Observations

H’s mother is dying. She has been on oxygen for a long time because she damaged her lungs by smoking, just like my mother. After her last hospitalization, she was discharged on high concentration oxygen and she fell through a crack – really a canyon in the system. Nobody followed up to adjust the oxygen, and sustained use of that high a concentration caused carbon dioxide to build up in her blood and it wasn’t until she began having periods of altered mental status and wound up back in the hospital that they realized what was happening. By then enough damage had been done that she could not recover. H. has been getting increasingly frantic as her mother became less able to answer the phone. “Who am I going to text at 3am?” she kept asking. Monday afternoon, I was on hold with social security and could not answer when she called, so she texted me. “It’s time for hospice,” and a crying emoji. “Her body is just done at this point.” She desperately started searching for ...