I always thought of the many ways we destroy our bodies that liver failure would be the worst way to go. Yellow skin, yellow eyes, swollen belly, bleeding from every orfice, brain in shut down from over-abundance of ammonia, crapping every 15 minutes due to the meds to take said ammonia out of the system...yup a very sucky way to die.
I have revised my list to include total renal (kidney) failure. The kind where you have to have dialysis three times per week or swell up like a puffer fish and suffer agonizing pain all over and slow shut down of every system...most importantly...and not to be under-estimated your respiratory system.
I've had two patient's in less than than many weeks with basically the same thing. They both refuse dialysis...they know they are gonna die...but choose to live their last days without being hooked to the dialysis machine. That is their choice. My problem??? Doctors...who know the patient is in agonizing pain, can't breath because of the fluid overload and they want them to go for pointless and useless tests to tell them what they already know...duh...they are in kidney failure. Happened last week, Doc tells me to "convince" the patient to go for the CT Scan (humm, she is now 350# due to all the fluid, her legs are so heavy she can't move them, it is agony for us to just turn her to wash her bottom and back and the doc wants her to lay flat...transfer to a gurney...transfer ...still flat...to a tiny table that goes into the machine. Lie flat, possibly with her arms over her head...if they will go that high...then transfer back to the gurney, stay flat for the 15 minute trip back to her room and transfer back to her bed.) Now, if she survived all that "testing" just what good would it do? My answer to the doc. "Dude, she signed a DNR, She is wanting to go home with hospice, She is refusing hemodialysis...and this test is gonna help her, how?" "oh"...well he cancelled the test. She went home with her family by ambulance a couple of days later. I heard last night that she passed away, as expected, surrounded by her loving family.
Nuff said...I don't want liver failure or renal failure...