2026-04-13 12:40:16分类：南昌阅读(27228) \u003cdiv class=\"rich_media_content\"\u003e\u003csection style=\"margin-bottom: 0px; margin-left: 16px; margin-right: 16px; text-align: center\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_0--\u003e\u003c/section\u003e\u003csection data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cbr/\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); font-size: 16px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: 0.544px; line-height: 1.6em; margin: 0px 16px; max-width: 100%; orphans: 2; outline: 0px; overflow-wrap: break-word !important; padding: 0px; text-align: right; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; visibility: visible; white-space: normal; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 13px\"\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(73, 73, 73)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e文\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"color: rgb(73, 73, 73)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e \u003c/span\u003e\u003c/span\u003e\u003cspan style=\"color: rgb(157, 210, 168)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e|\u003c/span\u003e\u003c/span\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(73, 73, 73)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e 曾好好 郭丽娟\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003cp style=\"background-color: rgb(255, 255, 255); line-height: 1.6em; margin-bottom: 0px; margin-left: 16px; margin-right: 16px; margin-top: 0px; min-height: 1em; padding: 0px; text-align: right; text-indent: 0px\"\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 13px\"\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(73, 73, 73)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e编辑 \u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(157, 210, 168)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e|\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(73, 73, 73)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e 张瑞\u003cbr/\u003e\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cp style=\"background-color: rgb(255, 255, 255); line-height: 1.6em; margin-bottom: 0px; margin-left: 16px; margin-right: 16px; margin-top: 0px; min-height: 1em; padding: 0px; text-align: right; text-indent: 0px\"\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 13px\"\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(73, 73, 73)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e出品 | 腾讯新闻 谷雨工作\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(73, 73, 73)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e室\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003cp style=\"background-color: rgb(255, 255, 255); line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; margin-top: 0px; min-height: 1em; padding: 0px; text-align: right; text-indent: 0px\"\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 13px\"\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(73, 73, 73)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e\u003cbr/\u003e\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e小笠原文雄是一�岁的日本医生，在岐阜开了一个内科诊所。普通的诊所是治愈患者的疾病，让人“好好地活”，小笠原文雄医生的诊所主要收治那些在医院医无可医，痛不欲生的绝症患者——他是一个让患者“好好死去”的医生。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e作为日本居家安宁疗护协会会长，他�开始做居家安宁疗护，可以说是日本安宁疗护界的泰斗人物。至今，他接手治疗超�人，绝大部分最终都在家中没有痛苦的辞世。在行医之外，他一共写了四本书，其中一本叫《可喜可贺的临终》，在日本是人气畅销书，也被翻译成中文。他用浅显易懂的语言告诉大家：人可以没有痛苦的死去，不管是身患多严重的疾病，在世时开心生活，离世时平静干脆，是他做居家安宁疗护的理念。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e2025��日，我在东京见到了小笠原老师。他来参与�届日本健康社会奖（ヘルシー・ソサエティ賞）的颁奖礼，他是前年的获奖者。小笠原老师戴着棕色礼帽，套了一个可爱的浅黄色针织马甲。他的身材高大挺拔，精神矍铄，脸上有知识分子和医生的威严静气，还没落座就开始侃侃而谈。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e不管是在日本还是中国，人们都忌讳谈论死亡，害怕直面死亡，他作为医生见到太多“痛苦挣扎的死去”，“不辞而别的伤痛”，“无法弥补的遗憾”，他�年的经验告诉人们，死亡不是失败，是生命的完成，活着的时候要有质量，离世的时候心满意足，不留遗憾，这就足够了。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 0px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e以下小笠原文雄医生的讲述，综合了他的口述，以及他的书中内容，包括中文版《可喜可贺的临终》以及未翻译的日文书。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"margin-bottom: 0px; margin-left: 16px; margin-right: 16px; text-align: center\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_1--\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 0px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 12px\"\u003e\u003cspan style=\"color: rgb(136, 136, 136)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e小笠原文雄医生\u003cbr/\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e\u003cbr/\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 0px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.544px\"\u003e\u003cspan style=\"font-size: 17px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e\u003c!