在父亲生命尽头，我面临的那个痛苦决定

上次说到父亲最后同意接受支架引流系统治疗的手术。但由于他的病情已进展到晚期，肝脏上布满转移性肿瘤，情况比较复杂。再加上这个时候，他的身体已经很虚弱。这个手术是在超声波引导下进行的，需要病人配合医生憋气。父亲当时身体状况很差，很难配合好，所以这个并不算太复杂的手术，第一次并没有成功将穿刺针插入胆管——是因为父亲没有憋住气，在准备置入导管时稍微动了一下，最终导致手术失败。

但是父亲坚强、倔强的性格在这个时候又展现出来了。在休息两天之后，他再次接受这个手术并最终成功。虽然由于条件复杂，只能将导管接在一个比较细的分支胆管上，但毕竟能够让堵塞的胆汁流出来，这样就可以降低黄疸对肝脏的损害，延长生存期。手术似乎起到了一些作用，父亲也可以吃一些豆腐和瘦肉了。而且之前明显的水肿症状也消退了，这样应该可以稳定一段时间，至少一星期吧。

医院也很现实，因为父亲现在的状况已经不可能进行抗肿瘤治疗，能够使用的治疗手段已经都用上了。就是说再做下去，医院也收不到什么费用。于是观察了两天后，医生建议我们出院。而且父亲本人也想回家，知道自己时日无多，多少都有一些落叶归根的想法。相比医院，他更愿意在家中熟悉的环境，在家人的陪伴下度过最后时光。于是在星期六，我和老婆一起开车，将父亲接回了家。

但是回到家后，不知是因为缺少医院的营养支持和药物治疗，还是狡猾的癌细胞又发起了新的攻势，父亲的身体状况急转直下，又回到了无法进食的状况。就这样在床上躺了一天后，从星期一开始呕吐黑色液体，每次都是一小盆的量，这其实是肿瘤侵犯到了消化道，造成了大量消化道出血。这时父亲也开始喊疼和不适。在家中，虽然给父亲使用了镇痛的栓剂，但效果有限。

在家中束手无策的我只好拨打120，让救护车父亲送到了离家最近医院的急诊科。急诊科又联系了肿瘤科，结果却告知情况非常危急，是消化道出血，需要进行内镜下的止血手术。这家医院没有这个能力，建议转上级医院进行抢救。如果家属放弃抢救的话，那么医院可以收治病人。

这个时候，一个痛苦的决定摆在我面前。因为很显然，父亲现在的危急状况是肿瘤造成的。就算抢救过来，癌症仍然是无法治愈，而且他现在的状况已经很糟糕，是不是会无谓地延长痛苦？最后我决定放弃抢救，让医院收治父亲入院进行基础的止痛和支持治疗。之后，医生拿来了一大堆文件让我签字，声明父亲出现危及生命的情况时放弃抢救是我的意愿。这再次让我感受到医疗体制的冷酷——明明已经是无力回天的情形，医院为了撇清责任，却让家属签字画押，那感觉仿佛是给亲人签署死刑执行令。

