Literature Annotations


Selzer, Richard
Mercy


Genre Short Story (5 pp.)
KeywordsArt of Medicine, Cancer, Death and Dying, Doctor-Patient Relationship, Euthanasia, Medical Ethics, Pain, Physician Experience, Professionalism, Suffering
Summary

A man dying of pancreatic cancer has reached the point where the pain is no longer controlled by morphine. In the hospital he begs for death. The surgeon tells his wife, "To give him any more would kill him." "Then do it," she says.

He returns with three syringes of morphine and finally injects them, but the man will not die. How easy it would be to suffocate him! But the surgeon rejects this thought and leaves the room, having failed to provide euthanasia.

Commentary

This is one of Selzer's Letters to a Young Doctor (see this database). A cautionary tale, it begins with the author writing from his place of detachment (the Villa Serbelloni in Italy). "What a lot of energy it takes to die!" He recalls his own conflict over how much he should help his dying patient "go home."

While he had resolved to kill him with an overdose of morphine, when that was unsuccessful, he was unable to suffocate the man. Perhaps the patient's mother was right when she said her son was ready to go home, but the doctor wasn't ready enough to help him.

SourceLetters to a Young Doctor
PublisherSimon & Schuster
Edition1982
Place PublishedNew York
Alternate SourceThe Doctor Stories
Alternate PublisherPicador USA
Alternate Edition1998
Place PublishedNew York
Annotated by Coulehan, Jack
Date of Entry 02/13/97
Last Revised 08/08/06