGov survey, what happens if this generation – commonly characterised by their inability to grow up – lose a parent?

Grief is difficult at whatever age but it’s particularly challenging for people bereaved in their 20s and 30s because it’s likely that not many of their friends have experienced something similar,” says Nici Harrison, grief worker/transformational coach and founder of The Grief Space, a platform supporting loss through workshops, retreats and grief circles.

A parent’s death can be a long and drawn out process or a sudden and unexpected event. Young people may take longer to adjust and accept their situation because they have less infrastructure and routine in place, and fewer resources to fall back on.

Harrison knows this all too well. She launched The Grief Space in 2020 after losing her mother to suicide, when she was 23. Despite her mother living with depression for many years, her death was still a shock and the recovery process, painful.

“My grief took me to unimaginable depths,” she says. “I felt separated from the world. It changed me; I had therapy but I needed space to express the magnitude of my experience and meet others who had lost parents. I learned about grief tending [the practice of allowing time and space to nurture grief] and the philosophy around welcoming [grief] in. I wanted to create what I wish I’d had… so I started The Grief Space.”

The Grief Space provides a platform to learn and understand grief. She cites poor communication as the biggest issue around processing death: “People don’t have the language to explain that they don’t want others to make it better; they just need to be witnessed. It’s difficult talking about the persistence of grief, how it can change the entire landscape of our lives and leave us in a perpetual state of loneliness.”

“I didn’t know anyone who had been through anything similar,” says Rachel Wilson, who lost her mother to cancer when she was 26 and is releasing a book about her experiences next year titled Losing You(ng): How to Grieve When Your Life is Just Beginning. Although her mum was diagnosed a year earlier, rather than preparing her for what was coming, the news brought on anticipatory grief.“I felt isolated and disoriented following the initial diagnosis,” she says. “I was in denial for most of the time she was ill. It was difficult leading a ‘normal’ 25-year-old life; finishing my Master’s degree, interviewing for jobs and going on dates, knowing that at some point I was going to have to face up to my mum dying.”Guilt can be induced through disassociation around a parent’s death. This can be triggered by not being fully present during a parent’s final moments or detaching from your own life experiences. While Wilson’s friends were supportive, she felt disconnected by their inability to relate. She reached out to her favourite – now defunct – podcast, The High Low, for advice and was connected to listeners with similar experiences, whom she met.

These meet-ups quickly expanded, forming The Grief Network, which now runs monthly meetings, events and talks. Rallying a community together and leaning on available support networks – whether through remaining family or friends – can help with grounding emotions, while being surrounded by those that know you prior to the loss or knew the deceased can be reassuring.

In 2015, at 26, Emily Thornton lost her mum to a brain tumour-induced seizure. Despite throwing herself back into work, she credits her friends for getting her through. Luckily, many understood having also lost a parent, but she admits: “Everyone copes differently… Selfishly you expect the world to stop when your loved one passes. Grief is full of ebbs and flows but my friends have been the kindest, most patient people. Small gestures help massively.”

Her friends send her flowers annually on her mum’s birthday, Mother’s Day and the anniversary of her death; they even ran Race for Life to commemorate her passing. Thornton also uses tarot cards to guide her through life; they connect her to her mother, who was also interested in tarot. She is at ease with her journey, having had visits from her mum in dreams affirming her process.

Lina Barker’s mother died suddenly and unexpectedly when she was 25. Hailing from a Muslim family where traditions require the dead to be buried as soon as possible complicated things for her – especially with her mum based abroad: “Everything happened extremely fast. I found out that my mum had died around 7AM in the morning and by 8PM, I was on a flight to Tanzania. The minute my sister and I landed, we were ushered into her funeral. I didn’t have a moment to digest or process my thoughts.”

On returning to the UK more people came to pay their respects, but Barker was so overwhelmed that she moved abroad to process the death on her own terms. “That’s when it hit home and the real mourning began. It was hectic when my mum died; moving to the Netherlands provided time for me to focus on my grief.”

Logistically, pulling together a funeral can be a stressful and emotionally-triggering affair, but it can also serve as a cathartic process, reinstate autonomy in an otherwise uncontrollable situation. “I helped arrange the funeral with my brother and father,” says Wilson, “I wrote my mum’s eulogy and did a reading; and we carried her coffin together. Because she died of cancer, she was also involved in the planning, which was comforting.”

