Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Comfort in my final hours

Debbie Moore-Black, RN
Conditions
May 13, 2018
Share
Tweet
Share

My name is Lucy.

I have stage IV liver cancer. I wanted everything done — even though the doctors told me this disease is terminal. My family, my church and my friends were praying for “the cure.”

Though I believed in God and the hereafter, I wasn’t ready to go. 74-years-old with beautiful children, grandchildren, and a great-granddaughter.

I woke up confused. In the background — wherever I was — I could hear music: “How great thou art.” One of my favorites.

I had a tube in my mouth, and I couldn’t talk. My wrists were restrained, and I couldn’t move. They had me tied down. Everything was blurry. My chest hurt like someone had pounded on it. People in white coats and scrubs surrounded me. I became aware that I was in a room with doctors and nurses and respiratory therapists.

A man introduced himself. He said he was a respiratory therapist, and he was going to pull the “tube” out of my mouth. The endotracheal tube. I gasped and took a deep breath, and I could barely talk.

The team explained to me that I was in the ICU. And because I wanted everything done to me, I had been emergently intubated, restrained, pain and sedation meds given through my veins continuously. My heart decided to stop, and “the team” did CPR on my fragile body. Because by now, I didn’t want to eat. I had lost over 25 pounds from the liver cancer.

I was told that some of my ribs cracked during CPR. I had pneumonia.

A palliative nurse came to talk to me within a few days. I wasn’t out of the jungle yet.

The palliative nurse talked to me about comfort, about acceptance, about peace and being pain-free and being with my family and friends surrounding me.

Comfort care. DNR, DNI.

New words for me.

I was so sick, so tired, so much in pain. I led a wonderful life.

Now, it was time for acceptance.

I remember those words from my doctors: terminal, no cure, palliative chemo … extending your life.

But at what cost?

ADVERTISEMENT

Was it worth staying in an ICU in a comatose state? Was it worth having your chest beaten on with CPR and cracked ribs and pneumonia set in? Was it worth being tied down?

I knew the answers.

I was always stubborn. But maybe it was time for acceptance.

Maybe the prayers being sent my way were meant for a peaceful death. A peaceful entrance into the heavens.

I called my family in with my physician, my nurse, and the palliative care nurse.

I begged my family to please not put me on a ventilator again.

Please let me be comfortable.

Please make me comfort care.

DNR and do not intubate and do not treat.

I slept quietly going in and out of consciousness. My sons and daughters gathered around. They laughed and cried and told many fun stories of when they were young! My grandchildren and great-granddaughter held hands as they sang “Yes, Jesus Loves Me.”

Another favorite of mine.

And their tiny voices uplifted me and my soul.

I was surrounded by love.

This time — I was ready.

Debbie Moore-Black is a nurse who blogs at Do Not Resuscitate.

Image credit: Shutterstock.com

Prev

10 reasons why doctors spend too much money

May 13, 2018 Kevin 4
…
Next

Fight depression during residency by fostering connections

May 13, 2018 Kevin 0
…

Tagged as: Hospital-Based Medicine, Oncology/Hematology

Post navigation

< Previous Post
10 reasons why doctors spend too much money
Next Post >
Fight depression during residency by fostering connections

ADVERTISEMENT

More by Debbie Moore-Black, RN

  • A nurse’s story of hospital bullying

    Debbie Moore-Black, RN
  • He begged for mercy and his family refused

    Debbie Moore-Black, RN
  • What money can’t fix: the scars left by a friend

    Debbie Moore-Black, RN

Related Posts

  • More than three hours late, but somehow still on time

    Tasia Isbell, MD, MPH
  • Health insurer: I want my 8 hours and 6 minutes back

    Anonymous
  • Retrospective refusal of payment based upon final diagnosis compromises patients’ welfare

    David Hoke, MD, MBE, Kenneth V. Iserson, MD, MBA, and Jesse Basford, MD
  • Qualifying conditions for medical marijuana

    Patricia Frye
  • Settlements in the opioid cases need these non-negotiable conditions

    Rosanne Aulino, RN
  • What does Kelly Loeffler’s health plan do to coverage for preexisting conditions?

    Robert Laszewski

More in Conditions

  • Why health care needs empathy, not just algorithms

    Muhammad Abdullah Khan
  • A doctor’s story of IV ketamine for depression

    Dee Bonney, MD
  • Why you should get your Lp(a) tested

    Monzur Morshed, MD and Kaysan Morshed
  • Is modern medicine losing its soul?

    Michele Luckenbaugh
  • The opioid crisis’s other victims

    Kayvan Haddadan, MD
  • The need for pediatric respite care

    Kathleen Muldoon, PhD
  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The psychological trauma of polarization

      Farid Sabet-Sharghi, MD | Physician
    • Why DPC market-model fit matters most

      Dana Y. Lujan, MBA | Physician
    • My journey to a type 1 diabetes diagnosis

      Beth Thacker | Conditions
    • Deaths in custody highlight crisis in Philly prisons

      Kendall Major, MD, Tommy Gautier, MD, Alyssa Lambrecht, DO, and Elle Saine, MD | Policy
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A surgeon’s view on RVUs and moral injury

      Rene Loyola, MD | Physician
  • Recent Posts

    • Deaths in custody highlight crisis in Philly prisons

      Kendall Major, MD, Tommy Gautier, MD, Alyssa Lambrecht, DO, and Elle Saine, MD | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • Why health care needs empathy, not just algorithms

      Muhammad Abdullah Khan | Conditions
    • Moral injury, toxic shame, and the new DSM Z code

      Brian Lynch, MD | Physician
    • The problem with the 15-minute doctor appointment

      Mick Connors, MD | Physician
    • Fixing the system that fails psychiatric patients [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 3 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The psychological trauma of polarization

      Farid Sabet-Sharghi, MD | Physician
    • Why DPC market-model fit matters most

      Dana Y. Lujan, MBA | Physician
    • My journey to a type 1 diabetes diagnosis

      Beth Thacker | Conditions
    • Deaths in custody highlight crisis in Philly prisons

      Kendall Major, MD, Tommy Gautier, MD, Alyssa Lambrecht, DO, and Elle Saine, MD | Policy
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A surgeon’s view on RVUs and moral injury

      Rene Loyola, MD | Physician
  • Recent Posts

    • Deaths in custody highlight crisis in Philly prisons

      Kendall Major, MD, Tommy Gautier, MD, Alyssa Lambrecht, DO, and Elle Saine, MD | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • Why health care needs empathy, not just algorithms

      Muhammad Abdullah Khan | Conditions
    • Moral injury, toxic shame, and the new DSM Z code

      Brian Lynch, MD | Physician
    • The problem with the 15-minute doctor appointment

      Mick Connors, MD | Physician
    • Fixing the system that fails psychiatric patients [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Comfort in my final hours
3 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...