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Good morning, All!
It has been about 3-1/2 years since I first came here, desperate for help with my mother who required care I could not provide - either myself, or in my home. It has been a bumpy road since then, but ... I'll skip that recap to focus on where we are today.
My mom is 86, and battles hypertension, high blood pressure, congestive heart failure, Type 2 diabetes, Stage 2 kidney disease ... she has had double femoral bypass (2014) ... my mom had two heart attacks this year - one in January, one in October. After her second heart attack this year, she had angiogram and angioplasty, opening up two left-sided arteries with stents. That was done outpatient, on December 3. On December 8, she collapsed, cardiac arrest - was rushed to the hospital. She coded twice within the first few days there, and they put her on a temporary pacemaker, planning for a permanent one. They could not proceed until they got her white blood cell count down, and in the meantime, theorized what was causing the issue, the heart suddenly stopping. The theories included AV block caused by a clot, medication interaction ... well, on December 13, she went into cardiac arrest that lasted 30 minutes. By some miracle, they revived her - and her cardiologist said to me, "something is wrong, I need your permission to repeat the angiogram, even though her kidneys will take a hit". I agreed - and they discovered she had a heart attack on her right side, which is apparently rare - and found significant damage and blockage on the right side, ending up placing three more stents there, bringing her total to five - two on the left, three on the right. Doctor explained to me "they found the problem, and fixed it". They placed a permanent ICD (pacemaker/defibrillator) successfully to boot.
He also told me she had "clear CT scans of her brain" ...
She was intubated and sedated. Doctor said they would start to wean her off and wake her up within a week.
Well, that was December 13 - two and a half weeks ago. They stopped all sedation. She wakes, opens her eyes, looks around ... but, no meaningful engagement, responses to commands, anything like that. No change now for many days.
They said it was no longer safe to keep her intubated, so ... they did a tracheostomy/GI tube. Now they are talking about starting the process to transfer her to LTACH.
The question I am strugging to get answered is ... will she ever truly "wake up"? Does she have life-altering cognitive damage from the hypoxia? Will she heal over time, even slowly?
I'm in the driver's seat on decisions, and feel like I am grieving someone despite them looking at me. I came here, to seek the wisdom of all of you, of anyone who has had a similar experience ... I crave anything, as I'm running on one tiny little fume, and at a loss what decisions I should be making at this point.
Grateful for all of you, and for this forum.

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I’m sorry. If you have health care POA, I’d make sure she is DNR. Just a suggestion. Good luck.

Edited: just saw your brother is health proxy
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Thank you for all of the support and advice. It never ceases to amaze me, what a lifeline you all are.

As to my mother's condition prior to this ... if you asked her, she would insist she was fully independent. She was living with my brother, and has been for the last two years. If you asked me, she struggles significantly with mobility (she uses a walker, but, at her own peril), and has some cognitive remnants from her stroke in 2022. That said ... she was conversant, bright, engaged, and actually fairly sharp. Her long-term memory in particular was sharp as a tack.

My brother has primary authority on medical decisions that concern her, legally; I am only empowered to govern in instances where my brother cannot. This is frightening in some respects, but, possibly comforting in others, dare I admit ... I am all-in supporting the situation, but, there's no use trying to override my brother, who seems committed to optimism that my mother will recover (maybe not fully, but nearly fully - he doesn't seem to have processed that she will never be able to return "home").

She shows tiny, infinitesimal signs of recovery each day. She now moves her head back and forth, tracks with her eyes, facial expressions, moves her feet and legs ... when I went to hold her hand yesterday, she recoiled, and I think it was because I had just come in from outside, and my hand was cold. She has moved her mouth a lot - she's had the trach for 3 days now, and was intubated prior to that for 16 days ... she's been almost able to fully close her mouth, and even cracked what looked like an attempted smile yesterday. I know I have confirmation bias, so, I'm not suggesting this is evidence of anything more than what it is ... tiny signs. No practitioner at the ICU seems willing to dare make a prognosis or guarded estimation on how far those tiny markers will go.

We are amidst the transfer to LTACH - probably within the next few days.

My heart vacillates between broken, angry, hopeful, riddled with grief ... uncertainty can be its own form of torture.

