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  • Serious question completely unrelated to guns

    The situation:

    Someone is severely injured in an accident. Depressed skull fracture, compound fracture of the left femur (resulting in an above-the-knee amputation during surgery), fractured right arm, fractured right ankle, fractured C7 vertebrae, and a fractured eye socket.

    She's on a ventilator (and unconscious) for over a week, as she's too weak to effectively breathe on her own. And a few days after the accident, she suffered a stroke which all but halted any movement on her right side.

    It's now day 11 after the accident. She's breathing pretty much on her own, though occasionally needs help from the ventilator, and is on a feeding tube.

    She's no longer on any kind of sedation and, while no longer technically unconscious, she's also not technically "awake." She will respond to voice and touch, and even open her eyes, but it's like there's no one there... the eyes never move, and stare off in a fixed position to the left. No response to commands, such as squeeze my hand, follow my finger, etc.

    She has both a DNR (do not resuscitate) order and a living will. The DNR doesn't apply, as she never technically died. The living will states that she does not wish to be kept alive from an injury that would result in death, simply for the purpose of postponing that death.

    Given the situation, while she is breathing on her own, it's looking more and more like she may never fully regain consciousness. And while her injuries technically did not kill her, there is a strong possibility that the feeding tube will be a permanent requirement to keep her alive; hence, she would likely die without at least some form of life support.

    The question:

    What would you do?

  • #2
    I wouldn't rush into anything.
    "Life Member NRA"
    I am addicted to brake fluid...don't worry I can STOP at anytime!

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    • #3
      Tough spot. I've been there too. My condolences. We told them not to use the ventilator, because that was resuscitation. He passed peacefully. Only good memories now.

      Comment


      • #4
        If you have a family doctor, ask them to review the situation and advise you. With both my parents, who died under hospital treatment, the attending doctors and nurses found it not possible to be straight with my family. My father's GP did play straight with us as Dad was passing and the MDs in my wife's office told her my Mom was a goner a week before we unplugged her.

        My sympathies, please do not rush into a decision.

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        • #5
          I'd give her a month or 2 months or whatever is decided, and if she hasn't improved I'd probably remove the feeding tube. I wouldn't want to be stuck in between life and death like that. But I think she needs some time to see if she is going to make any progress. Dad had a DNR, and the damn hospital put him on machinery to keep him alive, so we said since they already did that, let's give him 2 or 3 weeks and see what happens. We ended up disconnecting the devices after the time passed and he slipped away.
          Tom
          Live today, tomorrow may not come!
          Boberg XR9S
          Kahr CW40
          Springfield Armory 1911
          Dan Wesson Revolver

          HY*NDAI is to cars, what Caracal, Hi-Point, and Jennings is to handguns. The cars may or may not run ok, but the corporation SUCKS.

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          • #6
            A very tough spot indeed. I too would not want to be sustained in that condition.
            I don't know what the options are legally.
            I too would not rush into anything.
            My grandfather many years ago for reasons I don't recall was put on life support for several weeks, all out of town family rallied to the hospital, all agreed he would not want to be kept alive, quality of life just not there.


            All agreed to pull the life support. He rallied on his own and lived for another 3 or 4 years completely normally for a man of his advanced age.

            Sometimes you just don't know. We'll hope for something good like that in this case.
            http://bawanna45.wix.com/bawannas-grip-emporium#!
            In Memory of Paul "Dietrich" Stines.
            Dad: Say something nice to your cousin Shirley
            Dietrich: For a fat girl you sure don't sweat much.
            Cue sound of Head slap.

            RIP Muggsy & TMan

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            • #7
              Very sorry to hear of the accident and my condolences to you....A tramatic head/brain injury will require months not days and several Neuro CT scans the Neurologist will compare to see how the injury is healing....Her body has suffered major trauma and 11 days isn't nearly enough time to think about any long term decisions....

              Brain injuries and stroke are strange animals no two are completely alike....I was a Paramedic for 12 years and saw some very severe head injuries that I thought were fatal but the patient survived and regained function so don't be discouraged since its only been 11 days...Prayers go out to you and your family...Keep the faith and do keep talking or reading to her as she probably can hear and recoginize familiar voices and that really does help....
              " An armed society is a polite society".... Robert A. Heinlein

              Born under a bad sign with a blue moon in your eyes.......

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              • #8
                You have my sympathy............I would wait, and get some medical opinions, and then ask myself, if there is no real promise of recovery, what would she want? I think she already answered that question...........................

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                • #9
                  I have a buddy who suffered a crushed cortex in a helicopter accident. He remained in a coma for months. He came out of it and rehabilitated to the point where he walks and speaks, albeit like a severe stroke victim.

                  Tough choice, get as many facts as you can from the medical folks; not dumbos like me.

                  Good luck and Godspeed.
                  "Never argue with a fool; he will only pull you down to his level, and beat you with experience"

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                  • #10
                    I have a DNR for myself. If I were in the same situation as your patient (wife), I would want the feeding tube removed. Death is not something to fear. There may be something better for us after death. That is what a DNR and "living will" are for. Don't feel guilty for making the call, no one will blame you for it.

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                    • #11
                      The call is not ultimately mine to make, though my opinion has been asked.

                      And to provide a bit more detail, it is not my wife... she's my step-mom.

                      She and dad were out riding their Tri-Glide weekend before last and were hit by a drunk driver. Dad was gone before he could be airlifted to a trauma unit.

                      She's been "awake" for several days now, but like I said, it seems like she's not really there anymore. And if she does ever really "cognitively" wake up, she'll be waking up to a missing left leg, a mostly paralyzed right side, an unknown amount of brain damage, and the news that her husband of 26 years is gone.

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                      • #12
                        Sometimes there's just no words to say....I am so so sorry for the loss of your Father and the condition of your Step Mom.......You have many friends here feeling your pain....Prayers sent, God Bless you and your Family....Good Luck and God Speed in her recovery....
                        " An armed society is a polite society".... Robert A. Heinlein

                        Born under a bad sign with a blue moon in your eyes.......

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                        • #13
                          It is important that you pass your opinion on to the one named to make the call. They may just be waiting for support to make the call from other relatives, like yourself. Let them know your decision so they can make their decision..

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                          • #14
                            Prayers to you and your family. Sorry for your loss.
                            This place isn't safe.

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                            • #15
                              you probalby know what needs to be done but what a tuff call to make. So sorry friend. This forum is behind u..
                              . My PM9 has over 34,000+ rounds through it, and runs much better than an illegal trying to get across our border


                              NRA BENEFACTOR MEMBER


                              MAY GOD BLESS MUGGSY

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