When is life worth living?

Dan Ariely
6 Aug 202409:55

Summary

TLDRThe speaker reflects on their life after suffering severe burns as a young person, which led to a prolonged hospital stay and constant pain. Initially consumed by pain, they questioned the worth of life with enduring suffering. Over time, as their condition improved, they began to see life as worth living despite the pain. However, they pondered the value of enduring extreme suffering for a potentially better life, eventually concluding that life is worth living, even with its challenges. The narrative delves into the societal perspective on the sanctity of life and the difficult decisions surrounding quality of life, drawing attention to the importance of considering when to prolong living versus dying.

Takeaways

  • 🔥 The speaker was severely burned, resulting in 70% of their body being affected and enduring a three-year hospital stay filled with intense pain.
  • 💉 Initially, the speaker's life was dominated by pain, to the point where they were receiving morphine injections four times a day to manage it.
  • 🔄 The speaker experienced a cycle of recovery and deterioration, which led to contemplation about the value of life amidst ongoing pain.
  • 🤔 They questioned whether life was worth living if the pain was to persist for the rest of their life, initially concluding that it was not.
  • 🌱 Around the third year post-injury, the speaker began to see life as worth living, despite the physical challenges and societal reactions to their appearance.
  • 🧐 The speaker contemplated the hypothetical scenario of future injury and whether the subsequent suffering would make their current life worth it, concluding it would not.
  • 💭 The idea of life not being worth living due to the severity of past suffering persisted until the speaker reached the age of 50.
  • 🌟 A change in perspective occurred at age 50, leading the speaker to now believe that life is worth living, even with the knowledge of having to relive past pain.
  • 🙏 The speaker emphasizes the profound impact of pain on life quality and the difficulty of those without pain understanding the depth of suffering it can cause.
  • 🏥 They argue that society should value a positive quality of life over life itself, suggesting that prolonging life at the cost of unbearable pain may not always be the right choice.
  • 🛑 The speaker shares a perspective from a friend in palliative care, highlighting the difference between living and dying as processes, and the importance of choosing to prolong living, not dying.

Q & A

  • What was the speaker's initial experience after being severely burned?

    -The speaker was consumed with thoughts of pain, receiving morphine injections four times a day, and was constantly preoccupied with the anticipation and management of pain.

  • How did the pain affect the speaker's perception of life during the first year of recovery?

    -The speaker was a 'pain person,' with no thoughts about the future, as pain was the only thing that occupied them.

  • What was the turning point that led the speaker to reconsider the value of life?

    -After about a year, the speaker started to get better and began questioning whether life was worth living with the ongoing pain.

  • What conclusion did the speaker reach regarding the value of life after three years of recovery?

    -The speaker concluded that life was worth living despite the pain, as they were able to engage in activities like going to university and watching movies.

  • How did the speaker's perspective on life change after contemplating the possibility of another injury?

    -The speaker questioned if it was worth going through another period of intense pain just to return to their current state of life, concluding that it was not.

  • What was the speaker's view on life's value up until the age of 50?

    -Until the age of 50, the speaker believed that the misery of the first three years of their life was not worth the quality of life they experienced afterward.

  • What change in perspective occurred for the speaker at the age of 50?

    -At 50, something changed in the speaker's perspective, leading them to believe that life is worth living even with the knowledge of having to go through the initial suffering again.

  • What does the speaker suggest society should consider sacred instead of life itself?

    -The speaker suggests that society should consider sacred a positive quality of life, rather than life at any cost.

  • According to the speaker, what is the essential question regarding when to prolong life?

    -The speaker believes the essential question is whether to prolong living when there is a high quality of life, or to prolong dying when there is not.

  • What does the speaker's friend in the palliative care department suggest about the process of dying?

    -The friend suggests that dying is not a moment but a process, and the question for patients and society is whether we want to prolong living or prolong dying.

  • What is the speaker's final stance on the topic of suffering and prolonging life?

    -The speaker concludes that if people are suffering too much and for a long time, we should not do everything we can to keep them alive, especially if the quality of life is not positive.

