As often happens in medicine, we treat based on intuition. To lessen the volume of the death rattle, we give medications that decrease saliva production. Sometimes, we are successful in silencing the rattle. More of the time, we placate our instinctive concern for a noise that probably sounds worse than it feels. Without hurting our patients, we treat the witnesses who will go on living.
在医学中,我们常常根据直觉进行治疗。为了降低濒死喉声的音量,我们会使用一些减少唾液产生的药物。有时,我们能成功消除这种声音。更多的时候,我们是在安抚对这种很可能听起来比感觉上更难受的声音的本能关切。在不伤害患者的前提下,我们要治疗那些还要继续活下去的旁观者。
Air Hunger
空气饥渴
“You villain touch! What are you doing? My breath is tight in its throat” (Walt Whitman)
“你这恶棍的触碰!你在干什么?我的喉咙发紧”(沃尔特·惠特曼)
The patient was a wiry woman in her 80s who had smoked for seven decades. Cigarettes turned her lungs from a spongelike texture to billowing plastic bags that collapsed on themselves when she exhaled. It was like trying to scrunch all the air out of a shopping bag. Air got trapped.
这位患者是一名80多岁的精瘦女人,她吸了70年烟。烟草把她的肺部从海绵状结构变成了鼓胀的塑料袋,她呼气时,塑料袋就塌陷了。这就像试图把一个购物袋里的空气都挤出去。空气被困在了里面。
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