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Питт: Гуманная смерть - 1

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Доктор Робби говорит с братом и сестрой о болезни их отца.

▸ Подробности сюжета

Это отделение неотложной помощи в больнице Питтсбурга.

Хелен и Джереми — взрослые дети мистера Спенсера.

Мистера Спенсера только что доставили в отделение неотложной помощи.

👥 Персонажи
📜 Сценарий
📖 Слова
✏️ Задания
💬 Обсуждение
🏆 Результат

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Доктор Робби
Доктор Робби
Хелен
Хелен
Нет фото
Джереми
Мистер Спенсер
Мистер Спенсер
pneumonia
пневмония
sepsis
сепсис
the bloodstream
кровоток
Nowhere Man
«Никто» (персонаж из «Жёлтой субмарины», также песня The Beatles)
Yellow Submarine
«Жёлтая субмарина»
a baseline
исходное состояние, норма
step out
выйти ненадолго
an advance directive
предварительное медицинское распоряжение
IV fluids
внутривенные растворы
antibiotics
антибиотики
artificial life support
искусственное поддержание жизни
CPR
СЛР, сердечно-лёгочная реанимация
a tube
трубка
a windpipe
дыхательное горло, трахея
treatable
поддающийся лечению, излечимый
durable power of attorney
долгосрочная доверенность на принятие решений
humane
гуманный
a path
путь, выбор
assisted living
дом престарелых, учреждение с уходом

Нажмите на слово — покажем перевод.

Nurse

Dr. Robby.

ˈdɑktər. ˈrɑbi.

Dr. Robby

Yep.

jɛp.

Nurse

The son and daughter of Mr. Spencer from Assisted Living. They're here.

ðə sən ənd ˈdɔtər əv ˈmɪstər. ˈspɛnsər frəm əˈsɪstɪd ˈlɪvɪŋ. ðɛr hir.

Dr. Robby

Okay. I'll be right there.

ˌoʊˈkeɪ. aɪl bi raɪt ðɛr.

Dr. Robby

Your father has pneumonia and a condition called sepsis.

jʊr ˈfɑðər həz nəˈmoʊnjə ənd ə kənˈdɪʃən kɔld ˈsɛpsɪs.

Jeremy

What is that exactly?

wət ɪz ðət ɪgˈzæktli?

Dr. Robby

It means that the bacteria has spread from his lung to his bloodstream. So far, he's been responding well to treatment.

ɪt minz ðət ðə bækˈtɪriə həz sprɛd frəm hɪz ləŋ tɪ hɪz ˈblədˌstrim. soʊ fɑr, hiz bɪn rɪˈspɑndɪŋ wɛl tɪ ˈtritmənt.

Helen

Hey, pop. It's Helen and Jeremy.

heɪ, pɑp. ɪts ˈhɛlən ənd ˈʤɛrəˌmi.

Mr. Spencer

Jeremy. Hillary. Blue Fudge.

ˈʤɛrəˌmi. ˈhɪləri. blu fəʤ.

Jeremy

It's the Nowhere Man from Yellow Submarine. It's what he used to call me when I didn't do my homework.

ɪts ðə ˈnoʊˌwɛr mæn frəm ˈjɛloʊ ˌsəbmərˈin. ɪts wət hi juzd tɪ kɔl mi wɪn aɪ ˈdɪdənt du maɪ ˈhoʊmˌwərk.

Dr. Robby

Is this his baseline?

ɪz ðɪs hɪz ˈbeɪsˌlaɪn?

Jeremy

He has good days and bad days.

hi həz gʊd deɪz ənd bæd deɪz.

Dr. Robby

Why don't we step out for one more second?

waɪ doʊnt wi stɛp aʊt fər wən mɔr ˈsɛkənd?

Dr. Robby

So, your father came in with low blood pressure, which is improving.

soʊ, jʊr ˈfɑðər keɪm ɪn wɪθ loʊ bləd ˈprɛʃər, wɪʧ ɪz ˌɪmˈpruvɪŋ.

Helen

Can he go back to assisted living?

kən hi goʊ bæk tɪ əˈsɪstɪd ˈlɪvɪŋ?

Dr. Robby

Eventually, we hope so. Your dad has an advance directive expressing his wishes, which says that IV fluids and medications

ɪˈvɛnʧəwəli, wi hoʊp soʊ. jʊr dæd həz ən ədˈvæns dɪˈrɛktɪv ɪkˈsprɛsɪŋ hɪz ˈwɪʃɪz, wɪʧ sɪz ðət iv fluɪdz ənd ˌmɛdəˈkeɪʃənz

are okay, but no artificial life support, no CPR.

