ニューヨーク・タイムズのインスタグラム(nytimes) - 11月8日 02時18分

Ricky Hurst’s doctors told him last year that there was nothing more they could do. His heart was failing and he should get his affairs in order. The end was coming. His family gathered. He spoke to his pastor and resigned himself to death. “If it was meant to be, it was meant to be,” he said. But although his heart continues to weaken, Ricky is still alive. More than 10 percent of those over age 80 have heart failure, and more patients are living longer with advanced disease. Yet there are no widely accepted guidelines for caring for these patients as they near death. Unlike cancer specialists, cardiologists rarely suggest moving their patients to hospice. And the very nature of end-stage heart failure makes it all the more difficult to prepare. Ricky has been living with heart failure for more than a decade and his doctor can’t tell him with any certainty how long he will have. His heart is now so weak that the only medical option left is an implantable pump. “I have elected that if it got to that point,” he said, “put me in a hospice and let me go.” @seanproctor photographed Ricky while on assignment. Visit the link to read more.

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