{"id":4710,"date":"2020-02-07T15:50:41","date_gmt":"2020-02-07T15:50:41","guid":{"rendered":"https:\/\/tvndy.ca\/?p=4710"},"modified":"2020-02-14T17:41:58","modified_gmt":"2020-02-14T17:41:58","slug":"webcast-archive-no-free-choice-to-die-cecilia-chmuras-story","status":"publish","type":"post","link":"https:\/\/tvndy.ca\/en\/2020\/02\/webcast-archive-no-free-choice-to-die-cecilia-chmuras-story\/","title":{"rendered":"Webcast archive: No free choice to die &#8211; Cecilia Chmura&#8217;s story"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"1180\" height=\"664\" src=\"https:\/\/www.youtube.com\/embed\/gnxuLIYlx9s?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p>In this episode of\u00a0<em>Euthanasia &amp; Disability<\/em>, Amy Hasbrouck and Christian Debray discuss:<\/p>\n<ul>\n<li>No free choice to die: Cecilia Bernadette Chmura<\/li>\n<li>Doctors acquitted in euthanasia of Belgian woman<\/li>\n<li>Link to video of January 30 forum<\/li>\n<\/ul>\n<p>Please note that this text is only a script and that our webcast contains additional commentary.<\/p>\n<p><strong>NO FREE CHOICE TO DIE: CECILIA BERNADETTE CHMURA<\/strong><\/p>\n<ul style=\"font-weight: 400;\">\n<li>The story surrounding the 2018 suicide of Cecelia Bernadette Chmura, offered by her husband and amplified by the\u00a0<a href=\"https:\/\/www.cbc.ca\/news\/canada\/saskatoon\/saskatoons-suicide-medical-assistance-denied-1.4690171\">news media<\/a>, is that she was \u201cfailed\u201d by the medical assistance in dying (MAiD) program. Ms. Chmura was deemed ineligible for euthanasia, because her natural death was not \u201creasonably foreseeable.\u201d<\/li>\n<li>Articles described Ms. Chmura\u2019s long history with\u00a0<a href=\"https:\/\/www.cdc.gov\/arthritis\/basics\/fibromyalgia.htm\">fibromyalgia<\/a>\u00a0(up to\u00a0<a href=\"https:\/\/www.cbc.ca\/news\/canada\/saskatchewan\/saskatoon-man-calls-for-changes-to-assisted-dying-law-after-wife-s-death-1.4699586\">20 years<\/a>, depending on the report) and said her condition had worsened over the five years before her death.\u00a0 According to news accounts, she had been taking morphine and medical marijuana for the pain, but she didn\u2019t like the \u201cloopy\u201d feeling they caused, nor did the drugs completely relieve her pain. This raises several questions:\n<ul>\n<li>Did she receive appropriate palliative care?\u00a0 There was no mention of advanced pain management techniques, like acupuncture, mechanical or chemical nerve blockers, antidepressants and other atypical pain relievers, or even stronger opiates.<\/li>\n<li>Was she receiving treatment for the\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6386210\/\">psychological symptoms<\/a>\u00a0that often go along with fibromyalgia, such as depression, anxiety and cognitive impairment?<\/li>\n<li>Was she receiving support to live well with chronic pain?<\/li>\n<li>Did she refuse to take pain medications because of the side effects?<\/li>\n<\/ul>\n<\/li>\n<li>Reports said Ms. Chmura applied for MAiD in the summer of 2017, and was devastated to learn that she was not eligible.\u00a0 The articles all focused on the \u201cfailure\u201d of the MAiD program to include her, rather than on the failure of palliative care to relieve her pain, or even whether death is a suitable substitute for pain relief.<\/li>\n<li>The media reported that Ms. Chmura took an overdose of medications; mixing ground-up pills with pudding, and washing it down with hard liquor. Her husband, David Dunn, was questioned by police, but no charges were laid.<\/li>\n<li>It\u2019s impossible to know how much of the story was shaped by Mr. Dunn, and how much came from the reporters.\u00a0 Sources quoted in the articles included Mr. Dunn, a defence attorney, and the spokesperson for Dying with Dignity. The description of Mr. Dunn holding his wife in his arms as she died, and of her belief in reincarnation, are certainly not consistent with\u00a0<a href=\"http:\/\/reportingonsuicide.org\/recommendations\/\">guidelines for reporting<\/a>\u00a0on suicides.<\/li>\n<li>As we\u2019ve mentioned in\u00a0<a href=\"https:\/\/tvndy.ca\/en\/2015\/04\/webcast-archive-a-media-analysis-post-carter\/\">previous<\/a>\u00a0<a href=\"https:\/\/tvndy.ca\/en\/2018\/03\/webcast-archive-lawsuit-stereotypes-and-prisons\/\">webcasts<\/a>, media coverage of assisted suicide and euthanasia (AS\/E) tends to be strongly biased in favour of the practice, portraying it as a progressive, autonomous choice.\u00a0 Opposition to AS\/E is usually described as religiously-motivated, with an occasional nod to disabled people as \u201cvulnerable persons\u201d with no mention of the discriminatory belief that drives AS\/E; that it\u2019s better to be dead than disabled.