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EDUCATIONAL INSTITUTE CLOSE-UP Dying Means Living Continued from preceding page hours. But the pain won't let her. Ms. Brady listens, consults with her and then looks at the medications. Ms. Brady and Mrs. Gold- berg will have several more conversations about medications through the week, mostly on the tele- phone. Ms. Brady offers support for many reasons. Her word is kind and her de- meanor is understanding and tender. She knows her patients are frightened. "It's difficult not to get close to our patients," Ms. Brady said. "We become family. People need a closure to their lives. We help them try to figure out what that closure is. "You know, this is not a depressing business. It's too humbling and rewar- ding when you see someone go through the program, and see a person make decisions about his own life." Closure, according to Hospice social work super- visor Linda Simpson, can typically mean settling a dispute with a relative or friend. It means bringing in a brother or sister the patient has not seen in years and saying goodbye. The issue, she said, is helping the patient figure out, if he doesn't know al- ready, what he needs to do before dying. There's an emphasis on the sprituality of life, what gives life meaning and what gives dying meaning. For physicians, the idea of Hospice can present a conflict. If a doctor's duty is to keep a person alive, let- ting him die seems to con- tradict the medical man- date. Dr. Robert E. Bloom, Sinai Hospital's section chief of hemotology- oncology, said he doesn't have a conflict with Hospice. "The goal of an ethical oncologist is to present as much quality time to those that don't have a curable disease," he said. "There is a fairly clear consensus that the prolongation of misery is not a worthwhile goal within itself. "Everybody has a diff- erent ability to deal with his own mortality," Dr. Bloom continued. "The difficult issue is the solidification of the realiza- Bielfields Establish Jewish Hospice Fund United Jewish Charities and Jewish Family Service have announced the creation of a $250,000 endowment fund by Jerry and Eileen Bielfield for support of Jewish hospice care in Southeastern Michigan. The Jerry and Eileen Bielfield Jewish Hospice Fund will provide for the Jewish component of care for people with terminal ill- nesses and their families. Preliminary discussions already have taken place with the Hospice of Southeastern Michigan to supply medical and nursing care, which focuses on keeping the pa- tient alert and comfortable in the home as long as possible. The fund will assist Jewish Family Service in informing families and individuals about the Jewish hospice pro- gram, educating hospice care professionals about Jewish customs and training Jewish volunteers to work with Jewish hospice patients. Longtime president of the Jewish House of Shelter, Mr. Bielfield has served on the boards of the Jewish Federa- The Bielfields tion of Metropolitan Detroit, the Federated Endowment Fund and the Detroit Service Group. For information about hospice care, contact Jewish Family Service, 559-1500. For information about con- tributing to the Jewish Hospice Fund, contact Joseph Imberman at United Jewish Charities, 965-3939.