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Mary in more robust days |
I have never liked the above phrase.To me, everything about it sums up all of the harshness' and poverty of the Victorian Era ( For reference - it was first "officially" coined used by a British orator John Bright in 1867)
The the term is a blunt one but it is also apt especially when I think of what modern intensive care medicine can sometimes do with some frail elderly patients who are just fading away in the twilight of their lives. Because we can aggressively support a patent's vital signs by invasive drugs, procedures and ventilation, sometimes , just occasionally do we forget to ask the question, should we be doing so?
Like Mary, the bantam in the shed, some people just "go light" and it's that lack of a certain spark which can signify that "it's their time to go" Of course it's such a hard thing to call. When people are ill , of course they need to be treated and treated appropriately ( which does at times mean an aggressive regime of care) but common sense needs to show her apron here..... especially when someone is dying.
A spade needs to be called a spade, and it has to be said with sensitivity and with kindness.
Yes, it's a big think, isn't it?
I have been mulling over it ever since I checked on the animals last night. Little Mary the sick bantam who has been "light" for over a week now, raised her head from inside her crate in the shed.
She hasn't eaten for days but her eyes seemed brighter than they did, so on impulse I lifted her out and fed her some cool sugared water from a syringe.
She drank it carefully, and I repeated the process after two hours and again twice this morning, but this time with some baytril and a few mls of raw egg added to it, and although the outcome for this little scrap will not, I suspect be any different, there was something in me that needed to try.
Perhaps this is the answer to my first discussion point about old people in intensive care. All of us, fundamentally have an in- built need to try and help when and where we can. Perhaps its not objective or sensible or even right,
......................but it's there.......