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Our American Stories

What I Learned From A Dying Patient

Our American Stories

iHeartPodcasts

Documentary, Society & Culture

4.6817 Ratings

🗓️ 6 September 2024

⏱️ 8 minutes

🧾️ Download transcript

Summary

On this episode of Our American Stories, Dr. E. Wesley Ely of Vanderbilt University Medical Center shares intensely meaningful experiences, spiritual and all, from a patient's suddenly-shortened last days in this life.

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Transcript

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0:00.0

This is an I-Heart podcast.

0:15.4

This is Lee Habib with our American stories.

0:19.2

And once again, we're going to hear from our resident doctor on the show,

0:23.1

Dr. E. Wesley E. Lee, a professor of medicine at Vanderbilt University. And here's Dr. Eelie sharing

0:30.0

his moving story, what I learned from a dying patient.

0:37.5

I had a patient recently whose death was particularly harrowing.

0:42.2

39 years old, PhD, scientist, brilliant.

0:46.9

She was sent to the ICU team as a fascinoma,

0:50.1

meaning a person with a constellation of problems the doctors couldn't figure out.

0:55.2

This woman had been physically fine until two months earlier, and now she was growing progressively

1:00.6

short of breath, had a little blood in her urine, and had pain in her toes, which were turning

1:07.0

blue and red in the cold. Imaging showed that she had a growth on her aortic valve

1:13.2

and that sections of her kidneys were dying.

1:17.3

The doctors at the outside hospital had diagnosed her with blood clots in her lungs

1:22.1

and started her on a blood thinner, but her condition kept worsening.

1:27.4

As the day progressed,

1:29.0

we started all the needed tests and interventions to help sleuth out the problems and fix them.

1:36.5

Hours into my periodic conversations with her and her mother and sister, her mother mentioned

1:41.5

that my patient was agnostic. I realized that up to that point, perhaps because of the sheer rapidity of the way things were unfolding,

1:49.0

I had neglected to take a spiritual history.

1:52.0

Since I teach medical students and residents in physical diagnosis class

1:56.0

about the importance of taking a spiritual history,

...

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