Friday, November 27, 2020

Lecretia Seales

From https://lecretia.org/about/

Lecretia Seales was a lawyer based in Wellington, New Zealand. She was diagnosed with brain cancer in 2011. In January 2015, Lecretia’s health entered a decline despite her treatments and she came to the end of her options for treating the cancer effectively.

She began to review her end-of-life alternatives. She discovered that if she was very lucky, she might die quickly, but that the more likely outcome was that she would have to undergo a drawn out, undignified death, after losing her mental faculties and all quality of life. Her other alternative was suicide.

Lecretia would have liked the choice to receive physician-assisted death, to bring about her demise before she entered a long, pointless and wasteful period of suffering prior to her death.

On 20 March 2015, Lecretia and her lawyers filed a statement of claim with the High Court of New Zealand arguing that her GP should not be prosecuted under the Crimes Act 1961 in assisting her in her death with her consent, and that under the Bill of Rights Act 1962 she had the right to not be subjected to the unnecessary suffering of a long, cruel death. Her claim was denied.

Lecretia’s case brought awareness to the plight of the terminally ill, and through her hearing she both clarified the current state of New Zealand law and catalysed New Zealand politicians into engaging with the issue of assisted dying for the first time in more than a decade.

Lecretia passed away on 5 June 2015, the same day the judgment was released to the public. In December 2015, Lecretia was named New Zealander of the Year by the New Zealand Herald.

Parliament had attempted to legislate assisted dying or euthanasia three times since 1995 but all had been blocked. The End of Life Choice Act was passed in November 2019 with the proviso that a public referendum needed 50% support before the Act became law. In October 2020, it passed with 65% and will become law on January 1, 2021. 

If a person requests assisted dying, two doctors – the person’s doctor and an independent doctor – must agree the person meets all the criteria:

  • is suffering from a terminal illness likely to end their life within six months
  • significant and ongoing decline in physical capability
  • unbearable suffering that cannot be eased in a manner that the person finds tolerable; and
  • be able to show they can understand the decision and communicate their response.
The person then chooses a method, date, and time and can change their mind at any time. The lethal dose can be administered by the person (ingested or intravenously) or the doctor (feeding tube or injection). In Victoria, Australia, where it is already legal, most people ingest pentobarbital as a drink.

I mention all of this for two reasons. First, obviously, the option of physician-assisted dying has become very personal to me, and I am very grateful this is an option. And second, because my wife and I were house-hunting and looked at a home just a few blocks from us. It's very hard to go house-hunting because it's a constant reminder that at some point my wife will not be able to use stairs, and may not be able to get out of bed, and we want a place that she will be happy in.

This particular house was perfect: One level, on the flat, just a short walk from the shops, quiet with a lovely deck and backyard. The vendor said she was selling the house on behalf of her niece, who had died a few years previously. We noticed handrails in the shower and asked if she had mobility issues. That's when the vendor told us her niece was Lecretia Seales.

I'd only been in New Zealand about six months when her court case unfolded on television but I remembered it well, especially how heartbreaking it was she died the same day they unsealed the judgment. Unfortunately we did not get the house -- the New Zealand property market is out of control, and we were outbid by a significant amount -- but it was only because of that interaction that I realised the End of Life Act was a direct response to her case, and that I owe a debt of gratitude to this woman I'd never met.

Thursday, November 26, 2020

Queenstown hotel and spa

My wife and I found a hidden gem in Queenstown. Technically, it's in Frankton, about 10 minutes from Queenstown, between the airport and Lake Wakatipu. We spent four nights there, with all meals included, and the best part, it was free*!

I should note they didn't have a pool or a masseuse (though they did offer physio and, uh, "colonics") and they only had single beds and shared bathrooms/showers. There was a lounge with piano, but we didn't discover that until the third night. (To be fair, it was behind a plastic curtain that said "red zone" and it took us several days to work up the courage to go through.)

If you want to go, the place is called Lakes District Hospital, but I should warn you they're quite particular about who they let in. Collapsing outside the ambulance bay seems to be a good way to gain entrance, though.

At the beginning of the year, the airlines had a sale and I booked a 3-day trip to Queenstown, including an all-day coach/cruise tour of Milford Sound, which is supposed to be one of the most beautiful places in New Zealand. (And there's a lot of beautiful places in NZ!) Of course that got cancelled and the airline and tour gave us credit, not refunds. A few months ago, there was another sale so I rebooked the flight for November. Then I found out the Milford Sound tour was now only offered Fridays and Saturdays, and the new flight landed Saturday afternoon.

Last month and I got an email that the flight had been "impacted" by Covid-19, so I could accept it or change to a different flight for free. The "impact" turned out to be the flight was ten minutes later, but I took advantage of the offer to move the flight to Friday, and then booked the Milford Sound tour on Saturday. Then I found out that the Airbnb I booked was not available on Friday.

