Anotherpatient who taught me something important.
This again
happened during my previous stinct at NJH.
It was
midnight of a really hot summer. The hospital was not very busy. I was called
to attend to a girl, about 12-13 years old who presented to emergency with
severe breathlessness.
On
attending to this girl whom we shall call AK, I realised that I was dealing
with a long term cardiac condition, most
probably a congenital cardiac disease with end stage cardiac failure.
The X-ray
confirmed it. Her heart occupied almost the whole of her chest. The veins in
her throat were all bulged up. Her eyes were bulging and was very congested.
She had central as well as peripheral cyanosis. I could not record her blood
pressure.
I put her
on the bed in the acute care. I called one of my colleagues who confirmed that
nothing much can be done other than make her feel comfortable.
I talked to
her parents. In fact, AK had been sick from the day she celebrated her first
birthday. They had not shown her to a proper doctor. Only quacks (jhola chaps)
and faith-healers (ojhas) had seen her. The family appeared to understand that
there was nothing much to do other than pray.
I went to
talk with AK. To my surprise, AK also was sure that she was dying. As I told
her that I shall see her in the morning and was leaving, she clinged to my
hand.
In between
her breathlessness she told me, ‘Please ensure that I die here in this place.’
I told her that my nurses will take care of her well. Then she continued,
‘Doctor, I’ve never slept on a bed. I never knew that it is so comfortable.
Please let me die on this bed’.
AK died
early morning, before I reached for rounds. Her face was so peaceful. Not the contorted
faces that I’ve seen in many of my patients who die a horrible death after
being breathless.
All she
wanted was to remain in the bed on which she ultimately died.
Tells a lot
about basic human needs and wants, especially those of the poor.
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