--IMG_2--\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"letter-spacing: 0.578px; margin-bottom: 24px; text-align: center\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.54px\"\u003e\u003cspan style=\"font-size: 18px\"\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e我是一个让患者“好好死去”的医生\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e2012年的一天，我接到家属电话，70岁的大野患了子宫癌晚期在医院救治，每天靠点滴维持生命，全身浮肿，胸腔积水严重，每两小时需要用仪器抽出，大野不成人形、日夜痛苦不堪，家中还有一个儿子有视力障碍，她对妹妹说，“我要回家，就算死我也要回家。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e主治医师拒绝了，“在医院大概能活一个月，回家最多能活五天。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e家属联系到了我，问我这种情况是不是可以让她回家。我没有犹豫，“可以的，我跟主治医生说，紧急出院，马上回家。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e大野在医院躺了数月终于回到熟悉的家中，我给她做居家安宁疗护，她以前在医院每天要�毫升的高卡路里点滴维持生命，每天要抽�毫升的胸水。回到家以后，我�毫升高卡路里减低�毫升低卡路里点滴，身体负担变轻、胸水慢慢减少，而且人的大脑里有一个“食欲中枢”，\u003c!--SECURE_LINK_BEGIN_0--\u003e血糖\u003c!--SECURE_LINK_END_0--\u003e太高的时候，它不会发出“肚子饿”的信号；而当血糖下降时，为了维持生命，所谓的“长寿基因”被激活，刺激人“得吃点东西，不然会死”。于是大野慢慢地能吃点东西，哪怕只是少量，因为摄取了蛋白质、吸收了营养，慢慢恢复精神。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c!--MID_AD_0--\u003e\u003c!--EOP_0--\u003e\u003c/section\u003e\u003c!--PARAGRAPH_0--\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e回到熟悉的家中、大野脸上露出了笑容，两个月以后可以出门走走了，原本被医生宣判只天寿命的大野又从容地活𱅄年。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"margin-bottom: 0px; margin-left: 16px; margin-right: 16px; text-align: center\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_3--\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 12px\"\u003e\u003cspan style=\"color: rgb(136, 136, 136)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e出院年的大野女士\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我�年开始做居家安宁疗护，36年间，我接手治疗超�人，像大野这样被医生判了死刑、紧急出院、结果活了更久的人大概占三成。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我在医院当医生的那些年，看过太多人痛苦地死去。我毕业于旧帝国大学体系的医学院，我们被教育要推动医学进步、战胜死亡，那时候的医学信仰是——绝不能让病人死！但事实上，再怎么努力，人终究会死。死者从来没有一个是安详地笑着走的，都是痛苦挣扎、被抢救到最后一刻。心脏一停，就要立刻做\u003c!--SECURE_LINK_BEGIN_1--\u003e心肺复苏\u003c!--SECURE_LINK_END_1--\u003e。如果不做，会被上级骂。就算肋骨折断，也要压下去，还要往心脏里注射强心剂。一切只是为了“让心脏暂时动起来”，撑到家属赶到病房。反正临死的人不会抱怨，但家属会说：“医生，谢谢您努力抢救。”他们会感激你——哪怕病人已经痛苦到不成人形。有时候我心里也在想，我们到底是在救人，还是在折磨他？\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c!--MID_AD_1--\u003e\u003c!--EOP_1--\u003e\u003c/section\u003e\u003c!--PARAGRAPH_1--\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e在医院里，“死”被视为耻辱。医生们追求所谓的“五年生存率”——患癌病人手术后活满五年，就算成功。哪怕是四年三百六十四天死去，也算失败。所以医生们拼命延长几秒、几分钟，只为在统计上“多活了一点点”。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 0px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e如果人终究一死，为什么一定是痛苦地死去呢？那些苦是必须受的吗？为什么就不能平静愉快地告别离开呢。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e\u003cbr/\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); display: block; font-size: 17px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: none; font-weight: 400; letter-spacing: 0.544px; line-height: 1.6em; margin: 0px 16px; max-width: 100%; orphans: 2; outline: 0px; overflow-wrap: break-word !important; padding: 0px; text-align: justify; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-transform: none; white-space-collapse: break-spaces; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_4--\u003e\u003c/section\u003e\u003csection style=\"-webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); display: block; font-size: 17px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: none; font-weight: 400; letter-spacing: 0.578px; margin: 0px 0px 24px; max-width: 100%; orphans: 2; overflow-wrap: break-word !important; padding: 0px; text-align: center; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: break-spaces; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.54px\"\u003e\u003cspan style=\"font-size: 18px\"\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e“死亡”不是失败，而是生命的一个完成\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e1948年，我出生在岐阜的寺庙中，我的父亲爷爷世世代代都是僧侣，传到我这里是�代。如果说到家族往事，往上追溯到室町幕府时期，我的祖先是信浓（现长野）的领主，在长篠的一场战役中，他被铁炮部队打败。当时，武田家的规矩是：如果败了仗，不是被斩首就是自己切腹，绝对不允许苟活。为了逃避这命运，他选择了出家为僧。从信浓逃到现在这个地方，盖了一个小小的庙宇，从我记事起，寺里就堆满了各种药材、草药和针灸器具，我在寺庙里长大，父亲要求我读经背经，9岁的时候我考取了僧侣资格，在日本，僧侣是一种身份，可以过世俗生活。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c!--MID_AD_2--\u003e\u003c!--EOP_2--\u003e\u003c/section\u003e\u003c!--PARAGRAPH_2--\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我从未想过要当医生，一直打算当一个数学老师，直�岁那年，长岁的姐姐突发急病，腿脚麻木，一周后无法行走，慢慢眼睛也失明了，医生说没有办法，治不了了，要我父亲把她背回家，那夜，我们全家守着姐姐哭了一夜，第二天她走了。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e小时候，父亲常常带着我去葬礼诵经给人送行，死亡对我来说不陌生，村里有人去世时，僧侣走在前面，家人跟在后面，村民再一队一队地跟上。我那时年纪小，走在父亲前面，别人总会递我糖果，说：“小和尚，谢谢你来。”我去参加葬礼只是为了拿糖果。