As the state legislature considers SB 128, which would legalize physician-assisted suicide in California, Impatient is featuring people's stories about how they or a loved one dealt with an end-of-life situation.
Last week, we shared the story of Amber Phillips of Pasadena, who regrets resisting her mother's requests to stop treatment for breast cancer. This week we bring you the story of Stephanie Packer of Orange, who is determined to live as long as possible as she confronts the end of her life.
A terminal diagnosis
It’s lunch time on a recent spring break afternoon and Stephanie Packer is in her kitchen, preparing lunch with her four children.
"Do you want to help?" she asks the eager crowd of siblings gathered tightly around her at the stovetop.
"Yeah!" yells 5-year-0ld Savannah.
"I do!" says Jacob, 8.
Calmly managing four kids as each vies for the chance to help make chicken salad sandwiches can be trying. But for Packer, these are the moments she cherishes.
In 2012, after suffering a series of debilitating lung infections, she went to a doctor who diagnosed her with scleroderma. The autoimmune disease causes hardening of the skin and (in about one third of cases) other organs. The doctor told Packer that it had settled in her lungs.
"And I said, 'OK, what does this mean for me?'" she recalls. "And he said, 'Well, with this condition...you have about three years left to live.'"
Initially, Packer recalls, the news was just too overwhelming to talk about with anyone - including her husband.
"So we just..carried on," she says. "And it took us about a month before my husband and I started discussing (the diagnosis). I think we both needed to process it separately and figure out what that really meant."
Packer, 32, is on oxygen full time, and she takes a slew of medications.
She says she has been diagnosed with a series of conditions linked to or associated with scleroderma, including lupus, gastroparesis, Raynaud's phenomenon, interstitial cystitis and trigeminal neuralgia.
Packer's various maladies have her in constant, sometimes excruciating pain, she says, noting that she also can't digest food properly and is always "extremely fatigued."
Some days, Packer says, are good. Others are consumed by low energy and pain that only sleep can relieve.
"For my kids, I need to be able to control the pain because that’s what concerns them the most," she adds.
Assisted suicide will never be an option
Packer was 29 when she got her terminal diagnosis, the same age as Brittany Maynard, who last year was diagnosed with terminal brain cancer. Maynard, of northern California, opted to end her life via physician-assisted suicide in Oregon last fall. Her quest for control over the end of her life continues to galvanize the "right-to-die" movement nationwide.
But unlike Maynard, Packer says physician assisted suicide will never be an option for her.
"Wanting the pain to stop, wanting the humiliating side effects to go away - that’s absolutely natural," Packer says. "I absolutely have been there and I still get there some days. But I don’t get to that point of wanting to end it all, because I have been given the tools to understand that today is a horrible day, but tomorrow doesn’t have to be."
She and husband Brian, 36, are devout Catholics. They agree with their church that doctors should never hasten death.
"We're a faith-based family," he says. "God put us here on earth and only God can take us away and he has a master plan for us and if suffering is part of that plan, which it seems to be, then so be it."
They also believe if SB 128 passes, it would create the potential for abuse. Pressure to end one’s life, they fear, could become a dangerous norm, especially in a world defined by high-cost medical care.
"Death can be beautiful"
Instead of fatal medication, Stephanie says she hopes other terminally ill people consider existing palliative medicine and hospice care.
"Death can be beautiful and peaceful," she says. "It’s a natural process that should be allowed to happen on its own."
Stephanie's illness has also forced the Packers to undergo significant lifestyle changes. Brian has traded his full-time job at a lumber company for weekend handyman work at the family church. The schedule shift allows him to act as primary caregiver to Stephanie and the children. But the reduction in income forced the family of six to downsize to a two-bedroom apartment it now shares with a dog and two pet geckos.
But even so, Brian says, life is good.
"I have four beautiful children. I get to spend so much more time with them than most head of households," he says. "I get to spend more time with my wife than most husbands do."
And it's that kind of support - from family, friends and those in her community - that Stephanie says keeps her living in gratitude, even as she struggles with her terminal illness and the realization that she will not be there to see her children grow up.
"I know eventually that my lungs are going to give out, which will make my heart give out and I know that's going to happen sooner than I would like; sooner than my family would like," she says. "But I'm not making that my focus. My focus is today."
Stephanie says she is hoping for a double lung transplant, which could give her a few more years. In the meantime, next month marks three years since her doctor gave her three years to live. So every day, she says, is a blessing.
Tell us your story
Practically everyone who's been touched by death has an opinion on end-of-life care. We're collecting your stories on this issue (you can still submit yours here) and keeping an eye out for other interesting perspectives.
And if you want to participate in a live discussion on this topic, don't miss this upcoming town hall in our Crawford Family Forum that I will be hosting on April 29.