Inevitably, there can be even greater strains with processing the death of a parent if all responsibilities fall to the child. Lisa Smith, who requested anonymity to protect her identity, lost her estranged father aged 23, after his long battle with a debilitating illness. Though she’d had a difficult relationship with her father since her parents had separated – he had been emotionally abusive towards her mother and stolen from others – she was legally tasked with handling immediate practicalities, like organising the funeral and wake.

“​​There is a surprising amount of admin related to a person dying,” says Smith. “My dad died without leaving anything behind to pay his funeral costs so I had to arrange a payment plan to deal with it. I felt extremely let down that he hadn’t thought to set aside some funds to ensure it wouldn’t fall to me. It was crushing watching the payments leave my account each month; they only made my grieving process harder.”

This financial burden and associated stress isn’t surprising given that the average cost of dying in the UK totals £8,864, with a basic funeral priced at £4,056 – which is staggering considering that millennials (those currently aged between 22-39 years old) earn an average annual salary of £29,180.25.

Soon after losing her father, Smith had a friend go through the same process but rather than relate to her experience, she couldn’t help but compare situations. Her friend inherited enough money to go travelling and buy a house.

“I really struggled with the fact that there were no silver linings for me,” says Smith. “I dealt with this by spending recklessly when I couldn’t afford to. I felt that after what I had been through, I deserved to have nice things and enjoy my life so I racked up thousands of pounds of credit card debt buying clothes, getting my nails done and going out. I am now working to pay off my outstanding balance.”

Grief can provide the affected with new ways of thinking and an opportunity to reassess priorities. Smith admits she was relieved by her father’s passing. She relied on Cariad Lloyd’s Griefcast podcast and Swedish “death cleaning” – a process of decluttering life and organising – to restore her peace. For Barker, the process connected her to her emotions despite initially avoiding the pain of losing her mum. Wilson prioritised her physical and mental wellbeing, while Thornton realised the importance of spending time with her remaining family.

Losing a parent while still easing into adult life can remind you how precious and fleeting time is. Young people are willing to creatively seek community and find alternative coping mechanisms to support their grief – whether in the form of spirituality, therapy, escapism or friendship – but it’s an individual process.

“Everything that you feel is welcome,” says Harrison. “Find support and look after your body; grief is exhausting. Tend to your grief, create space and allow it to shift – I promise it always changes. You never have to ‘get over this’ but you will expand your capacity to hold it and find a way to build a new life around it.”

Complete Article HERE!

Doctor accused of killing 14 patients with fentanyl acquitted of murder

William Husel hugs his wife, Mariah Baird, after the doctor was found not guilty on 14 counts of murder in connection with fentanyl overdose deaths of former patients on April 20 in Columbus, Ohio.

By Brittany Shammas & Timothy Bella

William Husel, an Ohio doctor who was accused of killing 14 patients with what prosecutors described as “wildly excessive” doses of fentanyl between 2015 and 2018, was acquitted on all counts of murder Wednesday, concluding one of the most significant murder cases of its kind against a health-care professional.

Husel, a onetime physician of the year trained at the Cleveland Clinic, faced one count of murder for each of the 14 critically ill patients he was accused of killing. The jury deliberated for seven days before finding him not guilty on all 14 counts in what was one of the largest murder trials in Ohio history.

He had been charged with causing or hastening their deaths amid a period of lax oversight of fentanyl at Mount Carmel West, a Catholic hospital in Columbus. Husel would have faced life in prison with just one guilty verdict.

While the synthetic opioid is significantly more powerful than morphine and has wreaked havoc on American streets, it can provide pain relief in medical settings that is crucial to end-of-life care. The alleged victims in the Ohio case suffered critical medical conditions including overdoses, cancer, strokes and internal bleeding. Prosecutors acknowledged that all were being kept alive on ventilators and that many of them were dying.

“In truth, William Husel was an innocent man, and thank goodness the justice system prevailed,” Jose Baez, one of Husel’s defense attorneys, told reporters.