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我从小就亲眼看到死亡。看到人被抬进火葬场，烟从烟囱里升起来，然后家人取回白骨。对我来说，死亡从来不是恐怖的东西。只是一个人从能说话、能笑、能走动，变成了不再说话、不再存在。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e但是姐姐的离世给我带来了巨大的冲击，那是我第一次真正体会“死别”，我最亲的人就这样消失了，从小到大每天都在一起的人就这样再也见不到了，我开始思考，到底什么是生，什么是死呢？18岁高中毕业，我决定报考名古屋大学医学院，这里僧侣和医学生的身份可以共存，有一位医学教授也是僧侣，我顺利毕业成为综合医院里的心内科医生。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e41岁那年，一位医生朋友要退休了，让我接手了他的诊所，那是一�多年的诊所，楼上曾做过人工透析，后来透析停掉了，只剩下门诊和四位需要上门看护的患者。我一开始其实挺抗拒的上门看护的，医学院毕业的医生是看不上那些的，觉得很“低层次”，都是乡下医生想要挣钱，妻子劝我：“你既然接了这家诊所，就不该把他们撂下不管。如果你不继续，他们就很麻烦。你不能做这种让人困扰的事啊。”我听了觉得有道理，决定接手这四个人。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c!--MID_AD_3--\u003e\u003c!--EOP_3--\u003e\u003c/section\u003e\u003c!--PARAGRAPH_3--\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我去看望一个临终的病人丹羽先生，他虽然外表看起来健康，但我们都知道他肯定没多久了。如果在医院的话，他早就被说成“没救了”。可他一直笑着，从不表现出痛苦，也没有病人那种虚弱的样子，甚至能自己吃饭，看着不像是快死的人。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e1991年的一天，我去探访完他要离开，丹羽太太笑着对我说：“小笠原医生，他很快就要走了。我一个人送他就行。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e丹羽先生把行李收拾好了，包和鞋都放在床边，像要去旅行的样子。他对丹羽太太说：“这次去的地方很远，你留在家里等我。” \u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e“男人啊，最后总想体面地走。”丹羽太太微笑着说。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我刚回到诊所两小时，收到丹羽太太的电话，他上路了，医生您来吧。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我在医院的工作多年，见过上百个被救护车拉过来，在极度痛苦中抢救失败而离世的人，我一直觉得死亡是痛苦的，我们能给家属的安慰只是一句“节哀顺便”。看到丹羽先生的遗容让我震惊，他穿着睡衣，手边放着喜欢的书籍、杯子，躺在自家床上，刚与爱人道别，平和从容地微笑着，面容如同我们两个月之前一起去长良川享受垂钓乐趣的样子。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我恍然大悟，原来，人可以笑着面对死亡。原来，“死”也可以是有尊严。我意识到：在家中离开的“死”，和医院里拼命延长几分钟的“死”，是完全不同的东西。也许真正的“医学”，不在于让心脏多跳几下，而在于让一个人能平静地说出“谢谢”，“再见”。那是我第一次觉得——“死亡”不是失败，而是生命的一个完成。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 0px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e从那以后，我就开始思考探索：说不定居家安宁疗护是一种很棒的东西，是跟我们在医学院、大医院学到的完全不一样的医疗方式。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e\u003cbr/\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); display: block; font-size: 17px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: none; font-weight: 400; letter-spacing: 0.544px; line-height: 1.6em; margin: 0px 16px; max-width: 100%; orphans: 2; outline: 0px; overflow-wrap: break-word !important; padding: 0px; text-align: justify; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-transform: none; white-space-collapse: break-spaces; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_5--\u003e\u003c/section\u003e\u003csection style=\"-webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); display: block; font-size: 17px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: none; font-weight: 400; letter-spacing: 0.578px; margin: 0px 0px 24px; max-width: 100%; orphans: 2; overflow-wrap: break-word !important; padding: 0px; text-align: center; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: break-spaces; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.54px\"\u003e\u003cspan style=\"font-size: 18px\"\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e 临终良方：止痛与回家\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e如果问癌症患者，最痛苦的事情，疼痛无疑排在前列。如果要让癌症末期患者平静安稳的在家度过最后时光，最重要的一点是帮他们战胜疼痛和对疼痛的恐惧。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e北村先�岁，大肠癌晚期，做过三次手术，大小便不能自理、吃不了东西、生命靠营养液维持，医生告诉他治疗已经到极限了。“家里的味增汤再也喝不到了。”北村很难过，他最想死在自己家里，太太来我诊所咨询，他回家的念头如愿以偿。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e回家后，北村的疼痛异常强烈，我们把麻醉止痛药剂量调到了他住院时的三倍才消除了他的痛感，通常情况、癌痛病人用�毫克左右吗啡就会有效，离世前的阶段，他的疼痛加剧，又再加大剂量�毫克才解除痛苦，看到他的笑脸。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e说到麻药止痛剂，人们往往认为有一定风险，抱有一些偏见，所以医生在采用时态度比较消极，甚至没有加量的勇气，实际上、如果不及时控制疼痛，疼痛会成倍增加，我认为医生应当熟练掌握吗啡的使用技巧，同时也应该让患者知道：疼痛是可以消除的，麻药止痛剂在止痛时不会让人成瘾，便秘恶心等副作用是可以预防的。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e北村回到家以后，家中的气息、家里的饭菜让他食欲大增，每天可以吃三顿饭，能吃东西以后免疫力提高，健康状况好转，虽然体力在慢慢下降，因为没有疼痛的折磨，对死亡没有了恐惧，原本被医生判断只能活三个月的北村，在家里又活了六个月。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e在医院住院的人，最大的心愿都是回家。有的病人奄奄一息，听到我们可以让他出院回家，苍白的脸上都恢复了神采。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e82岁的入山先生，胰腺癌晚期，已经是随时要离世的状态了。他的女儿联系我想要出院回家。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我嘱咐医院给他注射了甲泼尼龙（ソルメドロールSolu-Medrol:Methyl prednisolone），并告诉他的女儿：“你的父亲随时可能离世，如果他在车上就停止了呼吸，也不要停下或返回医院，继续带他回家，人到临终最后丧失的感觉是听觉，你在他耳边告诉他，我们回家了。他即便停止了呼吸，也是带着回家的希望离开，那也是充满希望的临终。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e一小时后，入山先生回到温暖的家中，他的脉搏微弱，也没有恢复意识。入山太太失落地陪坐着，看到桌上的柿子，对我说：“我先生最喜欢吃柿子，特意托人买了一些，他估计是吃不上了，医生您吃一点吧。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e这时候，隔壁房间传来声音，护士说，“啊，他睁眼了，起来了。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e卧床昏迷多日的入山先生在护士的搀扶下，慢慢走了过来，他伸出手，拿起桌上的柿子，对我说：“好吃！”然后毫不犹豫地咬了一口。