Bailey Baker Dr. Ira Byock’s book has never before come into my reading radius, despite my love for experiencing medicine through the words of others. Books such as Better and Complications by Atul Gawande, and White Coat by Ellen L. Rothman are bookshelf staples that I have read too many times to count. While books such as these have shed light on to the realities and challenges of practicing medicine from an active perspective, they all were very similar in their focus: the physician. In stark contrast is Dr. Byock’s novel, where the overarching ideas center around the patient and their care. Yes, Dr. Byock clearly describes his struggles and actions as a physician, but also provides a constant focus on the patients he is interacting with, and how those interactions helped him to become a successful and highly admired palliative care physician. Death in our modern day society is rarely talked about, …show more content…
He showed that the life of an individual facing terminal illness, or imminent termination of life, can play a profound role in both the life of the patient, and in their community. Many of these stories left me challenged and deeply reflecting on the way our culture and society views those who are about to die—especially the elderly—and opened my eyes to a world of palliative care and hospice-programs that I was largely unfamiliar with. His encounters also led to the reflection on the certainty of own mortality and inspired me to ask the question of, “What are my comforts in life and in death?” Additionally from a physician’s standpoint, “How can I help to discover and reaffirm these comforts in my future patients?” Dr. Byock’s message is an important one in American society, where our culture forestalls death at any cost and too often ignores that dying is part of the human
I often ask myself, “Can I handle it?” I learned from other doctors that in order to provide the best care, a physician must be able to detach himself or herself from the patient; they say it would be better for both the doctor and the patient. But, with that kind of thinking, the doctor is not fully giving himself to the patient. So, is it right to not fully give oneself to care for the patient? Learning from Patrick Dismuke and those who loved him, it seemed that the hospital was able to care for him best by loving him. Nurse Kay, Patrick’s favorite nurse, not only answered his late night calls, but enjoyed talking with him. This always calmed Patrick down before and/or after surgery. Dr. Aceves was always optimistic and hopeful for the future of Patrick’s health, never giving up on him by pushing for surgery. He did this because he knew Patrick all 16 years and was emotionally attached to the boy, even though Patrick did not feel the same way. Thus, though I can understand that a physician must put a wall between himself or herself and the patient, there should still be a strong connection in which they would do anything for the patient’s comfort and
Dr. Atul Gawande, a Harvard Medical School graduate and writer for The New Yorker, phenomenally illustrates the unknown side of healthcare professions in his book, Complications: A Surgeon’s Notes on an Imperfect Science. By exploring the ethical and analytical aspects of medicine while entertaining readers with relatable anecdotes, Gawande impresses on his audience the importance of recognizing the wonders of the healthcare field, as well as the fallibility of those within it.
God tells his children, “He will wipe every tear from their eyes. There will be no more death or mourning or crying or pain, for the old order of things has passed away” (Revelation). Death is one of the most frightening and confusing times a person can go through. Watching a loved one pass away is also one of the hardest trials a person can experience. Many people assume that death is a time of pain and the only thing that they can do is mourn and watch their loved one fade away from the earth. This is wrong. There are ways that people can turn a bad situation to good. Dying doesn’t have to be painful and full of suffering. The County Hospice staff makes sure of this. The Hospice staff not only takes care of passing patients physically, but they also take care of the patients emotionally and spiritually. Hospice staff also plays a key role in helping families during the grieving process.
