今が生死

甲府から見た今夜の月
朝病棟に行くといつも、状態が悪くなった患者さんの報告を受ける。そして病棟を回
診していると内視鏡室から検査の予約者が待っていますと連絡してくる。重症患者さ
んを診ている途中でも内視鏡室に駆けつけなければならない。少しも切り替えの時間
がないのでかなり厳しい。
しかし昨日は、静脈血栓で左足がむくんでいた85歳の患者さんがヘパリンなどの血栓
溶解剤で血栓が溶けて足のむくみが消失していた。高齢者にはよく血栓が生ずるがど
んなに一生懸命治療しても多くの症例では溶けなくて、だんだん悪くなり不幸な転機
を取ることが多い。このようによくなってくれて嬉しく最高の日であった。
ところが今日は午前中外来で一杯難しい患者さんがきて大変だった。それはいつもと
同じであった。医者の平均寿命は一般の人より短いと言われているが、それは医師は
自分の健康にあまり留意していないからではないかと思う。精神的、肉体的健康に
もっと留意するべきだと思う。

Whenever I go to the ward in the morning, there is a lot of reports from
patients who have become sick, and when I am rounding the ward the nurse
call me that the reserved
patients are waiting from the endoscope room., I must runs to the endoscopic
examination room even though I am treating ill patients in the ward, it is
painful because there is no switching time at all.
However, yesterday the 85 - year - old man whose left foot was swollen with
vein thrombosis was cured by thrombolytic agents such as heparin, the
thrombus dissolved and the swelling of his foot was disappeared. Thrombus is
often seen in the elderly, but many of them do not dissolve even if I try
earnestly, and it often deteriorates rapidly and takes an unfortunate
turning point. I was happy as it gets better like this. It was somewhat a
pleasant day.
But today was very hard day at the outpatient clinic in the morning because
there was many difficulty patients. It was as usual days. I heard that the
expectation of life of doctors is shorter than average one. I think it is
because the doctor is not care for one's health. We must take care for our
mental and physical health.