After the post, many users followed the post to leave a message.
Most of the netizen's opinion is to talk to the doctor straight, "Doctor, our family due to the limited economic conditions, can not support, decided to give up the treatment, we would like to sign the discharge, go home to do filial piety. Thank you!" This is a simple sentence that expresses the existing contradictions, solutions and attitudes, the doctor will cooperate with the treatment.
A doctor's message said, as long as the family said "we want to go home to maintain", the doctor will understand it, will certainly agree. In fact, doctors are more understanding of such families, and know the pain and suffering they have been going through. When the family expresses that the financial burden is too heavy, the doctor will stop some medications and wait. In general, though, how long you can last after stopping medications is harder to predict, except for patients on extremely high doses of vasoactive drugs.
Also, ventilators are generally not stopped, and other machines such as hemodialysis machines and ECMO can be stopped at the discretion of the doctor. The cost of these machines can be significant, and if hemodialysis or ECMO is used, you can ask your doctor if the machine can be withdrawn.
Finally, if the patient is still conscious and wants to relieve the pain, it is also possible to raise this directly with the doctor, and some analgesic or sedative-hypnotic drugs can be used to relieve the patient's pain.
There is also a netizen message, since to the point that can only rely on the machine to maintain the vital signs, then there is really no need to hang on, not to mention the high cost, just the patient has no quality of life to continue life, it is not fair to them at all, because they are really very painful. In the ICU ward, saw too many patients who can't beg for death, can't beg for life, the families feel that this continuation of their lives is affordable to the patients, and it is also a solace to themselves, but those who are lying in the bed of their loved ones, all over the body are inserted with tubes, it is really very painful!
After carefully reading all the followers, most of the advice they give is to talk straight to the doctor. Or because of the family's limited financial conditions, or because they do not want to continue to let their loved ones suffer in vain, in short, there is one to say one, two to say two.
Throughout the experience of working in the hospital, the family members are difficult to open their mouths to say that the reason for giving up is only affected by secular concepts, worried that the people around them who are familiar with their own say that they are unfilial, and can not be accounted for to other relatives.
This difficult to say to give up the situation, often children to treat the elderly in bed for a long time. "There is no filial son in front of the bed of a long illness", if you are a hospital staff, if you are used to seeing those repeated hospitalization of long-term paralysis in bed, has been in a vegetative state of existence, the need for 24 hours a day without interruption someone to guard the patient, you will be able to appreciate the origin of this sentence is the predecessor summarized with how much pain in the comprehension.
A family member who has been discharged home to the hospital to consult the replacement of the gastric tube, we once heard him calmly say: not to replace the no way ah, he is not dead, can not care about him. From the mouth of the family, we learned that the original family of this patient, has been paralyzed in bed for 5 years. 5 years, the son of the day and night to guard the patient around, is in his prime, when others in the fight to earn money to support the family, he put a lot of time are used in the waiting for the old man above, can only rely on the home only a few acres of land to maintain a basic life. Because of the long-term shortage of the dilemma does not allow them to hire a caregiver, so they have to wait for their own family members to rotate.
Once such a patient is hospitalized again, the family is not willing to continue to spend the medical expenses for their treatment, but in the face of the embarrassment, and embarrassed to say.
The other day, there was a hypertensive cerebral hemorrhage in the monitoring room has been in a coma state of the old lady, with tracheal intubation, no independent breathing, respiratory machine to give mechanical assistance. The old lady is from the countryside, from the day of hospitalization, her hospital fees are always in the negative state, the nurse in charge of countless times a day to remind the money, they can only owe the fees to make up for the payment, and after that, and then owed, and then make up for the money, and so on, and so forth, repeated the cycle.
Suddenly one day, her daughter-in-law, whom she had never met, came to the department, and after sending only a few hundred dollars from her family, she wanted to enter the monitoring room to visit, and the head of the monitoring team did not allow her to enter according to the regulations, which led her to a loud noise in the nurses' station. The patient's son stopped her unreasonable behavior and explained to us that the reason for her temper was due to the old lady's condition and the family's financial situation. Two days later, the family said "give up", which had been difficult to say for several days, and pulled the patient back home.
Such family members are generally in the heart of a nameless fire, doctors and nurses in the process of dealing with them, often faced with the situation that they do not move on the temper. A word, on the threat of medical attitude is not good, or looking for bones in the egg to find fault. In the face of such family members, health care workers are careful, try to go with the flow, pay attention to ways and means of communication, with a calm tone of voice and talk to them, so that their inexplicable grievances can not find a time to release.
The doctor in this case usually does not take the initiative to ask the family to give up, but will show his point of view and respect the wishes of the family.
It is common to hear family members say that if they can be cured, we will insist on spending more money, but now, there is no hope of a cure.
Life is precious, but to the point where it is irreversible, all the life indexes rely on the role of external instruments or drugs to maintain, when the time and economic suffering slowly shook the family that the initial exceptionally firm heart, the families will slowly accept the fact that in order to not let their loved ones to continue to suffer, in order to not let the limited conditions of life in the future even more strained, they will gradually produce the idea of giving up the treatment.
Giving up treatment for loved ones is really an irresistible pain, especially the sudden illness and incurable patients, the family's kind of heartbreaking heartfelt sadness that people can not bear to look at, the kind of heartbreaking cries filled the entire ward, so that all the family members to see all of the sadness and emotion.
There have been countless times that I have seen the moment of the removal of the instrument, the families of the instant outbreak of pain, they clearly know that the instrument is a link to their hearts. The first time I saw this, I was in the middle of a long journey, and it was a long time ago that I was in the middle of a long journey, and it was a long time ago that I was in the middle of a long journey. But emotion tells them that although the maintenance can not save the life, but can keep him in the world for a while, can let him see this world that is no longer attached to him.
A doctor, perhaps countless times experienced the end of the resuscitation and the family conversation, the kind of pronounced death sentence of helplessness, in the hours and even days afterwards will be swayed by their own mood.
But the reality is so cruel, in the process of the continuous development of medicine, there are always some diseases can not find a solution to the root cause. When reality comes, it is better to treat it simply, the doctor told the patient's situation truthfully to the family, the family has any idea truthfully to tell the doctor. In this special moment, let the sincere words to dissolve the awkward atmosphere, so that the doctor's warmth like rain more or less to give the family some of the soul of the azure.