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Oregon Couple鈥檚 Final Days Captured In Intimate Aid-In-Dying Video

Charlie and Francie Emerick rest after a rousing family croquet game at daughter Jerilyn鈥檚 home in Portland, Ore., in May 2016. They died together less than a year later after both being diagnosed with terminal illnesses. (Courtesy of Jerilyn Marler)

On the last morning of their lives, Charlie and Francie Emerick held hands.

The Portland, Ore., couple, married for 66 years and both terminally ill, died together in their bed on April 20, 2017, after taking lethal doses of medication obtained under the state鈥檚 law.

Francie, 88, went first, within 15 minutes, a testament to the state of her badly weakened heart. Charlie, 87, a respected ear, nose and throat physician, died an hour later, ending a long struggle that included prostate cancer and Parkinson鈥檚 disease diagnosed in 2012.

鈥淭hey had no regrets, no unfinished business,鈥 said Sher Safran, 62, one of the pair鈥檚 three grown daughters. 鈥淚t felt like their time, and it meant so much to know they were together.鈥

In the two decades since Oregon became the first state to legalize medical aid-in-dying, have died there after obtaining lethal prescriptions. The Emericks were听among 143 people听to do so in 2017, and they appear to be the only couple to ever take the drugs together, at the same time, officials said.

The pair, early members of the 1980s-era , had supported the choice for years, and, when their illnesses worsened, they were grateful to have the option for themselves, family members said.

鈥淭his had always been their intention,鈥 said daughter Jerilyn Marler, 66, who was the couple鈥檚 primary caretaker in recent years. 鈥淚f there was a way they could manage their own deaths, they would do it.鈥

Before they died, the Emericks agreed to allow Safran and her husband, Rob Safran, 62, founders of the , of Kirkland, Wash., to record their final days and hours. At first, the video was intended just for family, but then Safran asked her parents for permission to share it publicly.

鈥淚 think it can help change the way people think about dying,鈥 she said.

Sher and Rob Safran talk about 鈥淟iving & Dying: A Love Story,鈥 their documentary that covers the final week of Sher鈥檚 parents鈥 lives. Sher鈥檚 parents, Charlie and Francie Emerick of Portland, Ore., exercised Oregon鈥檚 Death With Dignity option 鈥 together. (Dan DeLong for KHN)

The result is a 45-minute documentary that details the background of the Emericks鈥 final decision and their resolve in carrying it out.

Shot mostly with handheld smartphones, the video captures the intimate moments of the couple鈥檚 preparations in their last week of life.

Charlie Emerick was a former medical missionary in India and chief of ENT at a Portland-area Kaiser Permanente hospital. (Kaiser Health News is not affiliated with Kaiser Permanente.) He was diagnosed with Parkinson鈥檚 disease in 2012, after dealing with symptoms of the disease for years. He suffered from prostate cancer and heart problems and learned in early 2017 that he had six months or less to live. In the documentary, he described his thoughts as he pondered whether to use aid-in-dying.

Dr. Charlie Emerick was a respected ear, nose and throat physician who took his family to Miraj, India, where he opened a clinic. Here, the Emericks are standing in a sugar cane field in India in the mid-1960s. (Courtesy of Jerilyn Marler)

鈥淵ou keep going, Charlie, you鈥檙e going to get worse and worse and worse,鈥 he explained to Sher Safran, in a quavering voice. 鈥淭he other can鈥檛 be worse than this.鈥

Francie Emerick, who handled marketing and public relations for the hospital in India, appears vital and articulate in the video. Her daughters, however, say that her energy was fleeting and that it masked years of decline following multiple heart attacks and cancer.

In the video, Francie acknowledged that she could have survived a bit longer than her husband. But, she said, she didn鈥檛 want to.

鈥淐harlie and I have a rather unique relationship in that we have done and been so much to each other for 70 years,鈥 she said.

The pair carefully followed the specifics of the law, which requires examinations by two different doctors to determine a prognosis of six months or less to live, multiple confirmations of intent and the ability of patients to ingest the lethal drugs themselves. The process takes a minimum of 15 days.

鈥淲e do want it to be legal,鈥 Francie said.

