新加坡六合彩开奖直播

 

Consider the family

- September 29, 2008

Laine Cohen addresses a capacity crowd of students in their first year of a health professions program. (Nick Pearce Photos)
Lainie Cohen sets the scene. 鈥淚magine,鈥 she tells her audience of first-year students from the Faculty of Health Professions who fill the Rebecca Cohn Auditorium. 鈥淵ou are in a room with beige concrete walls. There鈥檚 a picture of a young man at the end of the dock waiting for a ski boat to pick him up 鈥 there鈥檚 a hockey jersey, number 14 鈥 and then there鈥檚 the single bed with bars on the side.鈥

The room belongs to her once-athletic, vibrant son. At the age of 17, Daniel Cohen was a passenger in a car that crashed and sent him through the windshield鈥攈e wasn鈥檛 wearing a seatbelt鈥攁nd bouncing headfirst on the roadway. Having sustained a severe brain injury, all his dreams鈥攖o be a ski bum at Whistler, to return to the summer camp where he was a counselor鈥攚ere swept away. He was in a coma for weeks, spent months in hospital and a year at a rehab centre.

But through the love of a mother, the determination of a father and the unwavering hope of a sister, Daniel and his family worked through their tragedy. Mrs. Cohen wrote a book, Crooked Smile, about the experience, documenting the accident鈥檚 affect on the entire family as they put their lives on hold to focus on bringing Daniel back to life. The book is also a plea to the medical profession to take families seriously and to listen to their concerns and suggestions.

As Mrs. Cohen addressed the students鈥攆uture occupational therapists, physiotherapists, counselors, social workers, nurses, doctors, dentists鈥攕he urged them to consider fully what 鈥渇amily-centred care鈥 really means and why it is so important to patients and their families.

She says family members are desperate to assist; they can do occupational therapy exercises with the patient, for example, if shown how and they also have valid ideas for treatment and care that arise from their intimate knowledge of the patient. And sometimes rules need to bend: despite hospital rules excluding everyone but family members from visiting, Daniel needed his friends around him. He responded better to the camaraderie and companionship of his high school buddies than to the medical know-how of the experts.

She also urged health professionals to bear in mind how they share information. They have to be honest in their prognosis without taking away all avenues for hope. In their own family鈥檚 case, a meeting with a doctor after Daniel鈥檚 accident left them reeling and feeling devastated. 鈥淚t was a time of absolutely no hope,鈥 she relates.

Daniel and Lainie Cohen after the presentation to health professions students. (Anne Webster Photo)

Mrs. Cohen鈥檚 compelling presentation ended with a powerful punch line: 鈥淪tudents of 新加坡六合彩开奖直播, I鈥檇 like you to meet my son, Daniel Cohen.鈥

Wearing a black suit, a tall, dark-haired man shuffled onto the Rebecca Cohn stage as the students applauded and wiped away tears. That short walk epitomized the reason for the afternoon session: to stress the importance of family-centred collaborative care.聽It's an approach that actually works.

鈥淲hat?鈥 asks Daniel, surveying the audience and smiling a crooked smile. Now in his early 30s, Daniel is able to live independently. He does his own cooking, laundry and banking. And he鈥檚 back doing the sports he loves, including downhill skiing and water skiing.

鈥淚f I put on a helmet, nothing can stop me.鈥

LINK:

From Crooked Smile (ECW Press):

In chapter one of Crooked Smile, Lainie Cohen writes about the moment she first sees her son in hospital.

At 4:45 a.m. Joel, Alyssa, and I are finally allowed into the surgical intensive care unit to see Daniel. As we walk down the hall, Joel pulls ahead, his stride like that of a speed walker approaching the end of a race, determined and fatigued. Alyssa and I clasp hands. We pass white-curtained windows before we approach his bed. I can see the steady rise and fall of his chest under the crisp sheet. My heart races. My son is alive!

His eyes are closed and his face looks so still. Cheeks and chin, darkened with shadow, are almost hidden behind the pale blue tube that snakes from his mouth to the ventilator on the wall, controlling his breathing. His head is wrapped in white gauze bandages covered by a blue cap; the indigo corona pierced by a thin wire poking out above his left eyebrow. My gaze follows the wire to a machine that flashes with bright shiny lines and buzzes in a language I don鈥檛 understand. Joel and I are stricken dumb as we stand by our son鈥檚 side. But Alyssa reaches out and touches him gently on his right arm that rests
at his side.

鈥淒aniel, we鈥檙e here now. You鈥檙e fine. Everything is going to be fine.鈥

My voice croaks as my throat tries to squeeze out words: 鈥淒aniel, we love you.鈥

All Joel can manage is, 鈥淒aniel.鈥

Our legs are rubbery when we turn to leave. We walk as if our feet were bound together, Joel in the middle, his arms weighted on our shoulders. Somehow we make our way back to the car. Alyssa drives home.