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e妻子和女儿紧紧握着彼此的手欣喜不已，还拍下了这奇迹的一刻。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"margin-bottom: 0px; margin-left: 16px; margin-right: 16px; text-align: center\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_6--\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 12px\"\u003e\u003cspan style=\"color: rgb(136, 136, 136)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e入山先生回到家以后苏醒起来吃柿子\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e那天半夜，住在关西一直没有赶回来的孙女连夜飞奔回来。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e孙女一进门就喊“爷爷——”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e入山先生用尽最后的力气坐起身，紧紧抱住孙女，然后，他的身体慢慢不再动了，安详地踏上了旅程。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 0px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e“吃着最喜欢的柿子，抱着最爱的孙女走的，他真的很幸福。”入山太太后来对我说。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e\u003cbr/\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); display: block; font-size: 17px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: none; font-weight: 400; letter-spacing: 0.544px; line-height: 1.6em; margin: 0px 16px; max-width: 100%; orphans: 2; outline: 0px; overflow-wrap: break-word !important; padding: 0px; text-align: justify; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-transform: none; white-space-collapse: break-spaces; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_7--\u003e\u003c/section\u003e\u003csection style=\"-webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); display: block; font-size: 17px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: none; font-weight: 400; letter-spacing: 0.578px; margin: 0px 0px 24px; max-width: 100%; orphans: 2; overflow-wrap: break-word !important; padding: 0px; text-align: center; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: break-spaces; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.54px\"\u003e\u003cspan style=\"font-size: 18px\"\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e照护重担谁分担？\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e家是最好的疗愈空间。但是回到家会不会给家人造成巨大的照护工作量，也是患者和家属所担心的。居家安宁疗护，不仅仅需要照顾患者，也需要抚平家属的心灵，两方的重要性，我认为一半一半，患者怕麻烦家人，家属负担压力太大也难以维持，所以这需要的不止是患者、家人、医疗，还需要社会、社区的支持配合，是一种团队协作。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e如今的日本，进入了“老年人照顾老年人的时代”，所谓“老老护理”，对深爱的家人来说，每个人都希望家人能好好走完最后一程，为了实现这一点最重要的是：让家人不至于被照护压垮，护理是没有尽头的，专业的护理交给专门的人。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e79岁的加藤先生因为脑卒中住院已经一年了，无法走路、卧床状态，医生说不可能再恢复，要不出院，要不转院去老人保健设施。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e“是转院呢？还是出院？”加藤太太来找我商量。我说：“当然是出院啊。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e她说：“医生您说什么啊，我才四十多公斤，我丈夫七十五公斤，我连换一次尿布都不行，什么都做不了。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我说：“你每天早上说声早安、晚上说声晚安，只要能做到这点，就已经很了不起了。有人陪伴、有人说话，已经是最好的照护环境了。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e于是加藤先生就这样退院回家了，加藤太太什么都没做。介护每天早晚各来一次，排便一周两次，护士、康复训练师一周来一次。回家以后他的“糊涂病”居然好了。其实他本来就没痴呆，只是因为住院太久才糊涂。住院太久三成的老人都会有痴呆的症状，一旦出院回家，反而会拼命想下床走路，一年以后，他反而能走动了。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e大野先生，40多岁，他双目失明，还患有高血压、糖尿病，需要每天注射胰岛素，还有心肌梗塞与肾功能障碍，在医院非常痛苦，病情难以改善。一般情况下，像这样严重的心衰患者要做人工透析，但他拒绝透析，坚持说：“我宁可不透析，也要回家。”他的母亲当时已是癌症末期，他想回家与母亲共度最后的日子。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e他母亲的妹妹来咨询我们。病历上写着他的心脏射出分数不到正常人�%，情况相当严重。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我们和医院方面沟通。虽然医院觉得“这样出院是不可能的”，我们团队坚持“没关系，居家也可以使用人工呼吸器，药物也能控制。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e出院前，医院召开了出院协调会议，参加的有医生、护士、康复师、营养师、医疗社工，以及我们在宅医疗团队。我们和医院方面详细讨论：病人在家后我们会怎样做、医院的治疗方法我们是否沿用、设备如何调整等等。会议中大家互相提出意见，医院方面认为风险大，但我们解释了具体应对方案。患者的姨妈代表家属出席，因为母亲癌症末期，身体太虚弱不能来。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e姨妈听完后说：“我明白了，出院就拜托你们了。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e出院时，我们也做好了充分准备——包括远程视频设备、介护病床、氧气机、人工呼吸器、护理人员、上门护士、照护经理等全部到位。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我们给他注射了甲泼尼龙（ソルメドロール）。因为患者极度虚弱，必须设法让他恢复一点精神。这种药属于短效类固醇激素，作用时间大小时，符合人昼夜激素分泌规律，能暂时提升精神与体力，配合促进心脏泵血的点滴药和强效利尿剂来帮助排尿，通过一些治疗，他顺利回到家中。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e他在医院一天要注射四次胰岛素，回家一天只要注射一次。呼吸机也从医院的大型呼吸机换成了家用呼吸机，只有五分之一大小，简单轻便效果一样，生活质量反而更高。大野先生十二月回到家的，一月就已经可以去日托照护中心了，这是一个奇迹。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"margin-bottom: 0px; margin-left: 16px; margin-right: 16px; text-align: center\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_8--\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 12px\"\u003e\u003cspan style=\"color: rgb(136, 136, 136)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e小笠原医生带大野先生做呼吸操\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e当时NHK电视台有一个采访独居患者的节目，记者问他：“家和医院，有什么不同吗？”他回答：“能回家真是太好了。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e记者又问：“那您觉得医院怎么样？”