{"title":"请仔细听。","authors":"Courtney Burnett MD","doi":"10.1002/jhm.70016","DOIUrl":null,"url":null,"abstract":"<p>I wake, eyes fluttering open</p><p>from an anesthesia-induced slumber</p><p>Across from me in the post-anesthesia care unit</p><p>I hear machines beeping, coarse breathing, gasping,</p><p>wheezing and fear</p><p>A man nearby sounds like he is drowning</p><p>in his own secretions</p><p>An exacerbation of congestive heart failure</p><p>my own post-craniotomy brain tells me</p><p>I am a physician, but today I am a patient</p><p>This is a new role for me. In many ways,</p><p>it is much harder</p><p>I hear the nurse page anesthesia overhead</p><p>Respiratory assistance needed stat, bed two</p><p>In bed three, I open my lips and whisper</p><p><i>He needs diuretics, positive pressure ventilation</i></p><p>I can help. Let me help</p><p>I try to get someone's attention</p><p>But I am a patient, lying alone in a bed</p><p>with a bandage on my skull and blood on my cheek</p><p>Yesterday, I worked in this hospital</p><p>now I am a patient, unable to assist</p><p>My autonomy is gone, expertise unknown</p><p>My badge removed and stuffed in a bag</p><p>with my belongings and my voice</p><p>The nurse finally sees me</p><p><i>Are you in pain?</i> He asks</p><p>I try to say no, but my words slur and disappear</p><p>I feel vulnerable and alone,</p><p>thrust to the other side, where I am seen as patient</p><p>and nothing more</p><p><i>Do all of my patients feel this way?</i> I wonder</p><p>I hear the team arrive to help bed two</p><p>What happened? A resident asks, panic in her voice</p><p>I am an internist. I can help him</p><p><i>Please listen</i>.</p><p><i>Diuretics, positive airway pressure, elevate his head</i></p><p><i>the man in bed two. That is what he needs</i>. I whisper again</p><p>The team sees a postoperative patient mumbling words</p><p><i>Why won't they listen?</i></p><p>My identity is reduced to the patient in bed three</p><p>My words go unheard</p><p><i>Is this what it feels like to be a patient?</i></p><p><i>I must never forget this</i></p><p>When my patients speak, I promise to listen</p><p>The author declares no conflicts of interest.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 8","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70016","citationCount":"0","resultStr":"{\"title\":\"Please listen\",\"authors\":\"Courtney Burnett MD\",\"doi\":\"10.1002/jhm.70016\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>I wake, eyes fluttering open</p><p>from an anesthesia-induced slumber</p><p>Across from me in the post-anesthesia care unit</p><p>I hear machines beeping, coarse breathing, gasping,</p><p>wheezing and fear</p><p>A man nearby sounds like he is drowning</p><p>in his own secretions</p><p>An exacerbation of congestive heart failure</p><p>my own post-craniotomy brain tells me</p><p>I am a physician, but today I am a patient</p><p>This is a new role for me. In many ways,</p><p>it is much harder</p><p>I hear the nurse page anesthesia overhead</p><p>Respiratory assistance needed stat, bed two</p><p>In bed three, I open my lips and whisper</p><p><i>He needs diuretics, positive pressure ventilation</i></p><p>I can help. Let me help</p><p>I try to get someone's attention</p><p>But I am a patient, lying alone in a bed</p><p>with a bandage on my skull and blood on my cheek</p><p>Yesterday, I worked in this hospital</p><p>now I am a patient, unable to assist</p><p>My autonomy is gone, expertise unknown</p><p>My badge removed and stuffed in a bag</p><p>with my belongings and my voice</p><p>The nurse finally sees me</p><p><i>Are you in pain?</i> He asks</p><p>I try to say no, but my words slur and disappear</p><p>I feel vulnerable and alone,</p><p>thrust to the other side, where I am seen as patient</p><p>and nothing more</p><p><i>Do all of my patients feel this way?</i> I wonder</p><p>I hear the team arrive to help bed two</p><p>What happened? A resident asks, panic in her voice</p><p>I am an internist. I can help him</p><p><i>Please listen</i>.</p><p><i>Diuretics, positive airway pressure, elevate his head</i></p><p><i>the man in bed two. That is what he needs</i>. I whisper again</p><p>The team sees a postoperative patient mumbling words</p><p><i>Why won't they listen?</i></p><p>My identity is reduced to the patient in bed three</p><p>My words go unheard</p><p><i>Is this what it feels like to be a patient?</i></p><p><i>I must never forget this</i></p><p>When my patients speak, I promise to listen</p><p>The author declares no conflicts of interest.</p>\",\"PeriodicalId\":15883,\"journal\":{\"name\":\"Journal of hospital medicine\",\"volume\":\"20 8\",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-02-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70016\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of hospital medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.70016\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of hospital medicine","FirstCategoryId":"3","ListUrlMain":"https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.70016","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
期刊介绍:
JHM is a peer-reviewed publication of the Society of Hospital Medicine and is published 12 times per year. JHM publishes manuscripts that address the care of hospitalized adults or children.
Broad areas of interest include (1) Treatments for common inpatient conditions; (2) Approaches to improving perioperative care; (3) Improving care for hospitalized patients with geriatric or pediatric vulnerabilities (such as mobility problems, or those with complex longitudinal care); (4) Evaluation of innovative healthcare delivery or educational models; (5) Approaches to improving the quality, safety, and value of healthcare across the acute- and postacute-continuum of care; and (6) Evaluation of policy and payment changes that affect hospital and postacute care.