<\/li>\n<li>In this case, the media bias has (once again) caused important information about the events to be lost: what kind of palliative care was Ms. Chmura receiving?\u00a0 Why was her pain \u201cexcruciating\u201d and her quality of life \u201chorrible?\u201d Did she receive any suicide prevention intervention? What factors went into her calculation of the trade-offs between unpleasant drug side-effects, adequate pain relief and death? By what process, did death come to appear to be a better option than all of the other choices available to a person still living? Who really failed Cecilia Chmura?<\/li>\n<li>Without the supports she needed to manage her pain, could the choice to die be free?<\/li>\n<\/ul>\n<p><strong>DOCTORS ACQUITTED IN EUTHANASIA OF BELGIAN WOMAN<\/strong><\/p>\n<ul style=\"font-weight: 400;\">\n<li>Three doctors charged in the euthanasia death of\u00a0<a href=\"https:\/\/tvndy.ca\/en\/2018\/12\/webcast-archive-belgian-doctors-prosecuted-after-2010-euthanasia\/\">Tine Nys<\/a>\u00a0in 2010 were\u00a0<a href=\"https:\/\/www.bbc.com\/news\/world-europe-51322781\">acquitted<\/a>\u00a0in the early hours of January 31 after a jury deliberated for eight hours. The doctors were accused of unlawfully poisoning the 38-year-old Autistic woman in April 2010 because there was doubt as to whether she met the eligibility criteria for euthanasia.<\/li>\n<li>Dr. Godelieve Thienpont, a psychiatrist, Dr. Joris Van Hove, who administered the euthanasia, and Dr. Frank de Greef, her treating physician, all signed off on the forms approving the euthanasia, attesting that she met all eligibility criteria.<\/li>\n<li>Ms. Nys\u2019 family believed that she did not have an incurable mental disorder.\u00a0 She had untreated psychiatric disabilities, a history of drug abuse and suicide attempts, and had recently been diagnosed with autism, for which she had not yet received any support.<\/li>\n<li>When the verdict was read, cheers and applause broke out in the courtroom, which the president of the court called \u201cinappropriate.\u201d<\/li>\n<\/ul>\n<p><strong>VIDEO OF JANUARY 30 FORUM\u00a0<\/strong><\/p>\n<ul style=\"font-weight: 400;\">\n<li>To view the video of the End-of-life, Equality and Disability forum that was held on January 30 in Ottawa, click on\u00a0<a href=\"https:\/\/freeman.streamme.ca\/cac-ccd2020?fbclid=IwAR3FC-fo7THjTTOuBLqo3X8dpjHzviV-v2omFazPwtVEwrwdCu8TacGeB4Y\">this link<\/a>\u00a0and enter your name and email address in the form.<\/li>\n<\/ul>\n   ","protected":false},"excerpt":{"rendered":"<div class=\"entry-summary\">\n<div class=\"entry-summary\">\nThis week, we look at the story of Cecilia Chmura, and an update in the Tine Nys case.\n<\/div>\n<div class=\"link-more\"><a href=\"https:\/\/tvndy.ca\/en\/2020\/02\/webcast-archive-no-free-choice-to-die-cecilia-chmuras-story\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &ldquo;Webcast archive: No free choice to die &#8211; Cecilia Chmura&#8217;s story&rdquo;<\/span>&hellip;<\/a><\/div>\n<\/div>\n<div class=\"link-more\"><a href=\"https:\/\/tvndy.ca\/en\/2020\/02\/webcast-archive-no-free-choice-to-die-cecilia-chmuras-story\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &ldquo;Webcast archive: No free choice to die &#8211; Cecilia Chmura&#8217;s story&rdquo;<\/span>&hellip;<\/a><\/div>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[92],"tags":[282,677,121,678,452,62,449,118],"class_list":["post-4710","post","type-post","status-publish","format-standard","hentry","category-webcast-archive","tag-belgium","tag-cecilia-bernadette-chmura","tag-euthanasia-disability","tag-fibromyalgia","tag-lieve-thienpont","tag-palliative-care","tag-tine-nys","tag-webcast","entry"],"_links":{"self":[{"href":"https:\/\/tvndy.ca\/en\/wp-json\/wp\/v2\/posts\/4710","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tvndy.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tvndy.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tvndy.ca\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/tvndy.ca\/en\/wp-json\/wp\/v2\/comments?post=4710"}],"version-history":[{"count":3,"href":"https:\/\/tvndy.ca\/en\/wp-json\/wp\/v2\/posts\/4710\/revisions"}],"predecessor-version":[{"id":4729,"href":"https:\/\/tvndy.ca\/en\/wp-json\/wp\/v2\/posts\/4710\/revisions\/4729"}],"wp:attachment":[{"href":"https:\/\/tvndy.ca\/en\/wp-json\/wp\/v2\/media?parent=4710"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tvndy.ca\/en\/wp-json\/wp\/v2\/categories?post=4710"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tvndy.ca\/en\/wp-json\/wp\/v2\/tags?post=4710"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}