Then I had a brilliant idea: We could rent a campervan. My wife had wanted to do this for years, but pre-Covid, these were ridiculously expensive and often had a minimum booking of one or two weeks. Post-Covid, with no international travellers, they were less than NZ $100/day and you could rent them for a weekend. I booked a 7-meter, three-berth van with a toilet, hot water shower, kitchen and bbq.

A couple of weeks before the trip, my wife developed nausea so the doctors gave her some new meds to try. On the morning of the flight she was feeling ok but by the time we landed, just an hour later, she was pretty miserable. It was a ten minute walk to the campervan pickup and I, being cheap, refused to pay for a taxi. Along the way we passed the hospital and my wife announced she was going there.

Obviously in hindsight I should have gone with her, but I thought she was just tired and needed a place to lie down, so I said I'd get the campervan and meet her there. She later told me that by the time she crossed the street, she felt very ill, and it turned out we were in the back of the hospital so she ended up at the ambulance bay, which was locked. She pushed the button and then laid down on the ground.

Meanwhile, I was two blocks away, completely oblivious. The guy was showing me how everything worked, and when he was showing me how to fill the water tank, the pipe fell off in his hand. He was clearly quite embarrassed by this and went off to find a mechanic. They said it would be forty minutes to glue it back on so I walked back to the hospital. That's when I found my wife in ED, shaking terribly, obviously in a lot of pain. The doctor looked at me and was clearly wondering why I would drag her onto a flight when she was like this. I assured him she was ok when we left.

Queenstown is known for skiing and is the original home of bungee jumping, so I'm sure the hospital is used to tourists showing up with all sorts of injuries, and their goal is to patch them up enough that they can get home. They took the same approach with my wife, though I was still hopeful we could continue the trip. I collected the campervan and even bought some groceries. It then sat in the hospital parking lot for two days before I returned it. They were a bit surprised I returned it three days early with only 2 kilometers (1.2 miles) on it, but they assured me there would be no refund.

They tried her on various drugs and every time she felt a bit better, I'd start looking at booking a flight, but then she'd relapse. Her main complaint was a debilitating headache, but an x-ray and CT scan didn't find anything. They put her on an IV with an anti-psychotic medication that also happened to treat nausea and migraines. It helped, but only for a few hours. On Sunday they tried Oxycontin and she was feeling so well, we talked about getting a hotel room and spending one day in Queenstown before catching our scheduled flight Tuesday morning. A few hours later, she was doubled over in pain and we never got to see Queenstown.

Monday afternoon we made a plan to give my wife all the drugs at 8:30am, get her to the airport at 9:30 for the flight at 10:30. A friend was going to meet us in Wellington so she'd be home by 12:30pm. It was a four hour window but it was the best plan we had. They gave me a prescription for Oxycontin and asked me to get it filled before we flew. It was 5pm, the nearest pharmacy was a 20 minute walk and they closed at 6pm, so not a problem. Except, that pharmacy was out of stock, the next closest pharmacy was a 40 minute walk, and they also closed at 6pm. I called an Uber and we ended up getting stuck in horrendous rush-hour traffic. Thankfully (!) there was a new shopping mall under construction and he took me down a dirt road through the site and got me to the pharmacy just before they closed.

(I'm sure the hospital would have just given me a few, but I'd spent four days feeling completely helpless and they'd finally given me a job to do and I was determined to to do it.)

Tuesday morning went as planned. I tried to call Uber but it turned out they were banned from the airport, and the closest they could drop us was *further* than the hospital! We got a regular taxi and paid $20 to go about half a mile. I'd arranged for "assistance" at the airport which, it turned out, was just the airline giving us a wheelchair to use. We checked in, got to the gate, and then they announced the flight was delayed by an hour. Later they announced it was at a different gate.

A few years ago, we were in Auckland when I developed shingles and my wife drove eight hours non-stop to get me back to Wellington. She wanted to go straight to the hospital but I insisted we go home, so I understood when she insisted she just wanted to go home. Since then, she's had a couple of periods where she felt like she was sliding down that path but has been able to get the pain under control. No doubt we'll be meeting with the doctors and hospice to try and sort this out, but for now she's doing okay.

In two weeks, we're planning to fly to Napier to see friends. It's just for a weekend, but then in January we're planning to fly to Auckland to visit the kids on camp, and in February we're probably going to drive to Auckland to drop the kids at University. Hopefully we can get this under control so it doesn't impact our plans.

* Uber to airport: $32
Flight to Queenstown:  $179
Campervan for five days: $507
Groceries: $133
Uber to pharmacy: $15
Taxi to airport: $20 
Soy chai latte at airport: $7
Total: $893

So maybe not free, but four nights in hospital in the US would have bankrupted us so I am not complaining.

