Post-Intensive Care Syndrome (PICS) - Let's talk

Have you heard of Post-Intensive Care Syndrome? Sometimes it's called post ICU syndrome or PICS. PICS is defined as new or worse health problems after critical illness. These problems can affect your mind, body, thoughts, and/or feelings.

On Connect we would like to bring together people who have been affected by critical illness, and hopefully lighten the burden you bear. Patients and family members welcome.

Grab a cup of tea, or beverage of your choice, and let's chat. Why not start by introducing yourself?

Interested in more discussions like this? Go to the Intensive Care (ICU) Support Group.

Hi all,
It's been a while since a message was posted to this discussion. I thought I'd pop in and see who you are all doing. The weather is finally getting warmer where I live. Although the cooler temperatures prolonged the spring flowers for which I was grateful. What has made you grateful lately?

REPLY

I'm having a desperate time of it right now. Well, actually all the time, not just right now. I was in the ICU in 2014, on a respirator for eight days, I think. I had vivid hallucinations while I was on it. When I was coming out from under the anesthesia, my brother wasn't there that day and I believed for over 24 hours of terrified semi-wakefulness that I was being held prisoner somewhere. I make jokes about it now, but it was no joke then.

When I started recovering, I couldn't walk. I'm right handed, and my right hand wouldn't function. I lost so much muscle, my thigh looked like it had a cute little waist.

I couldn't remember the date, or even the year, for several days while I was recovering.

What's causing the desperation now is the shape my brain is in. I've had significant memory loss. I had neuropsychological testing done twice, in 2015 and just this spring in 2017. Both tests showed mild cognitive impairment. I am working part-time, and the only reason I can do that job is because it's twelve hours a week and very flexible. The depression monster and its friend the anxiety monster are constant companions for me. My brain won't work for me anymore, but adding to the problem is that...

I
look
so
normal.

I know that I am disabled. I know that I ought to be on disability. But Iook so nicely normal, and I sound normal much of the time. I need help, and I know it. But getting help is almost impossible. I'm supposed to be seeing either a... what's it called? Occupational therapist. And a speech therapist too. But how am I supposed to do that when my insurance sent me a letter saying that all but one of the therapies was denied? I'm supposed to call them back and see if they were approved. Then I can maybe do something if they're not approved. But I can't remember to call them back most of the time. And even if I did, the mental fatigue is making me want to crawl back into bed, fall asleep, and just not wake up. No, I'm not suicidal; I mean literally, I don't want to wake up. I just want to sleep, where I don't have to deal with all this overwhelming stuff.

I need help with disability stuff, but since I look normal, or maybe because social workers don't have time for people who look normal on the outside, or something, nobody is offering to help me. I don't even know who to ask anymore.

Are there specialists somewhere to help people like this? My life has been pretty much ruined, and yet I'm supposed to just get myself together and get myself a full-time job so I won't be worrying about living on $600 per month or less.

I feel like I'm being pulled under. I have a very few friends, but they're not close enough to help. I share a house with my brother, but he has his own set of problems. (We come from a family with at least one depression monster, or one anxiety monster, or one PTSD monster, and often multiple monsters, which complicates anything that comes our way.)

Help?

REPLY
@spottedcat83

I'm having a desperate time of it right now. Well, actually all the time, not just right now. I was in the ICU in 2014, on a respirator for eight days, I think. I had vivid hallucinations while I was on it. When I was coming out from under the anesthesia, my brother wasn't there that day and I believed for over 24 hours of terrified semi-wakefulness that I was being held prisoner somewhere. I make jokes about it now, but it was no joke then.

When I started recovering, I couldn't walk. I'm right handed, and my right hand wouldn't function. I lost so much muscle, my thigh looked like it had a cute little waist.

I couldn't remember the date, or even the year, for several days while I was recovering.

What's causing the desperation now is the shape my brain is in. I've had significant memory loss. I had neuropsychological testing done twice, in 2015 and just this spring in 2017. Both tests showed mild cognitive impairment. I am working part-time, and the only reason I can do that job is because it's twelve hours a week and very flexible. The depression monster and its friend the anxiety monster are constant companions for me. My brain won't work for me anymore, but adding to the problem is that...

I
look
so
normal.

I know that I am disabled. I know that I ought to be on disability. But Iook so nicely normal, and I sound normal much of the time. I need help, and I know it. But getting help is almost impossible. I'm supposed to be seeing either a... what's it called? Occupational therapist. And a speech therapist too. But how am I supposed to do that when my insurance sent me a letter saying that all but one of the therapies was denied? I'm supposed to call them back and see if they were approved. Then I can maybe do something if they're not approved. But I can't remember to call them back most of the time. And even if I did, the mental fatigue is making me want to crawl back into bed, fall asleep, and just not wake up. No, I'm not suicidal; I mean literally, I don't want to wake up. I just want to sleep, where I don't have to deal with all this overwhelming stuff.