In “How Doctors Die,” Dr. Ken Murray explains some different real stories about people having terminal diseases, and how their doctors and physicians treat them. Moreover, the author mentions about difficult decisions that not only the doctors but patients and the patients’ family also have to choose. When the patients’ diseases become critical, the doctors have to do whatever they can to help the patients, such as surgical treatment, chemotherapy, or radiation, but they cannot help the patients in some cases. In additions, doctors still die by critical diseases, too. Although they are doctors, they are just normal people and cannot resist all of the diseases. Like other patients, the doctors having critical diseases want to live instead of
Ira Byock wrote the novel The Four Things That Matter Most, in 2004. Mr. Byock is a renowned medical doctor who specializes and practices in palliative care and his main interest is offering care to alleviate mental, emotional, and physical symptoms for those that are in their last moments of life. His enriching novel discusses these concepts; it is a helpful tool for those that are dying, or for their loved ones facing the reality of the impending death, and for those that have lost a loved one. The cover of the book states that it is “A book about living.” Before I started reading it, I kept thinking, “How could this be a book about living?”
The Dying of the Light is an article by Dr. Craig Bowron that captures the controversy surrounding the role of medication in prolonging life. The author describes that many medical advancements have become a burden to particularly elderly patients who in most instances are ready to embrace the reality of death. Dr. Bowron believes that dying in these modern times has become a tiring and unnatural process. “Everyone wants to grow old and die in his or her sleep, but the truth is most of us will die in pieces,” Bowron notes (Bowron). The article does not advocate for euthanasia or the management of health care costs due to terminal or chronic illness. Bowron faults humanity for not embracing life and death with dignity as it was in the past. He blames the emergence of modern medical advances and democracy as the sole reason why everyone is pursuing immortality or prolonging of life rather than embracing the natural course of things. The article is very articulate and comes out rather persuasive to its target audience that happens to be health-conscious. Craig Bowron uses effective rhetorical strategies such as logos, ethos, and pathos to pass on his message. The article’s credibility is impeccable due to the author’s authority in health matters as he is a hospital-based internist. A better placed individual to dissect this issue by analyzing his experiences in the healthcare profession. The article incorporates a passionate delivery that appeals to the readers’ hopes, opinions, and imagination.
This internal conflict is a result of the mistakes a physician makes, and the ability to move on from it is regarded as almost unreachable. For example, in the essay, “When Doctors Make Mistakes”, Gawande is standing over his patient Louise Williams, viewing her “lips blue, her throat swollen, bloody, and suddenly closed passage” (73). The imagery of the patient’s lifeless body gives a larger meaning to the doctor’s daily preoccupations. Gawande’s use of morbid language helps the reader identify that death is, unfortunately, a facet of a physician’s career. However, Gawande does not leave the reader to ponder of what emotions went through him after witnessing the loss of his patient. He writes, “Perhaps a backup suction device should always be at hand, and better light more easily available. Perhaps the institutions could have trained me better for such crises” (“When Doctors Make Mistakes” 73). The repetition of “perhaps” only epitomizes the inability to move on from making a mistake. However, this repetitive language also demonstrates the ends a doctor will meet to save a patient’s life (73). Therefore, it is not the doctor, but medicine itself that can be seen as the gateway from life to death or vice versa. Although the limitations of medicine can allow for the death of a patient to occur, a doctor will still experience emotional turmoil after losing someone he was trying to
Final Gifts, written by hospice care workers, Maggie Callanan and Patricia Kelly, includes various stories detailing each of their life changing experiences that they encountered with their patients. Hospice care allows the patient to feel comfortable in their final days or months before they move on to their next life. This book contains the information considered necessary to understand and deal with the awareness, needs, and interactions of those who are dying. Not only are there stories told throughout the book, there are also tips for one to help cope with knowing someone is dying and how to make their death a peaceful experience for everyone involved. It is important that everyone involved is at as much peace as the person dying in the
Being in hospice care is a better alternative than being stuck in the hospital to try to avoid the unavoidable. Common misconceptions about Hospice could include that hospice makes life more miserable; however, a physician expressed his findings in Hospice,“You can only fail a patient if you fail to understand and respond to their needs. We may not be able to cure all of our patients, but if we can make them comfortable in the last moments of their lives, we will not have failed them”..Hospice care gradually emerged in the 1970s, when groups like the National Hospice Organization were formed “in response to the unmet needs of dying patients and their families for whom traditional medical care was no longer effective.”Herbert Hendin, an executive director of the American Suicide Foundations illustrates a story of a young man diagnosed with acute myelocytic leukemia and was expected to have only a few months before he died. He persistently asked the doctor to assist him, but he eventually accepted the medical treatment. His doctor told him he can use his time wisely to become close to his family. Two days before he died, Tim talked about what he would have missed without the opportunity for a
Hospice workers, likely more than any other group of care providers, deal with the desperation that many individuals feel when they accept the fact that their illness is likely to be the cause of their death. In that process, hospice staff deal not only with the physical pain of the illness, but also the emotional pain of facing leaving one's family, the social pain of enduring what may be considered indignities, and the spiritual pain associated with one's cultural and personal beliefs about life after death. Through an interdisciplinary approach that is unique to hospice care, patients who elect hospice receive treatment for all their concerns. Hospice caregivers have discovered three central reasons a terminally ill person may want to discuss suicide.
