The day Mario Oriani-Ambrosini stopped the pain

2014-09-21 19:29

His wife, sister, a friend and a nurse stayed up talking to him all night and, shortly before dawn, put on his favourite opera – Verdi’s Aida – when he asked to be left alone, City Press reports.

The birds had started singing outside, ready to welcome another fine day, when the report of a revolver shook the entire house, followed by deathly silence.

It was just before 06:00 on 16 August in Hout Bay, Cape Town, and Mario Oriani-Ambrosini was dead.

The shot came just 15 months after the fiery IFP MP was diagnosed with terminal lung cancer. He spent a large part of that time mounting a fierce campaign in Parliament to legalise the medical use of dagga oil.

In the living room of their beautiful home, Oriani-Ambrosini’s wife Carin (38) speaks publicly for the first time about his courageous fight against cancer.

“No one can quite imagine the trauma. That shot, and blood everywhere you looked. It shocked every bit of humanity in you. It’s something that will always haunt you,” she tells City Press’ sister paper, Rapport.

“Mario tried everything. He could do no more. The cancer was everywhere – his lungs, his stomach, his legs, everywhere! Everything in him stopped working. It robbed him of his dignity, especially for his child [the couple’s seven-year-old son Luke] to see him like this. He was in emotional conflict, in unbearable pain … on the brink of death that would not come gently and quickly.

“It could have been so different. Imagine if we who loved him could hold his hand, hug him for a last time, while a doctor injected him and released him peacefully from all this suffering? That’s what we do for our animals when they suffer. Why not also for people?”

Love at first sight

The couple met 11 years ago when Carin was an air hostess on a flight from Joburg to Frankfurt. She saw him sitting next to IFP leader Mangosuthu Buthelezi.

For him, it was love at first sight. He was on his way to a wedding in Venice, but soon made contact with her. Barely two weeks later, they were on their first date. Nobody else was dancing and the shy Carin reluctantly gave in when the flamboyant extrovert led her on to the floor – and there and then he swept her off her feet.

Laughing, she says: “Mario always gets his way!”

“Three months later, he wanted to marry. For me it was too fast. We hardly knew each other.”

There were great differences between the woman from Standerton and the international legal and constitutional law expert, who was also 15 years her senior.

Oriani-Ambrosini, a product of Harvard and Georgetown universities, became known in South Africa in 1991 when he was appointed as Buthelezi’s adviser. He also has a law practice in Washington and in 2009 became an MP for the IFP.

“I knew nothing about Mario’s accomplishments or even his crucial role in the drawing up of our Constitution,” Carin confesses.

“Mario was exciting, but did not boast. He was always bubbling over with ideas, theories and solutions for mankind.”

Their relationship blossomed with exotic dates across the world, from Milan, Paris and Frankfurt to New York; and when he asked for her hand 10 months later in the Laurel Caverns in Pennsylvania, she could no longer decline.

They married in September 2005 and just more than a year later, Luke was born. Oriani-Ambrosini was elated and never hesitated to change a nappy or get up to feed his little son. But Carin makes no secret of the fact that they had serious differences when it came to their newborn.

“Mario was a genius and one could feel intimidated, but nobody knows everything and he was not always practical. He was not someone with whom you cross swords, but I learnt to hold my ground.”


In a move that would prove to be an ironic prelude to his ultimate approach to cancer, Oriani-Ambrosini did not want to have Luke vaccinated, not even against polio or measles. He lost that round, but there were other disagreements, Carin says.

He was a workaholic, closeting himself in his study with its dark green walls and red carpet. They holidayed in Italy for two weeks a year and in the US for another two.

“On the one hand, he had a great sense of humour and liked to socialise, but at the same time he worked and stressed like a maniac. Stupid and lazy people with whom he could not have a conversation sent his blood pressure soaring.”

The stress took its toll. He had not once taken ill from the time they met until Christmas 2012, when a pain under his arms and on his sides worsened. Doctors could not explain it.

Three months later, a scan showed fluid on his lung. “It was a Friday in March 2013. They wanted to operate on the Monday, but Mario first wanted to fly to London for Margaret Thatcher’s funeral.”

Carin couldn’t stop him.

Death a certainty

When the operation was done a week later, they received the devastating news that Oriani-Ambrosini had between six and nine months left to live if he didn’t get treatment.

He would live a little longer if he had chemotherapy, doctors said, but there were side effects and death was certain.

Oriani-Ambrosini desperately started reading everything he could about cancer and within days, the family travelled to Rome – first to see his cousin, an oncologist, and then on to the notorious Dr Tullio Simoncini, who believes cancer is a fungus which he treats with bicarbonate of soda.

