I have had the privilege of being involved with 2 people who have been able to use the VAD system to end their suffering on their terms.
The first was a friend who had terminal COPD. He had spent his final few years struggling to get around, finally needing a scooter to even go out into the fresh air on his verandah. Then for his last 14mths he was completely bedridden, barely able to eat, struggling to breath let alone hold a conversation. He was exhausted 24/7, totally reliant on others for all of his needs, wearing continence aids for his bowel and with a catheter and he felt his life had no up side to it any more. Watching him struggle to do even the smallest thing was so hard. Until I started caring for him, I didn't realise just how much effort goes into something as simple as having a drink or a small bite to eat. Using VAD gave him the opportunity to put all his affairs in order, for friends and family to say their last goodbyes and then, in the presence of his children, he took the medication and quietly and peacefully closed his eyes and passed away. This man had been a very active, healthy man for the majority of his life, so to go downhill so quickly, be reliant on medication and other people to get thru a single day was so really difficult. To be able to control this final moment in his life was such a huge relief to him. He was just short of his 70th birthday.
The second person was my own mother. For over 10yrs, she had suffered from 1st one, then another form of cancer. These cancers caused serious incontinence after growing thru the wall of her bladder, and then later, she had to have a colostomy bag after yet another cancer destroyed a section of her bowel. The ostomy would block causing vomiting and intense pain which would hospitalise her. Sometimes the blockage was such that she would actually be vomiting faeces. Can you image doing that? But if your body is blocked at one end, it has no choice but to find another exit. During this time, she also took a fall which broke her back, so yet another source of pain. Just when you think she's had more than her fair share, she was found to have yet another tumour, this one right at the site of the break in her back. This lady was incredibly strong. She would be chatting with you and you would have no idea she was in excruciating pain, but within the next half hour she would have to be taken to hospital. Some people think that using VAD is taking the easy way out, but I watched this woman do everything in her power to keep going. She was taking all the medications and painkillers her Doctors gave her and still it wasn't enough. Finally, she couldn't take it anymore and on the day she passed, she could barely lift her head off her pillow. To watch her take the medication, and less than 5mins later she was gone, was heartbreaking as her child, but at the same time, a relief knowing she would no longer be suffering. Only a few days prior, she had helped to plan her memorial service, she had written her own eulogy and put all her affairs in order. She passed knowing she was loved by her family and friends. She was just shy of 83yrs old.
We do not allow our animals to suffer, but for so long the church has told us it is God's plan for us to suffer. Yet we were given the ability to help stop our animals suffering, and now we have the same ability to end our suffering IF we so choose to do so. It should be ever person's right to pass peacefully and quickly instead of suffering for unknown periods of time. The system has only just begun and the parameters are very narrow for now, but in time, hopefully these boundaries will expand some to allow people more choice at an earlier time in their health deterioration.