ər ˌoʊˈkeɪ, bət noʊ ˌɑrtəˈfɪʃəl laɪf səˈpɔrt, noʊ cpr.

Jeremy

He doesn't want a bunch of machines keeping him alive.

hi ˈdəzənt wɔnt ə bənʧ əv məˈʃinz ˈkipɪŋ ɪm əˈlaɪv.

Dr. Robby

Okay, then we will continue with oxygen and IV fluids and antibiotics. But if his lungs stop working, we're not going to

ˌoʊˈkeɪ, ðɛn wi wɪl kənˈtɪnju wɪθ ˈɑksɪʤən ənd iv fluɪdz ənd ˌæntibaɪˈɑtɪks. bət ɪf hɪz ləŋz stɑp ˈwərkɪŋ, wɪr nɑt goʊɪŋ tɪ

place a tube in his windpipe for a breathing machine.

pleɪs ə tub ɪn hɪz windpipe fər ə ˈbriðɪŋ məˈʃin.

Helen

But pneumonia is treatable.

bət nəˈmoʊnjə ɪz ˈtritəbəl.

Dr. Robby

Most of the time it is.

moʊst əv ðə taɪm ɪt ɪz.

Helen

But if he can get better in a week, then put him on a machine.

bət ɪf hi kən gɪt ˈbɛtər ɪn ə wik, ðɛn pʊt ɪm ɔn ə məˈʃin.

Jeremy

That's not what he wanted.

ðæts nɑt wət hi ˈwɔntɪd.

Dr. Robby

Do either of you have durable power of attorney for healthcare?

du ˈiðər əv ju hæv ˈdʊrəbəl paʊər əv əˈtərni fər ˈhɛlθˌkɛr?

Jeremy

Yes.

jɛs.

Helen

We both do.

wi boʊθ du.

Dr. Robby

Okay. Well, this is a decision that does not need to be made right now. Why don't you think about it, talk about it? If things

ˌoʊˈkeɪ. wɛl, ðɪs ɪz ə dɪˈsɪʒən ðət dɪz nɑt nid tɪ bi meɪd raɪt naʊ. waɪ doʊnt ju θɪŋk əˈbaʊt ɪt, tɔk əˈbaʊt ɪt? ɪf θɪŋz

get worse, sometimes allowing for a comfortable natural death can be the most humane path.

gɪt wərs, ˈsəmˌtaɪmz əˈlaʊɪŋ fər ə ˈkəmfərtəbəl ˈnæʧərəl dɛθ kən bi ðə moʊst hjuˈmeɪn pæθ.

Включите фразу из сцены, повторите её вслух, затем сверьтесь с текстом.

Фраза 1

Your father has pneumonia and a condition called sepsis.

Фраза 2

It means that the bacteria has spread from his lung to his bloodstream.

Фраза 3

So far, he's been responding well to treatment.

Фраза 4

He has good days and bad days.

Фраза 5

Why don't we step out for one more second?

Фраза 6

So, your father came in with low blood pressure, which is improving.

Фраза 7

Your dad has an advance directive expressing his wishes, which says that IV fluids and medications are okay.

Фраза 8

He doesn't want a bunch of machines keeping him alive.

Фраза 9

Then we will continue with oxygen and IV fluids and antibiotics.

Фраза 10

But if his lungs stop working, we're not going to place a tube in his windpipe for a breathing machine.

Фраза 11

Most of the time it is.

Фраза 12

But if he can get better in a week, then put him on a machine.

Фраза 13

Do either of you have durable power of attorney for healthcare?

Фраза 14

Well, this is a decision that does not need to be made right now.

Фраза 15

Sometimes allowing for a comfortable natural death can be the most humane path.

  1. Jeremy and Helen have different feelings. What are they? Who do you sympathize with more in this situation?
  2. What would your advance directive be for a situation like this?
  3. How effectively does Dr. Robby explain the situation and prognosis? What could be clarified?
  4. Helen focuses on reversibility. Jeremy focuses on patient wishes. How would you navigate this family disagreement?
  5. What is the difference between withholding treatment and withdrawing treatment in this situation? How might families perceive the difference?
  6. When someone is very old and very sick, in your opinion, who should make decisions? The patient (through an advance directive)? The family? The doctors?
  7. The doctor says that sometimes allowing for a natural death can be the most humane path. What does he mean? Do you agree? For medical professionals:
  8. Who in your life would you most trust with durable power of attorney for your healthcare directives? Why?
  9. Should doctors encourage completing advance directives earlier in life (perhaps during primary care visits)? If so, starting at what age? Explain your position.
  10. Evaluate the doctor’s communication style when discussing the advance directive. What did he do well? Did he use “prognostic framing” (describing the best case, describing the worst case describing the most likely case)?

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