I continue to be grateful for two incredible miracles in my life. One - the ICU nurses, who I live in awe of every day. And two - all of you. Thank you for your continued counsel - not just kind words attempting to lift me out of despair, but your honest renderings and viewpoints, which I trust and appreciate, however painful they may be.
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southernwave Jan 2, 2026
LACTH patients have a 35-40% mortality rate while in patient
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Depending on her prior cognitive functioning and independence you can strongly advocate for acute rehab at a rehab hospital for your mother. It mostly depends on the recommendation of the PTOT evaluation at the acute care hospital where she is now. Insurance will likely deny and only approve a nursing home rehab. SNF rehab or subacute rehab. That means an 1 to 1.5 hour of therapy and nursing home care the rest of the time. Acute rehab costs more per day and the patient has to be able to do at least 3 hours of rehab therapies per day. They get better, hospital level care. Insurance is deciding whether they will authorize or not based on the clinical information sent from her hospital doctors and physical and occupational therapists. How good was she before all this happened? Was she independent before all this? Engage case managers and social workers to advocate for your parent. Eventually it all falls to you so be prepared and have a plan. Fyi, Medicare does not pay for long term custodial care. Many LTC policies only pay for nursing home care if the person qualifies, ie has documentation that they need help with toilet, dressing, feeding, hygiene, medication, is bedridden and can not ambulate. It not on request. They need doctors documentation to approve coverage and will likely fight. My parent LTC insurance only provided for facility care. No home care. I used his money to pay for 24/7 in home care for 2 years. About $200k per year.
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Sandra2424 Jan 1, 2026
How could she possibly tolerate the stress of a rehab program? Time for hospice.
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If I were you, I’d choose hospice. Knowing what I know from my experience with hospice, 15 months with my 94 year old father and end of life care, do not let them discharge her to you at home to provide all the care that hospice does not. Insist she go to a 24/7 care hospice home if you are lucky enough to have one in your area, and she stay there until death. Usually only a week or so. Or, she will go to the local nursing home and hospice services there but lots depends on the facility and staff for that. Do not agree to home care with hospice unless your mother has funds to hire 24/7 competent care and still most of the burden of care and responsibility will fall on you. Or if you have some wonderful family who commits to caregiving shifts of 12 hours and is prepared to be there when loved one dies and handle all things. Hospice house if death is expected within a week or so. I’m sorry you are going through this. It’s very difficult. I’ve been there. If up against a wall to decide, let them put her in ltac and take time to decide. In my experience, her outcome will not be good. Do what is best for you and accept all support. I’m sorry. I know this is hard. You can withdraw care slowly. Get all the support and assistance you can.
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erzoolie Jan 2, 2026
Sorry for the loss of your father, and what you went through - thank you for sharing from your experience, which sounds incredibly painful.

The decision that has been made is to transfer her to LTACH. What I'm hoping to do is set up a "goal of care" meeting with the team there, and set some boundaries ... I want her to recover, without a doubt, but I absolutely am not willing to sit idly by and be a witness to her suffering without acting and intervening. That may be the greatest act of love I ever have to offer her.
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She has been in ICU since early December? In that time she has been bedridden? If yes, she has had a lot of muscle loss and may not ever get out of bed again. That means LTC. Compound this with a trach. If she is still on a vent, then the discharge planner may take a while to find an appropriate bed. Depending on where you live, this could be an LTAC that is far away from her home. That LTAC will also need to accept Medicaid unless she has deep pockets. Regardless of a clear CT, she might have encephalopathy due to lack of oxygen. You hear the reports but I am not sure that the prognosis has set in. You are too hopeful for a miracle. I have spent my entire career in cardiac and neuro ICUs. I am not so inclined in any heroics for myself. I am 70. My family even knows of my choices for LTC facilities if anything should happen.

Now you also ask about hospice. This is comfort care in which family will be asked to withdraw support. At least hospice should cover for bereivement counselling. Both choices are completely separate. Do you want to prolong her life? She will not return to baseline. Do you want her to suffer longer? You will be suffering with her
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erzoolie Jan 2, 2026
First of all - while I don't know you personally, I admire you immensely for devoting your career to that kind of service to others. You must have the most incredibly huge and strong heart, to do that kind of work.

Thank you for sharing your experience and wisdom. I'm certain there's encephalopathy in play here ... the question mark is, how much. She was in arrest for 30 minutes. I am not as hopeful as my brother ... but, I'm also hesitant to argue with him, at least at this moment. That could change ...

She has been bedridden since December 8. I cannot even fathom the degree of muscle wasting and atrophy that has taken place.

My heart feels as though it weighs 10,000 pounds. :o(
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I spent my last years in nursing in cardiology.
Has no doctor here approached you at any time as to code status?
Has your mother no advance directive defining what she would want at the end of her life in terms of heroic measures?
Have you and your mother never discussed what she would want at the end of her life in terms of heroic measures or code status?

