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About The daily Astorian. (Astoria, Or.) 1961-current | View Entire Issue (Aug. 29, 2019)
A5 THE ASTORIAN • THURSDAY, AUGUST 29, 2019 In the face of death, the party of a lifetime Taking control at the end By GENE JOHNSON Associated Press SEATTLE — The day he picked to die, Robert Fuller had the party of a lifetime. In the morning, he dressed in a blue Hawaiian shirt and married his partner while sitting on a couch in their senior housing apartment. He then took the elevator down three fl oors to the building’s common room, decorated with balloons and fl owers. With an elaborately carved walking stick, he shuffl ed around to greet dozens of well-wishers and friends from across the decades, fellow church parishioners and social-work volunteers. The crowd spilled into a sunny courtyard on a beautiful spring day. A gospel choir sang. A violinist and soprano performed “Ave Maria.” A Seat- tle poet recited an original piece imagining Fuller as a tree, with birds perched on his thoughts. And when the time came, “Uncle Bob” banged his walking stick on the ceiling to command attention. “I’ll be leaving you in a little over an hour,” he announced. A sob burst. Fuller turned his head sympa- thetically toward its source. “I’m so ready to go,” he said. “I’m tired.” Later that afternoon, Fuller plunged two syringes fi lled with a light brown liquid — a fatal drug combination mixed with Kahlua, his favorite alcohol — into a feeding tube in his abdomen. He was one of about 1,200 peo- ple who have used Washington’s Death with Dignity Act to end their lives in the decade since it became law. As such laws grow more popular — they have taken or will take effect in Hawaii, New Jersey and Maine this year, making it nine states where “aid in dying” is allowed — more people who are suffering and ter- minally ill have the option of hastening their death. Those who do cite a variety of reasons — fear of losing their autonomy or dignity, becoming a burden to loved ones, becoming unable to enjoy life — but they are united in a desire to take control of their own ends. For Fuller, the decision to end his life at 75 was, if not easy, never in doubt. Relationship with death Death did not frighten Bob Fuller. It had been with him since he was young. He grew up in Hooksett, New Hampshire, the second of four children. His father was a furniture maker, his mother a homemaker. He described their relationship as loveless and Elaine Thompson/AP Photo End of Life Washington volunteer Stephanie Murray, right, brings the drugs that will end the life of Robert Fuller to him as he lies in bed in Seattle. unhappy, but he was close to his ailing grand- mothers and would frequently sit with them. When he was 8, he said, his father’s mother, severely depressed, drowned her- self in the Merrimack River after leaving her glasses and slippers on the shore. He recalled seeing her body in the water, a trauma that began his long, matter-of-fact relationship with death. He called it his “default setting”: “If life gets painful, you go to the Merrimack River.” Fuller’s friends described him as playful, wise, witty and vibrant, a wonderful singer and the type of person who collected friends everywhere. He sponsored people in recov- ery from drug and alcohol addiction after quitting drinking in 1983. In retirement he ran a voucher program — now named for him — through the LGBTQ support organi- zation Peer Seattle that provided music and theater tickets to those who couldn’t afford them. As a former nurse, he was like an unoffi - cial assistant manager at his building, helping residents change bandages or picking them up when they fell in their kitchens. But his old default setting persisted through much of his life, a sort of undercur- rent to the way he lived “out loud,” as he put it. He tried to kill himself in 1975, he said, when he was drinking too much and despon- dent after his marriage ended; he had revealed to his wife he was gay. Fuller had moved to Seattle for nursing school, and he was work- ing as a psychiatric nurse at Harborview Medical Center when he swiped handfuls of narcotics, went to a nearby park, swallowed them and lay down to die. He called for help when it started raining, he said. He didn’t want to die cold and wet. In the mid-1980s, Fuller helped care for friends suffering from AIDS and adminis- tered a fatal dose of medication to one at the end of his fi ght, he said. But his own sexual behavior was so risky it verged on suicidal. He contracted AIDS, then lived long enough to benefi t from the AIDS drug mixture when it was developed in the mid-1990s. “I think I wanted to get AIDS,” he said. “All my friends were dying.” For critics, that sort of fatalism is a key problem with aid-in-dying laws. Some AIDS patients who chose to end their lives might have lived long enough to benefi t from the AIDS drug mixture as Fuller did, said Wes- ley J. Smith, an author and prominent critic of the laws. Beyond that, to allow people to hasten their deaths represents an abandonment, a signal to the terminally ill that their lives are not worth living, he said. “We should be very concerned that we are normalizing suicide in our society, especially at the very time during which, practically out of the other side of our mouth, we are saying suicide is an epidemic,” Smith said. Whether such deaths do constitute sui- cide is a semantic debate. In Washington and other states with aid-in-dying laws, coroners are forbidden from categorizing the deaths as suicides; instead, they list natural causes. Opponents, including the American Medical Association, maintain that “assisted suicide” is more accurate. ‘Why should I suffer?’ Fuller had long thought that if he were ever to become terminally ill, he would want to control his death. That notion was rein- forced two years ago, when a woman in his building used Washington’s law, he said. She explained the requirements for him, includ- ing that two doctors must certify you have less than six months to live, that you must be competent, and that you must request the fatal drugs twice verbally and once in writ- ing, witnessed by two people. Last summer he went to the doctor with a sore throat. It turned out to be an aggressive cancer at the base of his tongue. He began a round of chemo but abandoned it, saying it was killing his soul. Instead, early this year, he picked a date — May 10 — and began planning. “Why should I suffer?” he said. “I’m totally at peace with this.” In the ensuing months he put his affairs in order. He went up the Space Needle and took a road trip down the Pacifi c Coast Highway with his partner and caretaker of the past few years, Reese Baxter. The cancer was closing his throat, mak- ing it diffi cult to eat, but he had the fl an from the Mexican restaurant around the corner one last time. On Facebook he described his pain, his falling weight and his fi nal visits with old friends. The end As he hugged friends and sang along at his party, Fuller appeared serene, betraying no sign of reconsideration. He also kept his sense of humor, greeting a reporter by saying: “I’m dying to read your story.” “You can fi nd me in God’s eyes. You can fi nd me in beautiful music,” he told the crowd. “You can fi nd me in terrible, terrible farts.” He invited those who wished to be with him for his death to come upstairs. Friends packed into his bedroom. He changed into satin, navy blue pajamas and lay down in his bed. In the kitchen, two volunteers with the nonprofi t End of Life Washington mixed the drugs and Kahlua in a glass measuring cup. They said they considered themselves to be like midwives, helping usher people out of the world instead of into it. “You know if you do this, if you put this in your system, you’ll go to sleep and you won’t wake up?” one, Stephanie Murray, told him as she delivered the syringes. “I do,” Fuller answered. Fuller plunged the syringes. After a few moments of tense quiet, he led his friends in singing, “I’m so glad we had this time together,” the sign-off from the old Carol Burnett television show. His eyes closed for longer and longer periods. “I’m still here,” he said. And then, he wasn’t. Coho Sponsors Supporting Sponsor Community Sponsor Pacific Power Providence Seaside Hospital Bank of the Pacific Ocean Crest Chevrolet Buick GMC Cadillac NW Natural Columbia River Pilots Lektro Walter E. Nelson Loop Jacobsen Jewelry Big River Construction Astorian