I understand why people ask if I’m going to sue. My brother always said, “If you put me in the hospital, they’ll kill me.” And they did.
On the other hand, my brother killed himself. Biff’s choices led directly to his death. I know that.
Yeah, I yelled at the doctor and told him to quit bullshitting me when he said “the procedure” had nothing to do with Biff’s death. And yeah, I flipped out when the anesthesiology firm that “provided the services” that stopped Biff’s heart left a pre-recorded satisfaction survey on his phone. But in the end, I’m just looking for someone to blame other than my dear departed brother.
The Whole Story – Sort Of
I haven’t told you the whole story of Biff’s death, and I may never. Partly to protect his dignity, partly because the six-year story is too long, and partly because it’s ongoing. I’m still processing.
Here are a few posts that give you an idea:
https://melanielynngriffin.wordpress.com/2012/09/08/late-summer-dream/
https://melanielynngriffin.wordpress.com/2013/09/24/what-would-you-do-with-your-one-moment/
In short, after our mother died six years ago, my brother collapsed mentally, physically, and emotionally. Deep depression, anxiety attacks, and PTSD led to congestive heart failure, and Biff declined treatment. Sadly, his distrust of the medical community – not entirely unfounded – kept him from having the surgery that could have saved his life.
Some days he would admit he had heart failure, some days he would say it was indigestion, some days he would boil up dandelion leaf broth, some days he would take vitamin C. But he would never see a doctor outside of the two times he landed in the hospital.
On his third and final trip to the hospital (a facility which will remain nameless so that THEY don’t sue ME), they told us it was too late for the heart surgery. As much as Biff would protest my saying it, the doctors were right. Just as they predicted, he was experiencing multiple organ failure due to a faulty heart valve.
But just as Biff predicted, he was dead within days of entering the medical system. When they put him under “light sedation” to do a “simple” endoscopy to see how damaged his liver was, he died. His heart stopped.
What Was the Point?
Why did it matter how damaged his liver was? They had already told us he had weeks or perhaps several months to live. The palliative care “end times” doctor was due to talk to us that very afternoon. I was looking for a nursing home where Biff could receive hospice care.
So why? Did they just want to use their shiny new endoscopy machine? I don’t know. I choose to believe that there was some reason for the test. The cardiologist had said that Biff’s organs were improving: while they weren’t optimistic, they would reevaluate him for surgery. So I’m guessing that’s why they decided to do this risky procedure on a dying man.
Death is Not Simple
So you see? It’s very complicated. It usually is. Part of grief is all the second-guessing, the questioning, the anger, the search for blame. I would like to be through that stage and move on to proper mourning, where I can accept that he is gone and just pound the walls and wail. Unfortunately, the grieving process doesn’t involve a multiple choice menu. You just take it as it comes.
I’m not sure the endoscopy was the smartest thing . . . no, I take that back. It obviously was not, given that pesky old “do-no-harm” Hippocratic oath. Do you sedate a dying man with dangerously low blood pressure who is already on morphine? No, you do not.
But the fact is, he was dying. The hospital facilitated his death, brought on the actual event, but Biff chose the manner of his passing.
He had been in a lot of pain for a long time, and God had mercy on him, given the dreadful scenarios that could have transpired with multiple organ failure. He died in his sleep, after having spent the morning discussing his cat and Shakespeare with his nurses. There are worst fates.
So, no. I’m not going to sue the hospital.
I’m just going to be grateful for every day I’m alive, and I’m going to try to stay clear of hospitals.
I suggest you do the same — that is, unless you have heart failure. Then go to the damn doctor.
Jan 20, 2014 @ 10:31:33
Beautiful writing, Melanie. I hope it is cathartic for you. In a very real sense, it appears that a portion of YOUR own suffering has also ended, even if it continues in a new and different form. I can tell you that having gone through major surgery myself recently – with imperfectly functioning major organs – doctors are unwilling to operate if critical organs are deemed unable to be called upon to aid in the recovery. Typically that is assessed through blood work; why they had to make that assessment surgercially, I can’t fathom. You did the right thing in urging your brother to have the heart surgery. Don’t ever doubt yourself in that regard. If he had listened to you sooner, he might have survived everything the medical professional threw at him and maybe even gained a few more years in an earth-bound purgatory. His final days may have been better. On the other hand, they may have been worse. We will never know. I wish you find peace and strength Keep writing.
Jan 20, 2014 @ 17:00:22
Thanks, Andrea. As I said, I look forward to getting through the questioning stage so that I can just get on with the mourning.
They had done blood work – that’s why they knew his liver numbers were getting better. I don’t know – it is not something I need to spend more time thinking about, but it’s hard not to do so. That’s why I write. To get it out! Good luck with your own challenges.
Jan 20, 2014 @ 09:26:57
This is an amazingly circumspect post, Melanie. Thank you.
Jan 20, 2014 @ 17:02:14
Thanks – can’t say I don’t put a lot of thought into this topic. 🙂
Jan 20, 2014 @ 08:27:14
What a nightmare Melanie. I am so sorry for your loss and admire your ability to write openly about it. God Bless you
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Jan 20, 2014 @ 08:38:12
Yes, nightmare. Good word for it.
But he’s OK now, and I will be, too. I’d be the dead one if I couldn’t write about it!!
Thanks for the blessing. 🙂