Does anyone here know how to get a Do Not Recessitate done in Okinawa?

[Richard Burns]

DNR basically says if anything happens to me like catostrophic injury I'm not be put on life support, CPR, shocked etc I'm not to be recessitated.

I typed one myself in the states but found out it's invalid w/a lawyer I guess.

[DOCROB]

DNR's aren't given out lightly and I believe you need to meet certian requirements too. I'm not sure if a Doc at the Naval Hospital would give you one. But it wont hurt to ask...

[Richard Burns]

DNR's aren't given out lightly and I believe you need to meet certian requirements too. I'm not sure if a Doc at the Naval Hospital would give you one. But it wont hurt to ask...



Thanks but I can't go to Lester. I'm a resident here not SOFA. :)

[DOCROB]

well in the off chance you do keel over,:scared::dead: and they do shock ya and bring ya back just hit the button again:old::D:D:D:grin1:

[Richard Burns]

well in the off chance you do keel over,:scared::dead: and they do shock ya and bring ya back just hit the button again:old::D:D:D:grin1:

Sweet. Sounds like a superb plan indeed.

[Tanimaga]

Why would you request a DNR order? If something happens, you won't be given help if you go into cardiac or respiratory arrest.

[Richard Burns]

Why would you request a DNR order? If something happens, you won't be given help if you go into cardiac or respiratory arrest.

I don't want the help. If I go into cardiac arrest or whatever that's my time to go. My chance to say adios for good.

[TheLastDon]

Wallow in self pity, much?

[Tanimaga]

I don't want the help. If I go into cardiac arrest or whatever that's my time to go. My chance to say adiós for good.

So if you had an accident, or for some reason your heart or breathing stopped.. even though you could live a long life after your resuscitation, you would opt for death?

Remember, you don't need to be on a deathbed for a DNR to be followed.

[kombu_kid]

DNR's aren't given out lightly and I believe you need to meet certian requirements too...

Well, him being brain-dead already could help pass the first hurdle......

OHHHHH!!!!.....KK's on a roll.....:24a:

[TheLastDon]

http://sarcasticgamer.com/wp/wp-content/uploads/2007/10/attention_whore2.jpg

[daveh5o]

But things are looking up for you. You have just started RB records. :)

[elgringoloco]

You might try a google search. Several years before my mother-in-law died, we decided that we really needed a 'Power of Attorney' so that we could handle her medical and other affairs as she was getting more ill and at her age, dementia was certain if she lived for awhile. I, having not been in that situation before, contacted a few lawyers, along with the local Probate Court, who all informed me that the Power of Attorney JUST HAD to be prepared by a lawyer(shyster) and would cost somewhere between $1,000.00 and $2,000.00. Wrong!!
I did a google search and found a free form that was just what we were looking for, downloaded it, filled in the blanks, took the form and Grandma to a local Notary Public, who witnessed Grandma's signature, applied the Notary Stamp, and we were good to go. Total cost- about $3.00. We used this at numerous hospitals, nursing homes, etc, up
until grandma died and even after,

[Fire4Effect]

Well, as slow as the ambulances drive there I would say the only way you would make it to the hospital alive is if you lived within 2 blocks of it. I have passed ambulances before, who had their lights and sirens on, and seemed like they were only doing the speed limit...

[Muku]

Well, him being brain-dead already could help pass the first hurdle......

OHHHHH!!!!.....KK's on a roll.....:24a:

Which would be ok in the states, but unfortunately here in Japan the definition of death is when the heart stops. Being brain dead is not going to stop doc's from trying to start your heart.

They would put you on a heart/lung machine and they can not remove it, by law, until you were able to breathe on your own.

I know of a guy here who had a massive stroke when he was around 45 years old, he has been in a vegetative state for nearly 40 years on a heart and lung machine. No brain activity what so ever, feeding tubes directly into his stomach, all curled up like a baby. Sad as hell for the family.

I seriously wanted to "accidentally" trip over the cord cut it and pop the breaker for his room to let the guy finally go.

[kombu_kid]

Which would be ok in the states, but unfortunately here in Japan the definition of death is when the heart stops. Being brain dead is not going to stop doc's from trying to start your heart.

They would put you on a heart/lung machine and they can not remove it, by law, until you were able to breathe on your own.

I know of a guy here who had a massive stroke when he was around 45 years old, he has been in a vegetative state for nearly 40 years on a heart and lung machine. No brain activity what so ever, feeding tubes directly into his stomach, all curled up like a baby. Sad as hell for the family.

I seriously wanted to "accidentally" trip over the cord cut it and pop the breaker for his room to let the guy finally go.

Whoa!.....who in the hell is footin' the bill? The gov't? I believe I heard that a person's body will "shrink" in that state.....over the years. Talk about ridiculous and sad.....I thought Japan would be a little more cutting edge in situations like these.

