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Emergency

Abigail Lewis-Barned

One patient I saw suffered from a bowel condition*. Previously, I had been under the impression that a disease like this impacted primarily on the practical and physical side of ones life and I was unaware of how widespread the effects on a patient’s life could be.

The patient talked to us about his experience, and how through a series of complications, such as a blood clot during surgery, he was left with huge difficulties in walking which prevented him from continuing with his job and has prevented him working. This disease had completely changed his life; his social life had disintegrated, his health in other areas had deteriorated, he had suffered from depression and his family had been hugely affected. He was no longer able to act as provider for his family and his wife felt unable to return to work as she felt a duty to care for him.

He explained to us how at several points he had contemplated suicide, he felt he had nothing to contribute and his future was bleak; often he had “lined up the pills on the table”. He told us that as he sat ready to take an overdose, he had seen his child’s toy car on the table, which acted to remind him of the need his children had for him as a father and the fact that amongst all the difficulties in his life they were the one bright light, that gave him the will to continue.

To me, this photograph symbolises the fact that behind every ‘disease’ (i.e. the clinical condition and pathologies of the human body) there is an ‘illness’ (a patient’s subjective experience of the disease). Though life may be full of struggles, every person needs hope and a reason to persevere and that strength is often found in people, not science. In this photograph I have used colour, or lack of it, to demonstrate this.

* details have been altered to maintain patient-confidentiality

G.P. Attachment, Year One, 2010