My 98 year old WWII vet uncle cannot swallow due to car accident. Otherwise he is fine. He uses his tablet, sings, recites poetry, and tells stories from his life. He still gets out of bed (with assistance because he is weak from no food) to use the restroom. He cannot swallow. The doctor has not mentioned any physical damage to his throat, but tests indicate that he partially aspirated the test fluid when he attempted to swallow. Before the accident he was driving (though he should not have been), self sufficient, and pretty much doing whatever he wanted. He has not been able to swallow and has not had anything to eat for over two weeks. Why won't his doctor give him a feeding tube? He has gotten IV fluids and glucose. They say that they would have to sedate him to place the feeding tube and feel that he might not survive this. My uncle has stated that he had rather die trying to do something that will help him live than starve to death. The doctor recommends hospice with no IV fluids. I just do not get it!
One way or the other, that should explain a lot. Either the doctor will accede to your uncle's request; or it will become clear to you why it is impossible (or strongly inadvisable) for this to be done.
My own Dad passed away from aspiration pneumonia, which means any food or water would go into his lungs. Poor Dad was coughing all the time and he would become very exhausted from that.
My Dad was also in his 90's and Dad said it was time for him to go. So I respected his decision, as tough as it was. Dad had a Living Will that spelled out his last wishes. Plus Dad just couldn't picture himself never eating his favorite mashed potatoes and gravy.
I'd ask (assertively, if need be) for a second opinion.
Let's hope tomorrow's test results are helpful.
Another doctor may have a different outlook and be able to perform the procedure with a clear conscience, especially as it is your father's strong wish.
I think consulting another doctor is the next step.
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