Guest Post – PRR – THE IMPORTANCE OF GOOD FRIENDS

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We all have friends, but these relationships can be helpful or harmful for ourselves and others. They can give us strength, joy and happiness or they can cause anger, disappointment and pain – they can lead us on a positive or a negative path. Since the people we associate with can have a great effect on us, it is important to be aware and mindful of these relationships.

I think the main purpose of a good friendship should be to support and help each other, to inspire one another to become better. We can do this through conversation, discussion and advice, but the best way is by example. If we are kind, honest and compassionate, then that will influence those around us in a positive way. It even improves our physical appearance, I’m serious! For example, angry people look quite ugly, don’t they? But people who are kind, gentle and well-mannered have a beauty that is independent from their size, age or skin colour.

So, how do we choose friends or decide which ones to associate with? It really depends on our own capacity. We have to be honest with ourselves here. Ask yourself: Am I someone who is influenced easily? Someone who always wants to please or impress others and who can’t say no? In this case you need a good stable friend. Someone who will support you in a positive way and who will not lead you on a wrong path. We call this a virtuous friend. If you are strong, stable and self-confident, you could have friends who might be weaker. Then you can help and support them to become better, in which case you are the virtuous friend for them.

But being kind doesn’t mean being a fool. If someone is continuously using you for selfish reasons, if they are cheating or harming you, or bringing a lot of negativity into your life, then you have to be stable and stand your ground. But not many people can help those who are always negative without being harmed themselves. Therefore it is totally understandable and even advisable to avoid the company of such negative people, as they will only drag you down.

Also there is an important thing we have to understand, which is we cannot control people. If someone doesn’t act the way we want, or chooses a different path than ours, we may have to keep our distance or eventually let go. As the saying goes, everyone’s path is theirs alone, we may walk it with them, but we can’t walk it for them.

Friendships do not necessarily have to be life-long commitments. Sometimes it’s good to walk together through life just for a while. A short but good friendship can teach us great things. Even the bad ending of a friendship can teach us many things. We can learn about impermanence and our own mistakes and flaws. Also we can get the opportunity to practice forgiveness and letting go.

Sometimes we want to change people according to our own ideas. But what may be good for us is not always good for others. We have to stay open minded and try to understand other people’s circumstances which may be very different from ours. We should not be possessive but give each other space to live their lives. The more you mature in a friendship, the less you will have to stick to each other as if you were glued together. You will know the times when you need each other and the times when you don’t. A bit of distance or some silence won’t break a good friendship but can actually make it more stable and keep things interesting.

In summary, try to make your friendships something that benefits you both, something that gives you and your friends some relief from the struggles of daily life and helps you to grow, become stronger and better. Give each other support and joy, and don’t forget, have fun!

Palace of Care – Phone a Friend

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I was asked by a friend of our hospice to phone their cousin. This was because the cousin knew their favourite cousin had a long association with my hospice. The cousin’s friend of over five decades had always been unwell. They had inherited a genetic issue which led to lung damage from a young age, which led to chronic lung infection and scarring. A life lived in between many hospital admissions. The lungs had an unwelcome guest in the form of smelly bacteria, which had worsened already impaired breathing. As if there wasn’t enough on their plate along came cancer. The accumulation of all of the above resulted in worsened quality of life and increased struggles with activities of daily living. There was only so much one person could tolerate. A conversation about assisted dying was had with their family doctor as the law had allowed for this as a legal option for end-of-life care. The doctor assessed their patient as eligible. The second assessor had a different opinion. Request denied.

The patient was upset and didn’t know what to do. They phoned a friend to discuss this. The friend didn’t know what to do and phoned their favourite cousin. The cousin didn’t know what to do and phoned a doctor they knew at the hospice that would be willing to discuss assisted dying – still a taboo subject amongst many palliative care people in Aotearoa/New Zealand despite it becoming legal from November 2021.

