Monthly Archives: March 2016

Who decides whether to terminate end of life care?

featimg_2_11The answer may seem obvious.  You, or your designated agent make this decision.  You have prepared a living will and left instructions for your agent to follow or, if you are still able to speak for yourself, you tell the doctors what you want.

In Texas, this is not true.  Because of the Texas Advance Directives Act, a hospital ethics panel – not you or your family – decide whether to end care!

Last October, Evelyn Kelly learned this the hard way.  Her son, David Chris Dunn, a 46 year old former county sheriff had entered Houston Methodist Hospital, transferred from Bayshore Medical Center in Pasadena.  He had a mass on his pancreas and was in renal failure.

He’d been intubated for a month and the doctors had kept him sedated so he wouldn’t disturb the tube in his throat.  Dunn couldn’t verbally respond to questions but he followed his mother’s movements with his eyes and he could nod in response to his mother’s questions.

One day, the chairman of the hospital’s Bioethics Committee told Ms. Kelly that the doctors had met and decided it was time to end David’s medical care.  The hospital ethics committee was going to meet in 48 hours to make its final decision.  Ms. Kelly had made it clear that, as a born-again Christian, she wasn’t going to take her son off of life support.

“From Kelly’s standpoint, every second her son lived was a reason for hope, but for the doctors, it had meant weeks of treating a man who wasn’t showing any signs of improvement beyond simply having a pulse.”

Chris Dunn died in December 2015.

“In Texas, it doesn’t matter what instructions you’ve previously given or what your relatives say:  If you’re in critical condition, you’re dependent on machines to survive and hospital officials decide it’s time to pull the plug, you will die.  And it’s completely legal.”

It’s rare for a patient’s case to end up before a hospital ethics committee only because most patients die before the process is completed.    However, when it does, it’s very difficult to stop the process based on a law signed by George Bush in 1999.

There are several other cases that have been reported.  Here’s one that happened in 2005 when Zee Klein’s 91 year old mother, Edith Pereira, was taken to the Texas Medical Center with a urinary tract infection.  She had brittle diabetes and had gone blind from the disease but her heart and lungs were in good shape, she could still feed herself and she was fairly lucid most of the time.

The family was focused on getting the infection under control so didn’t argue when a doctor put Pereira on a dose of morphine that would keep her unconscious, and thus unable to eat and regulate her blood sugar.  When the medical team told Klein they wouldn’t install a feeding tube for her mother, Klein had a problem.  One of the doctors told her “ We feel that your mother’s spirit is telling us she wants to die!”

Klein was dumbfounded.  She managed to have her mother transferred to another hospital where she lived for about six months before dying.

Be sure you know what’s legal in your state and be prepared.  For more information about advance healthcare directives and living wills, go to www.diesmart.com.

 

Can a will be kept private?

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In most cases, the answer is no.  When a person’s estate is being settled thru the will they prepared, it is usually public record.  To keep estate plans secret, they need to be contained in a trust document, not just a will.

However, in the case of Harper Lee, the author of To Kill a Mockingbird, an exception has been made.  A probate judge in Alabama where she died signed an order for the will to be sealed after a request from attorneys for Miss Lee’s personal representative.  Her family agreed to the request.

She died in February 2016 at the age of 89 and had always been a person who highly valued her privacy.

The release if the ruling from the judge came after there was a “threat of public intrusion and harassment for Lee’s heirs”.

You are probably not a famous author and will not be granted an exception by a probate judge.  Therefore, you need to carefully consider whether it is important to you to keep your estate plans within your family or whether it’s okay for them to be public record.

Regardless of what you decide, go to our website www.diesmart.com to get helpful tips about estate planning and other things related to end of life matters.

 

What’s your most important password?

passwordsYou may guess it’s the password to your online bank account, to Facebook or to a shopping site.  Those are all important but there’s one that it’s critical you share with a loved one.  It’s the password to your email account.

Why is this so important?  When you die, your loved one or executor will try to access all of your online accounts so that they can close them down or, if necessary, continue their use.  For example, they may want to shut down your account on Amazon since you won’t be doing any more shopping.  Or, if you pay your utility bills online, they may want to continue to pay them until they sell your home.

You may use the same login information and password for all of your accounts but chances are that you have several different ones.  However, most of the accounts have a system that will enable a user to recover a forgotten login or password.  The user just needs to know how to access the email account linked to that other site so he or she can recover the information when it is sent out.

Although it is not strictly legal for you to share your password and login information, it is the easiest way to ensure that when you’re gone, your executor will be able to easily access your information and settle your estate.

For more information about digital estates and the steps you should take to be sure you have included them in your planning process, check out our book “Access Denied ” or go to our site www.diesmart.com.

10 Tips A Funeral Home Won’t Tell You

adjectivesIn the past, we have written a lot about planning a funeral, the prepayment option and hints to save money. We recently came across a blog from urnsonline.com that we want to share with you. Click here to see what it says. The ideas are excellent ones and convey suggestions that you probably aren’t familiar with. Take a few minutes to read the blog, even if you’re not planning a funeral right now.   The tips will come in handy when you do.

For further information about funeral planning, go to www.diesmart.com.