I need help with disability stuff, but since I look normal, or maybe because social workers don't have time for people who look normal on the outside, or something, nobody is offering to help me. I don't even know who to ask anymore.

Are there specialists somewhere to help people like this? My life has been pretty much ruined, and yet I'm supposed to just get myself together and get myself a full-time job so I won't be worrying about living on $600 per month or less.

I feel like I'm being pulled under. I have a very few friends, but they're not close enough to help. I share a house with my brother, but he has his own set of problems. (We come from a family with at least one depression monster, or one anxiety monster, or one PTSD monster, and often multiple monsters, which complicates anything that comes our way.)

Help?

Jump to this post

You are not alone. There are specialists who are part of a post icu and recovery clinics across the country who may be able to help.

You are correct you have experienced a trauma and you are both trying to process that experience, heal your self and recover your cognitive brain function. But the medical insurance system is not good at checking underneath the hood of a seemingly normal and healed body. Check out the thrive website and learn more.

By posting and sharing your story and asking for help you are doing the important work
Keep it up

REPLY

@spottedcat83 Hello and welcome to Mayo Connect. It sounds as if you have been through an incredible trauma and your frustration with your current situation is very understandable. You do not mention where you live, however, in Michigan we have Hope Network which is a Rehabilitation facility that specializes in neurocognitive rehab. This type of rehab would be very helpful to you. Perhaps you could use your computer and google the term, "neruocognitive rehab" in your locale and see what facilities might be available near you and then see if they can help you. If you are comfortable sharing more, let us know how you ended up in ICU. Was it the result of an accident or stroke? We look forward to getting to know you better. Teresa

REPLY

@spottedcat83 and @elhirsh, I would like to add my welcome to Teresa's- I think this will be a great place for you to connect with others who have also experienced something similar to what you have been through. In my experience, part of the "healing journey" is to keep sharing and connecting.

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@chattykathy

I would also like to mention that with all the weight loss after the transplant, I did not feel normal. Everyone told me the weight loss was great, but I lost too much too fast. I still had the "sick" look about me.

I was hurting in the right side when I got up and down but thought it was just the routine of healing and so on. This pain was pain from the bile duct. I underwent CT scan but nothing was found by local radiologist. So I continued on until my next checkup at Mayo and that is when bile duct problem was found.

Jump to this post

@contentandwell JK, Very practical approach to your situation! Teresa

REPLY
@spottedcat83

I'm having a desperate time of it right now. Well, actually all the time, not just right now. I was in the ICU in 2014, on a respirator for eight days, I think. I had vivid hallucinations while I was on it. When I was coming out from under the anesthesia, my brother wasn't there that day and I believed for over 24 hours of terrified semi-wakefulness that I was being held prisoner somewhere. I make jokes about it now, but it was no joke then.

When I started recovering, I couldn't walk. I'm right handed, and my right hand wouldn't function. I lost so much muscle, my thigh looked like it had a cute little waist.

I couldn't remember the date, or even the year, for several days while I was recovering.

What's causing the desperation now is the shape my brain is in. I've had significant memory loss. I had neuropsychological testing done twice, in 2015 and just this spring in 2017. Both tests showed mild cognitive impairment. I am working part-time, and the only reason I can do that job is because it's twelve hours a week and very flexible. The depression monster and its friend the anxiety monster are constant companions for me. My brain won't work for me anymore, but adding to the problem is that...

I
look
so
normal.

I know that I am disabled. I know that I ought to be on disability. But Iook so nicely normal, and I sound normal much of the time. I need help, and I know it. But getting help is almost impossible. I'm supposed to be seeing either a... what's it called? Occupational therapist. And a speech therapist too. But how am I supposed to do that when my insurance sent me a letter saying that all but one of the therapies was denied? I'm supposed to call them back and see if they were approved. Then I can maybe do something if they're not approved. But I can't remember to call them back most of the time. And even if I did, the mental fatigue is making me want to crawl back into bed, fall asleep, and just not wake up. No, I'm not suicidal; I mean literally, I don't want to wake up. I just want to sleep, where I don't have to deal with all this overwhelming stuff.

I need help with disability stuff, but since I look normal, or maybe because social workers don't have time for people who look normal on the outside, or something, nobody is offering to help me. I don't even know who to ask anymore.

Are there specialists somewhere to help people like this? My life has been pretty much ruined, and yet I'm supposed to just get myself together and get myself a full-time job so I won't be worrying about living on $600 per month or less.