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e他说：“医院真是等死的牢狱，还不如死在家里。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 0px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e大野先生送走了患癌的母亲，母亲离世后他一个人在安宁疗护团队的支持下生活了两年。很多人会担心居家安宁疗护的费用问题，以大野先生为例，这么多专业人士提供服务，在医疗保险和介护保险中患者需要自费的部分一个月𱎷万日元（人民�元）。一年下来，在家只要住院的三分之一花费。据估算，如果日本全国广泛推行在宅医疗，每年可节省兆日元的医疗费用。这比单纯推进医院改革还有效。像中国那样的人口大国，如果都依赖医院医疗，花费会非常高。我们也该思考，到底是要拼命砸钱去“治”，还是用更少的钱让人“好好地活”。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c!--MID_AD_4--\u003e\u003c!--EOP_4--\u003e\u003c/section\u003e\u003c!--PARAGRAPH_4--\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e\u003cbr/\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); display: block; font-size: 17px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: none; font-weight: 400; letter-spacing: 0.544px; line-height: 1.6em; margin: 0px 16px; max-width: 100%; orphans: 2; outline: 0px; overflow-wrap: break-word !important; padding: 0px; text-align: justify; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-transform: none; white-space-collapse: break-spaces; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_9--\u003e\u003c/section\u003e\u003csection style=\"-webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); display: block; font-size: 17px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: none; font-weight: 400; letter-spacing: 0.578px; margin: 0px 0px 24px; max-width: 100%; orphans: 2; overflow-wrap: break-word !important; padding: 0px; text-align: center; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: break-spaces; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.54px\"\u003e\u003cspan style=\"font-size: 18px\"\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e当我们谈论死亡 直面死亡\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我有一个患者，让我印象很深刻。纯子是一�岁的年轻母亲，患上了胃癌末期已经转移，有两个年幼的儿子，被医生诊断只能活三个月。她除了吃抗癌药物还要吃抗抑郁的药，总说“我想死”。到她家，我看到被病痛折磨得没有人形的纯子。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我无论问什么，她只说一句话“我想死”。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e“为什么想死？”我问。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e“我活着对孩子也没用，对丈夫也没用，我想死，我想死。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我说：“你虽然不能做饭，还能跟家人说话，还能陪在他们身边呐。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e“我想死……”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e聊了一个多小时，纯子的只说一句话——我想死。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e这种情况，我停顿片刻，握住纯子的手：“你一直说想死，那你觉得，我们在场的人里谁会最先死掉呢？”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e“你总是说‘我想死’，那就说明你很不安。不安才让你想死，对吧？那么请放心——你一定会死的。所以，不需要再害怕。安心吧，你很快就会死的。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e她听完后愣住了，然后说：“我想活下去。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我告诉她：“如果你总想着‘我想死’，你的免疫力就会下降，你真的会比想象中更早死去。但如果你想着‘我要为了孩子，好好活下去’，你的免疫力就会上升，也许就能活过盂兰盆节。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e人一旦拥有求生意志，可以迸发出医学无法解释的强大力量。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e纯子活过了八月的盂兰盆节、带着孩子们外出旅行、�月还去泡了温泉。我和纯子联系，她告诉我：“我和孩子一起去旅行了，还有朋友们，一起出门旅行。”她笑着说这些话。不过之后，她的病情又恶化了。到了十月，已经完全动不了了。我以前就对她说过：“如果有一天你走不动了，大概三天之内就会去世。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e结果在她卧床第三天的时候，孩子哭着回了家。他向母亲哭诉，“妈妈已经瘦得像骷髅，被人嘲笑，被欺负，我再也不想去上学了！”那时候纯子几乎已经动不了，可她拼尽全力，用头稍微抬起，用手撑着身体，试图抱住儿子。她是拼了命地撑起来的。直到儿子终于哭累了，一句话也说不出来时，纯子轻轻地说了一句。这是后来她的丈夫告诉我的，“我这一生，从来没有觉得自己不幸。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e就这一句话，孩子立刻止住了哭。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e从那天起，孩子每天都挺着胸膛去上学。几年后，那孩子长大了，成了一名运动员，还入选了县代表队。他说：“无论多辛苦的事，我都不会觉得自己不幸。因为妈妈教会了我，要坚强地活下去。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e纯子去世\u003c/span\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e后一周，她的丈夫来看我。他说，妻子走得非常安详。在临终前，她还微笑着拍了一张照片。那照片里的笑容温柔极了。他对我说：“多夸夸我的妻子吧。”\u003cbr/\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e这正是安宁疗护的目标，在世时开开心心生活，离世时平静干脆。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"margin-bottom: 0px; margin-left: 16px; margin-right: 16px; text-align: center\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_10--\u003e\u003c/section\u003e\u003cp style=\"margin-left: 16px; margin-right: 16px\"\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 12px\"\u003e\u003cspan style=\"color: rgb(136, 136, 136)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e重新找回光彩的纯子和安宁疗护团队\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e有人会安慰病人“没事的，不会死的，只要好好吃药就不会死”，那怎么可能呢？不如诚恳地告知真相，“你是会死的，请直面这一事实，只有接受死亡，直面死亡，才能好好度过剩下的日子，不用恐惧，我们会陪着你减轻痛苦和不安。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 0px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e其实，当我对患者说“你要去世了”这样的话时，他们反而常常露出笑容，情绪变得平静。因为“真相能带来安心”。