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Anyone Medical - Awful situation - Please please help

190 replies

PearTreeParty · 18/11/2019 10:36

Posting here for traffic.

DF in hospital and we are allegedly at 'the end' but I am not sure if a mistake has been made....

I’ll try to keep the medical history brief, but it’s been eleven long months so distilling to the essentials is hard.

DF admitted to hospital due to shortness of breath. Fluid discovered around his lungs.
Lungs drained of litres of fluid, and sent home after a few days.
Within 24 hours, shortness of breath returned. Back to hospital
More fluid build up. Drained but kept returning. Doctors say that are going to think about a solution.
Four weeks later (regular draining) they are still ‘thinking’. They now say he has picked up an infection which makes some of their ideas more challenging.
Seven weeks of nothing happening other than DF weak due to prolonged stay, fluid on lungs and infection.
Doctor announces he will try to operate to glue the tear that is allowing fluid in – yay.
Hospital were surgery needs to happen has no beds, we have to wait. Meanwhile DF has to stay put (seems to be getting worse).
Hospital says he now has a kidney infection. They give him water tablets to try and flush it out.
TWELVE weeks later, there is a bed. He is moved.
New hospital says that he is too weak to operate due to being in hospital for 12 weeks. He has to get stronger…
DF rallies and tries to eat/sit up etc to get ‘stronger’. Water tablets continue
Hospital tell us that the water tablets weren’t a ‘great idea’ as they have not helped with the fluid. Not sure if they can operate.
He is returned to original hospital with no plan and a definite kidney issue.

At this point, I can’t go into everything that happens but cue 8 months of tinkering and experimenting with tablets and two ‘back and forth’ between hospitals where ultimately nothing happens.

Fast forward to two weeks ago. DF now very weak. Multiple bed sores, fluid on lungs and around other organs, kidneys very weak – wee very brown and minimal.

We keep encouraging him, telling him they know what they are doing, keep strong etc etc. DF trying to be a trooper but very tired. Odd spurts of appetite and energy. Perfectly coherent, frustrated but keeping the faith.

Two Monday’s ago, we went to visit in the morning and he was completely changed. His pupils were dilated, he could barely move and his speech was almost completely gone – like he had a huge tennis ball in his mouth. It was immediately apparent that he had suffered a stroke. I asked the nurse what had happened and he said he didn’t know. I asked for a Docotr but he wasn’t due till the afternoon. I found the head of the ward and told her that he had clearly suffered a stroke and was told that there was ‘’no record of this happening’. She wouldn’t look at him.

I waitied all afternoon for the consultant to do his rounds and when he came he examined DF and said if might be ‘thrush’ making his tongue fat…. I pointed out that he couldn’t move, and his pupils were fixed and dilated. It was also completely obvious that the speech wasn’t caused by thrush on his tongue (although I believe a tongue can swell as a result of a stroke). He was struggling to form simple words and hugely frustrated. They would not concede he had suffered a stroke or take him for a scan.

The next day he was worse. No speech. I told them he was worse. Nothing happened. This went on for five days. On the sixth day they scanned him and said it wasn’t clear that a stroke had happened (even though my DF is now ‘locked in’ unable to talk and now unable to see.

Eventually someone said in passing (rather than formally to us) that yes he had suffered a large stroke about a week ago followed by a series of smaller strokes so they would start administering blood thinners (too late obviously).

DF is now just lying there unable to communicate, see or move.

A week ago, they told us his kidneys had failed completely and there was a build up of potassium that would eventually cause his heart to stop. We asked what our options were and were told the kindest thing would be palliative care. We were already angry but in our devastation agreed to what ever was the least upsetting for DF at this stage. Last Tuesday, they took the fluid drip away and withdrew all the treatment they were giving him and told us it would probably take a few hours. A priest came. It is now Monday. He is exactly the same. Locked in staring at us. He has not died. His breathing is steady. No doctors come in to the room now because he is on ‘palliative care’ but I am terrified that they have made a mistake. Because of what has happened, I have no faith in anything that they say and I ask the nurses what they think and they shake their heads and say that what is happeing is ‘terrible’.

I don’t know what to think. I love the NHS, I am not interested in suing or trying to be litigious but I am scared to death that DF has had no fluid for 6 days now and this may be a terrible awful mistake.

Does anyone medical have ANY opinion that will either spur me to demand he is re-examined or give me some peace of mind? Thank you.

OP posts:
TheCanterburyWhales · 18/11/2019 12:36

Also not medical but dear God how atrocious your father's care has been.

I hope you get some peace of mind about all of this.

ThatsMeInTheSpotlight · 18/11/2019 12:37

I'm so sorry. It sounds as though your family and your DF have been treated badly Flowers

One of the things that we found made a difference with our relatives' care was asking for the family's questions/wishes to be put in their notes so, for example, when the hospital were dragging their feet about a test which DF needed, we asked for it to be put in his notes that the family had repeatedly requested it. DF was given the test the next day. Likewise, with my DM, we asked for it to be included in the notes that we had formally requested a move to a specialist hospital. DM was moved that night.

I feel so much for you. It's such a difficult time without having to worry about standards of care.

Bluerussian · 18/11/2019 12:39

I am so, so sorry to read this, PeatTreeParty, it's heartbreaking for you. I really, really do hope that your husband is receiving good, strong palliative medication.

Regarding not having fluid, I honestly don't know enough about the subject but his mouth should be moistened and cleaned regularly.

Bless you, I hope you get some answers soon.

Flowers

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MatildaTheCat · 18/11/2019 12:39

Contact PALs and ask for an urgent referral to a hospice as communication has broken down.

