Please excuse the format. It is iPad, not keyboard writing.
About forty minutes ago I felt the tingling of the presence of Spirit. It felt just like when Spirit would arrive for psychic development circle. The meetings would being at seven, and I could feel 'electricity' arrive a little early. Not everyone could feel it, but at nine when Spirit (angels, guides, deceased loved ones) left everybody noticed that.
Earlier I had seen an angel standing just to the left of the bathroom in nana's room. He waved, and I waved back in Spirit. I then could see Nana's guardian angel close to her head, embracing her and working to help her.
Now I saw the white tunnel opening up with nana starting to go in it. She looked about fifty, and gestured forme to come with her. She was excited. I held her left hand and we walked.
Common sense overcame me. I stopped and whispered, do you know what it is we are going to do? Her answer made me realize she didn't . But I kept walking together toward the light.
Jesus came, and started talking to her. She was very excited! He took her right hand and invited me to walk too. She practically ignored me, but it was a happy thing for her to talk with Jesus. She told him everything she did that she thought had earned her a place in Heaven. He smiled politely and listened but He already knew.
We walked ahead, and my grandfather nannu Filippo was with Blessed Mother, were waiting for us.
Jesus paused and explained to her why He was there. I took off my appearance and showed my true form. I glowed. (I don't know what it is, but I do know that I glow.) She was shocked. I changed back, and she was like, 'is this you?' I changed to light, and back again. Then I fell to my knees in appreciation of her kindness to me in this life.
Jesus said it was because she had taken good care of me on Earth that He came. (He doesn't always do this, and this was the first I'd ever seen him for a spirit going to the Light).
She turned to me and said she'd come back any time, and watch me. We all understood. She turned to go with Nannu. I smiled and said I would be strong through my tears. As they turned to go, I ran and cried, Nana! I hugged her her neck tight and pressed my face next to hers. I gave her a lei flowers and one the same to nannu.
And they left.
Blessed Mother told me she was 'gone', but 'her body had to take some time to catch up'.
She also told me to remember to tell Nana I appreciate her every day.
I looked at Nana, breathing peacefully, and wanted to make sure I remember all of this. I kept listening with my anesthesiologists' ear for her breathing, and in the folding chair next to the bed where I have been spending the time, took out my iPad to write.
I am a fast typist (I won the trophy for best in the school in the ninth grade)....by the time I got to the paragraph about them getting ready to 'go' and the 'lei'...
...'And she passed right next to me right now, right as I wrote most of it.'
____________________________________________
Aloha and Mahalos,
Namaste,
Reiki Doc
P.S. Death is a beautiful process. I discovered so much about both of us--I stroked her hair, I wet her mouth with the swabs and suctioned, I sang to her, I held her hand, I sponged her with water to cool the fever, I rubbed beautiful organic pumpkin-scented moisture lotion on her arms and legs and face, gently. Most special of all was when I took my vial of Ito's High Vibration Oil I wear around my neck with an angel wing holder on a black cord...and placed one drop on Nana's third eye.
I also placed one drop on the inside of my left wrist. There was an intention I thought to myself, one that goes into every one of his oils, 'to help let things go'. I thought, 'Here nana, this is going to help you let go and make it easier.' There was a profound Peace that entered the room, and we both relaxed. Then as I sat, the tunnel came open and nana was ready to go...
A physician who is intuitive and a Reiki Master/Teacher discusses healing from 'the front lines' of the mind-body connection in the hospital setting.
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Showing posts with label the dying process. Show all posts
Showing posts with label the dying process. Show all posts
Monday, November 18, 2013
Sunday, November 17, 2013
End Of Life Decisions: What You Need To Know
This is me with Nana Angelina.
Things are a little 'sketchy' with insurance and long-term care facilities at the end of life.
I wish to shine Light on the situation to educate you.
In The Old Country:
- the elderly lived at the home of their children.
- people accepted them but neither paid too much or too little attention to them.
- they were part of the family.
- neighbors took care of those without family.
- at some point they would stop eating.
- dehydration set in.
- kidneys failed.
- in four days death was inevitable.
- the body was prepared by the women of the village.
- it lay in state in the living room and guests paid their respects.
- there was a funeral and a get-together afterward.
In The Hospital When I Was A Medical Student:
- The disease was considered incurable and end-stage.
- A durable power of attorney (medical decision maker, sometime patient themselves) was consulted about 'ending the suffering'.
- Decision was made to put patient on a morphine drip (comfort measures) and keep patient DNR (do not resuscitate).
- Nurse sets the iv up and keeps dialing it up every two hours.
- About eight hours later, the patient is apneic (stops breathing).
- Family is notified (many times they are not present).
- Body is sent to morgue and death summary note is dictated. All forms are completed.
With My Father Four Years Ago (He was a member of a Big Box Hospital Organization):
- Pulmonary Fibrosis is diagnosed (this is terminal condition, only 'cure' is lung transplant, he is not eligible due to age).
