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(单词翻译:双击或拖选)
Unit 17
A Harder, Better Goodbye
Mother complained of a pain in her ribs1. She was a yoga lover, an ocean swimmer, a woman who at 72 looked ten years younger. She thought she had pulled a muscle. But the pain refused to go away. Tests revealed that cancer had moved to her ribs and spine2.
She and my father had been planning summer vacation. Now they were planning the remaining months of her life. She made it clear she did not want to remain in the hospital. She wanted to go home.
Hospice, we were told, could help us care for Mom at home. Suddenly hospice became the center of our lives. A few times a week the hospice staff -- doctor, nurses, social worker -- would visit our home, making sure Dad and I could handle the bedpans, the pain killers3 and the reality of Mom's dying.
March, April, May. Each month, each week, each day was a diminishment. Mom was confined to downstairs, then to her bedroom, then to her bed. Dad brushed her hair. I read to her. We examined family photo albums. As we flipped4 through these Kodak moments of life now drawing to a close, I would comfort myself: At least we are home.
Our biggest fear was that Mom would experience unbearable5 pain. But she did not. Painkiller6 helps. It was in those last days that hospice was of particular help. I had not seen anyone die before; I did not know what to do. Use swabs to wet her mouth, the nurse told me. Hold her hand. Her senses are dimming, but hearing will linger. Tell her you love her.
She died on Father's Day. I had bought Dad a bottle of cognac, which we were drinking when we heard her breathing stop.
Serious illness is a journey to a foreign country. You do not speak the language, the people are strangers, and you cannot know how you will behave until you arrive. But inner strength, too, is unpredictable. For after the night of Mom's death when I thought I could not go on, we went on. That could not have happened without hospice. The hospice nurse had made her comfortable; the aide had set her hair.
Deaths like my mothers prove that hospice can make death not just an ending but a kind of culmination7. If you control symptoms, if you provide support to patients and families, you can see great growth at the end of life. There are many alternatives to suicide even at the end of life. Hospice offers the hope that death, while inevitable8, need not be impersonal9, need not be unbearable. The argument over assisted suicide may have helped Americans recognize the ways in which medicine, so good at so many things, fails the dying. But it also prevents us from meeting the real challenge of providing decent end-of-life care.
1 ribs | |
n.肋骨( rib的名词复数 );(船或屋顶等的)肋拱;肋骨状的东西;(织物的)凸条花纹 | |
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2 spine | |
n.脊柱,脊椎;(动植物的)刺;书脊 | |
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3 killers | |
凶手( killer的名词复数 ); 消灭…者; 致命物; 极难的事 | |
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4 flipped | |
轻弹( flip的过去式和过去分词 ); 按(开关); 快速翻转; 急挥 | |
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5 unbearable | |
adj.不能容忍的;忍受不住的 | |
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6 painkiller | |
n.止痛药 | |
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7 culmination | |
n.顶点;最高潮 | |
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8 inevitable | |
adj.不可避免的,必然发生的 | |
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9 impersonal | |
adj.无个人感情的,与个人无关的,非人称的 | |
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