104-3 堅定自己善念善行(99-7 生命善終 Life ends up in a nice way)

I just re-read the article about "Death" - How to end the life in a good way? 助人善終???
再次閱讀這篇報導 -堅定自己善念善行 - 今晚要講習的 "修慈--> 修悲--->增上意 樂之前行

99-7 生命善終 Life ends up in a nice way

Souce來源出處: Alice柯月英  Saturday, June 19, 2010 3:12:02 PM

> 外科加護病房主任柯文哲說，科技發展到今天，醫生最大的問題不是病人如何活下去，而是如何死掉。 > 老師都教我們以救人為天職，但沒教我們遇到不能救的病人怎麼辦？」用盡武器救人的醫生，現在最大的問題不是如何讓病人活下去，而是助人善終。作為醫生，面對生死，心中會有更多掙扎嗎？ 

 晚上八點，台大醫院燈火輝煌。

草草吃著麵包當晚餐，外科加護病房主任柯文哲說，科技發展到今天，醫生最大的問題不是病人如何活下去，而是如何死掉。 > 因為心臟不好可以裝循環輔助器，，肝臟不好可以血漿置換，或是輸入冷凍性新鮮血漿，骨髓不好輸血，免疫不好打抗生素，即使是垂死的病人也可以撐很久，「死不了」。

問題是，「死亡是什麼？怎樣才算活著」？連醫生都無法回答這個問題。 
一個八十二歲的老公公罹患心臟病，花一百六十萬元裝置人工心臟，  但因機器太大台，他到哪裡都必須拖著救命的「心臟」，問醫生有沒有解決的辦法？醫生告訴他要再花三百五十萬元換台體積較小的機器。老先生不願意，最後因為要拖著龐然大物才能行動，得了重度憂鬱症躺在床上，七個月後中風死了。這是病人的選擇。
 科技讓人不得好死？ 在人稱「葉醫師」的葉克膜出現後，讓醫師陷入更沉重的生死抉擇。隨著醫學科技的發展，即使沒有心臟，裝上葉克膜也可以暫時維持生命，台大醫院最高存活紀錄是一一七天。只不過，並不是人人都可以走出醫院，更多的是在「葉醫師」加持下，看著自己的腳從下面一直黑上來，清醒地看著自己慢慢死掉。 一位知名企業家的太太就裝著葉克膜直到全身變黑，過世前嚴重浮腫變形，「高科技反而讓人不得好死，」柯文哲感嘆說。住在加護病房的病人在過世前平均多三公斤，因為不斷用各種儀器和藥物，導致身體浮腫，只為維持一口氣在。

這些都足以作為自己的"菩提心"所依"是????

104-2 My Deep and Sincere Gratitude

It's one year more from 17th December, 2013 tilll 5th, Feb., 2015.  Many thanks to Doctor Cheng, Nurse HuJaneYrn, LiaoJayMei, LeeJinEe, LinMeiShow, ChenShuQi, ChangJiuWhei,etc in E-Ho Hospital,  my great Mentors, family members, friends, other nurses and care-takers in the hospital, Especially my deep gratitude to a female care-taker, Ms. Micky who is from the Philippines and married a Taiwanese. Her hus died from liver cancer. She loves taking care of seniors. I have never seen her calling or using phones, not to mention smart phones.  She follows the rules and does what she should do in the hospital. It's really hard not to use the phones  taking care of  breathing tube aided patients lying in bed all the time.   

104 - 1 Almost Paralyzed Seniors - Breathing with a long Tube inside the throat and related device, at E-He Hospital, Zhonghe(Chung Ho), New Taipei City

Finally I've improved my attitude to care-takers or nurses.
(1) Another senior old lady aged 85 or 86 died early morning this Tuesday  , i.e. 3rd, Feb., 2015. 
      Before her, there have been 3 or 4 dead on the same floor (2F) where there are 16 beds in total
   
I'm not afraid of the death, but it's the hardship Dad has to suffer from a long tube,  the sucking, the milk feeding, liquid infusion or injection (IV) and being moved hard every minute, every hour or  everyday.

 (2) Their age are from 44, 59, 50, 52 till sixties, seventies, eighties and nineties.  The youngest one is male, 44 who had an accident on a construction spot according to the nurse there.  He looks young and his legs and hands are shrinking. His legs are tied to the bed in order not to shrink too fast.  I saw or heard him crying several times while I went to see Dad. I wiped out his watering one time very nervously because his mouth and chin  was covered with his watering which was flowing to his neck.  It was similar to my dad. But Dad is more serious than he for Dad's watering is much much more than other 15 patients.

(3) This Tuesday I went there 3:15 pm and found Dad's diaper full of urine. I used to ask the nurse or the care-taker for changing his diaper. I did not do this time. I asked for a clean diaper and tried to change alone. Luckily a care-taker said she did it. I watched her very carefully in order to learn how to change and where to get  the clean one for a change.

Satisfactorily I knew how to do it and could do by myself without troubling them again.  Thus I can share their job which is tiring. For there are 2 shifts a day. Each shift has to take care of 50 patients or so including the 2nd floor and the fifth floor.  Day shift is from 8 am through 8 pm, the other is from 8 pm till the following morning 8 am.  For lunch or dinner, most of them cook in the hospital. It's hard to reproach or ask them about changing diaper or getting rid of watering all over patient's mouth, even neck or face.

(4) In half an hour, I sucked Dad's watering every 3 or 5 minutes.  Normally, the patient would get the suck one hour before or after a meal.  The nurse and care-taker has been complaining or telling me about Dad's watering which is much much more than any other patient they have seen or taken care. I left at 5:45 pm.

From now on, I don't worried about too much watering. Watering is also a phenomenon of metabolism in addition to urine or shit. A almost paralyzed patient has been lying in bed for years. How can they have any movements for metabolism??  My private doctor told me to pat his muscle and to let him sitting. On my own, it's hard for me to hold him sitting or patting all over his body.  I can only do it partly. As to let him sitting, it's harder.

I have inquired my brother if we can try to make Dad sitting for I've seen Dad can breath without the breathing device -   Air sucking device,  for a few minutes. They did not refuse, nor nod.

(4) I am happy to be relieved from troubling the same things whenever I go to see Dad.  I can do much much more than the first day Dad moved in from ZhongIng Hospital, Banquiao on 17th, December, 2013.

Bless me and you all. Cherish What We have now.
5th, Feb., 2015