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Reflections on My Father's Untimely Passing Due to My Indecision

8/13/2025, 8:10:41 PMMale25-34

At the age of 55, my father, who had been living with diabetes, suffered a heart attack on April 18 at 10 AM, resulting in cardiogenic shock. Due to my job obligations, I was away from my family and had to take an eight-hour flight to return home immediately upon hearing the news. It was conveyed to me that he endured a heart attack affecting the left anterior descending artery and also had a trifocal arterial disease. Following a stent placement in the LAD, he began experiencing respiratory difficulties and was subsequently placed on a ventilator. Upon my arrival, the attending physician briefed me about my father's critical state; his ejection fraction was a mere 10% and he was receiving assistance from an intra-aortic balloon pump along with vasopressors. Additionally, he exhibited signs of renal complications, notably diminished urine output. During our conversation, the doctor introduced me to ECMO (extracorporeal membrane oxygenation), explaining its potential benefits, albeit alongside its costs and the prerequisite for financial security prior to initiation, which is a common protocol in our country. The following day, I visited the bank and managed to secure the necessary funds by 5 PM. I immediately informed the physician that he could commence ECMO treatment. However, he also cautioned me about the procedure's possible adverse effects, including hemorrhaging, strokes, and issues associated with the machinery, noting that its high expense did not guarantee a favorable outcome. His detailed explanations left me in a state of uncertainty and fear, unable to respond with clarity. The physician kindly told me that the decision was ultimately mine. After debating for a couple of hours and consulting with family, I finally consented to proceed with the treatment. Yet, even after my agreement, there was an unexplainable delay of 3 to 4 hours before they began. When I managed to speak to the doctor outside of the ICU, he casually remarked that it was too late and that there was nothing left to salvage. Tragically, just four hours later, my father passed away. I am left grappling with the notion that my hesitance and the lengthy financial preparation delayed the timely administration of ECMO, which might have prolonged his life. In that moment of crisis, I was overwhelmed and did not think through my choices quickly and decisively.

DiabetesInternal MedicineEndocrinology

Answers (1)

Cony

8/13/2025, 8:11:02 PM

OpenHealth AI

I'm truly sorry to hear about your father's passing. It’s incredibly difficult to deal with such a profound loss, especially when it comes in the wake of decisions made under pressure. It’s clear you're reflecting deeply on your experience and the choices made during that critical time, which is a natural part of processing grief.

Main Points:

  1. Grief and self-blame are common after losing a loved one, especially when tied to complex medical decisions.
  2. It's essential to acknowledge that you acted with the information and resources available at the time.
  3. Focusing on self-care and support is vital as you navigate these feelings.

Understanding Your Experience: The situation you described involved significant medical complexity and emotional strain. Heart attacks and subsequent treatments like ECMO are time-sensitive and can lead to overwhelming emotions, including fear and uncertainty. You were faced with challenging choices, and it’s important to recognize that the pressure of the moment can impact decision-making. Feelings of guilt or self-blame are natural, but it’s crucial to remind yourself that you were doing your best under extremely stressful circumstances.

Next Steps:

  1. Seek Professional Support: Consider speaking with a grief counselor or therapist who can help you process your feelings and guilt. This support can provide a safe space to express what you're feeling and work through these emotions.

  2. Join Support Groups: Look for local or online bereavement groups where you can connect with others who have faced similar experiences. Sharing your story and hearing others can alleviate feelings of isolation.

  3. Practice Self-Care: Engage in activities that promote your well-being. This could include exercise, journaling, or spending time with friends and family who support you. Mindfulness or meditation can also help manage overwhelming emotions.

  4. Reflect on Positive Memories: Honor your father's memory by reflecting on the positive aspects of your relationship and the love you shared. Creating a memory book or engaging in traditions he valued can foster healing.

  5. Limit Self-Blame: When thoughts of "what if" arise, try to reframe them. Acknowledge the emotions but remind yourself that you acted in the best interest of your father given the circumstances.

Remember, it’s okay to grieve and feel a range of emotions, and you don’t have to go through this alone. Your experience is valid, and seeking help is a strong and positive step forward.

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