After the post was sent, many netizens left messages with the post.
The opinion of most netizens is to tell the doctor directly, "doctor, our family has limited economic conditions and can't afford it, so we decided to give up treatment. We want to sign out of the hospital and go home to be filial. Thank you! " This simple sentence expresses the existing contradictions, solutions and attitudes, and the doctor will cooperate with it.
A doctor left a message saying that as long as the family said, "We want to go home for maintenance," the doctor knew everything and would definitely agree. In fact, doctors can better understand such family members and know their long-term pain and suffering. When family members say that the financial burden is too heavy, doctors will stop taking some drugs as appropriate and then wait. But generally speaking, it is difficult to predict how long it will last after drug withdrawal, unless it is a patient with extremely high dose of vasoactive drugs.
In addition, the ventilator is generally not stopped, and other machines, such as hemodialysis machine and extracorporeal membrane oxygenation, can be stopped as appropriate. The cost of these machines may be relatively high. If hemodialysis or extracorporeal membrane oxygenation is used, you can ask your doctor if you can withdraw the machine.
Finally, if the patient is conscious and wants to relieve the pain, he can also ask the doctor directly, and some analgesic or hypnotic drugs can be used to relieve the pain of the patient.
Another netizen left a message, since we can only rely on machines to maintain vital signs, there is really no need to insist. Not to mention the high cost, for them, it is unfair to just continue living without quality of life, because they are really suffering. In the ICU ward, I have seen too many patients who can't beg for death or survive. Family members feel that it is worthy of the patient and a comfort to themselves to prolong their lives in this way, but those relatives lying in hospital beds are full of tubes, which is really painful!
After reading all the posts carefully, most of the advice they gave was directly to the doctor. Either because the family's economic conditions are limited, or because they don't want to continue to let their relatives suffer in vain, in short, it is one statement and two statements.
Throughout the experience of working in the hospital, the reason why family members are difficult to give up is nothing more than the influence of secular concepts. They are worried that people who are familiar with themselves will say that they are unfilial and cannot explain to other relatives.
This kind of situation that is difficult to give up is often when children treat the elderly who have been ill in bed for a long time. There is no dutiful son in front of the hospital bed for a long time. If you are a hospital worker, if you are used to those patients who have been hospitalized repeatedly, have been paralyzed in bed for a long time, have been in a state of plant survival and need to be guarded 24 hours a day, you can understand the origin of this sentence, which was summed up by predecessors with how painful understanding.
A family member who has been discharged from the hospital came to the hospital to consult about replacing the stomach tube. We once heard him say calmly: there is no way to change. He is not dead, so we can't leave him alone. We learned from family members that their patients have been paralyzed in bed for five years. For five years, this son has been guarding patients day and night, and he is honest, mature and steady. While others are trying to earn money to support their families, he spends a lot of time serving the elderly and can only rely on a few acres of land at home to maintain a basic life. Because the long-term financial difficulties do not allow them to hire nursing workers, they have to take turns to serve their families.
Once such a patient is hospitalized again, his family members are unwilling to continue to spend medical expenses for treatment, but they are embarrassed to speak because of their feelings.
A few days ago, an old lady lived in the intensive care unit. After the operation of hypertensive cerebral hemorrhage, she was in a coma, intubated, and did not breathe spontaneously. The ventilator gave mechanical assistance. The old lady comes from the countryside. Since the day of hospitalization, her hospitalization expenses have been in a negative state. The nurses in the main class have to remind them countless times every day to make up the arrears. After that, they owe and make up, and so on.
Suddenly, one day, the daughter-in-law who had never met before sent her only a few hundred yuan at home, and then came to the department and wanted to go to the intensive care unit. The monitoring team leader refused to let her in according to the regulations, which led to a big fight at the nurse station. The patient's son stopped her being unreasonable and explained to us that she lost her temper because of the old lady's illness and the economic conditions at home. Two days later, the family said that it was difficult to "give up" for several days and took the patient home.
Such family members generally have a nameless fire in their hearts, and doctors and nurses often face the situation of losing their temper easily in the process of handling. If you don't agree with the other party, you threaten to say that your medical attitude is not good, or find fault with your eggs. In the face of such family members, medical staff are cautious, try to let nature take its course, pay attention to ways and means when communicating, and talk to them in a peaceful tone, so that they can't find a chance to release their inexplicable grievances.
In this case, doctors generally do not take the initiative to ask their families to give up, but they will express their views and respect the wishes of their families.
We often hear family members say: If it can be cured, we will insist on how much it costs, but now there is no hope of cure at all.
Life is precious, but when it is irreversible, all life indexes are maintained by external instruments or drugs. When the suffering of time and economy slowly shakes the initial firm heart of family members, family members will gradually accept the facts. In order not to let their relatives continue to suffer, and in order not to make the limited living conditions more difficult in the future, they will gradually have the idea of giving up treatment.
Giving up treatment is really an irresistible pain for relatives, especially for patients who suddenly fell ill and died. The heartfelt sadness of the family members made people unable to bear to look straight, and the heartbreaking cries filled the whole ward, which made all the family members feel sad and moved.
I have seen the pain of my family members at the moment when the instrument was taken out countless times. They clearly know that musical instruments are the link between their hearts. When the instrument is removed, they will separate Yin and Yang, and reason will tell them that it is meaningless to continue to maintain it. But emotions tell them that maintenance can't save lives, but it can make him stay in this world for a while and let him see the world that is no longer attached to him.
A doctor may talk to his family countless times after the rescue, and the helplessness of being sentenced to death will affect his mood for hours or even days.
But the reality is so cruel. In the process of medical development, there are always some diseases that cannot be solved. When reality comes, it is better to treat it simply. The doctor told the patient's family truthfully, and the family truthfully told the doctor what they thought. At this special moment, let sincere words dissolve the embarrassing atmosphere, and let the doctor give his family some spiritual credentials like spring rain.