SIL
Friday morning, around 4:00am, my wife's phone started ringing. This, of course, startled us both immediately into awakening. We both have had a variety of "bad news" calls over the years, and a large percentage of them have occurred during the middle of the night. So, we both immediately had surges of stress hormones course throughout our body.
It was my sister-in-law (my wife's sister, the one with kidney failure). She was calling to try to tell us that she was being taken to the hospital via ambulance. Her voice was very quiet and weak, extremely slow, and slurred.
After a bit, her husband (my BIL) came onto the phone and explained that she was weak, could not stand, and was disoriented, only minimally responsive, and was an ashen grey color, was systemically endemic, and her arms and legs were darkening.
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My wife immediately rushed to the hospital and into the emergency room. Even at that hour, there were too many people and too few clinicians for the workload. Mostly, the nurses were attempting to conduct cursory triage of the folks. My SIL was deemed at significant enough risk, that within a little over an hour after she arrived, she was wheeled into one of the slotted "rooms" (one wall is simply a curtain) that lined the emergency room. Other than a few checks of vitals (her blood pressure was 250/125 at admittance, and her heart rate was ~120) not a lot transpired for another hour or more. A call had been placed and a message left, for her kidney specialist. She eventually called back and ordered a dialysis treatment for my SIL, and she was wheeled away for roughly four hours for that treatment.
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When she was eventually returned from dialysis, she was still minimally responsive, displayed slurred and very slow speak when purposefully coaxed to talk, and was still massively endemic. From the time she arrived at the hospital she was for all intents, minimally responsive for over 14 hours at the hospital. No physicians came to see her/us, but of course a clinician did supervise her dialysis while she slept through the proceedure.
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By about 16 hours, she started to talk slightly more, but all the other symptoms remained, including hallucinations. But, the increase in talking... we were taking it as a good sign.
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Eventually, around 18 hours after admittance, a clinician came and talked to us. It appears that my SIL's primary care physician, who my SIL had visited about a week ago, had prescribed to my SIL a pain medication due to her continued extreme pain from her neck fusion surgery several weeks ago. This primary care physician knows (of course) that my SIL is a dialysis patient. Apparently, when my SIL's kidney specialist eventually read my SIL's current (very long) list of prescriptions, the pain medication the primary care physician had prescribed was completely contraindicated for patients with kidney failure.
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My SIL has had two additional dialyses thus far. She is mentally more aware and talkative, so it appears a corner has been turned, and things are getting more satisfactory. Unfortunately, if current protocols for American medicine are followed, my SIL will likely be eligible for discharge perhaps as early as tomorrow. My wife is with my SIL now, trying to convince my SIL to ask/beg to be (instead of discharged) transferred to a rehabilitation facility so that she can build her strength back up with physical therapy, have supervised (instead of home) dialysis, and have the tests done to look at her spinal fusion (they are out-patient procedures, which the way the damnable American healthcare (more accurately the damnable American insurance system) operates, "cannot" be done while ADMITTED to the hospital due to (insurance) "rules" no matter how ass-backwards the whole notion is in terms of actual patient care.
But, my SIL dreads the idea of going to a rehabilitation facility, because she would rather just be in her home.... but there she does NOT have the things she needs to get herself back to where she needs to be as a baseline. Home physical therapy.... if provided at all, takes several days to establish.... her home (due to dialysis equipment and other things) does not have adequate space for her to safely practice the walking (with a walker that she needs) she needs to do to regain strength. She SHOULD be automatically in a rehabilitation facility, but now-a-days, the "first step" is to ask the patient if they would "rather go home" or perhaps "go to a rehabilitation facility" because the majority of hurting, sick folks will CHOOSE to go home, rather than to rehab.... and the insurance companies save a lot of money.
It is disgusting all around, IMO.
PipeTobacco






