Thursday, 20 February 2014

Lembaran untuk adikku : A Question.

Jumaat 21 February 2014. 9.02am/

Tuesday 18th. February, 2014.
Fb post Dr. Tay
I fell asleep on the hospital's wheelchair near mak's hospital bed. Bila I terjaga maybe an hour later, i nampak kak oked by mak's side , watching mak's face. No wonder ada malay proverb 'nyawa ikan' to describe those who are dying. This may not seem new to you, being with the sick and all. Mak masa tu memang macam ikan out of water, except that she was not struggling or frantic. She just lied limp, her head rested on the palang on the bedside....whilst regularly breathing ( mata terbuka separuh and blank look), mouth opened separuh.....The only movements were those regular breathing. She didn't seem to be in difficulty, tapi it was heavy breathing . I couldn't tell whether she was sound asleep with eyes terbuka and mulut terbuka.....or she was unconscious. Normally, for the past few months, she memang tak boleh lie still for more than 20 or less minutes....she would stir in pain or nak water or lapar or headache or etc. But on that day she stayed in that .(what seemed to be uncomfortable ) position for a relatively long time , not responding .
Later, when the nurse came around for the routine blood-pressure check, she couldn't get a reading , the machine kept on displaying Er9 ( or something like that). ...Apparently, the blood pressure was too far below the norm. Mak selalunya will be disturbed by such checks and terjaga. Tapi on that day she was totally unaffected . If not for the breathing , she macam dah lifeless.
Anyway , masa the staff nurse came ( Sister Mary, who has been very nice to us all during Mak's hospitalizations), she was not happy with what she saw.....she kata, " your mom is not looking good at all"...." i think you should ask your father to come and see her now, also you better tell all your siblings to come today'. At the same time she called for the nurses , and told them to inform the doctor.
Abah coincidentally was already on the way. He sampai , after being told about what the staff nurse has alerted me, he terus rushed to mak's side, held her by the face and shook ,stroke , calling her name, and urging her to follow after him mengucap. Macam2 abah cakap.....he called her 'pretty girl, wake up, cantiknyaa....bangun2! and coaxed her to mengucap. She did open her eyes a bit more, her pupils actually showed signs of responding, albeit minimal. Her tongue moved when we ajar mengucap. She tried to say some things with great diffculty. We kept on trying to understand....one by one , we managed to compehend.....she nak water, then she nak ubat, then she nak kita stroke ( picit) ...Throughout all this time, since the moment the bp machine was attached to her, it has been reswitched on repeatedly and continously, because they were not getting any readings. I was dumbfounded why this has to be done , regardless that she was dying....they have to try different checkpoints,  clamp on fingers, different ones at each time......I even asked if that's the case , when a person is dying.....I mean the no-bp-readings....and what they want to do next. The nurses kata kene bagi something to naikkan that undetectable blood pressure . I need you Iz , to correct me at any points yang I could have misunderstood , about the procedures. I didn't see any reason why they want to try raise the bp when they knew she was dying anyway. The nurses left us sekejap, belum buat apa2 lagi.
As we continued reading Yassin, and some of us still trying to communicate with mak, Kak oked pointed to me , the little alat ( which was inserted in the big blood vessel in the neck earlier that morning by a doctor, I don't know what it's called. Before this it was inserted in the hand, the purpose is to function as a media through which ubat can be administered , or blood could be withdrawn without having to puncture new holes .)....was bleeding ( tak lah banyak, tapi kita kesian mak kan). So I pun alerted the nurse( who happened to be with the doctor), and they came straight in....the doctor adjusted the position of the alat, not carefully....this is the 1st doctor of this kind, to me , she tak anggap mak as a human being yang can feel pain (physical or otherwise). Selalunya, the rest of the doctors or nurses memang kind and gentle to mak....they say sorry makcik, nak cucuk sikit or thank you . This one memang kurang sikit adab. I mean abah and us tengah in the middle of our last-moments punya interactions with mak, and she just barged in....never mind, this is beside the point. Then I tanya what she wants to do now , and if is necesarry at all. She said, 'yes'. I starred at her and asked ' for what?". She kata , to naikkan the blood-pressure sebab there was none... and I demanded again ..' for what?!', i repeated again ' for what'!? she kata ' can you all stay kat luar kejap while they do what they have to do. Iz, masa tu i rasa tak nak leave mak alone, helpless as she was ,in the hands of this doctor yang couldn't give a satisfatory answer to my question.
Although in the beginning, I told her i tak akan keluar, but will stay and watch.......later I keluar juga, hoping to get some second opinions in other staff .....unfortunately the corridor was kosong. I would want them to not continue, sebab i couldn't fathom the wisdom of doing anything with the bp when we already being told ,indirectly by sister Mary that death is happening real soon. Tapi Abah kata , takpe2 let them do it. I reaffirmed  several times, and he said he is sure....ok he was confident about it, I  thought just ikut je lah, its his wife lagipun.
Meantime, I peeped in between the drawn curtains.....I nampak diorang tengah insert the the alat on the right side of mak's neck. Apparently, the earlier one yang on the left pun dah tak serving its function sebab mak's oedemic condition. Masa diorang buat tu, kesianya mak. Kan mak selama2 dia in the 'nyawa ikan' state, showed no signs of emotion, pain nor feeling whatsoever, and nak utter any words pun tak keluar sangat. Tapi, bila kene insert the thing, her face grimaced as if she was in excrucuating pain.........and she actually uttered " sakit!". AND DUSH! she was gone!.... I told them to stop whatever they were doing immediately. The doctor siap kata , there is a bit of cardiac activity going on, if you all nak continue, can do lah. Abah ,...yang sangat 2 sedih actually. We macam kene rob off our last moments, cut short and no goodbyes.....

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