科学网

 找回密码
  注册

tag 标签: 临终

相关帖子

版块 作者 回复/查看 最后发表

没有相关内容

相关日志

20140814 日记两则
热度 1 lujiangxiao 2014-8-15 10:16
1. 我也要这样去死。 今天快下班的时候去医院看一位快要死去的同事。进病房之前我心里很不安,想不出来要对一个行将去世的人说什么。西方医学对患者是坦诚的。病人完全知道自己只有几天时间了。那我见她应该说什么呢?没想到她见到我们来访很高兴,立刻从睡眠中醒来和我们说话。她说医生给她装了注射吗啡的装置,只要不舒服一按按钮就会有一些吗啡注入。这使她很欣快,而且很容易入睡。我们接着就聊吗啡的生理作用。她是一位药理学教授,教了一辈子神经药理学,可是第一次亲身体验脑内的化学过程。她的先生(也是药理系教授)在一旁说了另外一种镇痛药,她马上说两种作用机制是不同的,一种是分心,这样心思不会过分聚焦在疼痛上而引起不舒服的生理反应。而吗啡则是直接带来欣快的感觉。 然后我们聊了刚入校的2014级新研究生,哪个很聪明值得培养,哪个很有个性,像谁。还有那个刚毕业的博士,哪个可以请回来帮助教学。对于新生来讲,与成功的学长交流是最大的鼓励,而刚毕业的博士也需要积累教学经验,所以回母校帮忙是一举数得的好事。接着我们聊了今年准备加进必修课的新一节。这堂讨论课本来是给医学生上的,上了十几年了一直深受医学生的欢迎。所以我们准备今年加入研究生的必修课。她听了也很高兴,说在重新申请训练基金的时候一定要加入这个内容,因为这属于讨论互动式的教学,NIH会很喜欢的。她几十年来都是这个训练基金的PI,把这个事业当作自己生命一样,把每届研究生都看作是自己的孩子。谈到这些她眼睛里闪出光芒,声音也响亮多了,好像完全不在乎几天后她就要离开这个program, 重新申请是几年以后的事,PI也会是别人。 之后我们又聊了几个新的助理教授,哪个正好在关键时刻。我们聊了几个准备开始的新科研合作。其中有一个项目正好是和要她手下的一位助理教授合作,她听了很兴奋,说这个项目很有前途,也希望关键时刻拉那个年轻人一把。 聊了半个多小时我们怕她太累就告辞了,说好明天再来。她说我现在也是在做实验,看看吗啡的剂量对情绪和感觉的影响,什么剂量是最佳的。 今天对我 实在 是人生重要的一课。在我所受的中国式传统中,她今天表现的一切都是一种鞠躬尽瘁,死而后已的壮举。可是西方的思维完全不是这回事。不论生命还有几天,有机会就可以做自己喜欢的事。潇洒走完人生的最后一步。她感恩这个能完全消除痛苦的吗啡注射装置,并能让她在最后的时刻还能亲身体验做药理实验的 joy. 我也要这样去死,原来死亡不是那么悲壮可怕。 2 超级放大器 我们玩电生理的花很多时间和信号里的噪声死嗑。我一直怀疑如果把信号源和检测用的计算机完全断开,噪声就会低很多。根据这个想法我就去订了一种芯片,里面先把电信号变成光,然后把光传到芯片的另一半,再把光变成电。这样信号源和检测计算机就可以完全没有电学连接了,由光来传递信号。今天芯片来了。下午没事就焊了一个这样的放大器。哇,超赞!噪声只有0.2微伏。没想到不到十块钱的片子这么厉害。 一时兴起在自己脑袋上粘了两个脑电电极,哇,这不是脑电波吗!今天又一次证明我脑袋瓜里确实有个脑子,不但有脑子还有脑电呢。 免责声明: 小盆友们在家不可模仿。往脑袋上粘电极是有危险的。理论上说如果计算机漏电你就会被电到。 测量脑电只能用通过 安全论证的专业仪器。 我干了多少年都没有测过自己脑电。只是今天有了完全隔离的芯片才这么玩玩,因为计算机和脑袋之间没有电连接。
3885 次阅读|2 个评论
[转载]临终前最后悔的事情
热度 1 dearyajuan 2011-6-14 02:51
来源: http://www.inspirationandchai.com/Regrets-of-the-Dying.html REGRETS OF THE DYING Bronnie Ware For many years I worked in palliative care. My patients were those who had gone home to die. Some incredibly special times were shared. I was with them for the last three to twelve weeks of their lives. People grow a lot when they are faced with their own mortality. I learnt never to underestimate someone's capacity for growth. Some changes were phenomenal. Each experienced a variety of emotions, as expected, denial, fear, anger, remorse, more denial and eventually acceptance. Every single patient found their peace before they departed though, every one of them. When questioned about any regrets they had or anything they would do differently, common themes surfaced again and again. Here are the most common five: 1. I wish I'd had the courage to live a life true to myself, not the life others expected of me. This was the most common regret of all. When people realise that their life is almost over and look back clearly on it, it is easy to see how many dreams have gone unfulfilled. Most people had not honoured even a half of their dreams and had to die knowing that it was due to choices they had made, or not made. It is very important to try and honour at least some of your dreams along the way. From the moment that you lose your health, it is too late. Health brings a freedom very few realise, until they no longer have it. 2. I wish I didn't work so hard. This came from every male patient that I nursed. They missed their