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e\u003cbr/\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); display: block; font-size: 17px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: none; font-weight: 400; letter-spacing: 0.544px; line-height: 1.6em; margin: 0px 16px; max-width: 100%; orphans: 2; outline: 0px; overflow-wrap: break-word !important; padding: 0px; text-align: justify; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-transform: none; white-space-collapse: break-spaces; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_11--\u003e\u003c/section\u003e\u003csection style=\"-webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; color: rgba(0, 0, 0, 0.9); display: block; font-size: 17px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: none; font-weight: 400; letter-spacing: 0.578px; margin: 0px 0px 24px; max-width: 100%; orphans: 2; overflow-wrap: break-word !important; padding: 0px; text-align: center; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: break-spaces; widows: 2; word-spacing: 0px\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.54px\"\u003e\u003cspan style=\"font-size: 18px\"\u003e\u003cstrong\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e居家照护整体规划师\u003c/span\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我做居家安宁疗护也不是一直顺顺利利，也有被误解的时候。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e18年前，78岁的本多女士患胃癌，不能进食痛苦不堪，医生说她随时可能离世。她的儿子儿媳来咨询，相谈后我让她紧急出院，回到家中。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我们及时给她注射了甲泼尼龙（ソルメドロール），增加了吗啡用量，为她提供了居家安宁疗护，五天后，本多女士脸上露出笑容，可以吃饭了，还出门去了美容院。看到母亲巨大的变化，子女们开心极了。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e但是两周后，本多突然卧床不起，没过几天，她就突然去世了。没有见过我的亲戚责怪我：“明明三天前还好好的，为什么突然这样了，你给她吃了什么奇怪的药？把病历拿出来！”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e气氛变得紧张起来，当时病人的家人和亲戚都到场，我从头开始说明病情。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我先问他们：“你们去医院看过她吗？知道她当时的状态吗？”结果发现他们谁都没有去探望。他们只看到老太太出院后精神很好，以为“病好了”。实际上，她在住院期间已经被医生判断为“随时可能离世”。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e我告诉他们：“她并不是在医院里好转出院的，而是随时可能去世的状态。只是这段时间精神恢复得比较快，看起来健康而已。”我说：她能在家里安然度过最后一段时间，这已经是很幸福的事了。”\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e听完这些，家属终于理解了。他们说，虽然她突然离开让人震惊，但仔细想想，她能回到家，和家人在一起，也算幸福。她没有在医院里痛苦地死去，而是在家里安静地走的。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e那一刻我也松了一口气。因为我知道，我没有隐瞒什么——我只讲事实，只说真相。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e但事先讲是说明，事后讲是借口，从那以后，我制作了《临别手册》，给家属普及人临终前的状态。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e二十年前，名古屋大学前医学院院长、校长滨口道成曾对我说：“小笠原老师，“你虽然是日本最专业的居家临终关怀医生，但如果这个体系只有你能做，那毫无意义。请你开发一个，即使没有僧侣身份、普通医生也能执行的系统。”他建议我暂时放下僧侣身份，从医学的角度重新思考系统，于是我设计了“居家照护整体规划系统，THP（Total Health Planner Care System）”。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"margin-bottom: 0px; margin-left: 16px; margin-right: 16px; text-align: center\" data-exeditor-arbitrary-box=\"image-box\"\u003e\u003c!--IMG_12--\u003e\u003c/section\u003e\u003cp style=\"margin-left: 16px; margin-right: 16px\"\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 12px\"\u003e\u003cspan style=\"color: rgb(136, 136, 136)\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255)\"\u003e小笠原文雄医生团队开会商讨疗护方案\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e这个系统的理念是：医疗、介护、护士、福祉、保健等各工种相互协作，共同支持患者到最后一刻。每个人都能发挥自己擅长的部分；不擅长的就交给擅长的人去做。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e“居家照护整体规划师”作为核心协调者，是整体规划者，负责整合医生、护士、照护员、营养师、临床宗教师、志愿者等各方资源。在名古屋大学，我们已经在研究生阶段培养这样的专业人才。居家临终关怀协会也在培养“居家照护整体规划师”。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e他们知道什么时候要请医生，什么时候请护士、护工或营养师介入；什么时候该请临床宗教师、志愿者前来陪伴。比如，病人需要心理安慰时，请宗教师或哲学背景的人到场；如果病人更想吃东西而不是做复健，就请营养师来调整饮食；如果家属焦虑，就请志愿者陪伴。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e志愿者的存在也很重要——他们能让氛围变得温暖。很多人每周只花半天去做志愿服务，却觉得心灵获得极大的满足。受助的人也因此感到心安，这种互相滋养的关系，会让这一体系不断扩大。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e目前，全日本大约有八十人获得资格，名古屋大学也培养了数百位“居家照护整体规划师”。他们中有的进入政府部门，负责评估辖区内的护理与设施分布，分析哪里缺人、哪里需要补助金；有的进了厚生劳动省，负责全国的制度设计。相信随着这个体系的完善普及，越来越多的人会得到更好的居家安宁疗护。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"-webkit-tap-highlight-color: transparent; background-color: rgb(255, 255, 255); letter-spacing: 0.544px; line-height: 1.6em; margin-bottom: 24px; margin-left: 16px; margin-right: 16px; outline: 0px; text-align: justify; text-wrap: wrap\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 15px\"\u003e\u003cspan style=\"color: rgb(0, 0, 0)\"\u003e\u003cspan style=\"background-color: transparent\"\u003e因为我每天都在与临终者打交道，有人问我，这些“临死的负面能量”会不会让我的心灵受损。对我来说，这些都不是负能量，而是正能量。因为在家中，我能看到医院永远看不到的“幸福的临终”的笑容。作为医生和僧侣，我已经送别�人，我深深体会到：能让病人在家中心满意足地度过最后的时光，与家人好好告别、是一种福气。