前幾天有一個ICU轉出來的妹妹
                                                                               
腎功能不好,呼吸又喘,進去ICU,之後喘的情形比較好就又轉出來
                                                                               
                                                                               
會診腎臟科建議洗腎,但是家屬拒絕…
說他們負擔不起這樣的費用
                                                                               
轉出當天的大夜班,又開始喘了起來
急照了一張portable,說雙側肺都積水了還有 Bil pneumonia
                                                                               
又會診了胸內,胸內醫師表示只要家屬不同意洗腎
不管現在作多少處置都一樣,沒有辦法改善
                                                                               
                                                                               
目前也只能給她Lasix用
                                                                               
                                                                               
病人到白班小夜交接班還是沒改善,
最後V.S.就跟家屬談到D.N.R的事情,最後家屬也簽了
並且要求轉ICU,因為他們不忍心看著就這樣在他們面前expire

                                                                               
可是,妹妹人是clear的…
很緊張又很害怕,眼淚一直掉
要轉她下去ICU的時候她緊緊抓著ambu
生怕ambu掉下去
                                                                               
                                                                               
                                                                               
等上來的時候,PA學姊就說…
其實病人很害怕但是她很想活下去,可是她的家屬卻已經放起棄她了…
                                                                               
                                                                               
學姊說,
我們都是幫著他們家屬一起害死病人的共犯
                                                                               
                                                                               
                                                                               
聽了真的很難過很難過,我知道學姊沒有惡意,她自己也很難過
但是我們沒有辦法卻改變家屬的決定
我們沒有權力替家屬作決定



                                                                               
最後也只能默默的接受
                                                                               
                                                                               
只是很難過很難過… Q w Q
                          





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茫茫人海,有你卻沒有我…

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