I may think about this differently, due to my history, than you as a lay person would, but it surprises me that no MD, no specialist, no Social worker has at this point come to you with advice, with options for this 86 year old woman.

My Advance Directive has long forbidden anything like ventilation, IV nutrition, NG/PEG nutrition, Dialysis, Pacemaker (have atrial fib for many years now), and etc. I am 83 and my wishes regarding all of this is extant now for over a decade. Why do I not want these things (including stents)? Because they will prolong a life, often with many deficits--a life without perhaps a bit more quantity, but void of quality.

I must hope that you and your mother, you and her doctors, you and social workers or ethic committee have had discussion. I must rely on that and your own common sense as regards her age and her medical condition, for a quality of life. If you are uncertain I would ask you to thoroughly discuss these things with doctor, social workers, family, clergy.

I must CAUTION YOU that if you choose hospice, when the end of life draws near, you ARE CERTAIN to have the defibrillation portion of any implanted pacemaker turned ODD. Without doing this, the person dying, attempting to die, will be subjected to continuous shocking. Generally this specialized pacemaker is inserted when a person has experienced premature ventricular rhythm causing cardiac arrest. I would never have placed such a device in someone of this age; it surprises me that no doctor thoroughly explained what it does, and options regarding placement or not placing.

Only you can make decisions now. It is not my place to tell you what those decisions will be as they must come from what you know of your mother, what you want for your mother and at what cost, and the advice of your medical team.

People will tell you that "miracles happen". Perhaps. But we will none of us get out of this alive (something always clear to me as an RN, but crystal clear to me as an 83 year old).
I cannot know how your mother felt about fighting for life, what she considered quality of life, what she would have wanted. You know that much better than I. I can only wish you the best of luck going forward. I can only tell you how I myself feel about "life" in our latter years, and about heroic medical treatment at a certain age--what I PERSONALLY think and feel. I am not you. I am not your Mom.

You ask if we have experience. Yes, I have a LOT of it. But I am not you.
I truly wish for the best. I hope you will bring your mother what you feel will be best for her in terms of comfort.
I am so sorry for all she is going through, has gone through, and for your grief standing witness. My heart goes out to you.
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erzoolie Jan 2, 2026
Hi, AlvaDeer! I remember you from 2022, when you were so kind and so generous with support and wisdom. Thank you for popping in here.

To your thoughtful questions:

Has no doctor here approached you at any time as to code status? No, no doctor has approached me or my brother, nor given any concrete "code status" information of any kind.

Has your mother no advance directive defining what she would want at the end of her life in terms of heroic measures? Her directive clearly states "any and all Herculean efforts to keep her going", unfortunately. Although I am still not convinced she meant to include plugged into several machines for an extended period ...

Have you and your mother never discussed what she would want at the end of her life in terms of heroic measures or code status?

She has - but, it has always leaned towards "keep me going!" kind of language. My mother has never been one to dwell solely in the realm of the rational.

One of her last "conversations" in the ICU was her telling the nurses she wanted a milkshake - and when they explained that they could not do that, she was on a strict cardiac diet to help heal her heart ... she told them to "f-off", that she knew better than they did what was good for her heart.

I think without her determination and sass ... she may never have survived this far in the first place.
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I would opt for Hospice.
She could go to a long term care hospital and be on Hospice.
If I were your mom I would tell you "I'm done, I am sick and tired of being sick and tired"
I would do a POLST. More detailed than a DNR.
I would discourage a feeding tube. Hospice will accept a patient with a feeding tube and they will provide nutrition and care for it but they will not put one in on a Hospice patient.
If you could talk to your mom 10, 15, 20 years ago what would she tell you to do in this case? Some people are of the "do everything you can to prolong my life" others are "if I have no quality of life just let me go"
Let these decisions be made with your HEAD not your HEART.
🙏
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erzoolie Jan 2, 2026
This is one where my mother and I would differ quite a bit. I'm not invested into Herculean life saving interventions for myself ... I never want to live my life to find myself at that juncture with "I need more time!" in my head or heart. My mother sees things far, far differently, though ... right or wrong ...

