Tuesday, September 29, 2015

Originally, it was the intention of the medical team involved in his care post-surgery to have him up and out of his hospital bed briefly to begin therapy; he was to be assisted in walking for a few minutes. As it turned out, he was in too much pain and too weak for that to happen. That part of his therapy was delayed for several days. It does seem to the casual observer rather prematurely optimistic that an older man who has just undergone triple-heart-bypass surgery would be expected ti bounce back so quickly and in Mohindar's case it would not reflect his own medical history.

Yet a mere five days after his surgery he was sent home to recover, in the care of his wife and his son. And three days after he was discharged from hospital, he was sitting having lunch with his family when he suddenly fell into a deep faint. His son could feel no pulse. So Imeren gently slapped his father's face, calling to his mother to immediately dial 911, and stop screaming. There was no response to Imeren's increasingly urgent face-slapping, and the seconds ticked dangerously by, but he remained calm, doing what he felt he had to. He also had to take the telephone from his mother who was so traumatized she was unable to inform the 911 personnel what her own address was.

The ambulance arrived in less than five minutes and paramedics stabilized Mohindar, then rushed off to the nearest hospital with him, not the Heart Institute from where he had been discharged. He remains there yet. The nurses at the other hospital had no idea of the just-admitted man's history, and the doctors swiftly ascertained that his heart rate was perilously low. They estimated his heart had been beating at about 15 times per minute instead of the usual 60 to 75, and perhaps had gone even lower. He would surely have died if his son hadn't persisted in attempting to arouse him to consciousness, finally successfully.

No one had been monitoring the effects of the drugs that had been prescribed for him; in total a dazzling number of drugs for various purposes in his recovery condition. So no one was aware that the effect of the heart drug was too radical. His premature discharge from the Heart Institute was clearly inappropriate in Mohindar's case.

When I was admitted in a sudden health-collapse incident five years ago as a result of a dangerously low blood haemoglobin count due to a bleeding ulcer, itself a byproduct of the daily aspirin regimen, I was kept under observation at the Heart Institute for five days, wired up to all kinds of interpretive devices, and undergoing several exploratory procedures before discharge. The blood transfusions aside, along with the invasive procedures, it seems to me that undergoing triple-heart-bypass surgery is an infinitely far more serious situation surely meriting a more careful evaluation of the patient's condition necessitating a much longer hospital stay for assurance of stabilization post-surgery.

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