（来源：腾讯新闻）\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003csection style=\"margin-left: 16px; margin-right: 16px\" data-exeditor-arbitrary-box=\"wrap\"\u003e\u003cp\u003e\u003cspan style=\"letter-spacing: 0.5px\"\u003e\u003cspan style=\"font-size: 12px\"\u003e\u003cspan style=\"color: rgb(136, 136, 136)\"\u003e* 版权声明：腾讯新闻出品内容，未经授权，不得复制和转载，否则将追究法律责任。\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\u003c/section\u003e\u003cstyle\u003e.rich_media_content{color:#000000e5;font-size:var(--articleFontsize);overflow:hidden;text-align:justify}.rich_media_content{color:var(--weui-FG-HALF)}.rich_media_content{position:relative;z-index:0}.data_color_scheme_dark{--weui-BTN-ACTIVE-MASK: rgba(255, 255, 255, .1)}.data_color_scheme_dark{--weui-BTN-DEFAULT-ACTIVE-BG: rgba(255, 255, 255, .126)}.data_color_scheme_dark{--weui-DIALOG-LINE-COLOR: rgba(255, 255, 255, .1)}.data_color_scheme_dark{--weui-BG-COLOR-ACTIVE: #373737}.data_color_scheme_dark{--weui-BG-6: rgba(255, 255, 255, .1);--weui-ACTIVE-MASK: rgba(255, 255, 255, .1)}.data_color_scheme_dark{--weui-BG-0: #111;--weui-BG-1: #1e1e1e;--weui-BG-5: #2c2c2c;--weui-RED: #fa5151;--weui-ORANGERED: #ff6146;--weui-ORANGE: #c87d2f;--weui-YELLOW: #cc9c00;--weui-GREEN: #74a800;--weui-LIGHTGREEN: #3eb575;--weui-BRAND: #07c160;--weui-BLUE: 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#5AAFE4;--weui-BLUE-BG-130: #7FC0EA;--weui-BLUE-BG-90: #4095CB;--weui-BRAND-100: #018942;--weui-BRAND-120: #38CD7F;--weui-BRAND-170: #B4ECCE;--weui-BRAND-80: #059A4C;--weui-BRAND-90: #06AE56;--weui-BRAND-BG-100: #2AAE67;--weui-BRAND-BG-110: #3EB575;--weui-BRAND-BG-130: #69C694;--weui-BRAND-BG-90: #259C5C;--weui-FG-0: #000000;--weui-FG-0_5: #000000;--weui-FG-1: rgba(0, 0, 0, .6);--weui-FG-2: rgba(0, 0, 0, .42);--weui-FG-3: rgba(0, 0, 0, .1);--weui-FG-4: rgba(0, 0, 0, .15);--weui-GLYPH-0: #000000;--weui-GLYPH-1: rgba(0, 0, 0, .6);--weui-GLYPH-2: rgba(0, 0, 0, .42);--weui-GLYPH-WHITE-0: rgba(255, 255, 255, .85);--weui-GLYPH-WHITE-1: rgba(255, 255, 255, .55);--weui-GLYPH-WHITE-2: rgba(255, 255, 255, .35);--weui-GLYPH-WHITE-3: #FFFFFF;--weui-GREEN-100: #4F8400;--weui-GREEN-120: #A7DB33;--weui-GREEN-170: #DEF1B3;--weui-GREEN-80: #74A800;--weui-GREEN-90: #82BD00;--weui-GREEN-BG-100: #96BE40;--weui-GREEN-BG-110: #A0C452;--weui-GREEN-BG-130: #B5D179;--weui-GREEN-BG-90: #86AA39;--weui-INDIGO-100: #0075E2;--weui-INDIGO-120: #439DF1;--weui-INDIGO-170: #B8DAF9;--weui-INDIGO-80: #106ABE;--weui-INDIGO-90: #1277D6;--weui-INDIGO-BG-100: #2B77BF;--weui-INDIGO-BG-110: #3F84C5;--weui-INDIGO-BG-130: #6BA0D2;--weui-INDIGO-BG-90: #266AAB;--weui-LIGHTGREEN-100: #2E8800;--weui-LIGHTGREEN-120: #AAEF87;--weui-LIGHTGREEN-170: #DEF9D1;--weui-LIGHTGREEN-80: #77BC54;--weui-LIGHTGREEN-90: #85D35E;--weui-LIGHTGREEN-BG-100: #72CF60;--weui-LIGHTGREEN-BG-110: #80D370;--weui-LIGHTGREEN-BG-130: #9CDD90;--weui-LIGHTGREEN-BG-90: #66B956;--weui-LINK-100: #576B95;--weui-LINK-120: #7888AA;--weui-LINK-170: #CCD2DE;--weui-LINK-80: #455577;--weui-LINK-90: #4E6085;--weui-LINKFINDER-100: #002666;--weui-MATERIAL-ATTACHMENTCOLUMN: rgba(245, 245, 245, .95);--weui-MATERIAL-NAVIGATIONBAR: rgba(237, 237, 237, .94);--weui-MATERIAL-REGULAR: rgba(247, 247, 247, .3);--weui-MATERIAL-THICK: rgba(247, 247, 247, .8);--weui-MATERIAL-THIN: rgba(255, 255, 255, .2);--weui-MATERIAL-TOOLBAR: rgba(246, 246, 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0, 0, .02);--weui-STATELAYER-PRESSED: rgba(0, 0, 0, .1);--weui-STATELAYER-PRESSEDSTRENGTHENED: rgba(0, 0, 0, .2);--weui-YELLOW-100: #BB8E00;--weui-YELLOW-120: #FFCF33;--weui-YELLOW-170: #FFECB2;--weui-YELLOW-80: #CC9C00;--weui-YELLOW-90: #E6AF00;--weui-YELLOW-BG-100: #EFB600;--weui-YELLOW-BG-110: #F0BD19;--weui-YELLOW-BG-130: #F3CC4D;--weui-YELLOW-BG-90: #D7A400;--weui-FG-HALF: #000000;--weui-RED: #DC3636;--weui-ORANGERED: #D14730;--weui-ORANGE: #E17719;--weui-YELLOW: #BB8E00;--weui-GREEN: #4F8400;--weui-LIGHTGREEN: #2E8800;--weui-TEXTGREEN: #06AE56;--weui-BRAND: #018942;--weui-BLUE: #007DBB;--weui-INDIGO: #0075E2;--weui-PURPLE: #6265F1;--weui-LINK: #576B95;--weui-TAG-TEXT-ORANGE: #E17719;--weui-TAG-TEXT-GREEN: #06AE56;--weui-TAG-TEXT-BLUE: #007DBB;--weui-REDORANGE: #D14730;--weui-TAG-TEXT-BLACK: rgba(0, 0, 0, .5);--weui-WHITE: #FFFFFF;--weui-BG: #FFFFFF;--weui-FG: #000;--weui-FG-5: rgba(0, 0, 0, .05);--weui-TAG-BACKGROUND-ORANGE: rgba(225, 119, 25, .1);--weui-TAG-BACKGROUND-GREEN: rgba(6, 174, 86, .1);--weui-TAG-TEXT-RED: rgba(250, 81, 81, .6);--weui-TAG-BACKGROUND-RED: rgba(250, 81, 81, .1);--weui-TAG-BACKGROUND-BLUE: rgba(0, 125, 187, .1);--weui-TAG-BACKGROUND-BLACK: rgba(0, 0, 0, .05)}}@media screen and (min-width:1024px){body:not(.pages_skin_pc) .wx-root[data-weui-mode=care][data-weui-theme=dark],body:not(.pages_skin_pc) body[data-weui-mode=care][data-weui-theme=dark]{--weui-BG-0: #111111;--weui-BG-1: #1E1E1E;--weui-BG-2: #191919;--weui-BG-3: #202020;--weui-BG-4: #404040;--weui-BG-5: #2C2C2C;--weui-BLUE-100: #10AEFF;--weui-BLUE-120: #0C8BCC;--weui-BLUE-170: #04344D;--weui-BLUE-80: #3FBEFF;--weui-BLUE-90: #28B6FF;--weui-BLUE-BG-100: #48A6E2;--weui-BLUE-BG-110: #4095CB;--weui-BLUE-BG-130: #32749E;--weui-BLUE-BG-90: #5AAFE4;--weui-BRAND-100: #07C160;--weui-BRAND-120: #059A4C;--weui-BRAND-170: #023A1C;--weui-BRAND-80: #38CD7F;--weui-BRAND-90: #20C770;--weui-BRAND-BG-100: #2AAE67;--weui-BRAND-BG-110: #259C5C;--weui-BRAND-BG-130: #1D7A48;--weui-BRAND-BG-90: #3EB575;--weui-FG-0: rgba(255, 255, 255, .85);--weui-FG-0_5: rgba(255, 255, 255, .65);--weui-FG-1: rgba(255, 255, 255, .55);--weui-FG-2: rgba(255, 255, 255, .35);--weui-FG-3: rgba(255, 255, 255, .1);--weui-FG-4: rgba(255, 255, 255, .15);--weui-GLYPH-0: rgba(255, 255, 255, .85);--weui-GLYPH-1: rgba(255, 255, 255, .55);--weui-GLYPH-2: rgba(255, 255, 255, .35);--weui-GLYPH-WHITE-0: rgba(255, 255, 255, .85);--weui-GLYPH-WHITE-1: rgba(255, 255, 255, .55);--weui-GLYPH-WHITE-2: rgba(255, 255, 255, .35);--weui-GLYPH-WHITE-3: #FFFFFF;--weui-GREEN-100: #74A800;--weui-GREEN-120: #5C8600;--weui-GREEN-170: #233200;--weui-GREEN-80: #8FB933;--weui-GREEN-90: #82B01A;--weui-GREEN-BG-100: #789833;--weui-GREEN-BG-110: #6B882D;--weui-GREEN-BG-130: #65802B;--weui-GREEN-BG-90: #85A247;--weui-INDIGO-100: #1196FF;--weui-INDIGO-120: #0D78CC;--weui-INDIGO-170: #052D4D;--weui-INDIGO-80: #40ABFF;--weui-INDIGO-90: #28A0FF;--weui-INDIGO-BG-100: #0D78CC;--weui-INDIGO-BG-110: #0B6BB7;--weui-INDIGO-BG-130: #09548F;--weui-INDIGO-BG-90: #2585D1;--weui-LIGHTGREEN-100: #3EB575;--weui-LIGHTGREEN-120: #31905D;--weui-LIGHTGREEN-170: #123522;--weui-LIGHTGREEN-80: #64C390;--weui-LIGHTGREEN-90: #51BC83;--weui-LIGHTGREEN-BG-100: #31905D;--weui-LIGHTGREEN-BG-110: #2C8153;--weui-LIGHTGREEN-BG-130: #226541;--weui-LIGHTGREEN-BG-90: #31905D;--weui-LINK-100: #7D90A9;--weui-LINK-120: #647387;--weui-LINK-170: #252A32;--weui-LINK-80: #97A6BA;--weui-LINK-90: #899AB1;--weui-LINKFINDER-100: #DEE9FF;--weui-MATERIAL-ATTACHMENTCOLUMN: rgba(32, 32, 32, .93);--weui-MATERIAL-NAVIGATIONBAR: rgba(18, 18, 18, .9);--weui-MATERIAL-REGULAR: rgba(37, 37, 37, .6);--weui-MATERIAL-THICK: rgba(34, 34, 34, .9);--weui-MATERIAL-THIN: rgba(245, 245, 245, .4);--weui-MATERIAL-TOOLBAR: rgba(35, 35, 35, .93);--weui-ORANGE-100: #C87D2F;--weui-ORANGE-120: #A06425;--weui-ORANGE-170: #3B250E;--weui-ORANGE-80: #D39758;--weui-ORANGE-90: #CD8943;--weui-ORANGE-BG-100: #BB6000;--weui-ORANGE-BG-110: #A85600;--weui-ORANGE-BG-130: 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rgba(6, 174, 86, .6);--weui-TAG-TEXT-BLUE: rgba(16, 174, 255, .6);--weui-TAG-TEXT-BLACK: rgba(255, 255, 255, .5)}}@media screen and (min-width:1024px){body:not(.pages_skin_pc) .wx-root,body:not(.pages_skin_pc) body{--appmsgExtra-BG: #F7F7F7}}@media screen and (min-width:1024px){body:not(.pages_skin_pc) .wx-root[data-weui-theme=dark],body:not(.pages_skin_pc) body[data-weui-theme=dark]{--weui-BG-0: #111111;--weui-BG-1: #1E1E1E;--weui-BG-2: #191919;--weui-BG-3: #202020;--weui-BG-4: #404040;--weui-BG-5: #2C2C2C;--weui-BLUE-100: #10AEFF;--weui-BLUE-120: #0C8BCC;--weui-BLUE-170: #04344D;--weui-BLUE-80: #3FBEFF;--weui-BLUE-90: #28B6FF;--weui-BLUE-BG-100: #48A6E2;--weui-BLUE-BG-110: #4095CB;--weui-BLUE-BG-130: #32749E;--weui-BLUE-BG-90: #5AAFE4;--weui-BRAND-100: #07C160;--weui-BRAND-120: #059A4C;--weui-BRAND-170: #023A1C;--weui-BRAND-80: #38CD7F;--weui-BRAND-90: #20C770;--weui-BRAND-BG-100: #2AAE67;--weui-BRAND-BG-110: #259C5C;--weui-BRAND-BG-130: #1D7A48;--weui-BRAND-BG-90: #3EB575;--weui-FG-0: rgba(255, 255, 255, .8);--weui-FG-0_5: rgba(255, 255, 255, .6);--weui-FG-1: rgba(255, 255, 255, .5);--weui-FG-2: rgba(255, 255, 255, .3);--weui-FG-3: rgba(255, 255, 255, .1);--weui-FG-4: rgba(255, 255, 255, .15);--weui-GLYPH-0: rgba(255, 255, 255, .8);--weui-GLYPH-1: rgba(255, 255, 255, .5);--weui-GLYPH-2: rgba(255, 255, 255, .3);--weui-GLYPH-WHITE-0: rgba(255, 255, 255, .8);--weui-GLYPH-WHITE-1: rgba(255, 255, 255, .5);--weui-GLYPH-WHITE-2: rgba(255, 255, 255, .3);--weui-GLYPH-WHITE-3: #FFFFFF;--weui-GREEN-100: #74A800;--weui-GREEN-120: #5C8600;--weui-GREEN-170: #233200;--weui-GREEN-80: #8FB933;--weui-GREEN-90: #82B01A;--weui-GREEN-BG-100: #789833;--weui-GREEN-BG-110: #6B882D;--weui-GREEN-BG-130: #65802B;--weui-GREEN-BG-90: #85A247;--weui-INDIGO-100: #1196FF;--weui-INDIGO-120: #0D78CC;--weui-INDIGO-170: #052D4D;--weui-INDIGO-80: #40ABFF;--weui-INDIGO-90: #28A0FF;--weui-INDIGO-BG-100: #0D78CC;--weui-INDIGO-BG-110: #0B6BB7;--weui-INDIGO-BG-130: 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