“I understand why Mario grabbed at straws,” says Carin. “Dr Simoncini gave him something to believe in, while doctors could not promise anything. It broke my heart to see how he suffered. They drilled a hole in his lung and inserted a pipe through which the bicarbonate of soda was injected into his lung daily and then sucked out again after they had rolled him around so that it could spread.”

She and Luke returned to Cape Town after three weeks and Oriani-Ambrosini came back in September. By then, the Dalai Lama had heard of his sickness and in November, the Tibetan spiritual leader sent his personal physician to treat the MP with Chinese medicine.

It was one in a string of alternative treatments and supplements – everything from mistletoe injections to ozone therapy, a ketogenic diet supplemented with turmeric and fenugreek to hyperbaric oxygen therapy and ultraviolet light.

“My husband became weaker and weaker. It was a shock to see him deteriorating and I felt helpless. I admired him for trying so hard, but sometimes I wondered whether he would not have been better off just relaxing instead of rushing around looking for a miracle cure.

Dagga oil

“In November [2013], there was also a mysterious person who had special capsules containing dagga oil delivered to us. It comes in the form of a capsule or suppository that does not make you high.”

By February, she knew the benefactor: Advocate Robin Stransham-Ford, who had been diagnosed with advanced prostate cancer and, according to him, was given “a few months” to live.

He and Oriani-Ambrosini became close friends and together started the Cancer Treatment Campaign. They also tabled the Medical Innovation Bill in Parliament – an attempt to make it legal for doctors to prescribe alternative medicine.

In a debate on President Jacob Zuma’s state of the nation address, Oriani-Ambrosini was widely quoted as telling the president: “I must admit, I have just smoked dagga because if I hadn’t, I would have had to use morphine and then I would not be standing here.”

This isn’t correct, says Carin. He might have said it in that way for the shock effect to wake sleeping parliamentarians and get their attention or to amuse them. Her husband was quite provocative, but he was not a junkie.

“He did not even smoke cigarettes and we suspect his lung cancer was caused by exposure to asbestos many years ago. He definitely did not smoke dagga, but he took the suppositories, which made him feel better – probably the best of all the other things.”

In January, Carin and Oriani-Ambrosini agreed that she and Luke would move in with a friend down the road. He didn’t want his son to go through the trauma of his illness.

Carin went to see him every day, and Oriani-Ambrosini’s sister Mirta also arrived from Italy.

The beginning of the end

In March, he travelled to London with a friend to attend another friend’s 60th wedding anniversary celebration. After that, it was the beginning of the end.

By June, his feet and his stomach had swollen and he spent a month in hospital receiving the radiotherapy he’d been so opposed to.

In July, he was in hospital again for about two weeks.

“The most amazing thing of all is that his mind remained crystal clear through all this. He never hallucinated and his brain kept working overtime,” says Carin.

While his body was collapsing, he talked and reasoned a lot. They became closer during the last, most trying weeks.

“He said more and more he wanted to end his pain and suffering, but he also feared the stigma attached to it. For months, he said he wanted to shoot himself, but... he asked over and over if I would be angry.”

Finally, on 15 August, he arranged a meeting with his lawyer, executor and Carin.

“I’m tired,” he told them. “I’m leaving tonight.”

Mario did not want Luke to sleep in the house. He loved his son and did not want to traumatise him. But Luke insisted that he missed his father and wanted to sleep at home.

The little boy was in the TV room while Carin, Mirta, a family friend and a nurse sat in Oriani-Ambrosini’s room all night.

He was vomiting a lot and was in excruciating pain.

At about 05:30, they tried to console him with his favourite opera, Aida. The music woke Luke and, when the little boy walked into the room, Oriani-Ambrosini said he didn’t want his son seeing him that way. He asked everyone to leave the room.

“I lay down on the couch in the TV room with Luke. Everything was so quiet. Suddenly we heard the bang. I left as soon as possible, because I knew the place would soon be swarming with police. Luke was beside himself and wanted to know what the bang was. I said it must have been the oxygen bottle that exploded.

“He knows his father loved him very much, but he could not carry on. One day, I will tell him exactly what happened.

“It’s just a pity the law did not allow us to make the last farewell beautiful for everyone.”

  • Waine Smith - 2014-09-21 19:41

    Very sad story indeed...

      DignitySA - 2014-09-21 22:55

      It's beyond sad, Waine. In fact, it's inhumane for people to be expected to suffer to this extent when there is a dignified and compassionate solution available, with the necessary safeguards in place to protect the vulnerable.

      DignitySA - 2014-09-21 23:03

      If you or anyone reading this believes that Dr Ambrosini should have had the choice of an assisted death, please consider becoming a member or donating or signing our petition. We are absolutely determined to change the law and are making great strides. You can follow us on Facebook or on our website to find out more.

