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  • The father of gangrene of the left lower limb

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    Elena asks:

    Tell me how to be? At the father of dry gangrene of the left lower extremity( while 2 fingers are touched), he is completely recumbent patient since 2010, suffered a stroke( suffered from atrial fibrillation of the heart).From the hospital( after examining the entire limb) was sent home, because.said that he could not withstand the operation( the body is very weak, can not withstand anesthesia).Is it possible that in the eyes of the mother who cares for him, parts of the body will fall off, and she and we will watch this, doing( as recommended by surgeons) only compresses from furatsilina with alcohol? Really for such patients in a city like St. Petersburg there is not something like a hospice, where the rest of the days they could live with a special care? Advise where to turn and, nevertheless, whether to expect strong pain in this process? How in general to live near and most not to die of stress( high pressure against the background of experiences?).How long should it be kept at home?

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    Answer:

    Elena, your question is more ethical than medical. Unfortunately, it's impossible to cope with gangrene without surgery. Put yourself in the position of a surgeon who knows that the patient can die on the operating table. If this happens, you will first of all criticize yourself in this, and in the second - doctors: there will still be doubts that they did everything right. Alas, this is a cruel reality, and no receipt that you have been warned about the consequences will not be able to comfort you.

    For many years working as a district doctor, I was convinced that care for inoperable patients who suffer from gangrene is much better provided at home than in a hospital. The attending physician should prescribe pain medications for your dad( when there are pains), as for the dressings - you already do them. Bedridden patients may not always have pain. If the patient, say, had a spinal injury and the innervation of the lower extremities is broken, then the pain may not be, that is, he can not feel them. If this condition is like that of your father, after a stroke - it all depends on which part of the brain is affected.

    No hospital or hospice will replace the love and care of native people. I do not think that it will be easier for Mom when she does not know whether she was fed her husband in time, made a dressing or not, covered with a blanket when it is cold. It is very difficult to see how the husband and father are suffering, but since it is recumbent, only the family can make a choice for it.

    There are hospices in St. Petersburg, if you think that your father will be better there - contact the city health department. You can find addresses of hospices via the Internet - today every medical institution has an official website, without even having to go there at once - just call and find out the profile of the institution, give the diagnosis and consult you where to go. At some hospices there are exit services.

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