Francie and Charlie Emerick met as college students in Nebraska and were married on April 4, 1951. Their first daughter, Jerilyn, was born nine months and 10 days later. (Courtesy of Jerilyn Marler)

The video traces the arc of the couple鈥檚 lives. The Emericks met as college students in Nebraska, married on April 4, 1951, and spent years in the 1960s as medical missionaries in Miraj, India. Dr. Emerick鈥檚 career took them to Southern California and then to Washington state, to India and ultimately to Oregon, all while raising three girls. In 2004, they moved into an apartment in a retirement community in Portland.

That鈥檚 where the Emericks died on a cloudy Thursday last spring, six days after a family celebration that included their children and grandchildren 鈥 and, at Francie鈥檚 request, root beer floats. The gathering was happy, but bittersweet, family members said.

鈥淭here were moments that they expressed great sadness at the goodbye that was coming,鈥 Marler recalled.

The Emericks sought help from Linda Jensen, a veteran team leader with End of Life Choices Oregon, a nonprofit agency that supports people seeking to use the state鈥檚 Death With Dignity law.

鈥淭hey were pretty well informed,鈥 said Jensen, who has assisted with dozens of deaths in 13 years. 鈥淲hat they wanted to understand was what a planned death really looks like.鈥

The video includes a meeting between Jensen and the Emericks two days before they died. It would be nothing like dying on TV, she told them.

鈥淵ou do not lose control of your bowel or bladder. You do not gasp for breath,鈥 she explained. Instead, she said, they would simply go to sleep.

Rob and Sher Safran, owners of Share Wisdom TV Network, pose in the studio in their Kirkland, Wash., home on Dec. 12, 2017. The couple made the documentary 鈥淟iving & Dying: A Love Story,鈥 about the final week of Sher鈥檚 parents鈥 lives. (Dan DeLong for KHN)

Sher Safran searches for a specific moment from the documentary, which she says also serves a larger purpose: helping others to understand how aid-in-dying works. (Dan DeLong for KHN)

The Emericks went over the plan: no breakfast, just pills to calm their stomachs at 9 a.m., followed by the lethal drugs an hour later.

Safran and Marler appear calm and determined as they help finalize their parents鈥 arrangements.

鈥淭here was a lot of grieving ahead of time because we knew it was coming,鈥 Marler said.

Some members of the family disagreed with the couple鈥檚 decision, but the Emericks were determined.

鈥淵ou two have never wavered?鈥 Safran asked her mom.

鈥淲e have not,鈥 Francie replied.

The video captured details of the final morning: Charlie saluting the camera farewell as he鈥檚 wheeled down the hall, Safran鈥檚 tearful last hug from her mother, Charlie and Francie clasping hands after they swallow the drugs.

鈥淚t just takes such a huge amount of internal strength and self-knowing to face that choice, to make that choice and then bring along all the people that love you and are going to miss you,鈥 Jensen said.

There was no funeral after the deaths. The Emericks had donated their bodies for research through a program at the and any remains wouldn鈥檛 typically be returned for two or three years, a spokeswoman said.

In the interim, the video has become comforting and precious to the family, said Safran.

鈥淚t鈥檚 very lovely, just to hear their voices,鈥 she said.

A still image from Sher and Rob Safran鈥檚 documentary about Sher鈥檚 parents, Charlie and Francie Emerick. (Courtesy of Sher and Rob Safran)

The documentary also serves a larger purpose: helping others to understand how aid-in-dying works, she said.

Carol Knowles, 70, was a member of Francie Emerick鈥檚 book club. The Emericks didn鈥檛 tell other residents about their plans. Knowles said she was surprised when they died the same day 鈥 until she saw the documentary.

鈥淚 thought it was brave and beautiful,鈥 she said. 鈥淵ou could see the care with which Charlie and Francie had made that decision.鈥

Another member of the group expressed concern, however, saying her religion prohibited any efforts to hasten death. Knowles said she plans to take the documentary to the retirement center鈥檚 social worker before showing it more widely.

鈥淲e want to do it in a way that will not scare them or make them feel uncomfortable,鈥 she said.

Stephen Drake, research analyst for the disability rights group had serious reservations about making the video public. He worried that presenting aid-in-dying in a positive light 鈥渃hanges the expectations; this romanticizes the idea of not just suicide, but a double suicide,鈥 Drake said.

Safran said she expects strong reactions 鈥 including criticism 鈥 for chronicling her parents鈥 final days. But she said the documentary honors the Emericks鈥 belief that, if possible, everyone should have a say in when and how they die.

鈥淲e have a faith that says life is not to be worshipped,鈥 Francie said. 鈥淚t鈥檚 the quality of life that counts.鈥


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