I met a patient, a few months back now, who suffered from Hodgkin's Lymphoma, a type of cancer, obviously. He was at home, receiving palliative care, and was given a prognosis of a few months.
Now what struck me most was that although his skin, on his lower extremities, was covered in horrible ulcers (the sight of which scars you for life), and he was obviously in pain, having to change the dressings (I was with the district nurse, who does it for him), he seemed remarkably upbeat. His wife was there too, and they were telling us the holiday they had booked with some grant they had received, and that they were going to enjoy themselves while they could, together.
The patient seemed more worried about his wife not being able to cope after his passing, and in fact had penned down a diary detailing each and every thing he wanted to do, with his wife, before the eventuality came.
And a few weeks back, I met an elderly lady, this time whilst with the GP, who had presented again with a carcinoma a few years after she had achieved remission from Non-Hodgkin's. Basically another form of cancer. Besides the obvious cliche that came to mind, "Cancer is the ideal state every cell aspires to", what struck me was that she, too, appeared calm, stoic and composed.
It is patient contact, like this, that makes you appreciate life for what it is, and steers you towards a certain complicated branch of medicine.
I bet this is gory reading for most of you, and we don't normally think of our own mortality at such a tender young age where our aspirations and ambitions take precedence over our health - but please, my friends, please take care of your health. Enjoy life, responsibly.
Wednesday, January 23, 2008
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