(no subject)

[vicarz]

Let me tell you what it's like. I'm not whining, I think, but this is just downright interesting at this point.

The Doctors vary in what they conclude from the same data. Dr. Doom n' Gloom once said if my dad didn't improve in 48 hours, he probably would not and we should consider "what to do." He said that ... maybe 2 weeks ago. He's the one I talked to first, he's the one that made me think dad was about to die. Then the regular cancer doctor who has treated him for ages said he's had patients go under for months and come up fine. He talked about when he left the hospital, not if. Other doctors fell within that spectrum.

A couple days ago a young doctor said he needed a tracheotomy and that receiving such would allow him to wake up and communicate, probably recovering much faster. They also said he probably wouldn't leave the hospital until December. It was a hard decision to make - cutting into the man, but we went with it based on the cheery nearly-certain forecast. Well, first they put the wrong sized "collar" (neck tube insert) into his damn neck, so he kept gurgling and having trouble breathing. A week later, yesterday morning, they replaced the collar and assure us everything is fine. Well, it was already supposed to be fine, but the gurgling stopped.

Yesterday the only good news was that his temperature had dipped from 102 to a steady 98.6. The bad news was that he had not really had enough sedatives to remain unconscious, and the fact that he hadn't woken up and that his arms and legs are like a rag doll is "very concerning." Dr. Doom and Gloom gave his 48 hours speech again (I doubt he remembers he gave it before, but he might - I suspect he's a quality of life person over quantity) this time about possible brain trauma. Then last night we got the update - his temp was actually 101, and the good reading was in error as the temperature gauge had become dislodged. I had just called a long-time friend and my father's sister to deliver the previous "good news." I didn't call back to update.

So, that's a slice of the last month of my life with my dad. It's been a month as of today. It could be described as routine, as I haven't missed a day at the hospital (though I've varied both the time of day and how long I stay). Hope one day, dashed the next, and always from an unexpected direction. One day a clot, next day it's nothing, another day huge humping cancer, the next it's nothing to sweat over, one day he'll wake up soon and write us notes to tell us what he wants, next day rag doll, and the temperature change changing is my new favorite, despite the lack of overall import.

My consideration now is this: my dad has always balanced quality of life with his every decision about treating cancer. He wasn't supposed to live this long, but at each step of treatment he made a choice that what he suffered through wasn't so bad that it made life not worth living. The problem I'm facing now is wondering how long he would live IF he survives this, and if he would WANT to go through this much for that. Is 2-4 months in a hospital worth 2-4 years of life with cancer when you get out? I don't know what he feels in there, still. I suppose if he wakes up and doesn't remember a thing, thinking he just nodded off an hour ago, it's all worthwhile. If he's in a living hell, well that's a little different. I've thought of being his Indian, but the more likely scenario is that I'll try to convince his wife of what his likely wishes are. He always made it clear he doesn't want to be a Schaivo, and as of yesterday we're finding we might have, at the advice of various doctors, made him just that.

I considered chronos last night, also dinner with a friend, also bad movies with friends, also drinks with friends. I kept not making up my mind, but after the temperature news I went straight for the stoli and dug up "Lords of the Realm 2" a virtual land created in the 1990s to represent the 1800s and pillaged the sheep.

Comments

[vicar.livejournal.com]

I know you mean it, but not really what I'm looking for. This is more a post about the flow of information and ambiguity - sorry if it was written poorly.

What do you think of the radio station?

You might appreciate this - adding another quality to "the datability list." Someone who cares for a sick pet, or keeps the pet no one else wants - serious long-term relationship factor. Someone who gets a cute puppy, then neglects it, then moves and "has to put it down" is not dating material at all. Pets as screening devices. Guess which category fashion dogs fall in?

[telie13.livejournal.com]

I think you are right about the dateability thing, definitely.

Most docs aren't really well trained in end of life care - something the medical school system is trying to correct now. So, if they are off kilter, dont communicate, or aren't in synch, keep that in mind. They have about as much training in this as you do.