Monday, June 15, 2009

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The Death

The "Improvement Death is a very curious and striking, perplexing and unripe. It talks about this phenomenon when a dying patient experiences a relative improvement misleading before his death. A moment of joy before the terrible end, an epilogue to his close farewell before departing to the afterlife. This "improvement" suggests that your patient will experience a serious condition and recovery "miraculous." Not so. After being full of vitality and apparently healthy, the patient will begin its journey to the afterlife are deficient in your body, drugs and maneuvers that can not be overcome.

I recently got to see a patient who, many years had been struggling against a disease which had become chronic. Recently, Doctors told him that no more could be done if necessary, so he and his family chose not to continue further treatment so expect the decline so quietly. A Tuesday, in the morning, this patient came to the hospital, "goodbye" to all the people who in one way or another, he provided assistance and cooperation. He looked serene, spare, lucid, and could recognize people, not when he received his last treatment, which was in very bad condition, almost powerless, and unable to respond to or recognize people or things. Well, later in the afternoon that same day, the patient had died at home.

This "improvement" can be interpreted as a gasp of energy, vitality, a moment of clarity, a way worthy of appearing before death. However, there is no clear scientific explanation, it is said that the human body produce a release of endorphins, which would give an ultimate feeling of comfort. This improvement is such that some patients even incorporate some normal activities, recognize people (when they have not been able to do in his capacity as gravity), and even get up and walk, feed, as a person who has not been severe some time.

Does he know the patient when is going to die? Perhaps the death advertises that it is conscious or not, and it takes a last breath to say goodbye.

Finally, a brief history, the swan song. Although the swan does not sing as never-dull-emits a hum exists an ancient legend that says that emits the most melodious song as premonition to his death, as recounted Marcial and the poet Virgil .

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