Death

Couple of days ago, an elderly friend of ours, an allopathic doctor was sharing his chagrin and concern about the direction which modern medicine and the beneficiaries of it are taking. He said that there are many things that are going not quite okay, but more than all that what affects him deeply is the changing attitude of the patients who come to him as well as his colleagues, since this is something he comes across personally.

He spoke about how everyone wants the doctors to work miracles, nothing short. No matter what the disease, what the conditions and circumstances, and no matter the age of the patient, they all want the miracle of life. No matter how it is done, they should be saved. Even if the patient is 85-years old, with a weak heart and some other irreversible condition. He added that his colleagues thought him heartless and sometimes even brand him unethical if he says so-and-so must be left in peace to die since he / she is 76 or 85 years old and the body cannot take the trauma of surgery and complicated procedures. Even those patients themselves ask him to save them somehow.

He exclaimed, "Am I a magician or God or something? Is medicine invincible? After all we are human beings and live according to the rules of creation. Why cannot we accept death as a part of life any longer? This never used to be the case before. A patient who has a wise attitide about death is a rarity. I remember that in the last so many years, there was one old man from a village who had this wisdom. He was 75+ years old and came to me with a block in his intestine that was in a really advanced stage. To top it, he also had a weak heart."

After examining him, my friend tells him (he believes in stating it as it is to the patient which also is not acceptable to many) that because of his age, his weak heart and his advanced age there is a greater possibility that he may die during the required complicated surgery or even in its immediate aftermath. It seems that the man told him, "So what? I have lived my life and it has been alright. It is just that in this age I am unable to endure the pain, if you say that after the surgery the pain will go away then by all means please do the operation and if I die in the process, all the better. I am happy". The man came through the operation successfully and started walking within the week and was discharged soon after. My friend lamented that if only people had this sort of an attitude actually there is more chance that they will pull through rather than a beggar's appeal.

Traditionally in India, death has never been something to be pushed away, or shied from. Death is in a cycle with life, or is a completion of it. Our understanding has never been that we have to live on, no matter how, and be kept alive even artificially on life support systems. As my friend said, the medicine system and its stakeholders are going in a direction where they feel that they have to overcome death otherwise they would fail. Somehow in an earlier generation, the value was not for going on endlessly. Personally in my life, my great grandmother was an example for this. I lived with her the last few years of her life, and in the last one year, she said she was near death and welcomed it and said her work in this life was over.

This would be the understanding in theory as well. For instance, in Ayurveda while diagnosing a disease there are three ways of looking at it: sadhya, pracharasadhya and asadhya, meaning, controllable and curable; curable but with difficulty; and no cure, respectively. I think this is a very significant category that places limits on what humanity can do. This treats death as a natural phenomenon that occurs as a continuation of life, and not something that needs to be battled against and won over. I also feel that this approach to life, and death places human arrogance in its place and puts us right there as part of the nature map, interdependent with all of creation, and not out of and on top of it lording over nature. Which is the reality. The reality is that humans dont control and manipulate nature. We try to understand it, and now also tamper with it and think that we are controlling it, but we have no way of knowing it to be so. But there is ample evidence in human history that nature is not subservient to man. There is no possibility of such a comparison, we are part of it. Hence nature and man are not enemies, we dont have to conquer nature, dont need to feel this compulsion to fight death. We could take it gracefully as a part of life, as we have been doing.

But as the doctor mentioned, this value seems to be changing in ordinary life now. The more that people are in touch with wonder drugs, hospitals and the greater and greater struggle against death in the form of modern medicine, the more they are taken in by the seeming invincibility of it all. Why?