Sometimes we get so caught up in our lives that we forget
about the little things. I remember writing on here once about how a research
subject of mine who also uses a wheelchair said to me once, “It’s the little
things that you miss the most.” I whole-heartedly agree.
When I couldn’t swallow and had to eat pureed food and
drink thickened liquids, I yearned to eat a nice slice of pizza. After about a
month and a half, I was finally able to do that on
my birthday.
Whenever I see patients who cannot swallow, my heart goes
out to them. The taste of both simple and complex foods is something that is
not really appreciated by us until we cannot do so. A lot of people I know
cannot go a day, let alone a few hours, without eating. Self-control in terms
of more sensible/healthy choices versus unhealthy options is also becoming
rare. Food is the drug we take advantage of and abuse.
During my first month as a “real doctor”, I worked in the
spinal cord injury unit at the VA hospital. I developed a good relationship
with my patients there. There was one patient in particular with whom I would
just sit by and talk with for a long time. He was on a ventilator and could not
speak, so he would mouth his words out to me. It would take a long time for him
to tell me things, but we made it work. A feeding tube had been placed so he did
not eat. I did not ask him the last time it was that he ate or drank something
but he told me how he really misses eating and misses the taste of the food we
all indulge in, like burgers and pizza. He had a lower cervical level spinal
cord injury, which meant he was paralyzed from neck down and had the ability to
use his arms but not his fingers. He was in the hospital being treated for a
large pressure ulcer on his backside. Every day I saw him, he was in the same
position lying in bed and watching TV. He always had a smile on his face and he
always greeted everyone warmly.
He told me something that again made me thankful for
everything. This patient’s goal and what he wanted most? To go outside and feel
the sun on his face. He told me that he had only been outside four times very
briefly since November 2013.
I love the feeling of the warm sun after being inside an
air conditioned room all day. I cannot imagine going months without seeing the
sun or feeling and breathing in the air outside.
As busy as I am, I made time to see this patient and talk
with him. My heart was touched and I was reminded again of how far I have come,
how blessed I am and how grateful I should be for everything, especially the
little things that may not seem important to some people.
I promised my patient that once he is strong enough and
his wound heals up enough, I will take him outside. He promised me that once he
gets out of the hospital, he will buy me a cheeseburger.
Perfect.