Mom's liver cancer is advanced, if the disease progresses to a certain extent, I will sign to give up...

To give up is to make life more dignified

Caption

Mom's liver cancer is advanced, and the anti-cancer experience for more than a year has experienced ups and downs. Two months ago, Professor Zhao Xinming, director of the Imaging Department of the Cancer Hospital of the Chinese Medical Academy of Sciences, and Professor Li Xiao, director of the Interventional Department, stopped my recklessness while hushing and greeting, thanking them, and also thanking all my colleagues who have helped my mother's treatment for more than a year.

Mom's condition went back and forth, and I prayed every day, but if Mom's condition progressed to a certain extent, I would sign off on treatment.

The epidemic made it impossible for me and my dad to visit my mom in the hospital. So in a few days, I took my father back to Chengdu and let him get used to a period of time when my mother was not around. In this way, the younger sister can take care of her mother more undistracted.

I love you, mom. After writing these few words, I cried.

Source: Weibo @ Chengdu Sewers

After the Spring Festival in 2017, at about the end of February, I received a phone call, and at the turn of the year, Tang Ning, former director of the Construction Department of Sichuan Province, went to the hospital for examination because of bloating and was diagnosed with advanced colon cancer.

It was a surprise blow to the family and friends of the old director.

The retired director of Tang Hall enjoyed the treatment of deputy ministerial level, and the high-ranking cadre ward of West China Hospital immediately admitted him to the hospital.

Various palliative care persisted for more than a month, and the old director knew that his time was short and was discharged from the hospital.

On the afternoon of April 25, I received a call from the secretary of the old director asking me to go to the old director's house.

The old hall chief lay on the bed, conscious, but it had withered like a residual lotus, and the afterglow of life was gradually drifting away.

The old hall long march to ask my opinion, still go to the hospital?

I know that what awaits the old director next is coma and death, and if I go to the hospital, there are more invasive examinations, various monitoring equipment, various infusions, and the results of rescue efforts, and I will have a few more days of awakening and pain.

I said to the old director: Let's go.

Saying this is actually against my will, and I don't want the old director's body to suffer more.

But when I got to the living room and consulted with the old director's wife, my opinion was very firm, and I did not go to the hospital to toss anymore.

In fact, whether to go to the hospital or not to continue treatment is not something that doctors can decide, and when the patient dies, the pain is more for the family.

The old director's wife and his children finally chose to give up, and it was not easy to make this decision, there are countless similar cases in the hospital, emotional reluctance and ethical filial piety always let "hold on a little longer" prevail, and finally exchanged for more heart-wrenching pain and torture.

At 4 a.m. the next day, the old hall went quietly at home.

If the old director is considered a high-ranking official, what kind of advice will the doctor give to an ordinary family of terminal cancer patients?

In the face of life, whether rich or poor, all people are equal.

There is a proverb in Confucius's Analects of Yan Yuan: Life and death have a destiny, and wealth lies in heaven. Simple analysis of the text, we can not completely control our own life and death, wealth, can only do our best.

More than ten years ago, I admitted a case of female kidney cancer patients in their early 40s, both husband and wife are laid-off workers in the eastern suburbs of Chengdu, I did a radical kidney cancer resection for the patient, during the intraoperative investigation found that the tumor was more serious than expected before the operation, trembling and finishing the operation, I told the patient's husband: the prognosis is not good.

Sure enough, two months later, the patient was re-admitted.

The treatment that can be exercised is the use of the targeted drug sunitinib, but the price is very expensive, according to the disease analysis, the effect of sunitinib is not too good, and sunitinib is not covered by medical insurance. The patient's husband stubbornly demanded that the treatment continue, and he did not hesitate to sell the house.

In China, the doctor's duty is to save people, and terminating treatment or even recommending that the treatment be terminated is not what doctors have to do, and if they don't get it right, they will also be charged with dereliction of duty.

The patient's family is really poor, but the only thing I can do is watch the patient's husband sell the house to raise money for medicine.

Fortunately, the house was not sold in the end, and the medical representative of sunitinib told the patient the truth, if more than 100,000 yuan of drug costs were spent, the expected miracle would not appear.

The patient's husband finally signed the medical record: renouncing treatment. I still remember his heart-rending cries.

After another two months, the patient died.

In another case like this, I will try to change my thinking and tell the patient and the patient's family in a more gentle way.

1, wishes are often wishful thinking of self-deception.

2, really powerless to return to heaven, reduce the burden of all unnecessary treatment.

3, giving up, is to make life more dignified; giving up, is a warm care for the family.

>>>> netizen message

Zheng Xjun: Two years ago, my father also chose to give up, he said: Don't bother you anymore! I burst into tears.

Sunny XX: As a family member of a cancer patient, really, it's all painful.

Xiao Xiao X: Hey, people who read the text can't help but cry, what will happen to the people who write the text? Hope there is a miracle

Tanta X 999: Life is about quality, not length, and if I had that day, I hope that the laws and medical institutions at that time would give me the freedom to choose euthanasia.

Smile X Words: Empathy. During the final period of his father's lung cancer and his deep coma, he was glad that he was not blinded by love and sent him to the ICU, but the whole family accompanied him on the side to send him on the road safely... Hospice care, as I understand it, is to do everything possible to preserve the dignity of the patient's life under the premise of determining that there is no hope of treatment! Dad, daughter did it, may you have a happy swim in heaven.

Futures Trading X: Having a tumor is a mental torture for patients and families, and you know that day will come sooner or later, and it is getting closer and closer.

Mrs. Toot X: My last wish: No pain.

WINTER XLILY: It's hard to give up, but maybe you're right.

Sagittarius X Sugar Sugar: The last insistence is more of a family's reluctance and love, but this love brings too much pain to the patient, and sometimes letting go is also a kind of love.

I am the elderly Xi: 19 years ago my father used the biggest expense of his life to do a CT check in West China Hospital to find out advanced liver cancer, and at that time I had no income, the doctor looked at our appearance, opened my father and said to me, go back, he wants to eat whatever he wants to go everywhere to try to satisfy him........... The next year, 18 days after the Spring Festival, my father left.

Source: Medical community

Editor-in-charge: Zheng Huaju

Proofreader: Zang Hengjia

Plate making: Xue Jiao