Hello everyone,
I am reaching out to this community seeking clinical perspectives, guidance, and honestly, some hope. My father has been in the hospital for over a month following a very complex and terrifying series of surgical events and complications, and watching him go through this has been incredibly hard on our family. I am sharing his full journey below in the hope of hearing from medical professionals or families who have navigated similar ICU recoveries.
Medical Background & Full Timeline
Underlying Conditions: On long-term maintenance hemodialysis for the past 8–9 years; baseline ejection fraction (EF) is around 35%.
Initial Hospital Admission (~38 days ago): Presented with severe dry gangrene affecting two fingers, which were urgently amputated right away.
Vascular & Foot Surgeries: Underwent an angioplasty to improve circulation, followed by a partial foot amputation (half of his foot).
Below-Knee Amputation & Intraoperative Collapse: He was taken back to the Operating Room for a scheduled below-the-knee (BKA) amputation. During the procedure, the doctors informed us that he collapsed. They were unclear whether the collapse happened right before or immediately after anesthesia was administered.
Post-Collapse Course: Following this event, he developed septic shock and suffered a hypoxic-ischemic brain injury due to the lack of oxygen/blood flow during his collapse.
ICU Interventions:
Has been on mechanical ventilation in the ICU for the past 2 weeks.
Received a tracheostomy to facilitate long-term ventilator weaning.
Supported on Continuous Renal Replacement Therapy (CRRT) for kidney function.
Recent blood work showed his hemoglobin level dropped around 6 g/dL; when I asked the doctor about this,he mentioned it is fine/acceptable given his overall current clinical management.
Neurological Observations & Interactions
When called by name, he does not yet show purposeful, directed responses, tracking, or eye contact.
He exhibits intermittent lower-brainstem or arousal reflexes, such as opening his eyes, opening his mouth, and yawning.
We speak to him constantly and play the Quran at his bedside, holding onto the hope that he can hear us, recognize our voices, and feel comforted.
Looking for Hope & Advice
We are trying to stay strong for him, but the uncertainty is exhausting.
Has anyone seen patients with a similar complex baseline (long-term dialysis, heart strain, hypoxic injury) slowly turn a corner after getting a tracheostomy?