Considering life through death - introduction to lessons of life

Yusuke Takamiya
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Abstract

I am a palliative care physician for 30 years. And I have been teaching " Lessons of Life " to medical students and elementary, junior high, and high school students for 30 years. Based on the words left behind by the deceased patient, these are classes to think about life through death. I would like to introduce some of the lectures at this conference. When I took care of a 23-year-old female terminal cancer patient, her pain of bone metastasis, which could not be removed, was relieved by a wedding ceremony. I was taught that pain is relieved not by drugs but by supporting the hopes and dreams of patients. A 21-year-old woman with cancer of unknown primary cancer, who had not been told of her prognosis, realized that she was dying and left a letter for her mother. She wrote, "I am glad I was born as your daughter” with gratitude. A 17-year-old high school male student, who had a brain tumor, left a diary. In the diary, he wrote, "If I were to die tomorrow, what would I do today? All I can do now is to live my life to death as I am.”An 18-year-old woman, battling rhabdomyosarcoma,said,“Walking, talking, seeing, hearing, laughing, crying, and living. You may think it’s normal as someone who always takes it for granted, but that’s not the case.” Through the words and actions left behind by my patients, I learn that we are living a day that is irreplaceable.  
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从死亡中思考生命--生命教训导论
我是一名从事姑息治疗 30 年的医生。30 年来,我一直在为医学生、小学生、初中生和高中生讲授 "生命之课"。这些课程以逝去的病人留下的话语为基础,通过死亡来思考生命。我想介绍一下本次会议的一些讲座内容。我在照顾一位 23 岁的癌症晚期女病人时,她因无法切除的骨转移而痛苦不堪,但通过婚礼仪式,她的痛苦得到了缓解。她告诉我,减轻痛苦的方法不是药物,而是支持病人的希望和梦想。一位 21 岁的不明原发性癌症女性患者在未被告知预后的情况下,意识到自己生命垂危,给母亲留下了一封信。她满怀感激地写道:"我很高兴生为您的女儿"。一名患有脑瘤的 17 岁高中男生留下了一本日记。他在日记中写道:"如果我明天就死了,我今天会做什么?我现在所能做的,就是像我现在这样,向死而生。"一位与横纹肌肉瘤作斗争的 18 岁女性说:"走路、说话、看东西、听东西、笑、哭、活着。作为一个总是认为这是理所当然的人,你可能认为这很正常,但事实并非如此。从病人留下的言行中,我了解到我们所过的每一天都是不可替代的。
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