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Mama went home Tuesday, September 4th
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(*** This is a long post so please bear with me)
After consulting
with Mama’s primary care physician and infection control specialist on Sunday
and Monday, Larry and I decided to ask them to discharge Mama on Tuesday. For
some reason, she was quite cranky on Sunday (Sept. 2) and even told some visitors
to please be quiet or leave so she can rest. She said “Puwede ba umalis na kayo para makatulog ako?” Maybe
because she was in pain earlier in the day and was finally started on Morphine
tablets. Previously, she was only taking Tramadol (Ultram). When Larry arrived
on Saturday night, she was still able to sit up on the chair and use the
bedside commode. However by Sunday, she stopped doing so. I don’t know that was
her way to finally giving in because we fulfilled her wish for us to be
together, or not. When the Morphine finally caught up with her on Monday, she slept
most of the day and said no to every treatment and food offered. Her doctor
ordered a nasogastric tube for feeding but she refused, even after Larry had
already bought the equipment.
Monday was a very
busy day for Larry as he had to check on Mama’s burial plot, memorial plan, and
mass services, among other things. I was so relieved that Larry was around
because he knew his way around Zamboanga. I was pretty much useless and
helpless in that regard so I just stayed in the hospital and let him do his
thing unencumbered.
By Monday night, upon learning of her possible
discharge the next day, Mama started taking fluids orally again, and by Tuesday
morning she bounced back, was in positive spirits, and started eating again.
She actually asked for arroz caldo (a rice soup with chicken and ginger) for
lunch and told me to get it from a restaurant across the street called A Taste
of Asia (ATOA). Well, I’ll be darned. I was looking for the same thing a couple
of days back because I felt I needed more fluids. We didn’t know where to find
it and opted for a different kind of soup instead. Larry and I should have
asked Mama first.
Tuesday was
discharge day. Larry took care of the hospital bill and gave me an exit pass to
show to the security guard on our way out. He then went back home to borrow the
Tupaz’s car to transport Mama back home. With all the personal belongings that
had accumulated in the hospital room, we were thankful for the presence of a
few Mother Butler friends of Mama who helped us carry them to the car. An
orderly came by the room with a wheelchair to move Mama to the parking lot.
When we got to the elevator, a potential disaster came up. I had lost the exit
pass! Thankfully, the orderly saw it on the elevator floor. I must have dropped
it in the frenzy. We then headed to the rear parking lot of the hospital where
Larry was waiting with the car. With remarkable strength and despite turning
his ankle earlier that day, Larry transferred Mama from the wheelchair to the
front passenger seat. We were on our way home and fulfilled another of Mama’s
wishes. When we got home, Caloy got a wheelchair and Mama was wheeled into her
apartment with Larry and I lifting the wheelchair from the front and behind,
the two steps up and into the door. Earlier in the day, Larry and Madie had
rearranged Mama’s room and moved the bed to the middle to accommodate an oxygen
tank and so that the caregiver and helper could more easily assist her. Not too
long after Mama had settled in bed, Larry had the unenviable task of telling
her that he had to leave that evening for Manila, but reassured her that he
would be back the following week. I was saddened to see him go later but I had
to be resolute for Mama’s sake. After all, Larry was just a phone call or text
message away if I needed his advice.
Early Tuesday
evening, Mama’s appetite continued and asked for Chow King noodle soup. Well,
the helper was new to the area and I didn’t know any better where to find the
nearest Chow King. Thankfully, Neneng, the caregiver came to the rescue. She
arrived for her shift and found a Chow King nearby. She fed Mama the noodles
that evening. That may have been the last time that Mama ate a solid meal
fairly well because on the days that followed she no longer had any cravings. She
subsisted mainly on small portions of Prosure which Larry brought from Manila.
I don’t know if
Mama ate too much solid food that day more than she can tolerate, because by
mid-evening she was complaining of severe abdominal pain. The doctor hadn’t
reordered the Tramadol and the Morphine wasn’t tamping down the pain. It was
difficult to see her suffering and probably due to the extreme pain, even
accused us of making fun of her. We had
to do something to help her. I asked Neneng what medications Mama had available
and we found Rivotril (Clonazepam or Klonopin in the U.S.) which is an anti
anxiety medication, but ordered by the doctor to help Mama sleep before her
hospitalization. I asked the caregiver to give it to Mama in addition to her
night dose of Morphine and we were relieved that it worked in taking the pain
away for the rest of the night.
I planned on seeing her doctor at the clinic
the next day to reorder the Tramadol so Mama could have round the clock
coverage for her pain medications. That was the least we could do for her. The
doctor did reorder the Tramadol but I had a difficult time finding it in a
couple of drugstores. The third one I went to only had a limited supply and it
was days later when I found more at another drugstore.
The doctor also said
that if the Morphine doesn’t work initially and Mama was still in pain before
the next dose of any pain medication, we could split a Morphine pill and give
it to her as a rescue or emergency dose. Oh boy did we need that rescue dose
later that day because Mama complained of extreme pain again mid-afternoon
Wednesday. We were about to give her the half pill rescue dose but couldn’t
find a pill splitter. The Morphine wasn’t even scored in the middle. Madie
resorted to using a regular kitchen knife to cut the pill in two and Mama promptly
received the half dose. We were hoping that the pain would finally go away but
it didn’t. Mama was still in agony. So much so that she asked for more
painkillers and said she would take responsibility for the consequences because
she didn’t want to die in pain. According to her “ako na ang bahala”. None of
us present at the time should be making decisions normally made by a physician
or give a medication other than how the doctor prescribed it. But Mama was
suffering too much, so with much reservation I asked the caregiver to give her
the other half of the pill, hoping it would not O’D her. That was a very tough
decision to make. I planned on seeing the doctor the next day again to ask for
a faster acting Morphine, perhaps in liquid form which would also help because
Mama was also starting to have difficulty swallowing. Thankfully the second half
pill worked and Mama’s pain was relieved for the rest of the day.
A short anecdote
before I continue. When I returned to Mama’s apartment after seeing the doctor,
she told me her PLDT (telephone) bill arrived and I should pay it at Union Bank
across the street. I saw the bill and noticed that there were several places
that you can submit payment. Mama insisted that I just cross the street to pay
the bill and even told me exactly how much it was. She was right, of course.
She may have been under the influence of painkillers but her memory was still
stunningly intact.
Still other things
happened that Wednesday but this post is too long already so I shall continue
some other time.
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