tag:blogger.com,1999:blog-5628616877664827988.post3678918036527341725..comments2024-02-17T14:50:54.001-05:00Comments on Notes of an Anesthesioboist: Losing PatientsT.http://www.blogger.com/profile/09208990104460795917noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-5628616877664827988.post-62272954384293732942008-09-14T09:25:00.000-04:002008-09-14T09:25:00.000-04:00Dear Ann, I am completely blown away by your visi...Dear Ann, I am completely blown away by your visit and your words, which moved me very deeply. I am terribly sorry for your recent loss. I have a daughter too...I cannot imagine what you have gone through, and the fact that you continue to give of your heart to others - even a stranger like me - shows me that your daughter - and indeed, all your children, and your husband - have in their presence an "incredible gift" - you - which brings blessing to their lives. I have no doubt - no doubt at all - that you did do everything you could for your daughter and continue to do so for your family, because it strikes me from this brief message that that is simply who you are.<BR/><BR/>Thank you, again, from the bottom of my heart.gelci72https://www.blogger.com/profile/01868356563355386773noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-67526481031962684532008-09-14T02:29:00.000-04:002008-09-14T02:29:00.000-04:00How do doctors heal?The same as the rest of us, I'...How do doctors heal?<BR/><BR/>The same as the rest of us, I'd imagine. You're never the same again, but over time it becomes easier to function. You pay attention to the important things, and grieve on your own time. And, as Emily said, you live with it.<BR/><BR/>Doctors are human beings first. All the education, the training, the internship and residency, and the other bits that go into making you a doctor (and me not) is layered on top of your basic humanity. Your profession puts you in the way of being present and in charge when someone is just too fragile to revive. Much more so than my profession (mom).<BR/><BR/>You probably already know that Moms ask themselves the same kind of questions when something goes wrong. Substitute "child of mine" for "person" in "Did I do everything I knew how to do to care for this person?" and you will have exactly the question I asked myself when my daughter died. I questioned my competence as her mother, care giver and advocate and gave myself nightmares.<BR/><BR/>How, you may ask, do I feel about my daughter's physicians? I believe every single one of them to be excellent doctors, and caring compassionate people. I do not blame them. I will continue to listen to them, and take their advice where applicable. I am thankful that she had the benefit of their combined expertise. They gave us the gift of time to get all available family members, and several friends, together to say "I love you" one last time, and then give her a loving sendoff. I looked up once and caught tears in the Chaplain's eyes.<BR/><BR/>My daughter was medically fragile - unrepaired complete AVSD rastelli C, Eisenmenger Syndrome, oxygen dependent - and admitted with severe respiratory distress. I think her problems were viral to start with, but an opportunistic bacterium took advantage of her weakened state, and ravaged her lungs. Where might she have picked it up? Anywhere. They're extremely common. And resistant to antibiotics.<BR/><BR/>Would things have been different if someone else had been taking care of her? Yes. She probably would have been lost almost immediately without the specific supports she received.<BR/><BR/>I really appreciate the time her doc took with me to explain what a delicate balance we managed to maintain with her health. Maybe it's a good thing I didn't know exactly how fragile daughter was. Or maybe I did know, and put the knowledge aside as something that was not helpful, and might drive me crazy with worry if I let it. <BR/><BR/>I was impressed by her doctors, and I think they were impressed by her family, too. We'll all heal.<BR/><BR/>I hope your friend is well, and I'm glad there are skilled and compassionate people such as you, he and daughter's docs in the profession.<BR/><BR/>Thank you.Ann of the Incredible Gifthttps://www.blogger.com/profile/15386825471705879253noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-49158928511658837772008-08-31T17:52:00.000-04:002008-08-31T17:52:00.000-04:00One more reason to be thankful for my not-terribly...One more reason to be thankful for my not-terribly-high-paying but certainly not life or death sort of job. <BR/><BR/>Sorry you all have to deal with this, but I am extremely grateful some are willing to do so. (I'm not smart enough to be a doctor, so there's that problem too ... I couldn't have done it even if I had the desire!)<BR/><BR/>Thanks for the post.oboeinsight.comhttps://www.blogger.com/profile/11737564805242417693noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-1269042089285941192008-08-31T13:44:00.000-04:002008-08-31T13:44:00.000-04:00Emily, thank you so much for your beautifully-writ...Emily, thank you so much for your beautifully-written wisdom on this tough issue.<BR/><BR/>ChangeEverything, muchisimas gracias. Me alegro!<BR/><BR/>And Ramona, as always, I appreciate your understanding.T.https://www.blogger.com/profile/09208990104460795917noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-73120268884513105312008-08-31T12:18:00.000-04:002008-08-31T12:18:00.000-04:00Time helps, but perhaps we're not meant to truly h...Time helps, but perhaps we're not meant to truly heal, but rather, to learn. When someone is "callous" I take it to mean that they have distanced themselves from the lesson by so many layers of scar tissue that the effect of the teaching is not felt any more. <BR/><BR/>One last thing, that I heard during a lecture talking about the Dalai Lama. Here is a guy who talks about being gentle to ones self, about non attachment, all of those pillars of Buddhist thinking,etc. He was asked about lingering feelings, or if he had any regrets, and he relayed the story of an old man who came to him for advice as to whether he should (if I remember correctly) continue with yoga practice, even though the pain in his joints made it nearly impossible. The Dalai Lama counseled him to refrain from his practice, and that night, the man killed himself. The person who was interviewing the DL asked, "How did you ever get over that?" and he replied, "I never did. I just live with it."<BR/><BR/>These flecks of pain temper our experience and bring about huge dimension to our decision making and introspection. I, for one, understand this implicitly in my relationship with the medical profession, and thank the multitudes of people who continue to help my loved ones (and maybe me, too) live on what could be considered borrowed time.Emilyhttps://www.blogger.com/profile/05542255950784901874noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-50727101489855248802008-08-30T21:36:00.000-04:002008-08-30T21:36:00.000-04:00As a 4th year med student in Chile, I´ve encounter...As a 4th year med student in Chile, I´ve encountered many difficult and painful clinical scenarios while doing rotations in our "very improvable" public healthcare system.<BR/><BR/>Even as a student, I can't help but wonder if outcome would be better if I had done this or that.<BR/><BR/>The vast majority of time it's the system's fault and not ours though. The aughful and rigid system messes good intentions up for no particular reason, without a wiz of empathy.<BR/><BR/>Replying to your post, I don't really think we heal from these situations. <BR/><BR/>We take them into account for our future patients, teach students hoping they learn from our experience, and save a sad story for our grandchildren.<BR/><BR/>A lot of good actions can result.<BR/><BR/>Congratulations with your awesome blog by the way. I'm a dedicated follower, ha.<BR/><BR/>Regards,todo es cambiablehttps://www.blogger.com/profile/17313416892837323785noreply@blogger.comtag:blogger.com,1999:blog-5628616877664827988.post-50560021600959242512008-08-30T18:59:00.000-04:002008-08-30T18:59:00.000-04:00Yes, we do, T. Thanks for this post.Yes, we do, T. Thanks for this post.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.com