4Better 4 Worse

4Better  4 Worse
4 Better 4 Worse Painted by Joe Lamattina - click on painting to visit website

APPARATION

APPARATION
APPARATION Painted by My Auntie Joe Lamattina - click on painting to visit website

Friday, May 2, 2014

THE BEGINNING OF THE END OF LIFE AS I KNEW IT Part I

  My Mom's year of  Good Health
besides all her conditions.... Has come to a crazy abrupt end... She went into the ER at the Good Samaritan Medical Center in Brockton Mass on Thursday, April/4th  with a 105 o/o fever.. By the time she was there her Blood Pressure was 45 /27 .... At home she started with a 99 o/o fever on Wednesday. I called the Nurse Practitioner that does home visits and she said she would come Friday morning to do a urine culture, EKG, blood work and chest x ray... But That night her fever hit 102 them within 2 hours it was at 105 .. So I pressed her life line button... Here comes the ambulance to the ER....
Eventually she was admitted to the CCU with a Massive Urinary Tract Infection with Scepticism... By 7am on April/5th she was in congestive heart failure due to the intense saline that was administered so quickly in a short time in conjunction with all the other problems.....She has been given medication to increase BPS and Lower her high heart rate of 125....At this rate her body has no idea which way to go.. The Doctor says it is a Domino effect..   They pick one up and two more fall down and so on.. She is chasing her tail as the Dr said...  She only drank 1/2 an ensure and 1/2 a cup or broth sine Thursday... Mama has been completely confused, out of breath and barely talking, not walking, has a  catheter and bed bound ....
  Today April/7th  she ate 1/4 a bowl of noodles with broth that I had to hand feed her (for the first time ever) them went in to severe stomach pain... So here comes the Nausea medication and Morphine....I asked for a ct scan .. It never happened...
Today the cardiologist said the Cardiac Enzymes are up and she has suffered heart damage (a type 2 heartattack) secondary to due to the infection......They are going to do another Echocardiogram an ultrasound on the kidney and a Stress test for the heart.... Today April/8th she didn't remember anything that has happened since Thursday, April/4th...  It is one big mess.
  April/9th at 3:30pm she FINALLY had a full body cat scan... Everything was ok except there was evidence of a tear in her bowels with liquid leakage and air....by 4:30pm the Doctors said she is gravely ill and has to have Major Emergency Surgery immediately....by 5:00pm the Surgeon and his operating team came up to talk to me... He said I am going to be very straight forward.....There was a 50%chance she would die during surgery, the recovery will be extremely long and hard due to her age and complicated medical history. The surgeon said we have to go in make the repair on the tear,  take out all her organs, place on trays and wash and sterilize them along with all her insides, close her up loosely with staples and packing with drainage tubes and they would also have to put a central line that would go directly to her heart so they could give massive amounts of antibiotics , fluids, medicines, saline and be able to do blood draws ( as her iv's kept failing and it was getting impossible to find a working vein. The Surgeon was also going to put a line in her vein to the heart that would give a 100% accurate reading of her heartrate and blood pressure (so she would not have to be hurt by the cuff squeezing her arm) along with a tube that went down inside the breathing tube that would take her temp along with a tube in her nose and down her throat to her stomach so they could suction her out and give medicines and nutrition.  Mom would have a colostomy bag which may be permanent or temporary depending on what they find and her recovery.  Also Mom would have a breathing tube in her during and after surgery which may be in for two days, two weeks, two months or permanent depending on her recovery.  By this point she was in so much agony, she was crying, screaming and calling for her Mother over and over.... She was in hell.... The Surgeon said the surgery has to be done but I could refuse it and let her die.  By this point I was a wreck, shaking inside and out, crying (but trying to hold it back so I could listen and talk... I said I understand and I want the surgery done.... and if Mom  down the road has to be on a Respirator permanently then I would make the decision then to stop the machine, as we talked before over the years about just using the machine to heal her not keep her alive. I also said when she comes home if she has to have the colostomy bag we will deal with it. By 5:30pm  Mom was in pre op.  She was in and out of clarity... But when I was kissing her goodbye, wrapping her rosary around her hand, and taking her sunglasses off (bright light bothered her) and telling her I love her... I said "Mama" real loud and she looked at me and squeezed my hand.. I said "you better not die on me or I will be so upset at you"... She said looking in my eyes "I will not die, I will fight, I love you RJ"... She kissed me goodbye.  That is the last thing I ever heard my Mother say.  Then she went into surgery.
  My Aunt Deanna (Mom's younger sister) and her husband Uncle Jack drove down from Somerville to be with me during surgery....They made me get something to eat in the cafeteria (even though I was sick and did not want to eat).. We ate and talked around the elephant in the room.  After words we went to the operating waiting room  and sat till about 9:30pm when the Surgeon came in and said Mom did well during surgery, they repaired a quarter size tear in the diverticulum, she had the colostomy bag, she had a tube in her throat that was doing the breathing for her, her blood pressure and vitals were doing great without any medication. The Surgeon said she has a long road ahead of her, she is not out of the woods yet. We have to see how the infections play out and she could get severe Pneumonia and many many other complications could pop up.  I was relieved to a point.  So Aunt Deanna and Uncle Jack went home after that as it was going to be a few hours till I could see Mom... They said I might see her in Post Op but that never happened.
  I had to meet her in the CCU. I finally saw Mom at 12:30am.....When I walked in that room I died inside when I saw her asleep with the Tube in her mouth and the sound of the machine pumping up and down breathing for her.... I counted 10 different iv pumps and  2 lines connected to my mother.  The monitor screen that normally showed four types of  different readings was showing nine different readings.  I was seeing everything Mom did not want to have happen to her.  She always said I do not want to end up like Daddy ( her Father).  I was whispering in her ear that this was all Temporary,  that she was going to get better, I would help her every step of the way, we will beat this together. I held her hand for for a few hours then went home reluctantly.....
 Well that is enough for now, I will tell the rest of this tragic tale latter.  To Be Continued.......

Thank You for reading this and being a part of My Life & My Growth Forward in My New Journey on this Wild & Amazing Spinning Sphere We Call Earth.  Please Enjoy Every Moment of Every Day, Have Fun & Love Everyone Around You......

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