Outlines

00:00

🔥 Struggle with Chronic Pain and Reflections on Life's Worth

The speaker recounts their experience of enduring severe burns as a young person, which resulted in 70% of their body being affected and a three-year hospital stay. Initially, their life was dominated by pain, receiving morphine injections multiple times a day. The pain was so consuming that they began to question the value of life, especially if the pain were to persist indefinitely. Over time, as they started to recover and reintegrate into society, they reconsidered life's worth, acknowledging the ongoing pain but finding positivity in being able to participate in everyday activities. However, they also contemplated the hypothetical scenario of enduring such an injury again, questioning whether the subsequent life would be worth the initial suffering.

05:03

💭 Reevaluating Life's Value and the Sanctity of Life with Age

The speaker shares a profound transformation in their perspective on life's value as they aged. Initially, they believed that the intense pain and suffering they experienced were not worth the quality of life that followed. This belief persisted until they reached the age of 50. They reflect on the societal reverence for life and argue that it should be the quality of life that is sacred, not life itself. The speaker advocates for a nuanced approach to prolonging life, suggesting that when suffering is too great and enduring, the focus should be on living well rather than merely prolonging the dying process. They introduce the concept of dying as a process, not a moment, and the importance of choosing to prolong living with a high quality of life over extending the period of suffering. The speaker concludes with a contemplative note on the essential question of when to continue striving to live and when to accept the end of life, leaving the audience with a thought-provoking perspective on the value of life and the ethics of end-of-life care.

Mindmap

Keywords

💡Burn

A burn refers to an injury to the skin or other organic tissue primarily caused by heat or due to radiation, radioactivity, electricity, friction, or chemicals. In the script, the narrator describes being 'badly burned' as a young person, which led to a significant portion of their body being affected and a long hospital stay, setting the stage for the video's theme of enduring and overcoming pain.

💡Pain

Pain is an unpleasant sensation that can be felt throughout the body and is often a symptom of injury or illness. The script frequently mentions 'pain' as the central focus of the narrator's life during their recovery, emphasizing the constant struggle and the dependency on morphine injections to manage it. It illustrates the profound impact pain can have on one's existence and outlook on life.

💡Morphine

Morphine is a powerful opioid medication used to treat moderate to severe pain. In the context of the script, the narrator describes receiving 'painkillers injections of morphine' multiple times a day, highlighting the intensity of their pain and the reliance on strong medication to find some relief.

💡Treatment

Treatment refers to the medical care given to a person in order to help them recover from an illness or injury. The script describes the 'treatment' as a painful process, particularly the 'bath treatment' where bandages are removed, underscoring the physical and emotional challenges faced during recovery.

💡Quality of Life

Quality of life encompasses an individual's overall well-being and general health, including their physical health, mental state, and the social and cultural aspects of their life. The narrator contemplates their 'quality of life' in relation to the enduring pain and questions whether life is worth living with a reduced quality due to constant suffering.

💡Life Worth Living

The concept of 'life worth living' is a philosophical and personal evaluation of whether one's existence has value and meaning despite hardships. The script deeply explores this idea as the narrator grapples with the decision of whether the pain they endure makes life worth living, reflecting on their experiences and changing perspectives over time.

💡Palliative Care

Palliative care is a type of medicine that focuses on providing relief from the symptoms and suffering associated with serious illnesses, improving the quality of life for both the patient and their family. The script mentions a friend in the palliative care department, who raises questions about the choice between prolonging living versus prolonging dying, which ties into the broader theme of the video.

💡Dying

Dying is the process of approaching or nearing death, which can be a natural part of life's cycle or result from illness or injury. The script discusses 'dying' as a process rather than a moment, and it raises ethical questions about the value of life and when it may no longer be worth prolonging, especially when faced with severe pain or suffering.

💡Suffering

Suffering refers to the experience of pain, distress, or hardship. In the script, the narrator's 'suffering' is a recurring theme, both in terms of physical pain and the emotional turmoil of contemplating life's value. It is used to explore the limits of what one should endure and the potential for a life not worth living.