  • themba.nsele.71 - 2014-09-21 19:48

    Why this is steel news. When can we get good news on the media that is done by SA government??

      DrManhattan - 2014-09-21 20:08

      There isn't any

      David van Tonder - 2014-09-21 20:11

      Doctor Ambrosini was one of the greatest politicians in the history of our country, our nations greatest 'adopted son' as Butelezi put it. I think the majority of News 24 readers would rather read about him tham some government scandal.

      Karl Kat - 2014-09-21 21:01

      You are part of the bad news in our country, you and your goverment

      Bruce Gatland - 2014-09-21 21:22

      Themba, go drive your taxi, or rob a bank, or whatever you usually do, you insensitive ANC racist prick.

      Sipho Tshakela - 2014-09-22 03:40

      Themba, this is really disgusting and highly inhumane. Infact, I'm now taking a decision not to take you seriously any longer.

  • Motso Mogaadile - 2014-09-21 19:50

    That is very emotional and touching...Makes one to shed a tear. Rest In Peace Mr Mario

  • Kobus Hattingh - 2014-09-21 19:53

    A brave and loving couple. May he R.I.P. and the pain of their loss subside.

  • Bertus Pretorius - 2014-09-21 19:54

    @themba like our failing water network? Or that crime has increased? Perhaps another article about a plot to protect nr 1? Incompetent cadres bringing Eskom to its knees? Or about the millions spent on a failing schooling program? Perhaps we can chat about all the new universities the government has buildt? A decrease in unemployment? Foreign confidence in our labour forces with unions' cooperation in creating jobs?

  • Adv Goitseone Legoete - 2014-09-21 20:05


  • forest gump - 2014-09-21 20:21

    while im able to sympathise/empathize with his story i am still very anti suicide no matter what the reason

      David van Tonder - 2014-09-21 20:29

      While on principle I am against euthanasia,I realise that trying to force my principles onto others would be very arrogant. I think you should only be able to judge if you are in a simmilar situation.

      gaby.hide.3 - 2014-09-21 20:39

      Sorry. If you were right, I would agree with you. We have all these great humans rights, but no right to die with dignity.

      Pam Zolkov - 2014-10-06 19:42

      I'm also anti suicide, however, I know when I have just a common cold how miserable I am, can't imagine a world when I'm not sneezing and feeling weak. I cannot even wrap my head around the constant and agonizing pain he must have been in, to the extent of blowing one's brains out being the preferable alternative. It must have been horrible, and therefore justifiable, if he did it to stop the pain. I worked for Mario and was in awe of his sophistication, towering intellect, incredible energy, tireless curiosity, amazing intelligence and so knowledgeable, his mind was like a lazer beam, he could get to the heart of most situations in seconds and have answers for things most people couldn't figure out in a lifetime. I am very saddened to learn of his passing. Rest in peace warrior, may your healing begin. You lived such a full and meaningful life.

  • Mesuli Jamaica - 2014-09-21 20:24


  • Woordelys - 2014-09-21 20:38

    "Echoes of a gun shot"...

  • gavin786 - 2014-09-21 20:43

    Carin makes a valid point!

  • sthembize.zulu - 2014-09-21 20:55

    At least he lived it seems; he did not simply exist

  • sihlenyamezela.motaung - 2014-09-21 21:03

    May his soul rest in peace

  • Marilyn Steyn Balderstone - 2014-09-21 21:15

    What a remarkable man. I fully agree with assisted suicide after watching my sister suffer and pass away as a result of pancreatic cancer. its easy for people to pass judge when they have never been in a situation like that. Deepest condolences to his wife and young son. RIP.

  • Ras Jah Moolka Mokwena - 2014-09-21 21:27

    Quite an hurtful end to Mario's life, may his soul rest in Zion, jah rastafari wil give Carin n Luke strenght

  • Tumi Moetlo - 2014-09-21 21:37

    Dr Ambrosini you'll be dearly missed.May your soul rest in peace.Hope SA can legalise assisted suicide(voluntary euthanasia).

      DignitySA - 2014-09-21 23:00

      We agree, Tumi. You can help us legalise assisted dying by becoming a member or donating - either money or time. A law change won't come cheap, but it is very, very possible. DignitySA is meeting with a host of Advocates and Senior Councils early next month to determine the way forward - either going through the Constitutional Court or via Parliament. The Deputy Minister of Justice said in Parliament after Dr Ambrosini's passing that this subject needs to be debated.

  • Helen Sanya - 2014-09-21 21:40

    So so sad! May his brilliant soul continue to rest in peace.

  • JonasBarbarossa - 2014-09-21 21:42

    The life of a man...a real man.

      Herman de Waal - 2014-09-21 22:13

      Da Capo al Coda..

  • Johan Van Eck - 2014-09-21 21:44

    What a dignified Gentleman! We should all support this cause...

