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Anesthesia. With all our knowledge medically it is often over looked. Anesthesia is incredibly hard on a human being... on mammals period. It is hard for our bodies to clear it out completely and when someone is older compromised already it can be devastating.
My husnband had encephalopathy from liver disease. his ammonia shot way up and he fell into a coma. his breathing became unstable and inadequate they put him on ventilator. The anesthesia /paralytic required to keep someone on a ventilator is horrific. He has never been the same. He has what presents as dementia he has aphasia pretty badly . He cannot walk anymore though physically the therapist said there was no reason he could not recover from hip surgery ( done right after the first coma.) he gets confused does not know who I am does not recognize our condo . the only ones he remembers solidly from day to day is the dog and cat.
He can be aggressive sometimes physical. I talked to the doctors and finally one of them told me that it was the anesthesia. It is too much when they are compromised already. I did a double take when I was reading and i noted you said that wild almost fearful look. I have seen that look on his face . I do not know what to call it but if you have seen it you cannot forget it it is distinctive.
Like they are seeing the world as a totally alien place where nothing and no one is recognizeable.
A broken hip is hard to heal from when older - sometimes even referred to 'the beginning of the end'. I work on an orthopedic ward as an assistant. Those with Parkinson's have an even harder time getting up & mobile again & even with supervision, fall & fall again collecting even more injuries each time. This can be a long & awful road.
I wish you peace at this hard time. Your father is free of all of that now. Many (((hugs))).
Your description of your dad triggered a memory for me.
Years ago, my mom was in the neuro ICU at a big teaching hospital. There was a man a few beds away, facing my mom. His gaze was fixed, glassy and somewhat terrified looking.
My mom, who was in a somewhat altered mental state due to a UTI and electrolyte imbalance, kept saying "that man is staring at me, make him stop".
I remember saying to mom "that man has had a stroke mom, he can't move". It was a visceral response on my part, not one that came from any specific knowledge, if you know what I mean. I suspect that was true of your dad, that he'd had a stroke.
I'm so glad your dad is at peace. (((((HUGS)))))
First thoughts: delirium...or stroke? Overdosed on opiates? (Are his pupils normal or pinprick?)
Does MRI/CT brain scans show anything?
He would have missed his Parkinson's meds maybe before surgery & now? Can he swallow? Suddenly stopping Parkinson's meds would severely mess with his Parkinson's.
I am also thinking some type of seizure?
I think you need a Parkinson's expert.
Is he on a respirator or any sort of machine that is helping him breathe? If not, I don't think he could be "brain dead" because breathing requires the brainstem for that function.
Have you asked what their prognosis is? (in those words?)
Is PT coming in to stretch him while in bed?
Have you asked if Hospice is the appropriate thing at this time?
Is he currently in rehab?
You say you have asked his doctors questions and they have no answers. May I suggest that you ask "if this was your father, tell us how you would proceed?"
I discovered quite by accident that this question got me the best answers.
Quite frankly, it may not matter WHY he is in the state he is in; what matters is what is the best course going forward.
This is so hard and such uncharted territory; I feel your pain.
(((((hugs))))))))
Hip surgery is very serious. Its a shock to the system and anesthesia can cause a decline especially if Dad suffered from Dementia. It may take a while to get the anesthesia out of his system.