I feel like I'm being pulled under. I have a very few friends, but they're not close enough to help. I share a house with my brother, but he has his own set of problems. (We come from a family with at least one depression monster, or one anxiety monster, or one PTSD monster, and often multiple monsters, which complicates anything that comes our way.)

Help?

Jump to this post

@spottedcat83, I am so happy you found this space that you can meet others who share such similar stories and feelings. I think one of the biggest emotional reliefs that many people find in forums like face to face or online support groups is that they are not alone in what they are experiencing. And you certainly are not! However, this doesn't do anything really to help the very real barriers that you are experiencing with your attempts to access and obtain real care for the problems you are facing. I wonder, have you reached out to your primary care provider about these issues? You might find it helpful to visit the following websites to learn more about Post Intensive Care Syndrome, and then bring this new knowledge with you to an appointment:
https://connect.mayoclinic.org/page/pics/
http://www.myicucare.org/Thrive/Pages/default.aspx
I also want to let you know about a face to face support group that we offer here in Rochester MN if you are local. We meet the third Monday of every month. Our next meeting is tomorrow from 2-3pm! Here is a link to more information about this group:
https://connect.mayoclinic.org/page/pics/tab/resource-81/

REPLY
@spottedcat83

I'm having a desperate time of it right now. Well, actually all the time, not just right now. I was in the ICU in 2014, on a respirator for eight days, I think. I had vivid hallucinations while I was on it. When I was coming out from under the anesthesia, my brother wasn't there that day and I believed for over 24 hours of terrified semi-wakefulness that I was being held prisoner somewhere. I make jokes about it now, but it was no joke then.

When I started recovering, I couldn't walk. I'm right handed, and my right hand wouldn't function. I lost so much muscle, my thigh looked like it had a cute little waist.

I couldn't remember the date, or even the year, for several days while I was recovering.

What's causing the desperation now is the shape my brain is in. I've had significant memory loss. I had neuropsychological testing done twice, in 2015 and just this spring in 2017. Both tests showed mild cognitive impairment. I am working part-time, and the only reason I can do that job is because it's twelve hours a week and very flexible. The depression monster and its friend the anxiety monster are constant companions for me. My brain won't work for me anymore, but adding to the problem is that...

I
look
so
normal.

I know that I am disabled. I know that I ought to be on disability. But Iook so nicely normal, and I sound normal much of the time. I need help, and I know it. But getting help is almost impossible. I'm supposed to be seeing either a... what's it called? Occupational therapist. And a speech therapist too. But how am I supposed to do that when my insurance sent me a letter saying that all but one of the therapies was denied? I'm supposed to call them back and see if they were approved. Then I can maybe do something if they're not approved. But I can't remember to call them back most of the time. And even if I did, the mental fatigue is making me want to crawl back into bed, fall asleep, and just not wake up. No, I'm not suicidal; I mean literally, I don't want to wake up. I just want to sleep, where I don't have to deal with all this overwhelming stuff.

I need help with disability stuff, but since I look normal, or maybe because social workers don't have time for people who look normal on the outside, or something, nobody is offering to help me. I don't even know who to ask anymore.

Are there specialists somewhere to help people like this? My life has been pretty much ruined, and yet I'm supposed to just get myself together and get myself a full-time job so I won't be worrying about living on $600 per month or less.

I feel like I'm being pulled under. I have a very few friends, but they're not close enough to help. I share a house with my brother, but he has his own set of problems. (We come from a family with at least one depression monster, or one anxiety monster, or one PTSD monster, and often multiple monsters, which complicates anything that comes our way.)

Help?

Jump to this post

Thank you! I live in the Seattle area, so I can't make it to your group, but maybe I can find something closer to home.

🙂

REPLY
@hopeful33250

@spottedcat83 Hello and welcome to Mayo Connect. It sounds as if you have been through an incredible trauma and your frustration with your current situation is very understandable. You do not mention where you live, however, in Michigan we have Hope Network which is a Rehabilitation facility that specializes in neurocognitive rehab. This type of rehab would be very helpful to you. Perhaps you could use your computer and google the term, "neruocognitive rehab" in your locale and see what facilities might be available near you and then see if they can help you. If you are comfortable sharing more, let us know how you ended up in ICU. Was it the result of an accident or stroke? We look forward to getting to know you better. Teresa

Jump to this post

I will try to find neurocognitive rehab. I live in the Seattle area. None of the medical people I've seen have known anything about Post Intensive Care Syndrome, though the neuropsychologist was very helpful and knew I was in distress.

REPLY
@jamienolson

@spottedcat83 and @elhirsh, I would like to add my welcome to Teresa's- I think this will be a great place for you to connect with others who have also experienced something similar to what you have been through. In my experience, part of the "healing journey" is to keep sharing and connecting.

Jump to this post

Thank you!

REPLY
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