[Crazysix]

Well, as slow as the ambulances drive there I would say the only way you would make it to the hospital alive is if you lived within 2 blocks of it. I have passed ambulances before, who had their lights and sirens on, and seemed like they were only doing the speed limit...

That's because they are on OKINAWAN TIME:grin1::grin1::grin1:

[Muku]

You might try a google search. Several years before my mother-in-law died, we decided that we really needed a 'Power of Attorney' so that we could handle her medical and other affairs as she was getting more ill and at her age, dementia was certain if she lived for awhile. I, having not been in that situation before, contacted a few lawyers, along with the local Probate Court, who all informed me that the Power of Attorney JUST HAD to be prepared by a lawyer(shyster) and would cost somewhere between $1,000.00 and $2,000.00. Wrong!!
I did a google search and found a free form that was just what we were looking for, downloaded it, filled in the blanks, took the form and Grandma to a local Notary Public, who witnessed Grandma's signature, applied the Notary Stamp, and we were good to go. Total cost- about $3.00. We used this at numerous hospitals, nursing homes, etc, up
until grandma died and even after,
Laws are a bit different here, the family would have the final say on whether or not any extended or invasive procedures would be done to keep a person alive.

[Muku]

Well, as slow as the ambulances drive there I would say the only way you would make it to the hospital alive is if you lived within 2 blocks of it. I have passed ambulances before, who had their lights and sirens on, and seemed like they were only doing the speed limit...
Speaking from experience here it is because by law here ambulances are not allowed to speed. They do have the right of way and can go through red lights etc etc but they can not go over the speed limit.

[hankypanky]

Wouldn't worry too much RB, once they took a look at ya, i'm sure they would just let you lay there and die:D

[Muku]

Whoa!.....who in the hell is footin' the bill? The gov't? I believe I heard that a person's body will "shrink" in that state.....over the years. Talk about ridiculous and sad.....I thought Japan would be a little more cutting edge in situations like these.

Generally speaking here, the government insurance system. The family would be paying somewhere between 70,000 to 100,000 per month but a large percentage of that would be refundable as well.

Non-billable items such as food costs, diapers, non-medical related necessities would be paid by the family. But even some of those as well can have a percentage refunded.

It gets to be a rather large burden on many families.

I went through an issue like this last year with my mother in law, and between my wife, her brother and I we decided not to have her placed on the heart/lung machine and my brother in law had to fill out a number of forms here to stop the doc's from inserting it. If we had not filled them out prior to her actually needing being placed on the machine the doctors would have had to do it if they could not get in touch with any of us to ask us what they should do or not do.

Again, if they had placed her on the machine she would probably still be alive today, but she would more than likely be in a vegetative state as well.

It was not an easy decision and it took at least a month of discussions between us and her doctors to come to that choice but in the long run we have no regrets, it was the best choice we could make for her.

[Crazysix]

Speaking from experience here it is because by law here ambulances are not allowed to speed. They do have the right of way and can go through red lights etc etc but they can not go over the speed limit.

stateside its the same, but they do allow you you to go 10 over ..... plus I dont trust these meat wagon drivers...worst patient care I have ever seen...Id sooner let a drunk perform an initial assessment:thumbdown::thumbdown:

[hankypanky]

Generally speaking here, the government insurance system. The family would be paying somewhere between 70,000 to 100,000 per month but a large percentage of that would be refundable as well.

Non-billable items such as food costs, diapers, non-medical related necessities would be paid by the family. But even some of those as well can have a percentage refunded.

It gets to be a rather large burden on many families.

I went through an issue like this last year with my mother in law, and between my wife, her brother and I we decided not to have her placed on the heart/lung machine and my brother in law had to fill out a number of forms here to stop the doc's from inserting it. If we had not filled them out prior to her actually needing being placed on the machine the doctors would have had to do it if they could not get in touch with any of us to ask us what they should do or not do.

Again, if they had placed her on the machine she would probably still be alive today, but she would more than likely be in a vegetative state as well.

It was not an easy decision and it took at least a month of discussions between us and her doctors to come to that choice but in the long run we have no regrets, it was the best choice we could make for her.

Muku, my sister in law is now in ICU with an advance stage of cancer, she has been having trouble breathing and they think the cancer has entered her lungs. They told the oldest son that if she was put on a respirator, that she would die if they took her off of it. Kinda confused with this one. Are they trying not to put her on it? Seems like they are trying to cut costs thinking that she will eventually die anyway.

They have already told the family to get ready. The parents are having a hard time, already had one daughter die at the hospital and now another. And i didn't know that reg insurance does not pay for cancer treatment either. They have a special insurance just for cancer that you can buy.

[Muku]

Muku, my sister in law is now in ICU with an advance stage of cancer, she has been having trouble breathing and they think the cancer has entered her lungs. They told the oldest son that if she was put on a respirator, that she would die if they took her off of it. Kinda confused with this one. Are they trying not to put her on it? Seems like they are trying to cut costs thinking that she will eventually die anyway.

