A 🧵 on death (not Covid related)...
I’m sitting in a hospice room on death watch waiting for my mother to take her last breath. That said, I have a few thoughts about death that I want to share. And, trigger warning, it won’t be easy to hear… but we can do hard things.
2/
My mother is almost 82 and is over 2 years into a stage 4 cancer diagnosis with a 6-9 month life expectancy.
3/
Given the odds, we chose no treatment. It was the right choice – the opportunity to live her remaining days w/out medical procedures, constant drs appts and treatment (she went through it w/ previous bouts of cancer at 39 & 49) that would have wrecked her from day 1.
4/
Six weeks ago, as she became more and more uncomfortable, she decided that it was her time to die. She has always been extremely vain (who isn’t?) and didn’t want to experience the indignity of seeing how her last days would unfold.
5/
NY has no Death with Dignity law so we did our due diligence, filled out all the appropriate paperwork & met with bioethicists who informed us that starving herself to death was the only legal way to end your life in NY and the 42 other states that also provide no such laws.
6/
So 6 weeks ago, still of sound mind and body, but not wanting to see the gruesome nature of how the last days would unfold she decided to stop eating and drinking. I packed up some clothes and drove from my new house in DC to my childhood home in NYC. I’ve been here since.
7/
The first two weeks were almost a living wake, people taking turns visiting while she would obsess over what to serve – all while not eating or drinking a thing. It was actually kind of lovely.
8/
I should also mention that my mother and I have had a historically contentious relationship that met no great “closure” at the end and there was as much fighting and nasty words exchanged during these weeks as there ever was.
9/
Three weeks in she was still vacuuming and polishing the silver. Four weeks in she decided to take it a step further, increasingly frustrated at the time it was taking to die.
10/
She gathered all the available meds she had at her disposal (this is someone who recovered from surgery for a shattered knee with regular Tylenol, eschewing the extra-strength variety).
11/
She scrounged up enough pills from unusued prescriptions written through the years to take her own life - it didn’t work.

She then tried to overdose on morphine, again a failure.
12/
She got weaker, her body clinging on to life with a kind of ferocity that betrayed her every conscious wish.
Eventually things were so out of control we rushed her to the ER in the middle of the night early last week.
13/
(I’ll skip over the part where the EMT’s who showed up weren’t vaccinated). Or the staff at the hospital who refused to mask.
14/
It’s been almost six weeks since this all began and I am sitting here in the middle of a severe weather watch in NYC, at her side – having snuck in a bottle of wine to calm my own nerves – waiting for her to take her last breath.
15/
So… despite all efforts made over a two year period she is dying the exact death she feared. Not in her home (home hospice fired her on the spot for suicide ideation… not their fault but don’t get me started). Emaciated. Undignified. A living corpse.
16/
I understand death is a tricky issue to discuss but let’s face it… no one gets out alive.

But during this brutal time I have seen friend’s dogs and cats die; each was afforded love, comfort, affection, safety and a graceful end.
17/
That is also what we should demand for the terminally ill. Death with Dignity should not be a luxury but a right. I challenge every state legislature to pass bills like ones that exist in Oregon and elsewhere.
cc: @GovKathyHochul
18/
How you die, just like how you are born, should not depend on your zip code. If we cannot afford the same kind of dignity at death as we offer our pets we are doing it wrong.
19/
Pass #DeathwithDignity laws throughout the nation… stand up and demand it.

Death will befall us all – make sure that when it comes your time you have the control of how you leave this earth. It is the greatest gift we can give the (nearly) departed.
20/
This is how I would like her remembered:

Looking hot as hell with my Dad (gone 21 years now) in 1963… in a bikini and in love.

/end

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More from @dianaberrent

14 Sep
Thought it was hard to find monoclonal antibodies before? Well, it's about to get harder.

@HHSGov just announced that rather than take orders from hospitals they will allocate to states based on hospitalization rates and have the states distribute them.
1/
This system will reward the states with the lowest vaccination rates and harm those with the highest.

Ex: NY has high vax rate and low hospitalization rate. NY will receive 4000 doses weekly. How will they be given out?
2/
If they are distributed to each participating hospital no one will provide the therapeutic. It is too costly to set up an infusion center if you only have 10 doses to give out weekly.

Who is harmed?
3/
Read 5 tweets
13 Sep
PSA: if you weren’t able to get tested for Covid and / or didn’t have a detectable antibody response you are STILL eligible to be treated at a Post-Covid Care Center.

Find one near(ish) you:
survivorcorps.com/pccc
From @CDCgov:

“At this time, no laboratory test can definitively distinguish post-COVID conditions from other etiologies, in part due to the heterogeneity of post-COVID conditions.”
Read 8 tweets
5 Sep
I've tweeted you all through my mother's death. We buried her this morning and I want to share my eulogy with you all so you can know her in life, not just in the indignities of death... Please indulge me.

A eulogy for my Mother in a 🧵...
1/
My mother was elegant, discriminating, funny and complex. The ultimate critic, she could pick apart a novel, an art exhibit or your outfit with equal ease and strength of conviction.
2/
Her attention to detail was, at once, her superhuman strength - her ability to recall and recount the trim on a dress she bought in 1958, the tuna salad from the luncheonette in Far Rockaway, an exchange with a sixth grade teacher, a dish served by a friend fifty years ago.
3/
Read 24 tweets
3 Aug
“Our members are getting denied disability every day and this is a recognition of the wrap-around services that we are going to need to provide to all survivors of COVID.”
1/
#LongCovid abcactionnews.com/news/coronavir…
“And it’s not the end of the line either. It is a good first step. I worry that it’s a bit toothless because we still don’t have a diagnostic code for long-term COVID, said Diana Berrent, the founder of the organization @Survivor_Corps.
She’s preparing to lobby at the Capitol.
2/
“We need long-term COVID care centers throughout the country. I could go on and on. We need a billing code. We need a name,” Berrent said.”

3/
Read 4 tweets
2 Aug
“Right now, Berrent is focused on long COVID advocacy and convincing the CDC to mandate reporting of all breakthrough cases.

“We have to step in where nobody else is doing it, and that is ludicrous,” she said. “But if it’s necessary, then we’re here to do it.”
#LongCovid @CDCgov
“In my opinion, CDC should be tracking all consequences of breakthrough cases, not just hospitalization and death,” Akiko Iwasaki, the Yale University immunology professor at the forefront of long COVID research, said in an email.”
@VirusesImmunity @YaleMed
“Even mild or asymptomatic infection can lead to long COVID. Tracking this on a national scale would be very informative.” Iwasaki is one of the only experts to have stated outright that fully vaccinated people can still get long COVID.”
Read 4 tweets
22 Jul
Let's talk about breakthrough symptomatic infections in fully vaxxed adults...

Today @SurvivorCorps will meet with the @CDCgov to present our data and ask for changes in policy to reflect real world evidence.

@CDCgov is only tracking hospitalized cases so we did it instead.
/
We ran a poll of our 170K member group and had 1949 fully vaxxed adults participate.

Our Key Takeaways:

-Vaccines Work (but not all the time)

-Of 1949 fully vaxxed adults there were 44 breakthrough symptomatic cases (we couldn't measure asymptomatics for obvious reasons)
2/
-Vaccines will likely keep you from acute symptomatic Covid needing hospitalization

-*HOWEVER* 55% of breakthrough symptomatic cases led to Long Covid (this is staggering)

-(Narrator Voice: If I had J&J I would want a booster)
3/
Read 18 tweets

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