💡Life and Death

Life and death are the two fundamental states of biological existence, with life being the condition that distinguishes organisms from inorganic matter and death being the end of life. The script uses the concepts of life and death to explore the boundaries between living with dignity and enduring unbearable suffering, questioning the sanctity of life when faced with extreme pain.

💡Sacred

Sacred refers to something regarded with great respect and reverence, often associated with the divine or considered worthy of veneration. The script challenges the societal view that life itself is sacred, suggesting instead that it is the 'positive quality of life' that should be held sacred, and that enduring suffering does not necessarily equate to a sacred life.

Highlights

The individual experienced severe burns as a child, resulting in 70% of their body being affected.

Suffered through three years of hospitalization with intense pain, including multiple morphine injections daily.

Initially consumed by pain, with little thought for the future beyond the immediate need for relief.

The pain during bath treatments, where bandages were removed, was particularly distressing.

A year after the injury, they began questioning the worth of life, considering the ongoing pain.

At one point, they concluded that life was not worth living if the pain continued perpetually.

By the third year of injury, they reassessed life's worth, finding value in being able to participate in society despite the pain.

Contemplated the hypothetical scenario of enduring another injury and the value of life thereafter.

At age 50, their perspective shifted, coming to believe that life, even with the past suffering, is worth living.

Reflects on the difficulty of those without pain to understand the misery it can cause and its impact on life's worth.

Proposes that society should value a positive quality of life over life itself, questioning the sanctity of life at any cost.

Considers the ethical dilemma of prolonging life versus prolonging suffering, especially in cases of severe pain.

Shares a perspective from a friend in palliative care about the distinction between living and dying as processes, not moments.

Questions the societal approach to always prolong life, suggesting a reevaluation of when to cease efforts to prolong suffering.

Implies a need for a deeper conversation about the conditions under which life should be considered not worth prolonging.

Ends the discussion with a note on the complexity and potential depression of the topic, indicating a return to other subjects later.

Transcripts

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I was badly burned when I was very young

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and 70% of my body about 3 years in

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hospital very very tough

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experience and in the beginning I was a

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a pain person I think about this

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terminology um pain was the only thing

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that occupied me um I had lots of pain

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uh few times a day I could get pain

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painkillers injections of morphine four

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times a

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day and I would very carefully think

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about when I want to get the next

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injection so it would last me the whole

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day or as much as possible um but I was

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basically consumed with the thoughts

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about

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pain the pain during the treatment the

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bath treatment where they would take off

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my bandages was especially painful uh

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but I had pain all the time and I was

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thinking about pain all the time

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dreading it all the time thinking about

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how to get some peace of mind and I was

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a pain person I was just thinking about

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pain nothing

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existed okay so I got injured lots of

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thoughts about pain um not really any

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thoughts about the future and then I

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started getting

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better maybe a year after my my injury I

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started getting

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better um and then I had another

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deterioration uh and then then again I

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started getting getting better and as I

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was starting to get better I was

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starting to think about whether life is

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worth it I still had pain not as bad in

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the first year but I still had pain and

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I started thinking about whether life

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was worth

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it and asked myself what if the pain

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would continue like this through the

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rest of my life is it worth it is it is

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it good enough Life to Live with this

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level of

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pain and and I concluded that the answer

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was

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no uh but then I was also hoping that

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things would get better and inde did

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things get

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better and at about year three of my

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injury I went back to the questions of

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is life worth

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it and I kind of concluded that at the

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moment life was worth it I have gone

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through three years of really torturous

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pain I was really uh at that point I was

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kind of out of

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Hospital sort of into

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society um yes I looked strange and

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people reacted in strange ways but I was

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able to go to university and go to see

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movies and be out and about a little bit

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and and I I concluded life is is is

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worth

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living but then then I thought about

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what if I got injured again so imagine

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three three years of terrible life and

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now my sort of okay life and I asked

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myself is it is it worth it like from

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now on it was

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okay I said from now on U life is is

