The passing of my father-in-law

Papa has been in the hospital since he was admitted a week ago. Through the week, the staff continued to work on this sodium levels. They were hovering around 119, and the normal range is 135-145.

This sodium deficiency has been confounding. Tests indicated that his kidneys were ok, and his thyroid levels were ok too. So no one was sure why the sodium was so low or why it was not increasing.

Throughout the week, we would visit before and after work, and Mama would stay all day. She helped feed him and clean him, as he lost the use of his hands more than a year ago (rheumatoid arthritis). Each day, we would check if there was an estimate when he could come home. Each day, we were told it would be many days minimum.

Today, his condition deteriorated rapidly. He was scheduled for an MRI around 10:45AM. His nurse called Rosa at 10:30AM and said his condition was serious and that she should come in. She called me and we agreed that she would go to see him and call me if I was needed. About 20 minutes later, she called me and told me to come in immediately.

Papa surrounded by family
Papa surrounded by family

When I arrived, Papa was partly on his side, propped into a comfortable position with extra pillows. This position helped his breathing – he had been having difficulties over the past week. He was on an oxygen tube. He had been given some pain medication and some medication to calm and relax him. It was clear that it was very serious.

We talked with the nurses and they gave us a booklet on preparing for a family loss. Rosa and I went through part of the booklet and made some agreements on our course of action. I called the Tubman funeral home next door to the Queensway Carleton Hospital and made an appointment for 3:00pm.

And we waited.

Rosa needed to go back to the office to gather a few things, so she left for a little while. The nurse came in around 1:45pm to bring a warmer blanket. When the sheets were pulled back, she said that it would not be much longer, based on the mottled colour of his skin. I immediately called Rosa and said she needed to hurry back.

His breathing was averaging once every 8 to 9 seconds. But with the medications and oxygen therapy, he was actually sleeping much better than he had in a long time. At some point in the afternoon, he closed his eyes, or perhaps Mama closed them for him. He looked more peaceful than he had been in a long time.

Nothing seemed to change for the next hour, so I went to my short appointment with the funeral home. I wrote some notes, and gave the background information to the consultant, but I was anxious being away from the hospital room for any length of time. I hurried back to the hospital after 20 minutes.

Papa’s condition did not change for the rest of the afternoon. Rosa and I discussed what to do. No one could guess how much longer it might be. It could be soon, or it could be the next day. Mama wanted to stay all night if she could.

As the sun set, Rosa and I prepared to leave for supper. She went to the washroom. Mama and I were sitting by the bedside.

Suddenly, Papa’s breathing changed. It increased to 25-30 seconds between breaths. When Rosa returned, I motioned for her to come immediately.

We didn’t know what do to. Every pause in his breathing was an eternity. Papa had a thin chain around his neck holding an icon of the Virgin Mary. His pulse would cause it to flicker in the light.

In about 3 minutes, with Mama, Rosa and I around him, Papa passed away. He took his final breath after 75 years; the chain around his neck stopped its flicker.

I leaned in and whispered to Rosa, “He just passed.”

And then we all started crying.

I went out of the room and told the nurse. She and another nurse each confirmed there was no heartbeat, which is the standard procedure. They comforted us and we comforted each other.

We were very sad, but there was also a sense of release, not for us, but for Papa. He has lived in such terrible pain for years and years. He was free from that now.

Jinduo Wu (Jul 14, 1935 - Nov 26, 2010)
Jinduo Wu (Jul 14, 1935 - Nov 26, 2010)

Two acquaintances from the Institute where Papa and Mama worked in Lanzhou arrived, too late to see Papa before he passed away. They looked shocked and sad too. They talked with Mama for some time, and were near tears. I called the funeral home and let them know about the death.

We asked the nurse if there was anything else we needed to do. She said that the funeral home will contact the hospital and will take possession of the body overnight or in the morning. There was nothing else for us to do. We gathered all our belongings.