I had the opportunity to read “Doctors” by Anne Sexton. My initial reaction to this text was that the poem is endearing, Sexton truly grasps the nature of not only doctors but also everyone who is involved with the care of a patient, from the doctors and RN’s all the way down to the CNA’s and Dietary Aids. All work with “herbs” whether it be a Doctor giving out painkillers or a Dietary Aid bringing a warm meal with a smile, all factors go into the “gentleness” and “do no harm” so that the patient will get better.
While the majority of the book critiques the healthcare system, Chapter 13 focuses more on key actions and personality traits that help Dr. Stone relate to patients. Although this noteworthy, compassionate physician attempts to develop an understanding of his patients’ values and goals, he still fails Mrs. Jackson by trying to retain cultural competency by tiptoeing around end-of-life decisions. Conversations about feeding tube placement and DNR orders could have minimized Mrs. Jackson’s unnecessary
Kenneth Schwartz was a health-care lawyer who had only been exposed to the business side of healthcare. It was not until he was diagnosed with lung cancer that he would experience another role in healthcare, being a patient. The battle he was up against would not only be physical but also emotional. In the end, Schwartz lost his battle against lung cancer just under a year of being diagnosed. The one thing he repeatedly emphasized was the empathetic acts of kindness the caregivers bestowed upon him. Cancer to him was not just about physically beating the cancer, it was for his well-being as a whole ,and his desire to stay intact through out the process. He may have lost his battle with cancer but the care he was provided kept him hopeful and optimistic until his untimely passing. Compassionate care should be a staple for all healthcare providers. It can improve outcomes of health, increase the satisfaction of the patient, and aid in better adherence to recommendations from the caregivers. Patients should never feel they are being rushed, that they are not important, or that they are not receiving the best provision of care possible.
“The hospice philosophy accepts death as the final stage of life: it affirms life and neither hastens nor postpones death. Hospice care treats the person rather than the
A person who is terminally ill will be able to leave this world without having to go through the process of the intense suffering predicted by a doctor. Why should a human being have to suffer on his/her last days on earth? Would they be truly living, or would they be imprisoned in a hospital room for the remaining days depressed and not in control of their life like they used to? They lose their quality of life. Marc Siegel, a doctor, talks about the two roles of a doctor, to prolong life and to ease suffering. He explains how sometimes they conflict with each other, and how the number one priority is to respect a patient’s wishes. He says that they, “…when pain predominates, when the patient is in agony, when reducing morphine cannot bring back quality of life. When the only choice is pain or death, doctors routinely¬ – with their patients’ advance approval – help them choose death” (821). The terminally ill patient does not suffer at the moment of death like she would if she would let nature take its course. Not only would they have a painless death, they would be able to choose when, where, and with whom they want to die. They will be able to say all the goodbyes they want, they could leave this world having made peace with everyone, and they would have the opportunity to really enjoy their quality of life. They will have the opportunity to not go through all the excruciating mental