My newest patient, inmate #1003whatever, is a late 40’s-ish guy in prison as a sex offender. One of the prison counselors described him as “one of the worst” she’s ever seen. I have no idea what it is he has or has not done. I could find out, but I see no point other than my own curiosity at the moment.
He’s not in good shape. Years of abusing his own body resulted in a bad heart, and a bad liver. Two days after he entered prison, he had a heart attack. That’s when it was also discovered he has cancer all over. Unknown primary. Liver and heart and lungs failing, he’s in serious and worsening pain. So he’s sent to the prison infirmiry.
He seems pretty accepting about his fate. He knows he’s going to die soon. He doesn’t want any therapy to prolong his life. He does not want to be rescusitated. But he does not want to suffer. I am in charge of giving him medications and other treatments to minimize his pain.
A very few of the (non-medical) staff have surreptitously said that justice would be served if he died mad and screaming. While thoughts not unsimilar to that have crossed my mind concerning anyone who harmed my family or friends, I do not want to go there. I know all too well from past experience that I am capable of becoming less than I want to be when I hate.
So I arrange for him to get oxygen, a bed that lets him rest without choking on his own secretions, and very potent pain medications, which will beat back his agonies and reduce his suffering as much as can be. He’ll have nutritious meals brought to him, and he will be assisted in doing the things he can’t do for himself. He’ll be kept warm and safe. He’ll still be in prison until he’s dead.
A large segment of the public would express outrage that all this is being done for him. I’ve been told I’m a bleeding-heart just for doing what I see is my duty for him. Some want him locked in a cell, with bread and water pushed in on him once a day, the door to the cell not to be opened until his corpse needs to be removed. And these people telling me this are mostly devout, church-going types who consider themselves “good christians”. I am not considered such by them as I am a Unitarian who attends services there irregularly. I don’t argue much, I only tell them “that’s not the way I see it.”
I know I’m doing the correct thing. I am becoming more selective in who I tell what my job entails, however.