And then Mama, Rosa and I left.

So then I fainted…

I’ve been feeling sick since Saturday, and I got worse on Sunday. My throat and nose were sore and burning. By Monday, I thought perhaps it was a reaction to the smog. The burning sensation is uncharacteristic of a cold or flu.

Mountains near Rancho Cucamonga
Mountains near Rancho Cucamonga

During the day Monday, I debated what to do: should I see a doctor or just get some rest and wait to see if I would get better.

After talking with Rosa, I decided to see a doctor. I had to call my (business) travel insurance provider. They sent me to a care facility in the city. I went and the doctor looked me over, listened with his stethoscope and prescribed some antibiotics and cough syrup.

Two hours later, I went out to supper with two co-workers, Roddric and Theirry. I ordered a pound of snow crab legs. I normally would not order them because of the mess and cost, but I thought I should treat myself – the company would cover the meal. I love crab.

I was still not feeling well though. I started to eat but had only eaten a single leg before I started feeling much, much worse.

I stopped eating for a moment but I was still getting worse. I was feeling light-headed. I waited for it to clear, but it just got worse. I knew that something was very wrong, and told my co-workers that I was feeling light-headed. As I was seated on the inside of the both, I could not sit down to get my head between my knees, so I slid down in my chair to lower my head.

So then I fainted…

When I came to, Roddric had already called an ambulance. I was immediately coherent and I told everyone the current date and that I knew were I was and that I had passed out. My face streaming with sweat for some reason, even though I did not feel hot.

The ambulance and a firetruck arrived in less than 5 minutes. The paramedics asked me what happened and looked me over. They checked my blood sugar. They hooked me to a portable EKG machine I think. They offered to take me to a hospital and after thinking about it, I agreed. I hoped that my travel insurance would cover the costs, but decided that my health was important and that if they did not, it was still the right decision. The paramedics would not allow me to walk to the ambulance in case I passed out again and hit my head. They strapped me to a stretcher and pushed me outside through the crowded restaurant. I hated that. I was embarrassed.

The ambulance trip took about 10 minutes. I was wheeled into the emergency room.

The doctor came to speak with me after I had been checked-in. He told me that they would run some tests. Everyone asked me if I had a seafood allergy, which I do not. I was hooked up to an IV drip, had my blood taken, and a more extensive EKG taken. A chest X-ray was also taken.

The tests confirmed that I did not have a heart attack or stroke, and did not have low blood sugar. But the doctor was not able to determine the root cause for me fainting. We doubted that I had had a reaction to the antibiotics either.

The doctor explained that the fainting was caused by vascular dilation, meaning that all my blood vessels dilated open. This very rapidly decreased my blood pressure and drained blood from the brain. I felt the process starting when I felt lightheaded. He said that this was the body’s way of ensuring that the person lay down, and it is a involuntary reaction.

He also thought that I had a virus inflection, so the antibiotics would not be effective. Unfortunately, there are no medications for viral inflections. I just have to wait it out.

I was supposed to go to work at the customer switch for the maintenance window starting at midnight. My co-workers called my manager and director back in Ottawa. The director said that I was not to go into the switch, and that someone had to stay with me in case I had another problem. I made a compromise that I would connect from my hotel room and that one co-worker with a backup room key was just down the hall in case I needed something.

I was able to talk with Rosa from the hospital for about 15 seconds before the batteries in the cell phone died. I told her that I was fine. I was so worried that she would be worried about me when I was already feeling much better.

It was an interesting experience. I’ve never fainted before. I remember the sensations as I started to pass out, and I’m glad I had enough sense to say something and attempt to lower my head before I blacked out.

I still have to deal with getting over my illness, which is not really diagnosed. I just need lots of sleep. I’ll keep up with the antibiotics though, as they should not do any harm.