So sorry for what you are going through. When MIL was dying she lasted almost a week with no fluid other than mouthcare (please tell me he is receiving this?). The palliative care nurses said that it is possible to last for up to 10-14 days in extreme cases.

I wish you all well.

trixiebelden77 · 18/11/2019 12:40

It is an extremely unusual hospital in which concerns that someone has had a stoke cannot be escalated to a dr until the scheduled ward round. I am a dr and have never encountered a hospital running like this no matter how small.

Ask the nurse what the process is for obtaining an immediate medical review. There will be a process.

It is also unusual for patients not to be rounded on when palliated. When I still worked on the ward (I’m in ICU now) I rounded twice a day on palliated patients (usually this was before and after family were present as it was the beginning and end of my day so anytime from 7am until midnight) and could be contacted at any time by both pager and phone.

There will be a doctor responsible for your father’s care who can be contacted by the nurses at your request.

notapizzaeater · 18/11/2019 12:46

I'm so sorry for the care you haven't received 😥🤬🤬🤬🤬

Was the Pals case closed ? Can you reopen it to show how dismal they have been. You can ask for a second opinion where another doctor should get involved

notalottaotter · 18/11/2019 12:49

I am absolutely horrified reading this. What shocking treatment. I can't comment on the medical side of things but please keep pushing for what you can, and I wish you and your dad strength. I also wonder if there is someone who can advocate for you and your family.

QuimReaper · 18/11/2019 12:50

This is heartbreaking for you OP, I am so so sorry.

managedmis · 18/11/2019 12:51

Which hospital is this please?

JohnnyMcGrathSaysFuckOff · 18/11/2019 12:53

OP I'm so sorry. How awful for you, and your father.

I say PALS, too. My great-aunt had food and fluid withdrawn as she had been placed on a care pathway like this, despite asking for a cup of tea she was told she couldn't have it as she was on an end of life pathway. I posted about it on MN at the time. We queried it and she was allowed to have nutrition again. She lived for several more months.

OP your poor poor father is reliant on you now. It is not your job to think about the NHS crisis now - just push and push as hard as you can to make sure he is being taken care of appropriately.

Longfacenow · 18/11/2019 12:54

Speak to the director of nursing and the senior consultant OP. Contact details on the Trust website.

Horrendous. I'm so sorry.

Nat6999 · 18/11/2019 12:55

The kidney failure bit I understand about because I lost my dad to it in January this year. Your dad should be on a ripple mattress to prevent bed sores, my dad had a catheter & for the last days a syringe driver to sedate him, he was still given fluid, just at a slower rate. It took 9 days from my dad's kidneys failing to his passing away. If our dad has been a lot longer than this, I wonder if he still has some kidney function left. Complain to pals & ask for a change of consultant, do whatever you have to to get them to do the right thing, it may be helpful to try to get him moved to a hospice, he would get better care there.

AutumnRose1 · 18/11/2019 12:56

I’m not medical but I’d demand he is re examined. Focus on the now when you demand a doctor. He’s done six days without fluids. Can you contact the medical director as well as PALS?

fortifiedwithtea · 18/11/2019 12:59

OP I am so sorry you and your dear father are suffering like this. Not a medical person but didn’t want to read and run Flowers

Sipperskipper · 18/11/2019 13:12

@Jaxhog - it sounds like the OP does need advice and moral support - this must be an absolutely horrendous experience for her.

Hard to comment without knowing the exact medical picture, and previous care / management aside, he is recieving what sounds like very poor end of life care. Despite potentially being in the last days of his life, he should be seen routinely by a doctor (daily during the week), as all other patients will be on the ward. It sounds like communication is and has been lacking, and as well as support for OP, the team looking after her DF clearly need some guidance around giving dignified and compassionate end of life care- that’s what the palliative care team would do.

middlemuddle · 18/11/2019 13:12

This is absolutely heartbreaking, I'm so sorry to read this is happening to you and your poor DF.

Quiethowlsinluditebeck · 18/11/2019 13:15

Have you phoned these people? x

Anyone Medical - Awful situation - Please please help
Gruzinkerbell1 · 18/11/2019 13:20

This is horrifying, I’m so sorry that your family and especially your father are going through this awful nightmare.

I love the NHS as much as the next person, but this doesn’t give them endless free passes. They have a duty of care which they have failed at every turn. Please, please start to kick up a fuss. Threaten to make formal complaints and legal action and take names. Your poor father, this can’t be allowed to continue.

ohfourfoxache · 18/11/2019 13:20

Jesus Christ.....

I don’t want to pry, but which hospital are you in? Someone on here might be able to help

Butterfly02 · 18/11/2019 13:21

Op Google 'priorities for care' its the guidelines that replaced Liverpool palliative care pathway the hospital should really be following the 5 principles of this and from your explanation I don't think they are.

ohfourfoxache · 18/11/2019 13:21

Actually, I’m going to PM you

Bluerussian · 18/11/2019 13:22

I am so sorry for the mistake in my previous post, op, referring to your husband and not your father.
x

RageAgainstTheVendingMachine · 18/11/2019 13:23

I am so so sorry OP.

SooticaTheWitchesCat · 18/11/2019 13:25

So sorry for what you are going through Flowers

I work in a care home and the doctors will always see someone on palliative care every day. I think it is wrong that the doctors are nor seeing him.

ScrimshawTheSecond · 18/11/2019 13:26

I'm so sorry, OP. Can't offer any help or advice, I'm afraid, but am sending you and your family best wishes and strength.

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