      DignitySA - 2014-09-21 23:01

      You can support it, Johan. Our website is We can't do it alone.

  • Bento Maepa - 2014-09-21 22:21

    Strong man he was indeed.

  • Erna Westdyk - 2014-09-21 23:41

    When I read it in Citipress this morning it brought tears to my eyes, and I didn't know the man from a bar of soap. The saddest of all is that he had to go to such extremes for release - there should be a better and more humane way. We euthanase animals but people must suffer - something wrong with that picture.

  • Jenifer Talbot - 2014-09-22 01:55

    What a loss to SA, and his family. The law must be changed so people can die with dignity.

  • Gezani Robert - 2014-09-22 02:45

    what a sad story to listen to, mr Ambrosini may your soul rest in peace once more.

  • Sipho Tshakela - 2014-09-22 03:22

    What a sad state of affairs! May the Almighty give Luke, his mother and the entire family strenght and hope.

  • Gigi Mazzocco - 2014-09-22 04:47

    Bravo Mario,sei stato un grande...ti ammiro

  • William Molatudi Mothibi - 2014-09-22 05:40

    Mario fought for his life up to a point where he couldn't anymore. He tried anything and everything, travelled the world seeking life, but he could not carry the pain anymore. This that he did was to find eternal peace, a life free from pain. He is now at peace with himself, and I wish that his wife Carin and Luke would forgive him for what he did. Enough was enough. He did not die, but he is resting. He'll one day wake up. May his soul rest in eternal peace, kulungile Baba....

      Sipho Tshakela - 2014-09-22 07:45

      Well said Mr Mothibi!

  • Michael Ndalama Mwale - 2014-09-22 06:39

    What a life! What a battle! What a last farewell! Rest in peace Mario!

  • Thabelo Shoeshoe Moshoeshoe - 2014-09-22 06:40

    now this brings m a tear in d eye,i can feel my heart beat,he was indeed a brave man,cancer is no joke on humans watsoever,always respected by me Mario Oriani Ambrosini*bow*

  • lskosana3 - 2014-09-22 07:10

    What a heart wrenching story. To be so done with suffering that he did it with his young son in the house. Sad that life can bring us to that point. RIP to the brave man, and I hope with time his son will understand and that awful gunshot sound will start fading from his memory :(

  • louise.barlow.792 - 2014-09-22 07:11

    What a brave man, how sad to suffer like that, it's unimaginable. My heart goes out to his family and lived ones.

  • Sabeer Mahomed - 2014-09-22 07:15

    Brave is when a 12 year old has cancer and sees it through the end!

  • ingwe - 2014-09-22 07:21

    Two big issues that Dr Ambrosini's death and illness have highlighted. The first has to be the need for The dignity of the terminally ill to be recognized and upheld in what ever way needed. The second is to maintain his pressure on the government for the use of medicinal cannabis. His death is a tragedy and his input to politics will be missed. Thought will be with his family and friends for a long time.

  • John Nieuwoudt - 2014-09-22 07:27

    Brave man. RIP

  • Spartacus - 2014-09-22 14:15

    Read Mario's poignant article on her husband in the weekend papers. How tragic that such a beautiful family had to endure the ravages of a terminal disease which forced him to exit in such a traumatic way. I am all for an option for assisted suicide. No one should have to endure, other than if it is their choice, the last few days / weeks of their life in pain and with no control of their bodily functions. In the TV program Judge for Yourself the argument for pro-life was ridiculously poor. The pro life doctor said he has never heard a doctor tell a patient there was no hope. Pleeeze ... when they send you home and refer you to a Hospice what is that telling you. Some Christian action girl argued continuously about how many nurses in Belgium had admitted to administering a lethal dosage. How many of these were done at the request of the patient in a country that has legalized euthanasia but with due process which perhaps patients were not willing to wait around for. God help me if circumstances force it to find a compassionate nurse like that. Just like it is a woman's choice to abort a pregnancy so it should be the right of a person suffering from a terminal disease - and not wishing to put either themselves or their families through the trauma of an undignified death - to ask for assistance suicide. Guess you have to have a very dear one to go through a prolonged, undignified and agonizing death before you can pass an objective opinion on this subject.

  • Cheryl Lyndie Stofberg - 2014-09-22 23:18

    so sad .. :(

  • Christopher Peters - 2014-09-23 07:22


  • Brendan John - 2014-09-27 20:06

    Good bye Mario - I will miss our conversations.

  • Pam Zolkov - 2014-10-06 11:37

    I have only just learned of Mario's passing. We knew each other for a while and didn't always agree, but I had great respect for your towering intellect, your incredible energy, your tireless curiosity, your charisma, your sophistication, and more. May your healing begin, noble warrior. With love, Pam

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