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The narrative traces sensory overload, persistent thirst, medical monitoring, and communication barriers, then the temporary return of voice via a speaking device. It follows recovery through infection control, therapy approvals for eating, and gradual removal of tubes and lines, emphasizing patient agency in treatment planning.",{"@graph":69,"@context":114},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-art-of-medicine-a-taste-of-your-own-medicine-the-experience-of-a-transplant/447667/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-art-of-medicine-a-taste-of-your-own-medicine-the-experience-of-a-transplant/447667.png","ImageObject",300,407,{"name":92,"@type":93},"dabgoudw","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-05","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108],{"name":109,"@type":110,"acceptedAnswer":111},"How does the recovery process progress from ICU to later care?","Question",{"text":112,"@type":113},"She slowly improves, receives approval to eat and drink, remembers and thanks staff after tubes and lines are removed, and after three weeks is moved to a high dependency unit with more stability.","Answer","https://schema.org",{"og:url":83,"og:type":116,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":118,"canonical":83},"index,follow",{"doc_id":120,"site_id":62},447667,1791106960,{"code":4,"msg":5,"data":123},{"doc_id":120,"user_id":124,"nickname":92,"user_avatar":125,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":126,"file_id":127,"file_url":128,"file_type":129,"file_size":130,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":131,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":132,"faqs":133,"seo_title":134,"seo_description":67,"update_tm":135,"read_time":136,"preview_page_count":4},3985747860484,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Europe PMC unders uthManuscripts Europe M eC und Author Manuscripts  \n| Europe PMC Funders Group\u003Cbr>Author Manuscript\u003Cbr>Lancet. Author manuscript; available in PMC 2026 January 06. |\n| --- |\n| Published in final edited form as:\u003Cbr>Lancet. 2025 April 12; 405(10486): 1220–1221. doi:10.1016/S0140-6736(25)00691-9 .\u003Cbr>The art of medicine “A taste of your own medicine”: the experience of a transplant\u003Cbr>Havi Carel\u003Cbr>Department of Philosophy, University of Bristol, Bristol BS6 6JL, UK.\u003Cbr>It’s done. You’ve had it.” My partner is grinning widely. I open my eyes but have no clue where I am. He tells me I had a double lung transplant and I am in the intensive care unit. At first, I am confused. Then in pain. Then frightened. I doze and wake, not sure if it is a new day, or whether it is daytime at all. I do not understand what is going on around me.\u003Cbr>My glasses are in a box somewhere and it takes a few days for me to convey that I need them. In the meantime, I have double vision and everything is blurry. My fentanyl-addled brain marvels at the staff around me in the UK National Health Service (NHS): these synchronised pairs, wearing matching uniforms. Here are the twins that empty bins. Here are the twins that clean the floor. I hallucinate, trying to piece together my fractured reality. Istare for hours at what I take to be a truly alarming Halloween display (it is August) and take comfort from the small girl sitting next to me quietly reading a book. I am upset to find out my mother is lying in the bed next to me, having sustained a head injury on the way to visit me. I am stressed about the storm and our evacuation to the roof, which goes very smoothly indeed: I didn’t even get wet. I recall a nurse coming to me and saying “you’re taking too long. You’ve got 48 hours to get better or we’re going to stop treating you”.“Please”, I say,“please, what about my children?\u003Cbr>I contemplate escape but realise I’m tethered to a ventilator, a central line, electrocardiogram machine, and more monitors than I can count. Lying down, I labour to work out what is happening, try to listen to the nurses’ whispered handover conversations. Gentle hands wash and clean me; attention is lavished on me: observations, blood tests, x-rays (those twins with the portable x-ray machine). I get turned over with daily (and more) bedding changes. I am baffled by how I am still alive, without eating or drinking. My burning thirst is indescribable.\u003Cbr>This mess inside me cannot be articulated because I cannot speak. I have no voice because of the tracheostomy. I am given a laminated sheet with the alphabet printed on it. But my hands are too shaky and brain too foggy to use it. So I lie there trying to get some mental order back, despite the bodily chaos. I am shown a schematic diagram of my tracheostomy. I am perpetually terrified that the little balloon in my trachea will self-inflate leaving me to\u003Cbr>This work is licensed under a BY 4.0 International license. Correspondence to: Havi Carel.\u003Cbr>havi carel@bristol ac uk |\n\nEurope PMC unders uthManuscripts Europe M eC und Author Manuscripts  \nCarel Page 2  \nsuffocate in silence. (Note to anaesthetists: please do not put a patient on a ventilator without warning and then say “don’t bother trying to breathe”. It is very disconcerting.)  \nOne day, a physiotherapist comes with a small box. It is a voice—my voice. She inserts it into the tube connected to the tracheostomy. Suddenly I can speak and be heard. But they take it away after a few hours (I am still ventilated some of the time) and I am bereft. I once again cannot explain anything I think or want or need. I am voiceless not as metaphor but fact. I am barely an epistemic agent at all.  \nI want my old body back. Everything in my new body hurts or stings or does not work or all three. I am exhausted and uncomfortable and my wounds are infected and need to be reopened—vacuum pumps are added, as is a weekly visit to theatre for debriding.  \nSlowly—extremely slowly","cbCaij10KEEbqhnk","https://ap.wps.com/l/cbCaij10KEEbqhnk","pdf",531168,"English","# Recovery after a double lung transplant\n## ICU confusion, pain, and communication barriers\n## Sensory overload and medical routines\n## Regaining voice and gradual recovery","[{\"question\":\"How does the recovery process progress from ICU to later care?\",\"answer\":\"She slowly improves, receives approval to eat and drink, remembers and thanks staff after tubes and lines are removed, and after three weeks is moved to a high dependency unit with more stability.\"}]","The art of medicine - \"A taste of your own medicine\": the experience of a transplant | PDF",1790722121,13]