I listened to the story and without full clinical details, I could only offer general advice for someone from outside of our catchment area. The person sounded unwell to me and might have less than six months left to live. They also sounded as if they needed more input from the local hospice service. The cousin said the hospice had sent a nice volunteer who was of the same ethnic origin to provide some company for the unwell friend. It was a nice thought but the hospice hadn’t checked a crucial detail. The volunteer’s English was limited, but they spoke the language of their ethnicity well. The friend looked similar to the volunteer in terms of ethnic features but had been born in New Zealand, only spoke English, and did not speak the ethnic language at all. Smiles and sign language could only go so far. It’s always better to ask rather than assume. Books and covers.

I suggested the cousin could encourage their friend to ask for more help from the local hospice as people in similar situations were being helped by hospices all around our country. I suggested that the patient could contact the assisted dying service to explain the outcome of the assessments made as the patient sounded as if they might fulfil the eligibility criteria. The cousin thanked me and said they would pass on my suggestions to their unwell friend. I felt it was a shame that their friend did not feel able to talk to their local hospice about their situation and assisted dying directly. I won’t make any assumptions about possible reasons.

Guest Post – Naomi’s Notes – Doing Your Best

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It was three weeks before Christmas and she asked me to visit her in Wellington, preferably before Christmas. I was leaving for India the following week and no cheap flights meant it was not possible. I phoned her and told her I would visit when I returned from India.  

Whilst in India, my Teacher got an email saying she had been admitted into hospice.   I was unsure that I would get back in time. However, my Teacher was confident that it would be okay. At least I was in one of the holiest places and attending a prayer festival.  I sponsored some group prayers for her as well as doing my personal prayers for her.

I met the Tibetan family that my friend sponsored. They were very grateful for her kindness and generosity and very sad that my friend was terminally ill.   They requested me to take a beautiful woollen shawl back to New Zealand for her. 

Within a few days of arriving home, I flew to Wellington to see her.  She was out of hospice and back in her own home, being well cared for by one of her sons and her sister.  Upon arrival, I was greeted by a much thinner version of my friend who was still quite mobile due to the loving care of her son and sister.  I stayed two days with her.

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Bedside Lessons – 20 – Crossing the Line – Part 1

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I was working on the liaison psychiatry team in my final year of medical school. I went to meet a patient that had self-referred, which was unusual. Psych liaison provides psychiatric input for patients who also have medical issues that have brought them into hospital. I went with the nurse specialist to see the patient, an Englishman in his mid-thirties.

Work had brought him and his Latin American wife across the world. He was a nature documentary maker and had been based in the lower South Island filming the local wildlife. Just before Christmas he became unwell with a severe nosebleed, which required hospital intervention. Simple blood tests revealed grossly abnormal results. Acute Myelocytic Leukaemia (AM bloody helL) was the shocking diagnosis which destroyed their plans for Christmas and life in general. An urgent admission was arranged to our hospital’s Haematology department, which served the entire region. Harsh chemotherapy needed to be started otherwise our patient would’ve only had days left to live.

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Guest Post – Naomi’s Notes – Saying Goodbye

Photo by Philippe Leone on Unsplash

She was a solicitor used to dealing with other people’s problems and separating the emotion from the facts.  But today she looked tired, worn out, and close to tears.

“Noticed your not your usual self what’s the matter”? I asked.

“I’m caring for my dying mother at home and have been doing it for the last two months. I need to get home as quick as I can”.  

“Do you have anyone helping you”? I inquired

“Sometimes my sister helps but she has three kids. Mostly it’s just me and mum, I had to move in with her temporarily to take care of her because she couldn’t manage on her own. I’m not sure if I can manage.   I sleep in the armchair next to the bed”.  

“Would it help if I sat with her while you do your work at home”?

A smile fleetingly replaced the stress on her face.  ‘Here’s the address she said and my number if you get lost”.

“Ask your mum if I can come and see her, phone me if she says yes, no problem if she says no”.

Later that evening she phoned confirming it was okay.

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