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Tag: end of life

Who Would Want to Do This?

Kristin Beard ~

“Get the patient on the monitor.”

“How long has he been down? Someone get on the chest!”

“Keep ventilating. He’s in v-fib. Defibrillate at 200.”

“Charging, everybody clear?…Shock delivered.”

“Resume compressions. Push one of epinephrine…Hold compressions. What rhythm is he in?”

“He’s asystole, resume compressions.”

We repeat the process a hundred times over. The medic said they started coding the patient an hour ago. The family is in the consult room with the chaplain.

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A Day Out From the Nursing Home

John Grey ~

Your bones tremble.
Freedom no longer suits you.
Warm sun on skin feels wasted.
The smell of pine…
where’s that old familiar ether?
So many active people on the sidewalk,
behind the wheels of cars.
Who have they come to visit?

Your daughter grabs your hand,
tries to pull you back into your old life,
but it’s no longer known in these parts.
The house you grew up in…
well so she says.
The field where you played ball…
what’s ball?
She even dares to kiss you.
But where’s the pill to go along
with that painful touch of flesh?

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Matching Rings

Joy Liu

The room is stuffy, but the woman is shivering.

Her husband stands by her bedside. An interpreter that they’ve hired to stay with her day and night stands at the foot of the bed. And then there’s me, the doctor (I’m an intern), waiting to deliver one of many sad speeches I must give today.

Smiling wanly, she struggles into a sitting position and shakes my hand.

Even with a diagnosis of metastatic stomach cancer, she has movie-star looks. She’s only twenty-six–the same age as me. I can imagine her stepping out of a red-carpet premiere in Shanghai. Instead, having hired personal interpreters and taken a flight halfway across the world, here she is in this hospital bed, waiting

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Reverse Burnout

 
I have a long commute to the hospital where I work. I’ve been doing this for a long time and have thought about retirement. So when I’m stuck on the turnpike in morning rush-hour traffic, when it takes me 60 to 90 minutes to get in to work, I often say to myslf, “Why am I doing this? Why not just quit, retire and enjoy life at home? I don’t need this aggravation.”
 
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A May-December Friendship

Hanan Rimawi

Ms. Connie was known, to her delight, as the Jackie Kennedy of Our Sanctuary nursing home. A tall, eighty-something woman who tucked splashy flowers into her voluminous curls, she’d strike up a conversation with anyone she encountered.

These chats were never a half-hearted “How are you?” tossed off before zipping away in her wheelchair. She’d ask an aide if her ailing daughter was feeling better, or check whether the receptionist’s son had heard from his dream college–“I’m keeping my fingers crossed for him!”

Ms. Connie shared a suite with Ms. Alice, a woman who was in her nineties. Ms. Alice was more reserved, but equally good-natured. Morning and evening, you’d find her sitting in her room, absorbed in a book.

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Weary and Wishful

 
I was living just two blocks away from my parents, but I spent more time at their condo than I did at my apartment. I shopped for them and cooked, cleaned, and did laundry for them. I took them to appointments. I tried to help them lead lives of quality. Every night I went home feeling tired–after all, I was in my sixties–but also feeling glad that I could support them after all the years they had supported me.
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The Home

Nolan Snider

People say it’s the last place
They want to go.
But when push comes to shove,
It’s the next-to-the-last place.
Although there are some who are
Ready to move on to that last place.
Others stay as long as they can in this,
The last place they thought
They would ever want to go.
Clinging on, year after year,
Staying here to avoid
The last place.

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The First Time

 
Walking with my mother through a recent time of ill health was unlike the countless times I had supported individuals and families through their own times of grief and loss. As a spiritual health practitioner (aka hospital chaplain) at Nanaimo Regional General Hospital, on an island near Vancouver, I found the setting and the situation very familiar. But the emotions were anything but.
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What’s Wrong, Dad ?

 
When I walked into my father’s hospital room, he began to sob. I didn’t cope well with his tears. I experienced them as a reaction to his seeing me and started to beat myself up, to think to myself, What have I done?

A voice at the back of my mind said, This is his illness–you can’t take it personally. But even so, I felt hurt by his crying.

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Learning the Meaning of Care

I was nervous. I had never been this close to someone who was about to die. I introduced myself, but the patient was non-responsive. I told her that I was going to sit with her and that I would stay for a few hours. As I sat down, I noticed her breathing–it was irregular, and each breath sounded like she was slowly and painfully drowning. Almost trying to distract myself from her breathing, I studied her face. The structure of her face–her jaw- and cheekbones–was well defined. My eyes wandered from her head to her shoulders and along her arms, and then I saw her hands.

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Heart and Soul

Fredy El Sakr

“Help!” I yelled out of our open apartment door.

I was seven years old, and my family had recently emigrated from Egypt to the US. We’d been feeling elated that week because, after months of interviews, my father had matched into a pediatric residency.

That morning he’d awakened feeling nauseated. My mother and sister went to buy some soothing food. I noticed that he’d vomited in the bathroom; now he was feeling worse.

He knew it was serious, because he put on his brown leather jacket and lay back in our blue recliner, waiting for my mom to return and take him to the emergency room. Now and then he’d look at me reassuringly with deep, dark, pain-stricken eyes,

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The Lady Behind the Curtain

Scott Janssen

“Why don’t you talk loud enough for the whole damn hospital to hear you?”

I’ve just greeted my eighty-four-year-old grandmother, and now this irascible voice has erupted from behind the curtain that separates us from whoever is sharing Grandma’s room.

The nursing assistant who showed me in glares across the curtain at the other inhabitant.

“You shut up,” she tells the person firmly, “or I’ll smack you with a bedpan.”

Then she leaves us alone.

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