Occasionally the nurse in attendance might advise the paramedics or the doctors, ‘He was 100 years old, he was very unwell,’
If I was in my last hours of life and the tunnel and the bright light were there
Relative: Doctor, I believe my mum is dying, I want us to stop the antibiotics/fluids/oxygen/etc.
Doctor: No, I feel we should continue, there might be some improvement (aka other blandishment/platitude).
Jemima, a little more oxygen running through her arteries, her blood-pressure moderately increased is admitted to hospital.
This is how I often start, begin the conversation, listen to the story from the perspective of the husband or wife, son or daughter. They tell me about my patient, the deterioration, the frequent acknowledgment that things are getting worse, that they see the future. And, the system, the trying to do itsContinue reading “Tell me what has been happening.”
I thought I had aleady blogged about my patient and his dog. I hadn’t. He was breathless And now, I realise At the time, things were too raw too proximate to translate into 500-odd words of text. The man was dying. Heart failure, COPD, Frailty – The mechanism is not whatContinue reading “Dying man”
It is like squeezing in to too small shoes. It can be done, it is awkward and, you can get about, but you look odd and you will soon get blisters.
I was involved in an interesting conversation this afternoon, during which, I was surprised to learn of the lack of understanding of dying – amongst colleagues who work in healthcare. I thought, to this end, and, given the ruling published today relating to the cessation of feeding and artificial hydration of people in Persistent VegetativeContinue reading “End of Life”
We need to unlearn some of what we have taken-on, those of us who have moved through the profession and we need to support those who have just arrived to hold-on to their beginner’s mind
I have had the most amazing day – not only did I get to sit on The Angel of the North, I went to Fountains Abbey with my family and wandered round the beautiful ruins & gardens (if you haven’t been recently, it is worth the trip!). I also attended the Agile Conference inContinue reading “What I learned today…”