With antibiotics and fluids, Bennie improved dramatically and was taken off the ventilator several days later. That same night, though, a massive stroke paralyzed his entire left side, and he went back on life support. We quickly administered clot-busting medicine, and he rallied again, remarkably regaining movement of his left arm and leg. The following day, the intern reported, \u201cHis delirium has cleared, and he\u2019s mouthing words around the endotracheal tube despite his wicked aspiration pneumonia.\u201d\u009d<\/p>\n
I sensed an unexpected window of opportunity. We revisited Bennie\u2019s life goals in light of what had happened and spoke directly about the big picture. With his children looking on, I held Bennie\u2019s hand and looked him in the eyes. Choosing my words based on what I knew about his background and the family\u2019s expectation of miracles, I said, \u201cBennie, just like tobacco plants eventually wither and wilt, so do we. You have improved in some ways, but overall you are very weak. How can we serve you best?\u201d\u009d<\/p>\n
The next morning, Laura and Len were upbeat, which confused me since Bennie looked weaker than ever. They pointed to words on a whiteboard in the room, explaining they were Bennie\u2019s goals, \u201cStable vital signs. Baptism.\u201d\u009d<\/p>\n