1. Oncology. The patient is younger than my momma and she had one of the worst types of cancer (if you could choose, don´t choose this one please!). Poor prognosis. multiple metastases in her spine makes her paraplegic and incontinent. However, she is very brave, we speak about how she is already perceiving some sensation in her legs and how she is looking forward to rehabilitation after radiotherapy. She cries only a little. She thinks it so unjust that she has cancer, because she´s been eating macrobiotic food for 20 years and lived very healthy. I feel ashamed as usual, because she didn´t anything bad to her body and still she is here immobile and clueless. And me, this imature Ola, who is destroying her body for almost a decade and feeling like 15 years old, is standing bedside and trying to gives her some hope and not lying her at the same time. Neither me nor she has choose the ilness initially, but I have many mornings and moments and opportunities to choose recovery. She has not.
2. Diabetic ambulant patient care. The patient is approximately as old as the first lady with cancer, she has diabetes since 11. I am taking the history again, we are speaking about her eating and insulin regime. The (very nervous, very thin, very uneasy) Lady: "I am extremely disciplined. I am taking every meal and insulin dose at the same time (giving me the notebook with her food and glycaemia records- in minutes!) and measuring blood sugar much more frequent than I am suppose to. I want to have control, you know. (Um. I know.)My husband and my sisters don´t like it, they think I am too controling, but I don´t care- it´s MY disease. I know it´s important, isn´t it? (It is, but...) I don´t eat any bread and when I got bitter chocolate I have it for six months. (and so on...)"Well. She´s diabetic, but isn´t this behaviour little disordered?
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