Cancer scare

I had a cancer scare starting last weekend. I had a tenderness for 2 days and self-examined while taking a shower and discovered a pea-sized mass where there shouldn’t be one. I booked an appointment to see the doctor as soon as I could, and was able to see him Monday afternoon.

Today, I went in for an ultra-sound of the area. The examination took about 30 minutes, longer than I expected. The room lights were very low so I just lay there with my eyes closed basically ignoring what was going on, except for when I was asked to breath-in deeply and hold my breath. I asked the ultra-sound technician what which frequency the ultra-sound operates – he replied that it’s about 12. I asked 12Khz? No, he replied, 12Mhz.

The results will be reviewed by a radiologist and sent back to my doctor to give me the diagnosis, but it is possible that it is not cancer but rather just a blood clot. That would seem to fit the evidence, as the tenderness that triggered this adventure only lasted 2 days instead of persisting. I hope that is the case. I am hopeful of a simple explanation. If it is bad news, then at least there is a very high (>98%) survival rate when caught early.

Pneumonia

I’ve been feeling really crappy over the last number of days. It might have started on Tuesday with a general lethargy at the end of the day. By Thursday, it had changed to a migraine headache, fever, muscle aches and what seemed like a chest cold. The migraine lasted almost 2 days and was the worst I’ve had in about 15-20 years. I believed that the cause of the migraine was that my back muscles were cramping because I was shivering due to the chills induced by the fever.

Once the migraine was reduced to a reoccurring pounding headache (Tylenol 3), I hoped I would get over the other symptoms. I even started feeling pretty good for a few hours on Friday.

My condition did not improve over the weekend. I had much difficulty sleeping due to my lungs being filled and continued muscle aches. Sometimes the fever would come back.

So this morning, instead of going to the doctor, I went straight to the emergency room. The theory was that if I would need chest x-rays or blood work, then they could all be done at once, instead of seeing a doctor, then going somewhere else for the tests, then back to the doctor.

Once I signed in, I was put into a separate waiting room with a sign outside indicating that it was an isolation room and only people who were asked to sit there should even enter the room. I was given a mask to wear.

Mask
Mask

I waited about 2.5 hours, catching a nap, and doing some light reading. Around noon, I was finally admitted into one of the examination rooms. There was a sign posted on the outside indicating “droplet warning” and that anyone entering the room had to wear a full face guard. Upon later reflection, this was likely because of the H1H1 flu policies.

The doctor came in and briefly checked me out and then sent me for chest x-rays to confirm the suspicion that it was pneumonia. I was beginning to suspect that might be the diagnosis because a chest cold does usually include a fever.

After the x-ray, the blood work was taken, and I was hooked up to an IV system. I wasn’t expecting the IV, but was interested in how it all worked. I could feel it when it started as my arm started getting cooler – the IV would be room temperature (say 25) but body temperature is about 37. I later heard the doctor outside my room indicating that she ordered the IV because my heart rate was 115 bpm. I didn’t realize it was so high. Adding saline solution will dilute the blood and lower the body temperature and bring down the heart rate (which it did).

The final diagnosis confirmed pneumonia. I was possibly still contagious, so I was told not to go to work for the rest of this week. I finally left the hospital about 7.5 hours after checking-in.

Overheard from the sign-in desk next to the waiting room:

1. “I have an infection on my (elbow/leg) and I am on antibotics. I was told to come to the emergency room if it got worse in case I needed IV antibotics.” I heard this twice in 2.5 hours. Is it really that common?

2. “I just returned from Cuba, where I was raped. Do you have a rape kit? Is a rape kit useful after 24-hours?” The woman left immediately after. It really got me thinking about what a terrible time she must be having. Can you imagine flying home with that on your mind? And I can’t understand why some men are so awful. I just don’t understand people.

3. “My father was in earlier and was sent to go get an MRI. I just wanted to let you know that they found a 5-centimeter growth in his brain. I wasn’t sure if you needed to know that for your records.” Again, another tragic story told in three sentences.