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Last time I talked about my father, he finally agreed to a branch drainage surgery. But because he's advanced and has metastasized tumors on his liver, it's complicated. In addition, his body was also weak at this time, and the surgery was carried out under ultrasound guidance, requiring the patient to cooperate with the doctor to hold his breath. Father's body was already very weak at this time, it was difficult to cooperate well, so this is not too complicated surgery, and did not successfully insert the needle into the bile duct in turn, the father did not hold his breath, when preparing to enter the catheter, the light moved a little, and finally failed. But the father's strong and stubborn character was shown at this time, and after two days of rest, the operation was successfully accepted again. Although due to complex conditions, only the catheter can be connected to a relatively thin branch of the bile duct, but after all, it can flow out of the toxic clogged bile, so that jaundice can be reduced. The damage to the liver has prolonged its production, and the surgery seems to have helped a little. Father can also have some tofu and lean meat sticks. Such a plant, and in the previous Yin edema of the injured foot also disappeared, swollen, with the mouth should be able to steady break time at least a week. In addition, the hospital is also very healthy, because the father's current condition is impossible to carry out anti-tumor treatment, and the treatment means that can be used are used. So the hospital's not gonna get any money for this? So observed for two days, but also suggested that we discharged from the hospital, and the father himself to the home, knowing that his days are few people, how many have some fallen leaves to the root of the idea. Compared with the hospital, I prefer to spend time in the toxic environment at home and with the company of my family. It was Saturday. I was driving with my wife and my dad picked me up. However, after returning home, I do not know whether it is because of the nutrition, knowledge, nutrition and medicine of the water, or the cunning cancer cells, and launched a new offensive, and I can not help but turn the body straight, return to the previous situation of eating in bed, after lying in this way for a day, after lying in this way for a day on Sunday, starting from Monday, water, each time is the amount of mixing bowl. This is actually a tumor invading the digestive tract, causing gastrointestinal bleeding, and the amount of bleeding. At this time, the kiss also began to cry pain and discomfort. At home, although the father was given a special dose of sedative, but the effect was limited. Unable to do anything at home, I had to call Mono-zero and let my father go to the nearest hospital clinic, and the emergency department contacted the oncology department. The result was that it was very critical for gastrointestinal bleeding, and endoscopic hemostasis surgery was needed. This hospital does not have this ability, and the superior has to transfer a large number of such rescues to the superior hospital. If the family members give up rescue, the hospital can accept the illness. At this time a painful decision was before me. Because obviously, my father's current critical condition is caused by the tumor, can not be rescued to say that even if saved, is it also due to his, because cancer death is incurable, and his current condition is also very bad, is it not in the unintentional delay of pain? After that, he also determined to give up rescue, so that his father would be admitted to the ward for basic labor pains and support. Treatment transfer ward. After that, the doctor brought a lot of papers, and then picked up the room. After.

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Try to talk about Butin last time, and finally agree to accept the needle drainage period treatment surgery. But because he's advanced and has metastasized tumors on his liver, it's complicated. Plus he was very weak at the time. The procedure is ultrasound-guided and requires the patient to cooperate while the doctor holds his breath. Buqin's body was already very weak at this time, and it was difficult to cooperate well. So this. The operation, which was not too complicated, did not successfully insert a single needle into the bile duct in turn, but the father did not hold the device, and quietly moved when preparing to enter the catheter, and finally failed. But my father's strong and stubborn character came out again at this time. After two days of rest, I underwent this operation again, and finally succeeded, so that due to the limitations of conditions, only a tube could be connected to a relatively thin branch of the bile duct, but after all, it could be. The short purple juice comes out, which can reduce the damage of jaundice to the liver and prolong its formation period. Surgery seems to have played a role, not close can also eat some tofu and lean meat strips such plants, and before the obvious edema of the feet also eliminated the swelling in a mouthful, so it should be stable for a period of time, at least a week, and the hospital is also very real, because the father's current situation is impossible to anti-swelling. All the treatments available for cancer treatment were used. It means the hospital won't get any money for staying here. After two days of observation, we were advised to leave the hospital. These fathers themselves also came to the home, knowing that their days were numbered, and many people had some thoughts of returning to the root, preferring to spend their last hours at home in the familiar environment and accompanied by their families than hospitals. So in. そ. On Saturday, my wife and I got up to drive my father back home, but after returning home, I do not know because of the nutritional knowledge of chemical water, nutrition and drug knowledge or cunning cancer cells have launched a new offensive, can not help but the physical condition, a straight down, back to the previous unable to eat, after lying in bed for a day, after lying for a day on Sunday. Starting Monday, start blackwater. Every time. It is two of the mixing bowl, which is actually a tumor invading the digestive tract, causing digestive tract bleeding, and the amount of bleeding is very large. At this time, the kiss also began to cry pain and discomfort. At home, although the use of specially sent sedatives, but the effect is limited, there is no plan at home, I had to call 120, let my father sent to the nearest hospital emergency department and contact the oncology department, the result said. It is very critical. It is gastrointestinal bleeding, which requires endoscopic hemostatic surgery. This hospital does not have this ability, the superior must be transferred to the superior hospital to carry out such rescue, if the family gives up rescue, then the hospital can also accept the disease. At this time a painful decision came my way. Because obviously, my father's current critical condition is caused by the tumor, and can't be rescued even if it is saved? Is that right. Since his death from cancer is incurable, and his current condition is already very bad, is it pointless to prolong the pain? After also try to give up the rescue, let the father income ward for basic pain and knowledge treatment, light sent to the ward, the doctor brought a lot of documents for me to sign.