So the best blog posts for me seem to be the ones that fire me up or melt me down.
Over the weekend I had this patient who has a poor prognosis from many doctors, he is constantly restless, anxious, in pain, is on a vent among many other issues.
So sometimes we have a group of people that come to meet with the family to discuss realistic goals of care and quality of life, even comfort measures. They are great people that mean the best for the patient. But from the families perspective I can see how it would be a hard thing to discuss. Generally it is cause the patient will not greatly improve, and sometimes they will.
There was this scenerio with the patient as described as above and this group of doctors met with this wife. She (to put it nicely) was not very educated and took this group of people to the extreme. She went from crying to angry. (kinda a cool to see a text book reaction) I was trying to explain to someone who might not ever understand the fact that her husband was very sick and that the group of people meant well. she said things like "He is my everything" "its just me and him" which is sweet but can she see the medical perspective with multi organ malfunction, vent dependence, necrotic bowel, etc. that there is not much room to improve. Then she said "Beth I just have to hope and believe that he will get better and I cannot make negative decisions, I just can't" I told her that it is always good to expect the best but also understand the possibilities. And pointed out that this descision is never any easy one no matter how eminent death is.
I def was torn because medically there was not much hope, but spiritually there is always hope. Who am I to take away hope? Who am I to give false hope?
I am called to speak life, and create hope and hold on to God's amazing and numerous promises. Which I do, but where am I able to speak?
I am spiritually challenged. Torn.
And now that a dear friend of mine is very sick, and may have "poor prognosis" I choose to HOPE, and to BELIEVE that in Jesus' name she Will in fact be healed. And I believe it through the overwhelming doubt with my medical perspective and expect God to move and breath his breath of life into Her and help her live this life He has called her to live. It hurts. Not knowing, but yet expecting.
God help me in my unbelief, help me to gain wisdom.
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