They have already told the family to get ready. The parents are having a hard time, already had one daughter die at the hospital and now another. And i didn't know that reg insurance does not pay for cancer treatment either. They have a special insurance just for cancer that you can buy.

Hank I hope things turn out the best for your family. You could be very right about the costs involved, and making these types of decisions are heart wrenching at best.

[hankypanky]

Hank I hope things turn out the best for your family. You could be very right about the costs involved, and making these types of decisions are heart wrenching at best.

I just feel for my nephew, he is 22, making that kind of decision. She is divorced, so the the son is the man of the house. His sister flew in from japan, but has to go back soon. She Had breast cancer, then in her bones, they said she might have had breast cancer for 5-6 years before it got in her bones. Tried to start kemo last week, but got deathly ill and now the say her liver is attacked. hell she is only 46. Hope she makes it through the new year. Hate to have a drab holiday season because of a death in the family. My other sister in law died over 30 years ago and they still have yearly events for her. Told my wife, once an american dies, after they plant you, it's basically over, okinawans i think it's for 36 years before they go to heaven? Amazing.

Get those breast exams ladies! If not by the doc, go see GT, sure he will help you out.

[Crazysix]

Muku, my sister in law is now in ICU with an advance stage of cancer, she has been having trouble breathing and they think the cancer has entered her lungs. They told the oldest son that if she was put on a respirator, that she would die if they took her off of it. Kinda confused with this one. Are they trying not to put her on it? Seems like they are trying to cut costs thinking that she will eventually die anyway.

They have already told the family to get ready. The parents are having a hard time, already had one daughter die at the hospital and now another. And i didn't know that reg insurance does not pay for cancer treatment either. They have a special insurance just for cancer that you can buy.

what a load of bullocks(not you but his policy) like you wake up one day" OH I think I will get cancer today" govt FTL:thumbdown::thumbdown:

[hankypanky]

Japanese health care is good except when you get a terminal illness. then they basically write you off saying its your time. No transplants, advance cancer treatment etc. States have that beat in a heartbeat. They teach how to eat right and stay healthy, but if you get really sick, just die sucker is the feeling at the hospital.

Hell they did a poll with docs and about half don't even tell the patience if they are going to die. It's up to the family.

[Crazysix]

seems to blend in well with the culture, hell thats it..if I am diagnoised with cancer Im going to Thailand!!!!!!!

[hankypanky]

seems to blend in well with the culture, hell thats it..if I am diagnoised with cancer Im going to Thailand!!!!!!!

what for a sex change or a **** job?:D

[Crazysix]

what for a sex change or a **** job?:D

depending on how good she sucks knob maybe both:grin1:

[Biru San]

Speaking from experience here it is because by law here ambulances are not allowed to speed. They do have the right of way and can go through red lights etc etc but they can not go over the speed limit.



Take this from a retired firefighter... If I had a victim in the back of the rescue wagon in cardiac arrest... Laws be damned... I would put the pedal to the metal... Biru San B.F.D. (Retired) :old:

[socalheart]

RB, you can type up a DNR letter and have it translated, then give one to your doctor for your file. If you've been to the hospital nearest you already, you can give them one also for your file. The only glitch is if no one pulls your file before they try to resucistate.

[Muku]

RB, you can type up a DNR letter and have it translated, then give one to your doctor for your file. If you've been to the hospital nearest you already, you can give them one also for your file. The only glitch is if no one pulls your file before they try to resucistate.

The bigger glitch socal is having to put it on file with all hospitals that he could be potentially taken to, if and or when he keeled over.

Also Doc's here, like anywhere, have a tendency to try and save the patient prior to looking to see what their name is and if they have any files on the guy or gal they are working on. Plus if he does have a Doc that he regularly goes to for care that Doc may or may not have a working relationship with any of the area's larger hospitals either. There is quite a bit of leg work he would have to do to get this done in the first place, and even then the hospitals may not accept it either.

There is no such thing as a family practitioner off base per say. And the major hospitals that are designated as emergency centers might not even take a DNR request in the first place as well.

[SnaFu]

Get a mini suicide vest that blows up inward and have it wired to your heart. If it stops the vest blows. Nothing left to rescesitate. Save money on burial fees too!

[Muku]

Get a mini suicide vest that blows up inward and have it wired to your heart. If it stops the vest blows. Nothing left to rescesitate. Save money on burial fees too!

Who the hell is going to want to clean up RB's mess? Damn.........:argh14:

[SnaFu]

Who the hell is going to want to clean up RB's mess? Damn.........:argh14:

If the vest is rigged right the rain will wash what ever is left away.

[Zim the Invader]

Could always tattoo "just let me die" in japanese on either chest or forehead. If he's going to a hospital they will strip the shirt of and see it when they go to place sensors and such. But I recommend the forehead so that it's easily noticed in the field. Plus, if they don't see it when it's on the forehead it probably means the forehead is missing and you won't have to worry anyway.