(upbeat music plays) >> hello in behalf of the archdiocese of san francisco, welcome to "mosaic". we have an an expert in bioethics and we will talk about something we cat live without. you will not thint is a joke, none of us can live without dieting. it was a joke n the old jackie gleason routine n the straightman asked, have youd your whole life in brooklyn? and in brooklyn? and jackie answered, not yet. that captures answered, not yet. that captures answered, not yet. that captures

answered, not yet. that captures answered, not yet. that captures answered, not yet. that captures answered, not yet. that captures answered, not yet. that captures answered, not yet. that captures answered, not yet. that captures answered, not yet. the situation. we are not there yet, but we will be. 100% of us must die, and some of us, many of us will accompany our loved s to and through death. a smallerp smaller group, if you will be ag the professionals, medical and t people whose vocation it is to aid and guide the sick and dyin. and dying. how does any of us and any of these three categories approach these tasks? how to discharge these responsibilities? what do we ned to know when understand and do? important questions. after this, join us for a catholic conversan catholic conversation on death and dying.

>> welcome to "mosaic". we are g about death and dying. a seriout with lively people as guests. they are entertaining and very , bioethics experts. i will introduce them. on your title i put cpa and stl behind your nam. you work as a cpa as your vacation but you are a writer ad giver of workshops in bioethicsd end-of-life issues. i understand you got an advanced degree, which is stl. that is in theolo.

you are an advanced person. andu are working with the archdiocesf san francisco. what is your tit? >> the respect life coordinator in the department of human lifed dignity. i have been there for 15 years and spent four in romeg my degree. and i came back and w and now i speak on the subject, end-of-life issues and beginninf life issues. >> and we have discussed. a grae a graduate of thomas aquinas coe in california and then notre dae phd in philosophy. a professor r professor for at the universityf san francisco. i think 25 years, years, coming up. it says you tt

seminar course, what is wisdom?t would be interesting. and honorr in medieval literature. and youe in medical ethics. you have wrin books and you have a new book wh i am reading, and very interest. you study the hippocratic oath d its place at the origin of the n medical profession. you are the experts in this will be a cathoc conversation on death and dyingt is not four catholics, it is fo. for everyone. tried to show youa you a pyramid with 100% on the bottom level and many on the net level, all helping others by and by and then professionals who are working in the business. i d like to ask you this, what do cs have to tell us about death? what is the catholic teaching for us? >> there is a beautiful document promulgated by the vatican in of kwledge around death and dyig

and catholic social teachings form the principles of what we l we call, end-of-life care. the n on euthanasia goes through varis points, practical points. talking about death. that is a part of the human condition. needed to be feared and avoided at all costs, nor is it to be actively procured. we know thats part of life. by looking at somf the principles of catholic teac, catholic teaching, we can see wt the best way is to die, what prs are okay, how much medication id and what we should do and should should not do. how to help each other through death through spiritual and physical and a mental way. >> you do provide practical

resources for people who need t. to know. the website at the arce and the resources, people can sy that and i can talk to you pers. you personally. >> we have a hotline, medical es hotline on our website. if anyby is having a problem, with a rele a relative dying, a friend dyinr if they have a question about an question about an end-of-life i, they are welcome to call. we can we can talk it through. it is dt to be at someone's bedside. so u have an elderly person or a part dying, is the doctor doing this, this right, are they giving thee correct nutrition. you never know when you are in the situatn whether or not you are doing everything right. every situatin is different. sometimes it is gd to have backup. >> i think being prepared with e knowledge you need, frustrating and confusing and important to s

when someone is dying. and thene is a question of a higher orderf philosophy or theology, understg what is it that the catholic su? catholic supply? >> the catholic church has a god message concerning death. it isd of paradoxical. the gospel is ik in greek, a good message. the gd message is that death is not thd the end of our existence. in cac theology, we distinguish between the first and second death. tht death is a separation of our bodies from our souls. our souls our souls on the principle of our life. they vilify us. when r soul separate from our bodies, e suffer the first death. but thas not the end of the story. that s not the good news, it is not al.

