{"id":740,"date":"2017-10-19T13:49:09","date_gmt":"2017-10-19T12:49:09","guid":{"rendered":"http:\/\/www.scottishmedicalhumanities.org\/human\/?p=740"},"modified":"2022-11-22T11:33:00","modified_gmt":"2022-11-22T11:33:00","slug":"in-this-room-i-had-pronounced-patients-dead","status":"publish","type":"post","link":"https:\/\/www.scottishmedicalhumanities.org\/human\/in-this-room-i-had-pronounced-patients-dead\/","title":{"rendered":"In this room I had pronounced patients dead"},"content":{"rendered":"<p><strong>When breath becomes air.<br \/>\n<\/strong><\/p>\n<blockquote><p>It was my primary care doctor, calling with the chest X-ray result: my lungs, instead of being clear, looked blurry, as if the camera aperture had been left open too long. The doctor said she wasn\u2019t sure what that meant.<\/p>\n<p>She likely knew what it meant.<\/p>\n<p>I knew.<\/p>\n<p>Lucy picked me up from the airport, but I waited until we were home to tell her. We sat on the couch, and when I told her, she knew. She leaned her head on my shoulder, and the distance between us vanished.<\/p>\n<p>I received the plastic arm bracelet all patients wear, put on the familiar light blue hospital gown, walked past the nurses I knew by name, and was checked in to a room\u2014the same room where I had seen hundreds of patients over the years. In this room, I had sat with patients and explained terminal diagnoses and complex operations; in this room, I had congratulated patients on being cured of a disease and seen their happiness at being returned to their lives; in this room, I had pronounced patients dead.<\/p><\/blockquote>\n<p>From <em>When Breath Becomes Air,<\/em> by Paul Kalanithi. (<a href=\"https:\/\/www.waterstones.com\/blog\/extract-when-breath-becomes-air\" target=\"_blank\" rel=\"noopener\">Longer extract<\/a> &#8211; Bookseller&#8217;s website)<\/p>\n<h3>Commentary<\/h3>\n<p>Paul Kalanithi was a 36 year-old neurosurgeon when he received the news that he had metastatic lung cancer. He died aged 37, leaving this short unfinished memoir.<\/p>\n<p>The book became a best-seller, receiving praise from medics as well as the general public. He describes the experience from his perspective as both a patient and a doctor. His life and relationship with his wife, Lucy, is thrown up and down by the diagnosis, treatment, remissions and relapse. He goes through all the stages of grief in finally coming to terms with his illness.<\/p>\n<p>Kalanithi studied English literature and history of science before medicine. He met his wife Lucy at medical school, and their daughter was born during his illness. Lucy contributed the book\u2019s epilogue.<\/p>\n<h3>More info<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.ted.com\/talks\/lucy_kalanithi_what_makes_life_worth_living_in_the_face_of_death\" target=\"_blank\" rel=\"noopener\">What makes life worth living in the face of death<\/a> &#8211; Lucy Kalanithi TED talk. Objective yet moving. Describes pragmatic shared decision making.<\/li>\n<li>Excellent <a href=\"https:\/\/iainbamforth.com\/2016\/10\/13\/when-doctors-die\/\" target=\"_blank\" rel=\"noopener\">review by Iain Bamforth<\/a> from the Times Literary Supplement. Bamforth is a GP and humanities collector-commentator with more on <a href=\"http:\/\/www.iainbamforth.com\" target=\"_blank\" rel=\"noopener\">iainbamforth.com<\/a><\/li>\n<li>The <a href=\"http:\/\/www.scottishmedicalhumanities.org\/human\/give-me-back-my-love-orfeos-doomed-quest\/\" target=\"_blank\" rel=\"noopener\">stages of grief<\/a>: [links in foot of Orfeo post]<\/li>\n<li><a href=\"http:\/\/www.telegraph.co.uk\/women\/life\/dr-lucy-kalanithi-two-years-sting-losing-paul-finally-fading\/\" target=\"_blank\" rel=\"noopener\">Interview with Lucy Kalanthi<\/a> (Daily Telegraph)<\/li>\n<li>Image: still from <a href=\"https:\/\/youtu.be\/aetY_zS7Q6M\" target=\"_blank\" rel=\"noopener\">book trailer (YouTube)<\/a><\/li>\n<\/ul>\n<h3>Contributed by<\/h3>\n<p>Daniel D&#8217;Souza (Aberdeen)<\/p>\n<h3>Rate this post<\/h3>\n\n<p>&nbsp;<\/p>\n<h3>More like this<\/h3>\n","protected":false},"excerpt":{"rendered":"<p>When breath becomes air. It was my primary care doctor, calling with the chest X-ray result: my lungs, instead of being clear, looked blurry, as if the camera aperture had been left open too long. The doctor said she wasn\u2019t sure what that meant. She likely knew what it meant. I knew. Lucy picked me <a class=\"more-link\" href=\"https:\/\/www.scottishmedicalhumanities.org\/human\/in-this-room-i-had-pronounced-patients-dead\/\">Read More &#8230;<\/a><\/p>\n","protected":false},"author":2,"featured_media":778,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"wpupg_custom_link":[],"wpupg_custom_link_behaviour":["default"],"wpupg_custom_link_nofollow":[],"wpupg_custom_image":[],"wpupg_custom_image_id":[],"yasr_overall_rating":0,"yasr_post_is_review":"","yasr_auto_insert_disabled":"","yasr_review_type":"BlogPosting","footnotes":""},"categories":[5,33,7],"tags":[62,11,4,13,34],"class_list":["post-740","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine","category-oncology","category-respiratory-medicine","tag-bad-news","tag-doctor-experience","tag-patient-experience","tag-prose","tag-the-sick-professional"],"yasr_visitor_votes":{"stars_attributes":{"read_only":false,"span_bottom":false},"number_of_votes":1,"sum_votes":4},"_links":{"self":[{"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/posts\/740","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/comments?post=740"}],"version-history":[{"count":9,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/posts\/740\/revisions"}],"predecessor-version":[{"id":1254,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/posts\/740\/revisions\/1254"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/media\/778"}],"wp:attachment":[{"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/media?parent=740"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/categories?post=740"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.scottishmedicalhumanities.org\/human\/wp-json\/wp\/v2\/tags?post=740"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}