In one of our duties last week, a man was brought in the ER one night due to difficulty of breathing. He was having a very severe asthma attack. Duke was our captain and we did all we could to save him. And we almost lost him that night. In fact, his respiratory muscles were so tired that for a few seconds, he just stopped breathing. Then, before he could be intubated, he started breathing again. Probably, the medications given started working or, it just wasn’t his time yet.
A few hours after that attack, he started improving. Before duke slept that night, the man was already talking, even smiling, although, he looked really exhausted. Day by day, we saw him recover. We saw what he really looked like, with eyes not bulging, nose not flared, neck vessels and muscles that weren’t too prominent. He wasn’t bad looking at all. Though there were still times he would suddenly have asthma attacks, they weren’t as bad as the time he first came in.
During one of our rounds, we asked him what he could remember the night he was brought in. We asked him if at one point, he saw a very bright light, like what others said they saw during near-death experiences. But he didn’t see anything. All he could remember was he was in the ER, gasping for every breath he could take.
On the day duke and I went back to manila, he was discharged from the hospital too, greatly improved. I wasn’t able to say goodbye to him before we left coz we were so much in a hurry.
This week, I went on duty on the same hospital, but without duke this time. On Tuesday morning, I heard a man shouting from outside the ER, asking for help. This man looked familiar and he was carrying, what looked like, a lifeless man in his arms as he entered the ER. He asked me to do anything I can to save this man, which was his father. But it was too late. The man wasn’t breathing and there was no heartbeat. But I started pumping his chest anyway and a nurse started to give him oxygen by ambu-bagging. I asked another nurse to insert an IV line but his veins were already collapsed. There was no way we could save him even if I intubate him.
As it turned out, this man gasped his last breath while on the way to the hospital that morning. He was having another severe asthma attack. And this was same man we saved a week ago, but this time, it was his time.
--------
As the attending physician, I signed my very first death certificate. Obviously, it wasn’t a nice feeling. It is something that I don’t want to be repeated ever again.
I don’t think I’m really cut out for this kind of drama. I don’t think I’d want to be a doctor anymore.