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Case Study: End of Life Decisions
George is a successful attorney in his mid-fifties. He is also a legal scholar, holding a teaching
post at the local university law school in Oregon. George is also actively involved in his teenage
son’s basketball league, coaching regularly for their team. Recently, George has experienced
muscle weakness and unresponsive muscle coordination. He was forced to seek medical
attention after he fell and injured his hip. After an examination at the local hospital following his
fall, the attending physician suspected that George may be showing early symptoms for ALS
(amyotrophic lateral sclerosis), a degenerative disease affecting the nerve cells in the brain and
spinal cord. The week following the initial examination, further testing revealed a positive
diagnosis of ALS.
ALS is progressive and gradually causes motor neuron deterioration and muscle atrophy to the
point of complete muscle control loss. There is currently no cure for ALS, and the median life
expectancy is between three and five years, though it is not uncommon for some to live 10 or
more years. The progressive muscle atrophy and deterioration of motor neurons leads to the loss
of the ability to speak, move, eat, and breathe. However, sight, touch, hearing, taste, and smell
are not affected. Patients will be wheelchair bound and eventually need permanent ventilator
support to assist with breathing.
George and his family are devastated by the diagnosis. George knows that treatment options only
attempt to slow down the degeneration, but the symptoms will eventually come. He will
eventually be wheelchair bound, and be unable to move, eat, speak, or even breathe on his own.
In contemplating his future life with ALS, George begins to dread the prospect of losing his
mobility and even speech. He imagines his life in complete dependence upon others for basic
everyday functions, and perceives the possibility of eventually degenerating to the point at which
he is a prisoner in his own body. Would he be willing to undergo such torture, such loss of his
own dignity and power? George thus begins inquiring about the possibility of voluntary