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              <text>A gifted artist, young mother and friend&#13;
lost all hope... took her own life.&#13;
&#13;
Her death,&#13;
a blow to both family and few remaining friends. &#13;
&#13;
Her suicide was a personal tragedy, but&#13;
I also believe, an emergency&#13;
that our community failed to see coming.&#13;
&#13;
Whether death was preventable&#13;
may never be clearly determined.&#13;
&#13;
True, she distanced herself from her family.&#13;
&#13;
Alienated her few remaining friends.&#13;
&#13;
But, indications of her physical ailments,&#13;
legal difficulties, mental and emotional distress&#13;
had been noted by case-workers, counselors, medical personnel.&#13;
&#13;
She could not hold a steady job.&#13;
Had no income, savings or insurance.&#13;
Lost custody of her two children.&#13;
Suffered repeated migraine headaches so debilitating&#13;
she repeatedly went to the emergency room for temporary relief.&#13;
When at an earlier point there was insurance,&#13;
she was seeing a neurologist, though treatments brought no lasting relief.&#13;
She developed a series of medical ailments;&#13;
untreated, or when medications were prescribed,&#13;
did not respond.&#13;
&#13;
As neither case-worker, counselor,&#13;
doctors, or drugs were able to help her reclaim&#13;
control of her well-being... she may have lost hope.&#13;
&#13;
And felt her life was simply&#13;
too much to bear.&#13;
&#13;
For me her death raises questions having no answers.&#13;
&#13;
Are we collectively able to recognize &#13;
how and when personal emergencies are also&#13;
community tragedies?&#13;
&#13;
Could, or can we, learn to see connections&#13;
between needs of the former, and &#13;
the latter's ability, means or will to respond - &#13;
and eventually impact the kind of community we live in?&#13;
&#13;
People injured in car accidents...&#13;
Folks or animals trapped in burning buildings or barns...&#13;
Damaged homes and downed power-lines...&#13;
Rescues required from rising flood water...&#13;
&#13;
These emergencies are visible and direct:&#13;
The need for action apparent, and later&#13;
friends and neighbors offer support, hold benefit suppers ,&#13;
communal barn raisings.&#13;
&#13;
But how do 'we' respond&#13;
to less visible emergencies?&#13;
&#13;
The personal ones,&#13;
particularly those where there may be a perception...&#13;
some of an individual's struggles are (were) &#13;
self-inflicted?&#13;
&#13;
How well are we willing and able to care for the most vulnerable among us?&#13;
&#13;
Asked what happens when a patient can no longer pay...&#13;
&#13;
Her neurologist replied:&#13;
"She will simply ball-up on the floor&#13;
writhing in pain."&#13;
&#13;
Such a response seems hardly adequate or compassionate.&#13;
&#13;
At the time of her death&#13;
there was no coherent, continuous communication&#13;
between multiple caregivers.&#13;
&#13;
Given various patient confidentiality policies, &#13;
no comprehensive holistic plan could be developed&#13;
addressing her diverse needs&#13;
in an integrated manner. &#13;
&#13;
Had she received the care and support necessary&#13;
to reclaim, even a modicum of control over her life,&#13;
&#13;
What kind of contribution might this talented,&#13;
but deeply troubled person, in time,&#13;
afford our community? &#13;
&#13;
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                <text>A poem by Bruce Towl.</text>
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