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help required please

S

sooty0464

Newbie
Messages
2
Type of diabetes
Type 1
hi my brother is currently in hospital recovering from a hyper coma admitted 05.09.17
he was in the coma for 8 days
during those 8 days he has had his big toe & next toe and part of his foot amputated due to sepsis gangrene to keep him alive
he has woken from his coma but still has issues:
his mental awareness has changed since the coma
he still has a tracheotomy in - which has also damaged his vocal cords & is affecting his gag reflex
his amputation site has not been treated other than dressings applied
he has to go to a different hospital for vascular work on the site
the vascular hospital will not take him until his tracheotomy is removed
since his admission there has been urgency to sort out his foot-now we are told that the injection has spread & he now has to have his leg amputated below the knee as a minimum to save his life
they also decided 10.10.17 that he was anemic so have given him 4 bags of blood

I also escalated the lack of treatment with the hospital 06.10.17

has anyone any suggestions of where I can find guidance relating to these issues please
so I can be for warned for the next hospital meeting

thanks
 
@sooty0464 - I'm so sorry to hear of your brother's plight. You are all going through a terrible time.

Good luck with the rest of his care.
 
You could also go to PALS, Patient Advice Liaison Service, they often can be quickest. There should be many adverts around the Hospital.
 
What exactly is the lack of treatment that you have escalated to the hospital on 6 October? It's not really clear from your post.

High blood sugars and dka can cause an adverse impact on mental awareness/cognition.

Damage to the nerves around the wind pipe, so the vocal cords and gag reflex, is a well recognised risk of tracheostomy, especially emergency tracheostomy, it doesn't necessarily mean the tracheostomy he had was done wrong.

What treatment do you think should have been given to the amputation site, other than applying dressings, bearing in mind he's not fit for vascular treatment while the tracheostomy is in situ?

Sometimes it is necessary to amputate to manage gangrene, sometimes even after initial amputation and all correct management it can be necessary to amputate further, especially with an established sepsis. The further amputation can just, unfortunately, be necessary, and not anything to do with a fault in care.

Severe anemia is treated with blood transfusion.

Have you had any discussions with his managing consultant so they can explain the treatment course to you, and your brother?

Wishing your brother a speedy recovery.
 
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