End of Life instruction and 2 Pet 3:9

The Lord is …… not willing that any should perish but that all should come to repentance.”

My 82 year old widow sister, childless, was admitted to the hospital for the third time, after spending 12 days and then 16 days in the hospital and then transferred to a community hospital. The community hospital, after more than a week, called and informed that she has to be readmitted to the acute hospital for dialysis as they could not render proper treatment.

For the next two days, I noticed my sister was not on dialysis. I asked, and was told that there was a misunderstanding (by the community hospital?) whatever it meant.

Then a doctor called one afternoon. Mainly she asked what was my ‘end-of-life instruction” for my sister. I asked  – was this about the AMD? – silence. What was the prognosis? Was there something I need to know? No clarification. The silence was puzzling. So I said “let me think about it and pray about it”. She said she would call back for my decision in a few days.

I became unusually alarmed and alerted family members. That evening I visited my sister. She was alert and definitely it wasn’t terminal or life threatening.

The next morning, I was on the way for a meeting requested by a medical social worker (MSW). I prayed – “Lord, what is your leading – as I have to give a reply about the EOL instruction.” The impression was very strong and clear – ‘resist, until your sister believes in the Lord Jesus!’ I told the MSW and another doctor who sought me out and commented that the 1st doctor was not tactful as it alarmed me.

Unexpectedly again the 2nd doctor asked about the EOL instruction as I was only expected to respond in a few days. He explained about withholding resuscitation. So since he asked I replied – “No, I will not concede until my sister believes in Jesus”. Somehow, to the 1st and 2nd doctor, I became uninhibited about my faith. He said “So it is religious?” I asserted, and said a miracle could happen. But he countered that it would be a medical decision. I also countered – No, I know a little about medical conditions and would like to be contacted and consulted when the need arose. He then said something that it would be the ‘decision’ of senior doctors. I stood firm. He then went off.

Fifteen minutes later, he returned, and said that the 1st doctor had already spoken to my sister that morning and my sister gave her consent! “No, I discount that, as you know my sister has Alzheimer, and she could not have understood.” The 2nd doctor again reiterated that it would be a medical decision by senior doctors.

The good outcome was that I became vulnerable. Normally I will reach out to any who asked for help, but would myself refrain from asking for support. I had to humble myself. I turned to the church’s visitation team and my cell group – for prayer, for support and for my sister to trust in Jesus!

That evening, I became disturbed that they might not render proper due care for my sister! I began to write to the hospital, to the Ministry of Health, to my Member of Parliament who’s also the GPC chairman for Health, etc. Many thoughts and promptings flowed through my mind, which surprised me.

To both doctors, I had brought up the Advanced Medical Directive (see – https://www.moh.gov.sg/content/moh_web/home/legislation/legislation_and_guidelines/advance_medical_directiveact.html)

In the absence of an AMD, I believe proper medical care is appropriate and should not be withheld. There are many safeguards e.g.

 You are not being forced into making the AMD.
 You are of sound mind.
 You understand the nature and implications of making an AMD.

 Validity
It is NOT compulsory. The AMD is valid only when it is made voluntarily. No one can force another person to make an AMD.
No one can make an AMD on behalf of another person, whether child or adult (even if the person is mentally incapable of making an AMD on his own)
 Coercion
It is the doctor’s responsibility to fully explain and discuss the matter with the person and to ensure that he/she fully understands what he/she is signing.
Forcing or misleading another person into signing an AMD is an offence punishable under the law.
If convicted, such a person can be fined and imprisoned and disqualified as a beneficiary.

The hospital called me as I had written. I mentioned my concerns. Why was I asked repeatedly for the EOL instruction? It was akin to the AMD which has many safeguards for the sanctity of life. I said my interpretation and impression was it looks like a Trojan Horse to bypass the AMD already in place. (I just googled and that EOL instruction is a type of a medical directive.)

I realized it is so subtle and insidious – the EOL instruction is a Trojan horse, unknowingly and ignorantly promoted to withhold resuscitation before a person comes to faith in Jesus. A work of evil, in this world of evil, dispensing words of evil against our Lord’s words of life!

Jesus said in John 10 “10 The thief comes only to steal and kill and destroy. I came that they may have life and have it abundantly.”

HALLELUJAH !!!!!! “The Lord is …… not willing that any should perish but that all should come to repentance.”

Church members visited, witnessed (in dialects) and prayed for my sister, members whom I have never met or spoken to! On a second visit, after we prayed, a church sister prompted that I should lead my sister to ask Jesus into her life. My sister did so! All these years she was deep into Buddhism, and had resisted. The next evening, I asked her whether she knew what she did, and whether she wanted to be baptized. She assented!

Coincidence or Confirmation?

Two days after my sister prayed, the church’s devotional reading was titled “The Lord saw her, He had compassion on her,….” Indeed! Thank you Jesus!

I began to share with others how my sister had prayed to receive Jesus!

Oh, how I love to hear His story of Salvation, I like to tell the story … (https://www.youtube.com/watch?v=lelJPwbuFPQ)

Later I received a posting on the Trojan Horse. (https://www.farnamstreetblog.com/2017/07/trojan-horse/).

Yes, for those who have threatening conditions or terminal illnesses and have yet to believe in Jesus, we must pray for their health and salvation, for their health to be extended until they repent and believe in Jesus rather than consider a EOL instruction not to resuscitate.

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