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

Intensive Care (ICU) | Last Active: Sep 16 7:52pm | Replies (609)

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@polly08

Hi Muriel, than you so much for taking time from your day to reach out to me. I guess the most important thing I have to ask you, was there one important thing that stands out that was the greatest help to you? I am focusing right now on nutrition, relaxing and exercise and plenty of rest. We are talking through the month he spent in the hospital and I’m reliving the days we spent there, at first I didn’t want to go back to that time. It was like walking through my personal horror movie. He finally got through to me his need to understand what happened to him, for him he woke up in a Critical Pulmonary care Hospital with a trach in his throat, not able to move or speak. I have my doubts still if I’m doing the right thing. I guess I’m asking if you had this need to understand what happened to you? Thank you for any advice or insight you can share with me.

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Replies to "Hi Muriel, than you so much for taking time from your day to reach out to..."

Polly, In 2009, I spent 5 days in ICU with sepsis, dehydration, acute kidney failure, and endstage liver disease, I was in and out of awareness. I was sometimes halfway aware of my surroundings, or activities around me (only if I was moved, or a sudden noise). I have a partial recollection of the people and of the procedures. But I had no context of time.
I as flown to Mayo Clinic and I have a vague recollection of being flown there. I spent 2 more weeks in hospital and for the first few days, I continued to be in and out of awareness.
Several weeks later, I asked my husband, who was with me the entire time, to explain to me what had occurred, I was shocked. So much had occurred that I didn’t even realize. I cried as I learnd how much worry I had caused for my family, and he cried as he told me about it. It was very painful for him to relive it. I kept asking over and over to get the details straight in my mind, because my memory seemed all jumbled and I kept forgetting what he told me. I still have questions like, "When did I get the feeding tube?" We don't now, but it was there when I got to Mayo.
As time passes it will get easier to accept. It is not as big of a concern to me, anymore. The pain has eased, I don't cry when I talk about it, memory gaps are filling in with other things. I also found some peace of mind by reviewing the medical records that wre postd on patient portal.
I know that this must hard for you to explain over and over. You could try writing down some things that happened so that he can see it in writing, that might be helpful. Jot down things ,anything as it comes to mind thoughout, ie - the various doctors, the nurse with the big red glasses, the colors of the room, the view outside the window.....

@polly08
Hi, Polly,
I am sorry that I did not respond yesterday, as I had planned. I am glad that I can do so today. 🙂

Because all of my body was affected by severe septic shock, there was a combination of factors that were of great help to me. For example, my nutrition was prescribed and monitored according to blood tests and other indicators while I was at Mayo.

To answer your question about the most important part of my recovery, I would say it was physical therapy, which was started immediately at Mayo and continued for the six weeks that I was there; plus for the month that I was at the nursing home; and during the six weeks that I received home-healthcare. I indicate physical therapy as significant because it not only made it possible for me to use my body, but also it raised my self-esteem and gave me hope. I eventually regained my physical independence.

At Mayo and the nursing home, I learned to how to turn in bed, to get out of bed, and eventually to walk with assistance. I found that the physical therapy offered by home-health care was the least helpful because it was based on the low expectations of the therapist. More helpful at home was having my husband set physical goals with me. Prior to severe septic shock, I could walk many miles at a time and hike partway up mountains.

My husband plotted a walking track for me in front of the house and identified the number of laps I would need to take in order to walk a mile. I started with the ability to walk one lap, with my husband at my side, but without assisting me. Over a length of time I eventually was able to walk a mile.

Today, almost three years later, I can walk without tiring. However, I will no longer hike partway up mountains. I can regain the physical ability to do so, but I cannot gain the energy. I tire more easily than I did before severe septic shock. In part this is because a year later I had a second surgery and again suffered septic shock. My heart was affected adversely. Even so, I am very well. I have regained my enjoyment of life and my sense of humor. I feel free. I am deeply thankful.

In response to the concern about telling your husband the details of the trauma, and your experience of reliving the suffering, I say this. I definitely needed to know the details of what happened to me. My husband, and our sons, waited to tell me until I asked questions. And, they did not tell me more than I asked to know. They let me take the lead because they did not want to overwhelm me. Each day I was dealing with so much in the moment that I could not handle knowing too much about the past. And today, I likely do not know all of the details.

Another major contributor to my recovery was the fact that I weekly saw a psychologist. Post Intensive Care Syndrome (PICS) affects a person in ways that can be shared with and understood by a professional counselor. If you are interested in having me share more about this, I will. Because my response to you is lengthy, I best not share more today!

I am confident that the compassionate care you provide to your husband is and will continue to be of assistance. A great length of time is required for recovery. May he and you be encouraged by knowing that others have plodded along in recovery and have reached new horizons. I am hopeful that his recovery will continue not only in obvious, but also in hidden ways. May each of you be able to get added rest.

Muriel
@muriel66