Thanks for the prompt DeeCee, this rollercoaster for everyone (family and patient) makes it hard to pause and write updates here sometimes. But it’s nice to have this community who cares!
Things are looking up both mentally and physically at the Long Term Acute Care Hospital. But it is a constant three steps forward (yay!) two steps back (ugh, depression, sadness, fear) and that mix of emotions is for all of us and her.
We had really reached the end of my mom being able to tolerate the trach mentally and was leading to a lot of her I want to die feelings, so the mission this week was to really understand how bad could/would the medical situation get without it. Long story short, the trach came out three days ago! It was fantastic. I had to get into a bit of a confrontation with the hospital about it, but the doctors were great and completely understanding (it helped that I had spoken on Sunday with the doctor directly and had a sense of what could go wrong).
So we had a couple of glorious days where she was so much happier, did great with OT and PT, stood up, is even talking now! (Raspy and not a lot, but we’ll take it). She wants to get better!! No more talk of dying/suicide, but instead very philosophical “death didn’t come for me, so now I want to live” “the only thing that can’t be fixed is death, the rest can all be fixed”
As expected, the biggest problem is her weak cough, so she can’t get all her secretions up without coughing and more coughing and that came home to roost yesterday where she feels terrible pressure on her chest, like she can’t breathe, and then it hurts and hurts when she constantly tries to cough. The trach made it so the nurses could just go in a get those pooled secretions, and they indeed reminded me of that twice yesterday. But she is not going back to a trach (obviously) as it was the number one thing “I can’t live like this” driver. This is of course very scary for me because it means she could catch pneumonia and die. But it’s her choice.
Today, we have a new problem with some pooling cerebral spinal fluid from probably a small tiny tear near the surgical site … you guessed it, from all the coughing. Again, not fatal situation yet, but could be. I understand why the doctors wanted the trach, I do, (and the nurses reminded me of that again and again), it does make managing all these issues so much easier, but I guess I am coming to terms with the fact that the tube was intolerable. Maybe this pain and discomfort ends up being as well, but it’s not a foreign plastic object causing her mental damage.
And in the random awfulness that happens sometimes — a close family member from out of town came to visit her this week, stepped outside to grab a bite to eat, and collapsed and died right outside the hospital. Also an 80-year-old, and with a known heart ailment, but it has been a huge additional situation to deal with. I have been doing a lot of the logistics with their out of state family and…boy, it’s a lot. My sibling said if this were a TV Soap Opera we would be rolling our eyes at the bad writing.