The 46-year-old’s acquittal came after a two-month trial that triggered a debate on end-of-life medical care. Husel and Baez argued in the trial that the doctor offered comfort care for dying patients and was not trying to kill them. They pointed out that the doctor’s actions did not occur in secret — nurses were the ones to administer the doses — and alleged that hospital officials made Husel the villain after realizing the systemic failures at play. The fallout over the allegations at Mount Carmel West had repercussions: the firing of 23 employees; the resignation of the hospital’s chief executive, chief clinical officer and chief pharmacy officer; and Medicare and Medicaid funding for the institution was put in jeopardy.

But Franklin County prosecutors alleged that Husel gave patients amounts of the opioid far beyond the norm. He ordered 1,000 micrograms of fentanyl for multiple patients — about 10 times the recommended dosage, according to prosecutors. One of the patients, 82-year-old Melissa Penix, was given 2,000 micrograms of fentanyl — 20 vials of it, all at once. The amount of fentanyl given to her, which was about 20 times the recommended dosage, depleted the entire supply of the medication available in the ICU that night, Franklin County Assistant Prosecutor David Zeyen told jurors.

Joel Zivot, an associate professor of anesthesiology and surgery at Emory University and the sole witness called by Husel’s defense, told The Washington Post that he was relieved the jury determined that disease, not fentanyl, caused the 14 deaths.

“Physicians intend to provide comfort at the end of a person’s life, and the idea that the intent was murder simply by the action by giving someone pain control was unprecedented and ultimately shown to be a false accusation,” Zivot said.

The Franklin County Prosecutor’s Office released a statement commending the prosecution and defense for their work, adding that the office accepted the jury’s finding Husel not guilty.

“The Jury after review of all the evidence was not convinced beyond a reasonable doubt that William Husel was guilty of any charges submitted to them,” the prosecutor’s office said in a statement. “We accept the jury verdict.”

The case came to light in the fall of 2018 when, Mount Carmel West has said, pharmacists voiced concerns about doses ordered by Husel, an anesthesiologist who had been employed at the hospital about five years and worked on the skeleton crew of overnight intensive care. He was well liked in the ICU and known for his willingness to teach those who worked alongside him.

In total, at least 35 people may have been given excessive doses, the hospital said after a review. All of them died; the hospital said five might have had a chance to improve. Officials alerted police, and Husel was charged in June 2019 with 25 counts of murder. Prosecutors dropped 11 of the charges.

During closing arguments in the trial this month, Zeyen argued that even if the patients were dying and Husel thought he was acting in their best interest, killing them still constitutes as a crime.

“That is what you do to sick animals. That’s fine in veterinary science,” Zeyen said. “That is not fine in the ICU at Mount Carmel.”

Baez responded by referring to Husel’s pledging to provide comfort to the patients, noting that the doctor had much to lose.

“Why would this man risk his family, his career, 17 years of trying to be a doctor, every single thing he has worked for, to hasten someone’s death or to kill them?” Baez asked during closing arguments.

Zivot told The Post that he reviewed each of the cases and concluded that Husel offered the kind of care that any doctor would have provided for end-of-life treatment.

“Dr. Husel did the thing that doctors do in that he provided some fentanyl for the purpose of mitigating what we imagine to be the pain of dying, and that’s it,” he said. “We cannot know what it feels like to die; we can only imagine it. We fear it, and we are concerned about that. If we can’t stop someone from dying, at least we can reduce the pain associated with dying.”

When Common Pleas Court Judge Michael Holbrook read each verdict of not guilty, Husel’s wife, Mariah Baird, watched and smiled before hugging her sister, reported the Columbus Dispatch. After all 14 counts came back as not guilty, Husel wiped away tears.

Even with his acquittal in the murder trial, Husel still faces more than 10 lawsuits from the families of patients. Several of the families have settled lawsuits worth about $13.5 million, according to NBC News.

Baez emphasized to reporters that he felt “terrible for all of the patients’ families suffering again.” But, he said, he hoped they took comfort knowing that a jury concluded that it was their loved ones’ critical illnesses, and not the opioid, that resulted in their deaths.

“Hopefully they take solace that their loved ones’ last moments were in peace and not as a result of a doctor being afraid to make them comfortable,” he said

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