我最难忘的病人

John Larsen CHT
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引用次数: 0

摘要

我作为一名认证的血液透析技术人员/技术员(CHT)工作了大约12年,在医疗领域工作了近20年。多年来,我治疗过许多不同寻常的病人,但有一个病人对我来说非常特别——我的父亲。爸爸去医院切除了主动脉上的动脉瘤。它已经存在很多年了,我们都知道。这是一个三“a”手术(腹主动脉瘤),最终在他的腹股沟区域发现了第四个动脉瘤,并在他的左腿上爆炸。长话短说,爸爸的左腿失去了血液循环,不得不在膝盖以下进行手术。然后,我认为最可怕的噩梦发生了——他的肾脏停止了运转。我们不得不做另一个痛苦的决定,马上开始透析。我帮忙安装了机器,在安装机器的时候,我采取了一些措施和预防措施,这些措施和预防措施超出了我通常对病人所做的,以确保消毒,因为,毕竟,这是我父亲。导管的放置不是最好的,但我帮助透析进行,当我坐在那里看着他时,我知道爸爸不会想那样生活的。但是,我尽我所能让他舒服,告诉自己这只是一个急症,他会恢复过来的。在我父亲生病的那段时间里,我工作的公司给了我一个生物医学的职位——一个让我不再直接照顾病人的工作——我正在考虑这个职位。我爸爸和我一直很亲密,他一直是我心目中的英雄。他总是倾听我的意见,帮我做生活中不同事情的决定,我也总是向他寻求建议。和爸爸一起坐在医院里,我开始想到所有在我的透析设施里的病人——他们的感受,他们作为透析病人所经历的一切,以及他们必须做出的所有艰难决定。和过去一样,这次我跟爸爸谈了这个机会,尽管我不确定他躺在医院的病床上听不见我说的话。我告诉了他我的提议,尽管他戴着呼吸机不能说话,但他举起手臂,把手放在我的手上,摇了摇头,“不”。我说:“爸爸,你想让我陪着病人吗?”他点了点头,“是的。”这对我来说是一个非常感人的时刻,我立即决定拒绝公司的邀请,继续做病人护理工作。当你每天安排病人时,很容易变得机械,只是走过场。但现在我看着每一个病人,就好像他或她是我的父亲,我小心翼翼地把一台机器连接起来,把每一个病人都连接起来,就像我的父亲坐在那把椅子上一样小心和精确。我父亲三年前去世了。我非常爱他,也非常想念他,但他帮我做了一个我从未后悔过的决定。谢谢你,爸爸。你是我最喜欢的病人。爱你的儿子,约翰。
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My most memorable patient

I have worked as a certified hemodialysis technologist/technician (CHT) for about 12 years, and have been in the medical field for almost 20. I've worked with many extraordinary patients over the years, but I have one particular patient who was very special to me—my dad.

Dad went into the hospital to have an aneurysm on his aorta removed. It had been there for years, and we all knew it. It was a triple “A” surgery (abdominal aortic aneurysm) that ended up with a fourth aneurysm found in his groin area that exploded throughout his left leg. To make a long story short, Dad lost circulation in his left leg which then had to be removed below the knee. Then what I thought was my worst nightmare occurred—his kidneys shut down. We had to make another traumatic decision, to start dialysis right away.

I helped set up the machine, and while stringing it I took measures and precautions beyond those I typically do with patients to ensure sterilization because, after all, this was my dad. The catheter placement wasn't the best, but I helped get the dialysis going and, as I sat there watching him, I knew Dad wouldn't want to live like that. But, I took every measure I could to make him comfortable, telling myself it was just an acute setting and that he would bounce back.

During this time that my father was ill, the company I work for had offered me a biomedical position—a job that would take me away from direct patient care—which I was considering. My dad and I were always close, and he was always my hero. He always listened to me and helped me make decisions about different things in my life, and I always went to him for advice. Sitting there with my dad in the hospital, I started to think about all of the patients in my dialysis facility—how they feel, all they go through as dialysis patients, and all of the tough decisions they have to make.

As I had in the past, I took this time talked to my dad about the opportunity, even though I wasn't sure he couldn't hear me as he lay there in the hospital bed. I told him about the offer and, even though he could not talk because of his ventilator, he raised his arm, put his hand on mine, and shook his head “no.” I said, “Dad, do you want me to stay with the patients?” And he nodded his head “yes.”.

This was a very moving moment for me, and I immediately decided to decline my company's offer and stay with patient care. When you set up patients every day, it's easy to become mechanical and just go through the motions. But I now look at every patient as if he or she is my dad, and am careful to string a machine and hook up every patient with the same care and precision as if my dad was in that chair.

My father passed away three years ago. I loved him very much, and I miss him terribly, but he helped me make a decision I've never been sorry for. Thank you, Dad. You were my favorite patient. Love, your son, John.

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来源期刊
Dialysis & Transplantation
Dialysis & Transplantation 医学-工程:生物医学
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