- Patient is 'optimized' with pulmonologist as long as possible, and treated for any infections.
- Disease is 'advanced' and patient is put on 'Palliative Care' (it is not exactly Hospice--aggressive care and hospitalization is still sometimes an option--which is done 'in home'. I read the booklets and found 'Palliative Care' to be a very murky subject which is highly based on the definition of the primary health care provider--which might be different from another provider's interpretation).
- A reader who is a hospice RN defines 'Hospice' as 'withdrawal from aggressive care.
- Cost may enter into this decision-making process, just as with the family they are asked 'do you want to do heroics?', the business entity providing the care must decide the cost-to-benefit ratio of further intervention for the disease.
- To my experience in ICU, there is a point where the outcome is clearly evident to all except perhaps the family, who wish 'to have everything done'. We honor this, although there are times there is a 'slow code' done in name only, as the disease is overwhelming and end-stage. (If a critical care specialist says it is time for DNR, they are basing this judgement on medical knowledge only, and not finances.)
- Once on Palliative Care, a patient is offered experimental drugs (this accelerated his decline).
- Weekly visits by chaplain begin at the home.
- All medicines are sent to the house, including oxygen.
- Weekly nurse visits instead of trips to the doctor start.
- At 'sudden decompensation' on-call hospice nurse comes and remains at bedside giving sublingual doses of concentrated narcotics and drying agents and anti-anxiety meds until patient passes.
- Body is left at home as long as family wishes until one or two days (I forget) then mortuary comes for the body.
- embalming if desired.
- funeral if embalmed, family viewing only if not embalmed.
- burial.
Death In The O.R.:
- Family and patient are informed of the risks before surgery by all members of care team--internist, surgeon, anesthesia, before going to surgery if risk is high.
- Often family and patient 'want their chance' at miracle 'save'.
- Sometimes quality of life is so bad patient has no other option (end-stage disease).
- Patient has 'event' and code blue is run by the O.R. team.
- Anesthesia is the one who says, 'Start chest compressions' and announces the code. If patient is prone a gurney is brought in and we flip them on their back. A big plastic dressing covers the wound before turning.
- ACLS protocol is followed to the letter, unless Power Of Attorney says, 'no this or no that'.
- The code is called, usually by joint decision by surgeon and anesthesiologist.*
- All lines are left in place and the coroner is called.
- Coroner always asks to speak to me if there was 'anything unusual'.
- Coroner decides whether to come in or not. They usually do. (my heart surgeon pulled out the breathing tube always for the family before the coroner came)
- Surgeon talks to family. I make it a point to be present.
- Body is take to part of hospital where family can view and say first 'goodbyes'.
- Body is taken to morgue and then to the mortuary when they arrive.
- There is a big plastic body bag that zips up. (one Trauma Tech in the ER, when they heard the call about the accident due to arrive, would sometimes put that on the gurney first to save a step. The back-board would roll over it like it would a sheet.)
- All the forms are filled out by the surgeons.
- Anesthesia is expected to go back to work on the next case immediately after all charting is documented. No time is given to process the event. I typically call the hospital chaplain for a brief consolation for about five minutes max, just for my mental health.
- * -- I see the spirit of the patient in the room during the code blue and mentally communicate with it.
With Nana 2013:
- Durable power of attorney is called to a meeting to discuss end of life care with social worker--family is welcome.
- hospice is offered early with promise 'she will have her own nurse!'
- Family declines due to satisfaction with current level of care and 'gut feeling about it'.
- Family learns medicare pays one-hundred percent for hospice, both to hospice organization and facility. (hospice utilization has increased over two hundred percent in last few years in CA).
- By my assessment, what is keeping Nana alive is the LVN who feeds her. She mixes ice cream milk, and nutrition shake together because she knows 'Nana likes sweets'. She is patient and reminds Nana several times each mouthful to swallow in a loud voice.
- What is also keeping Nana alive is the excellent nursing care that keeps her skin healthy--no bedsores.
- Mother does not like the roommate Nana has had for a year. She arranges a room transfer.
- Nurse that feeds Nana does not work on this side of the facility--it's a whole different nursing station.
- Nana 'stops eating' on Friday.
- The physician says, 'Stop feeding her she aspirates'.
- Mother signs a form that says, 'comfort measures but antibiotics and i.v. fluids' on Friday.
- Nana gets i.v. fluids for one day.
- The next day, with me, no fluids are given.
- Nana says she is hungry.
- She can't open her mouth to eat. She milkshake concoction just sits in her mouth. She only swallows once or twice, and takes in about half a small cup.
- She spikes a temperature, gets tachypneic (fast shallow breathing), and starts getting puffy (signs of renal failure)
- Hospice nurse assesses her and says, 'she does not look good'.
- In facility Hospice = one nurse a week with daily visits to 'check progress', facility nurses giving 'comfort medicines--same as dad--' every two hours, weekends get 'on call nurse'.
- In case of 'fast decline', on call nurse comes in but does NOT remain at bedside.