all over. there is an afterlife. the soul continues to exist after death. we are not that so, we are the union of body and sol and soul to soul continues to et after death and the great, good message as it were, when jesus s us i am the resurrection and the the life, he shall live. that wl rise again from the dead just as just as jesus did. that is the d message that the church has to . to share. and the second death, is the one that we want to stay away from. that death is the sen of the soul from god. our source our source of life. the church s us ways, means, sacraments of ag of avoiding that second death. e are all going to go through the first death. jesus called but in called but in the gospel any see of the little girl who died, shd

fallen asleep. and they ridiculed him because they saide is dead, but jesus knows she ist dead in the second death. her sl is separated from her body. butr soul is not separated from god. at the end of our lives the chuh the church offers us the last r. last rites. in the church we hae the anointing of the sick, it is it is a sacrament in the catholc theological tradition. a sacrament that anoints the sick. it can be used when we are not imminently dying but it can cery be used when we are dying. we he the anointing of the sick, confession and reception of the eucharist. all of these means ae available to us so that we can die well. >> we will take a brief break and be back to talk more about h

and dying.

>> welcome back. we are talkingt death and dying. end-of-life cae is what we call it now. we are talking about the medical practice and the personal practe personal practice of this inevitable stage of life. i was reading this, a story that saysy parents deaths taught me about e care. one died hard and one die. died easy. i have said many tim, if we can improve the patient ee patient experience in the last o years of life, we will go a long go a long way toward improving e for people at every stage of li. of life. that is strange. many think that end-of-life medical e medical care could be a big wase of resources and could be a big waste of time and could be a moy

pitt. he is saying, no it is a e in which we can practice and len new things that could help us tt the medical practice. does that sound right to you? >> when you talk about preparinr end-of-life it is always a gooda to have an advanced health care. we have a great catholic health care directive on our website. k it is good for anyone. it takesp a few of the main questions that that occur when people are dying about how much medication, pain pain medication is too much. if you are giving a lot of morphine lot of morphine will that accele your death? the answer is, no one is expected to go through pn when they are dying. giving pain like morphine, as long as the it is not to cause death. intent ie most important word. it is okay

to give pain medication even ify if theoretically could reduce the lifespan of the person. another issue that comes up is n and hydration. artificial nutrin and hydration is considered necy health care. it is not a healthe procedure. you are eating and d. and drinking. i get a lot of cas from family members saying, i'm afraid we were not feeding my mr or father or hydrating enough. d we kill them? there is a point n which the body can no longer assimilate food and water. whenu get close to the dying process. cutting off food and water is o. is okay. it is morally a valid g to do. if you look at the advand the advanced health care direct, care directives, it goes througe points briefly and it helps peoe think about, what do i want whei am dying? these are the paramets the parameters and then maybe it

have to be as strict as i otherwise would be. >> everyone should have one. ise a statistic on how many people do not? >> it is getting to be more ande have them but there are probablr 50% do not. people don't like tk about the issue and think about. about it. >> i think the gentleman was tag about a new way of doctoring whh involves more revealing, questioning more of what the pat the patient needs and wants ando and who he is so you can prepare prepare for the stage of life. and as he said, if we get this d of behavior as a habit, it can leak back into prior stages of medical care. >> it strikes me as remarkably r to literature concerning -- >> we do not speak latin. >> the art of dying. there are

treatises in the catholic relign catholic religion regarding thet of dying. and those treatises, y say if you can prepare adequately for death, it will m the way you live. this comment m this gentleman, this doctor abot the deaths of his parents, it ss me as very similar to the expere the experience of the theologias the theologians, where we are mortal creatures. we are going to die. and if we can maturely think about that truth about ous and how we want to do it, it ise that given we are mortal creatu, that will transform our way of g of living. it makes perfect sen. perfect sense. the

doctor-patient relationship adequately addresses and maturey addresses the issue of dying, it it will understandably, therebys thereby address medical issues associated with living. it makes it makes perfect sense. >> i see that. i saw a journal from someone who is terminally . terminally ill. to confront thes and record things. i am pretty y these days but i can open this k and do that now and it would hep me and thinking about what kind of death i want. i would get a r idea of what kind of life i wan. i want. >> you have to remember that people don't have to be hooked p to machines in hospitals. if there is no requirement in the c church or anywhere, for you to be hooked up to machines at thed of your life, you can refuse ans that are extraordinary. >> it seems that the medical cae