children's youth and their partner's companionship. Women also spoke of this regret. But as most were from an older generation, many of the female patients had not been breadwinners. All of the men I nursed deeply regretted spending so much of their lives on the treadmill of a work existence. By simplifying your lifestyle and making conscious choices along the way, it is possible to not need the income that you think you do. And by creating more space in your life, you become happier and more open to new opportunities, ones more suited to your new lifestyle. 3. I wish I'd had the courage to express my feelings. Many people suppressed their feelings in order to keep peace with others. As a result, they settled for a mediocre existence and never became who they were truly capable of becoming. Many developed illnesses relating to the bitterness and resentment they carried as a result. We cannot control the reactions of others. However, although people may initially react when you change the way you are by speaking honestly, in the end it raises the relationship to a whole new and healthier level. Either that or it releases the unhealthy relationship from your life. Either way, you win. 4. I wish I had stayed in touch with my friends. Often they would not truly realise the full benefits of old friends until their dying weeks and it was not always possible to track them down. Many had become so caught up in their own lives that they had let golden friendships slip by over the years. There were many deep regrets about not giving friendships the time and effort that they deserved. Everyone misses their friends when they are dying. It is common for anyone in a busy lifestyle to let friendships slip. But when you are faced with your approaching death, the physical details of life fall away. People do want to get their financial affairs in order if possible. But it is not money or status that holds the true importance for them. They want to get things in order more for the benefit of those they love. Usually though, they are too ill and weary to ever manage this task. It is all comes down to love and relationships in the end. That is all that remains in the final weeks, love and relationships. 5. I wish that I had let myself be happier. This is a surprisingly common one. Many did not realise until the end that happiness is a choice. They had stayed stuck in old patterns and habits. The so-called 'comfort' of familiarity overflowed into their emotions, as well as their physical lives. Fear of change had them pretending to others, and to their selves, that they were content. When deep within, they longed to laugh properly and have silliness in their life again. When you are on your deathbed, what others think of you is a long way from your mind. How wonderful to be able to let go and smile again, long before you are dying. Life is a choice. It is YOUR life. Choose consciously, choose wisely, choose honestly. Choose happiness.
个人分类: 生活点滴|2393 次阅读|1 个评论

Archiver|手机版|科学网 ( 京ICP备07017567号-12 )

GMT+8, 2024-6-3 12:47

Powered by ScienceNet.cn

Copyright © 2007- 中国科学报社

返回顶部