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“Choices as the End of Life Approaches”

Hernan Drobny Atenction

By Jon Sievert

At this week’s Unitarian Universalist Fellowship Service, Dr Hernán Drobny discusses the choices and decisions that we are empowered make as the end of life approaches.

Death is inevitable. Yet even after a person learns they have a mortal condition, the remaining period of life can be rich and fulfilling. Many people, upon understanding that their death is foreseeable, speak of a deepening moment-to-moment sense of life. They feel the time remaining is precious and want to share it with those they love. This presentation will offer perspectives on maximizing the quality of this important period of a life through the decisions you can make about your medical care.

The patient and family can make choices that will provide an opportunity to spend this valuable time together. People want to be in control of decisions about their care at the end of life. Yet frequently there are numerous factors that can work against realizing this. Thinking about your preferences and discussing them well in advance increases the chance that you will die in peace and in some control of your situation. Close family members are less likely to suffer from depression after the death of a loved one when these conversations have taken place.

You have choices as the end of life approaches. You can choose where you want to die, you can continue or stop treatments, you can ask to be discharged from a medical institution. Yet there are influences and forces in our society that encourage medical interventions and efforts to cure a condition that is not curable. These efforts can be counterproductive.

Other options to be discussed includes hospice, palliative care, terminal sedation, and the movement to empower individuals to choose the time of their death. A dignified experience at the end of life, with opportunities for rich spiritual sharing with people you love, requires practical decisions regarding the care and support necessary during this time of life.

Hernán Drobny, MD is board certified in internal medicine. He taught and practiced clinical medicine for more than 35 years at the University of Michigan. In 2002, he started one of the first consulting practices as a patient advocate by a physician. He wrote Your Health, Your Choice (second edition published last year) with the goal to empower individuals to effectively participate in making decisions about their own health care. He lives in Ann Arbor, Michigan and San Miguel de Allende

The UU Fellowship meets every Sunday at 10:30am at Posada de la Aldea, Ancha de San Antonio 15, and welcomes people of all ages, races, religions, sexual orientation, and gender identity. The meeting room is wheelchair accessible. For information about our Children’s Sunday Program, contact us at Please visit our website at


UU Service

“Choices as the End of Life Approaches”

By Dr. Hernán Drobny

Sun, Apr 8, 10:30am

Posada de la Aldea, Ancha de San Antonio 15




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