is such, we have great tools, yu can aggressively give more treas more treatments at the end of life for, we now have the capaby for ending life voluntarily. its thatce. we do one thg cean divie or another. and that is hard tow to know what exactly is the rigt thing to do. >> if we draw the boundary and we say, in hippocratic oath we , i will not give a deadly drug ii am asked, nor will like council this plan. and hippocrates, thas a boundary. within the confinesf the boundary, he practices the t of medicine. and the art of mede of medicine, you can excel in ae only when you have a boundary. u cannot excel or become excellent excellent at something if you have no boundaries within which

to conduct that practice. he lays that out. >> want me to stop you. we wille another break and come back fore last segment. and we will talk t how we can learn more about these things. thank you. we wile right back.

>> we are talking about death

and dying. to learn more, you ae putting on a conference in nove. in november. november 17 in san. san francisco. you and some assd catholic groups. it is for profs and you get continuing education continuing education units in yr medical specialty but also for the layman. it is not a high pr. high price. it is a full day, gaining knowledge in these very. very things. we will run a slide to show the flyer for the prog. the program. it is at st. marys cathedral and all day on novembr 17. to know more about that, goo our website. the title of the ce is interesting. both titles, converging roads and the heart of the end-of-life. >> converging roads is where thl practice and ethics converge. the title of the conference is,

the heart of end-of-life care. catholics have a great body of social teaching, underlying end-of-life care. if our viewerd like to learn more about it, wee having a conference on november. november 17. we have speakers from all over the country. doctor kavanaugh is a speaker oe hippocratic oath. it is for docs and nurses because continuing en credits are available. it is alo for the general public. the principles will be helpful for s and your loved ones and everybody toward the end-of-lif. the end-of-life. we are lookingd to a good conference. >> you advised us we need to ge. it is serious business getting prepared for end of lives. let e ask you this question, what do

you think we should all be doino get prepared for end-of-life? vicki has a practical side. whas the main thing we should take ay take away? >> i think we should be talking about dying. talking about dyinn our families. what good deaths e we seen or experienced? what god deaths have we been part of? what deaths have gone badly andy did they go badly? what can we do looking forward to our own dh and death of our loved ones ands and family. make sure those this don't happen. sharing stories i. is crucial. >> you have a lot of experience. . do people just not talk about this? >> one way to get them to start talking is when you fill out the fill out the advanced health care directive. the most important thing on that form is, appointing a health care proxy. power of attorney for healthca.

for healthcare. who knows your s and your values and knows what you want. that is the most impot thing you can do. as you sign ts and pick out your powers of atty for healthcare, that is when a d conversation can start. >> we are upcoming on halloween. the day of the dead. october 3, november 1 and second we talk at the dead, the people who are sas and those in purgatory. we can k about our loved ones, remember m and talk about the fact that wee mortal and associated with that national holiday that we have, . have, halloween. originally it comes from the irish and the church has a lot to say about i. about it. >> november in the catholic chuh is called, month of the dead. is a time when you particularly rer the dead and pray for the dead d

re-involve them in your life soy are not forgotten. i will say, , during november sit down with yr family and talk about preparati. about preparations. >> even this detail, sit down ad write what you want for your funeral service, what you want to happen. otherwise, the grieving people are blowing in the wind figuring out what to d. to do. time to get ready. let'sk about your book. if i may. you l be at the conference on novembe7 november 17. you will have your. your book. >> we have a mass dedicated to l professionals. after the confere there is a mass at the cathedral the cathedral and then his bookg book siding signing at a reception afterwards. >> i am reading your book and te is latin and greek but it is really interesting. give me, in

30 seconds a little bit. >> hippocrates founds medicine as a profession by having an oah in which the physician makes prs makes promises about how he or e will care for the patient. and t norms the physician will honor and abide by. and that is a pron a profession, to stand in frontf others and tell them what you sd for and how you will conduct yourself before them and in you. hippocrates really founds medicine as a profession. we hae come to think of medicine as a paradigmatic profession. but wet where the initial conception be. conception began. began with hippocrates about 2500 years ag. years ago. >> you are taking on it art in which you will profession her intentions and goals and say so in public. thank you for being . being here. vicki and tom. goodk

in your work and it has been grt having you. > >> thank you for joining us on, "mosaic" .

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