In starting conversations about my end of life wishes, I first had to review my beliefs on what I think will happen when I die. Since I am a Christian, I am not afraid to die. I am afraid of the unknown conditions of my death. I do not want to suffer trying to cling to a life that is really not worth living if I am really sick. How do you tell your children that you do not want to continue trying treatment after treatment? Having had a father die of acute leukemia has actually been a blessing for me. He was 91 years old and lived longer than anyone expected. He continued receiving blood transfusions as he lost his different abilities. My children and I actually discussed his choices throughout his life-ending process. Having already been diagnosed with PV, I was able to tell them of my desire to not suffer. I am now in the process of establishing a DNR and Living Will. I believe that they will follow my directives and have peace knowing that I have gone home since they understand my decisions that have been made well in advance of the time.