It happened to me once, with a hip fracture patient. She initially did very well, but had a stroke within weeks of her surgery and deteriorated very quickly. I came to visit her in the hospital and sat with her. She told me she was happy with how her life had gone (she was in her 90s) and she was ready to go. The stroke had caused her to become blind, and she had been completely independent until then, and she did not want to die a prolonged death in a nursing home. Something about her resonated with me, as I could not imagine an independent person suddenly becoming disabled like that. She held my hand and told me I had helped her. She asked me if they were going to take her favorite blanket away when she went to the nursing home. I am a trauma surgeon, and I’ve seen some pretty bad stuff, but her asking me this pitiful little question about her blanket made me cry. She was blind so she couldn’t see me, though. I got my voice under control, and told her I would see her in clinic for her follow up and she smiled and said, “no, you won’t.”
She died 3 days later in the home. I have her obituary note in my office. She called me an angel but in those moments I felt so useless. So I guess, yes, it’s okay to cry, but it didn’t seem to do much. I don’t want another experience like that anytime soon.
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