Dr Jasvir Singh Grewal A Conference on End

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Dr Jasvir Singh Grewal A Conference on End of life Care. The role of

Dr Jasvir Singh Grewal A Conference on End of life Care. The role of FAITH

Who am I? • • • SIKH FAMILY MAN NEUROSCIENTIST DOCTOR EYE SURGEON

Who am I? • • • SIKH FAMILY MAN NEUROSCIENTIST DOCTOR EYE SURGEON

Divine name is the medicine for all ailments. ANG 274 GGSJ • SARAB ROGH

Divine name is the medicine for all ailments. ANG 274 GGSJ • SARAB ROGH KA AUKUD NAAM • NA ME= NO ME (REMOVAL OF “I” NESS) • DISEASE HAS NOWHERE TO ATTACH

SIKH / DR / EYE SURGEON/ NEUROSCIENTIST • SPIRITUAL QUOTIENT - SQ • EMOTIONAL

SIKH / DR / EYE SURGEON/ NEUROSCIENTIST • SPIRITUAL QUOTIENT - SQ • EMOTIONAL QUOTIENT- EQ • INTELLIGENCE QUOTIENT- IQ • Ph. D in cancer dies of brain cancer • NASA scientist- all modern healthcare said no cure. Cured hearing gurbani (FAITH) at golden temple.

Role of medicine? • Not just ensuring health and survival • To enable wellbeing

Role of medicine? • Not just ensuring health and survival • To enable wellbeing • Reasons one wishes to be alive • Not just end of life, or when debility comes, but all along the way

Peak-End rule: pleasure or pain • Final ratings-an average of 1 single worst moment

Peak-End rule: pleasure or pain • Final ratings-an average of 1 single worst moment and 2 the very end • Nobel prize-Daniel Kahneman. Book: Thinking Fast and Slow Brain has 2 ways to evaluate experiences 1 in the moment, 2 afterwards People have 2 selves: 1 Experiencing self, 2 remembering self-judges on 2 timepoints Conclusion: bad endings skew pain score upwards

We have room to act, to shape our stories but with time it’s within

We have room to act, to shape our stories but with time it’s within narrower and narrower confines • 1 cruel failure: to recognize they have priorities beyond being safe and living longer • 2 the chance to shape ones story is essential to sustaining meaning in life • 3 opportunities: to refashion our institutions, culture, conversations in ways that transform the possibilities for last chapters of everyone’s lives

Vital questions- Palliative Care • 1 what is your understanding of situation & potential

Vital questions- Palliative Care • 1 what is your understanding of situation & potential outcomes? • 2 what are your fears? • 3 what are your hopes? • 4 what are trade offs you are willing to make & not willing to make? • 5 what is best course of action that best serves this understanding?

Kito upje? Ke rahe? Ke mahe samave? Question • Where are we from? Answer

Kito upje? Ke rahe? Ke mahe samave? Question • Where are we from? Answer CREATOR • Why are we here? Connect with Creator/Creation • (bhei prapat manuk dihoria gobind milan ke eh teri baria) • Where do we go? CREATOR THERE IS NO END OF LIFE

GOAL OF FAITH: IN END OF LIFE CARE? LIFE UNTIL THE END Sources 1

GOAL OF FAITH: IN END OF LIFE CARE? LIFE UNTIL THE END Sources 1 GURU GRANTH SAHIB JI. 2 BEING MORTAL: Illness, Medicine and What Matters in the End by Atul Gawande.

GURU GRANTH SAHIB JI • Is a modern, scientific and universal scripture • Which

GURU GRANTH SAHIB JI • Is a modern, scientific and universal scripture • Which creates congenial environment for unity of God, equality of human being, interfaith dialogue, human dignity and freedom for one and all. • It also mentions the need to upkeep the purity and natural greenery of mother earth. • It is a highway to love, faith and truthful living • Prof. J. C Archer. . the religion of the Guru Granth sahib is a universal and practical religion. The world needs today its message of peace and love.