- There is discussion of 'cost sharing' that is $1800 a month to the family. (I call my sister who is in charge of financials)
- After family signs consent to Hospice (no iv fluids or antibiotics--they like them 'dry' for a more comfortable death process) there is a four hour delay until first medication is given.
At first try to CONVINCE them.
If that does not work, then try to CONFUSE them.
If that does not work, then CON them.
(an old Marketing aphorism)
My maid of honor at my first wedding was a Harvard Business School MBA. She said there are classes where they teach you how to manipulate people to do what is desired by management. Both for employees and for customers.
Guess who is running the show in Healthcare?
It ain't Obama!
LOL.
I hope you see the truth in end-of-life care, and make the most of this wonderful gift to each other in the time there is left with your loved one.
Aloha and Mahalos,
Namaste,
Reiki Doc
P.S. if it is any comfort to you, here is a description of what happens in the body as it dies: http://reikidoc.blogspot.com/2012/07/energetic-look-at-death-what-you-need.html
This is Nana Angelina's favorite opera--I grew up listening to opera at her house
(Pagliacchi is the Italian word for 'clown'. )
Monday, July 9, 2012
An Energetic Look at The Dying Process
Last night I helped a mouse die. (It was a feeder mouse that had been boarding with three other mice for six weeks since the snake has not wanted to eat.)
I saw it with its head over the edge of the shelf in the cage, eyes not seeing, with agonal respirations. Agonal breathing is the gasping breaths of the dying process. There is a characteristic head bob at the end of the inspiratory phase with each breath. I have seen intubated Trauma patients do this in the OR. It is not good.
I called my son to take a look at it and learn. He had no interest. The other mice were running on the wheel, oblivious to the plight of the one that was near death. I did not want for it to die alone. And I wanted to let it die in peace.
It took a header off the shelf and scurried to the corner of the cage farthest from the wheel. Since I had to clean the cage any way, I opened the lid in a larger container, scooted out the healthy ones, and gently placed the dying one in an old strawberry carton filled with lots of soft toilet paper.
As I worked on the cage, I would jiggle the box a bit, to see if it was dead. There were reflexes, startle ones. And in about twenty minutes, it was gone. I still am not sure if it was a girl or a boy. But I wrapped it in leaves and flowers, and buried it in the garden under a stepping stone.
I have seen death countless times. The way I see it, the one thing you can count on, is the fact that if you were born, you will die. I have lived my life trying to be ready every day, just in case, not going to bed without peace after an argument, etc. etc.
How about you? Are you afraid of death? What I want is for you to understand what happens in death, enough for you to be knowledgeable about it with your loved ones.
Death is a process in which your vital organs progressively shut down, and cease to function. In the OR, a progressive acidosis (a lowering of pH of the blood and tissues) is a grave sign. What happens is that all of the enzymes that catalyze biological function only work within a narrow range of acid-base balance in the body. The more severe the acidosis, the less compatible that pH is with life.
The myocardium gets irritable and gets extra beats. As the heart dies, the QRS complexes widen on the EKG. The rate slows, and it too becomes agonal. Then there is a time of ventricular fibrillation (the heart is like a bag of worms), and then it goes electrically silent.
What I know, that other people in the hospital don't, is that the chakras slow to a stop, and then they disappear. That is right, there are no chakras in a corpse. The column of Light through the top of the head connecting to Source is gone. So is the body heat.
It feels like a jumping out when a patient passes in my presence. Next thing I know, they are outside, looking healthy, and excited to be talking to me. They are kind of translucent, but want my attention! And are right next to the corpse. Ninety-nine times out of a hundred they are very pleased with themselves for having made it through the dying process intact. All communication is telepathic, but I see them like I did in life.
It is said that during the dying process, the soul goes back and forth between both worlds. My father started having dreams about his parents the days leading up to his death. They were peaceful dreams, and he was happy to finally be having some psychic experiences himself. But mother knew that those dreams were portents of death. I felt him going back and forth between his body and The Other Side, and could talk to him in both places telepathically. It wasn't until mother said he could let go that he left.
(I saw the whole thing, and Heaven's Gate, and I wrote a blog about it some time ago.)
The departed stick around for a few days, usually for the funeral. And then they go on to Other Work. Everyone has a job to do in Heaven! It is not lying around on a bunch of clouds. The work is actually harder there, because there are no nights and weekends off. Only two week's vacation a year. My grandfather usually comes to visit with us, and stay around. His job keeps him all over the globe, in a diplomatic function.
Some people say that we go where they are when we sleep. That our astral bodies travel.
I like to think of it like the White Swan and the Black Swan in the Ballet, Swan Lake. Humans by day, and swans by night. Which is the true reality?
The Toltecs say our waking awareness is The Ilusion. And that our True Selves are something far different from this.
If someone you know is dying, take the time to be at their side. No one should have to die alone. No one should have to suffer shortness of breath at the end (morphine or dilaudid is given to control that).
It is the highest gift that one can give in a relationship.
Namaste,
Reiki Doc
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