Wednesday, February 11, 2009

One Week



It's been a little over one week since Dad passed away. It seems much longer since he was in ICU, unconscious for over two weeks. I can't remember when I last spoke to him--probably the first week of January.

I was in Richmond, VA for a volleyball tournament with my daughter the Saturday he went to the emergency room, and then ICU. I was unable to see him, but according to my mother and sister, he was awake and aware that first weekend, but woke up Sunday night and was confused and combative, so the doctors drugged him with a heavy sedative and anti-hallucinogen. He never woke up.

In some ways I am glad he wasn't awake those two weeks. It was hard enough seeing him with the tubes and machines all around. It would have been so much harder if he was conscious and aware. I know he wasn't ready to go. He enjoyed family time so much, and was always trying to tell a joke or two. Rather than talking with him (he couldn't respond due to the breathing tubes), and lying to him saying he would get better, I prefer my memory from New Years Eve and on the 1st of January where we were all gathered for our annual family picture. Dad was quiet--he always was. But looking back, he seemed happy with all his kids and grandkids hanging out. I miss him, and think of him every day.

Friday, February 6, 2009

Not all Hospitals are Alike

I know that my father's health wasn't the best, but I think the poor care he received at Fair Oaks Hospital in Fairfax, Va contributed greatly to his death.

After nearly two weeks in ICU, we decided to move Dad to Fairfax Hospital. I must say the quality of care between the two hospitals was as different as night and day.

He had a temperature at Fair Oaks the whole time he was being treated. The doctors were unable to get it under control. In fact, the day before we moved him it had reached 107, and the doctors did virtually nothing to try and lower it besides prescribing more medication. When we moved him to Fairfax, the doctors got it down within 12 hours--due in large part because they took him off the sedatives given at Fair Oaks. By the time we moved him, it was too late, the high fever and prolonged time on the respirator took their toll on his kidneys and other organs. His body was shutting down, and he died three days later.

Without getting into specifics, the doctors and staff at Fair Oaks didn't seem to care. They visited him infrequently, and acted as if he didn't matter. The various specialists (Heart, lungs, infectious disease) never talked to each other to form a plan of action until we started to complain. Instead, each blamed the others area of expertise for my Dad's illness, and none of them stepped up to the plate to try and save him. In my opinion, they should all be sacked. They shouldn't receive a dime for the care they gave my father, and they should all find other careers since helping the sick isn't their priority. My father waited three days to have a catheter replaced after a nurse botched a simple procedure and the Urologist couldn't be bothered to answer his pages over the weekend. When a different urologist finally came to see him and adjust the catheter, over three liters of urine came out. Imagine peeing for 10 minutes. Now imagine holding that for three days while your doctor plays golf. That's the joy the doctors brought my father before he died.

Although both hospitals are owned by the same system (INOVA), take my advice if you or a loved one is ever sick in Northern Virginia, drive the extra 20 minutes to Fairfax Hospital. It might save your life!

Family, Friends, and Memories


I never thought of my family as close, but over the past few days I have realized that we truly are. I was fortunate enough to spend 44 out of 45 Christmases with my parents, brother, and sisters. As our families expanded through marriage and children, the holidays seemed to always bring us back to the beginning. My parents were both from Southern California, and I grew up mostly on the east coast, so my grandparents and cousins were not a consistent part of my life. Maybe that's why Mom and Dad always made such a big deal about Christmas time. I count myself lucky to have such a close family, especially now that my father is gone.

Thursday, February 5, 2009

I miss Santa...

I stayed up way too late Tuesday night looking through old photos of Dad.  My brother and I were online chatting until about 4 am--I love technology.  I was putting photos I have of Dad into a folder so I could quickly share them with family and friends.  As I found ones I particularly liked in my archives (over 24,000 photos since going digital in 2001), I'd pass them along to my family. Yesterday morning my sister Cate sent me a couple she had.  One in particular made me laugh, then cry.

Last October my parents drove from their home in Fairfax, Virginia to visit the youngest grandkids in Jacksonville, Florida.  They planned to spend Halloween with my sister and stay through the election.  My brother-in-law was busy, he's in the NAVY and was captain of a frigate at the time, so my parents were gonna stay and watch the kids on election day while my sister was doing her civic duty manning the polls.   Being native "southern" Californians, my folks are very, very democratic and my sister is as well.  After re-locating to Florida courtesy of the Navy, Cate found herself smack dab in the middle of Republican territory and was asked to be a democratic monitor at one of the polling stations.  

Anyway, as any parent can attest, Halloween is by far the second most important holiday to any kid under the age of 13.  It is a close second to Christmas.  It was good that my folks went to visit my sister and her family.  My niece and nephew dressed up as salt and pepper shakers for the big night, while Dad dawned a red sweat shirt and Santa hat to man the door while the grandkids scurried about through the neighborhood.



My sister sent this photo of Dad.  He really didn't have to try very hard to look like Santa.  I miss him. 

Wednesday, February 4, 2009

Never Ready...


Although my dad was in ICU at two different hospitals, for over two weeks, I was stunned when he passed away.  We knew it was a long-shot that he would recover from the "unknown" illness that forced him to the emergency room on January 17th.  From the 24th on, the doctors all warned us that he was very sick and might not make it, yet we were hopeful that he would recover.  

My sister and I visited our dad late Monday night after I had spent the evening with my 13 year old daughter at volleyball practice.  His vital signs were better than the day before and he was blinking and twitching his eyes when we talked to him.   Earlier that night, the Doctors finally found two sources of infection, both acquired at the hospital where he was initially treated.  He was still very sick, but with his temperature down, kidneys being aided by dialysis, the current infections under treatment, and his heart and lung issues improving, we felt for the first time that he would really make it.  We had to wear gowns and gloves for the first time since he entered the ICU, because one of his infections was highly transferable.

After talking with him and encouraging him to continue the fight, I left the hospital Monday night feeling that he had finally turned the corner, and Pa would be coming home.  Not tonight, but in a week or two.  There was finally a light at the end of the long dark tunnel.

We reported his condition to Mom, and we sat in the living room talking about him as my sister googled the infections he had so we could educate ourselves to what lie ahead.  I left my Mom and sister and went home to my family, tired (it was after 1 am) but full of hope that Dad, or "Pa" as we called him after my kids were born, would recover. 

At 7am Tuesday morning, the nurses called my Mom and said he had a good night.  Guarded but full of optimism, my mother and sister were en route to the hospital by 8:30 to meet with the doctors to discuss his current condition and planned treatment.  They received a call sometime around 9am while fighting rush hour traffic with grim news, Dad was having issues with his lungs and heart and they were doing CPR.  

Immediately, my sister called our house and my wife woke me to tell me what was going on.  I was still half asleep, but I decided not to go to the hospital as there was nothing I could do.  I sat down in our sunroom and admired the new fallen snow outside, bright white in the winter sun.  20 minutes later, my sister called again to tell us he was gone.

I thought I was prepared for his passing, but moments later I realized I wasn't.  I struggled to hold back the rush of emotions that flooded me.  He wasn't gonna get better.  Dad was dead.  I quickly left the sunroom and took a long shower where I sobbed like a baby.  Alone in my thoughts and memories of my father... 

Tuesday, February 3, 2009

The Call

I received a call this morning from my sister that my father passed away.  Dad had been in ICU for a little over two weeks, with an unknown infection after what doctors had deemed to be pneumonia.  Dad would have been 73 this Saturday, Feb. 7th.