My brother is a biology and physiology professor at college. Which seems to be a pedestal of his decision making at the moment ... although I would argue his heart is plaguing his head right now ...
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My dear sister in law was intubated with covid back in 2020, even though her breathing was fine. When the doctors extubated her a few weeks later, she passed away a day later w/o ever regaining true consciousness. She was thought to have had a heart event during the intubation process, at least that's what we were told. She was 66 yrs old. We had to say goodbye to her over the phone, held up to her unresponsive ear. That was a day of great anguish for us. The hospital killed her, imo.

Your mom will either wake up and regain her faculties after she's extubated or she won't. To me, that's allowing nature to take its course w/o further medical interventions which created this chaos in the first place. Exactly HOW MANY procedures is an 86 year old body supposed to tolerate before it gives up? How many disease processes? If this were my mother, I'd have her extubated and bring hospice on board to keep her comfortable. No LTACH, no more procedures, no more tubes and needles.....just allow the poor woman's body and mind to decide if it's going to heal or shut down. Either God is ready for her or He's not. You won't know until you stop allowing medical science to intervene.

Best of luck with a difficult situation.
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erzoolie Jan 2, 2026
lealonnie1 ... I am so, so sorry for what you went through. How agonizing. I don't have that kind of relationship with my sister in law ... quite the opposite. While the ending was tragic, she was lucky to have your love and advocacy for her.

And, you aren't kidding, about the amount of interventions ... her medication list alone would weaken the knees of most of us. She is currently supported by double femoral bypass, an internal pacemaker/defibrillator, five arterial stents, a tracheostomy, IV fluids and medications, and a feeding tube. It's practically an M. Night Shyamalan movie at this point.

What I grapple with most is ... is she in pain. Is she afraid. These thoughts plague me constantly, and keep me up at night.

I am an avid rescuer of senior dogs ... and silly as it sounds, I would never put a dog through what my mother is enduring. This, too, plagues me ...
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People over 80 often have extreme reactions to anesthesia and many don't fully recover, especially cognitively. I'm surprised they didn't talk to you and your mom about these risks before all of the interventions, but this is the medical establishment more than anything. Considering all of her problems, and the problems created by extended time sedated and not moving in bed, it will be very, very difficult to ever get her back to baseline. Lots of uncomfortable PT to start, but she would have to want to do the work and endure the discomfort. I would also recommend consulting hospice, give supportive, comfort care only, and see if she improves. You can always discontinue hospice if she has a sudden turnaround, but I think that is unlikely. I'm so sorry. It's hard but the body can only take so much at that age.
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erzoolie Jan 2, 2026
I am so glad to have this perspective, as I've wondered this myself. She's had anesthesia from multiple procedures over the last month, the toxic drugs administered when someone goes into a code, and also numerous sedatives on a drip ... this cannot possibly occur without consequences. I've wondered this myself, but ... none of the healthcare folks have even brought this up ... I am thankful for you doing that, as its motivated me to be more intentional to inquire about this very aspect!
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I would go hospice and NO CODE (DNR). It seems to me that she has been through enough with a sliver of a chance for improvement. Just my feeling after having dealt with elderly family members and being a health care professional. I think that many times they put people through too much at end of life. Sometimes stopping treatment is an expression of love and kindness. In the early 80's when I started in health care, I was part of a code team and would be required to do chest compressions on elderly pts with cardiac arrest. I will never forget the feeling and sounds of their ribs breaking. I also remember the EMTs performing CPR on my very osteoporotic 97 year old mother in law. I'm sure her ribs just crumbled. We had a DNR order, but it was at the doctor's office and they wouldn't believe us. Please keep a copy on the premises. She died at home and they told us we should have had signs on the wall. We were there to watch the whole disaster unfold.
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Suzy23 Jan 2, 2026
”Sometimes stopping treatment is an expression of love and kindness.”

I fully agree and very much appreciate this. Thank you.
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Mom seems to have so many things wrong with her that it's going to be like whack-a-mole - you fix one problem and another immediately pops up.

I don't know how things are likely to go for her medically after this. I'm not a medical person. What I do know is that if it were my mom, I'd stop putting her through this and that and everything to keep her alive. I'd opt for hospice and let her go in peace. Listen to her medical team and ask them the questions that you're asking us. They are best qualified to advise you.

I'm very sorry you're going through this.
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erzoolie Jan 2, 2026
Whack-a-mole indeed! That's a perfect metaphor. She has an array of specialists ... and at times it has been confusing what her basis in the ICU is ... is she a cardiac patient? A pulmonology patient? A neurology patient? Those lines tend to blur after this much time in an ICU ...

Thanks to all of you, I've accumulated a set of questions I can be more intentional (and empowered/brave) to ask. Forever grateful ...
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