Wednesday, November 11, 2020

Leaky buildings

In 1952, the New Zealand building code required framing timber to be treated to resist pests, rot and termites; it required a cavity around the framing timber to provide ventilation; and it required eaves and flashings to deflect water away from the building.

All three were slowly chipped away by an industry that wanted to make houses cheaper and faster. By 1992, the New Zealand building code had abandoned all three of these principles. As a result, an entire generation of homes were built using untreated timber, no ventilation and ineffective flashing. The results were predictable and dramatic: New homes were unlivable within ten years.

All buildings leak, but these buildings -which often didn't have overhanging eaves and lots of architectural embellishments that werent easy to flash - would leak more. The water would get inside the frame and be trapped against the timber; there was no cavity for it to drain away and no ventilation that would allow it to dry. And since the timber was untreated, it would start to rot very quickly. This also invited pests and fungi to flourish, so it was not only structurally unsound but unhealthy to live in.

A government report in 2002 finally addressed the issue and by 2005 the building code had been changed to include these three elements again. (Although still not at pre-1952 levels.) There were a lot of lawsuits, both against builders and the councils who had allowed it. The only remediation is to rip off the entire exterior, replace any rotting wood, treat the rest, then re-clad the building. This can easily cost in excess of $200,000 and is not covered by insurance. Plus it can't be lived in for 12-18 months!

New Zealand has always had a shortage of homes, never more so than today, and replacing all buildings during this 13 year span is obviously not going to happen. So kiwis play russian roulette, buying homes they hope will survive their occupancy, and that they can pass the problem to someone else. It's a terrible situation that the building industry and the government, in a classic example of "regulatory capture," have inflicted on the public.

Tuesday, November 10, 2020

A tale of four toasters (and four toaster ovens)

When my wife's original toaster died in 2016, I convinced her to get a toaster oven. I had bought one in my early twenties and had it for about fifteen years. (For all I know, my ex-wife still has it.) Since I never had a microwave, it was my go-to appliance for heating small meals, plus it made great toast. If you can love an appliance, I loved that toaster oven.

She agreed and I did my research and bought one that was disappointing from the start. In particular, it didn't make good toast. Instead of pushing a button, you had to set a timer, and if you didn't get it exactly right (or watch it like a hawk) it burned the toast every time. That is, except when you forgot to put it in "toast" mode, in which case you came back to warm bread.

My research also indicated the heating element tended to blow after a couple of years, so I paid $10 for the "extended warranty," which is something I never do. Two years later, the heating element blew, so I took the whole thing back and they gave me a new one! A year later, the heating element on that one blew, so I took it back but the model had been discontinued so they refunded me the purchase price! It was like I'd rented a toaster oven for three years for $10.

Now at that point I should have listened to my family and bought a toaster, but instead I listened to the salesman who sold me a "better" toaster oven. I got that home to find it took up the entire countertop, so it immediately went back and I came home with a much smaller one. This one had the same issue as the first one -- burnt toast -- so my wife went to Kmart, picked up a $9 toaster, and the kids were ecstatic. They'd been without a decent toaster for a quarter of their lifetime! Bread consumption shot way up.

Of course a $9 toaster is not going to last, and within a year it went supernova -- literally, when you turned it on, it lit up like the sun. (We unplugged it before we saw what happened next.) We took it back to Kmart and, to their credit, they replaced it without question. A month later, the lever on that one stopped working, so we were going to take it back but then Covid-19 lockdown happened. When the lockdown was lifted, our car died and was in the shop for nearly a month. When we finally got the car back, we took the toaster back to Kmart and were told the warranty had expired two weeks earlier*.

It was a moot point, anyway, as they were out of $9 toasters and I refused to pay more. So we went back to the toaster oven, and bread consumption went way down. A couple of months later, they were back in stock and we bought a new one. Two weeks later, it looked like this:

Now, you might be wondering what happened to cause the plastic to literally melt off the top and sides. Was it a fault? Did the kids stick a knife in it while it was turned on? No. My wife decided that, rather than use the toaster oven to heat up a tortilla (which it's really good at!) she would rip the tortilla in half, stick it in the toaster briefly and remove it when it was warm. Of course she got distracted and left the kitchen for a moment; the tortilla halves flopped over and by the time the toast cycle had finished, they were on fire. Fortunately my wife returned and caught it before anything else happened.

Do I tell this story to embarrass my wife? Yes. Did I take the toaster back to Kmart, tell them the toaster caught fire spontaneously and demand a full refund? No, but I did think about it. (My father would have done it.) I did go and buy a new $9 toaster, bringing the total I've spent on toasting appliances over the past five years to $122 (plus about $1,800 on bread).

* Some of the details have been changed to make a better story.