In Canada, a chronically ill woman confronts her final day and assisted death, raising urgent questions about choice, care, and dignity.
The New York Times Magazine
Photo Editor: Kristen Geisler
Director of Photography: Jessica Dimson
Paula Ritchie’s life was shaped by childhood abuse, multiple suicide attempts, and a head injury from an assault.
She lived with chronic pain and mental-health challenges but was not terminally ill. After a long and complicated process, Paula was finally granted the right to end her life legally.
She lived with chronic pain and mental-health challenges but was not terminally ill. After a long and complicated process, Paula was finally granted the right to end her life legally.
On the day of her death, Paula’s friends tended to the table beside her bed. They gathered objects that were important to her: a bible and a porcelain angel, a crystal, a scented candle, fresh flowers, and a clock.
Alongside two nurses and the doctor who would administer the medication, several people close to Paula were present, including a neighbor from Smiths Falls, Ontario, where she lived.
Each said a final goodbye before the doctor began the process.
Each said a final goodbye before the doctor began the process.
The medication for Paula's death, carried in a traditional doctor's bag, took several minutes to prepare.
In the kitchen, Paula’s doctor assembled the injectable medications, including propofol, which he referred to as “milk of amnesia.”
Paula once told a friend that a veterinarian would put a dog down for feeling better than she did. As the doctor returned with the medication, her friends tried to comfort and reassure her.
“I’m going to take Paula’s hand now.”
The doctor explained that it would feel just like falling asleep.
The doctor explained that it would feel just like falling asleep.