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positive it's I still have pain every

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day by the way I still it's many years

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afterward I still have pain every day

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it's uh but but I said okay I have pain

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every day it's not it's not as great as

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it was before my

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injury but life right now is positive if

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this is neutral it was positive not

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great but positive but I asked myself

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what if I got injured again and I had to

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suffer again three years of terrible

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life just to go to where I am right now

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is it worth it and my conclusion was

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it's

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not and I remember thinking that if

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my kids

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I didn't have kids at the time but if my

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future kids would get injured this way

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and I had to decide if to keep them

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alive uh or

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terminate I thought it's better to

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terminate I thought it would be and I

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thought about it myself as well I

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thought if I didn't live through this

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injury um overall it would be a

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better a better idea that the first few

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years were just so torturous that the

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quality of life after that was not was

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not worth

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it and I kept on thinking this way until

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about age 50 just think about it I got

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injured when I was between 17 and

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18 up to age 50 I thought that the the

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misery if you drew a line the misery of

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the first three

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years was not worth the quality of life

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that I got from uh after after that um

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at age 50 something

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changed uh a discussion for another time

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and and now I think life is is worth it

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um like I think if I had to go through

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it again like put me back to

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age um to the time of the injury and say

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you know okay you'll have these three

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years but then you'll have this life

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afterward is it worth it or not

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I think right now yes it will be

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Dreadful to go through it again but but

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I think it would be worth

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it but up to age 50 I would have said no

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if somebody said would you prefer to die

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now or to have this life ahead of you

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with three miserable year and

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then relatively good life

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um yeah I I I I would have I would have

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said no up to age 50 and now I would

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have said yes not not with happiness I'm

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just thinking about it right now

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about going back through this injury and

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and just just just even the

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the the question about would I do it

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again is is very

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very heavy and and and painful

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but anyway for for whatever it's it's

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worth uh I used to think it's not worth

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it now I think it's worth

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it um where am I heading with all of

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this I think that people who are not

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experiencing

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pain don't understand how miserable pain

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is and they don't understand that

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even small amounts of pain uh can make

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life

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unbearable and it really made me made me

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think about what are the tradeoffs that

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we're making about staying alive at all

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costs when is life not worth it

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and and I'm of the I I I think

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that the moment people experience

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pain at at a high

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level and they'll keep on experiencing

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that pain for a

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while I think life is not not worth it

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like the the life has to be at least

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positive it can't be it can't be

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negative and I think it's very easy for

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life to be to be

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negative so where does this lead us I

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think as a society we think of life as

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sacred and I I can see

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why but I think that what we should keep

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sacred is not life but life at a

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positive quality of life and keeping

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life at a nonpositive quality of life is

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um shouldn't be sacred

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I think that if people are suffering too

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much and they're going to suffer for a

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long

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time I I don't think we should do

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everything we can to keep them alive and

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I think by the way it's true for

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physical pain and also in some cases for

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mental

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pain so I know it's a it's a depressing

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topic but I think it really comes to the

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very essential question

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of when should we try to keep our self

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alive and other

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people and under what condition should

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we

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say let's close

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shop uh let's uh say thank you for what

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we had so far but let's not

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compete let's let's not try to to

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prolong

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pain I have a friend in the paliative

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care

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Department who says that the way he

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explains things to his patients

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he says there's living and there's dying

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he says people think about dying as a

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moment but dying not is not a moment

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dying is a

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process and he says the the question to

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you my patient and I think the question

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to all of us

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is what do we want to prolong do we want

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to prolong living or do we want to

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prolong

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dying and I think we should certainly

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prolong living as long as people have a

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high quality of life

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uh we should prolong living but should

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we prolong dying I don't think so I

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don't think so um okay so with these uh

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complex and somewhat depressing thoughts

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I'll leave you for now and we'll talk

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about other topics later

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Pain ManagementLife ValueQuality of LifeSuffering EthicsPersonal NarrativeEnduranceMental HealthPhysical PainLife DecisionsExistential Question
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