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Hi, it’s Patrik Hutzel from INTENSIVECAREHOTLINE.COM where we instantly improve the lives for Families of critically ill Patients in Intensive Care, so that you can make informed decisions, have PEACE OF MIND, real power, real control and so that you can influence decision making fast, even if you’re not a doctor or a nurse in Intensive Care!
This is another episode of “YOUR QUESTIONS ANSWERED“ and in last week’s episode I answered another question from our readers and the question was
Why is it Relevant for My Long-Term Ventilated Daughter to Be Mobilized in the ICU?
You can check out last week’s question by clicking on the link here.
In this week’s episode of “YOUR QUESTIONS ANSWERED”, I am here with a live stream today, where I want to answer your questions if you have a loved one in intensive care. And this is one of the most commonly asked questions for families in intensive care and it’s a question that we get all time. And today’s live stream is about the difference between real and perceived end-of-life situations in intensive care.
The Difference Between Real and Perceived End-of-Life Situations in Intensive Care! Live Stream!
Welcome to another livestream from intensivecarehotline.com. My name is Patrik Hutzel. I’m a critical care nurse consultant and advocate for families in intensive care.
And today’s livestream is about, “Real versus perceived end-of-life situations in intensive care.” It’s one of my favorite topics and I will give you some real-world insights in a moment. I just want to welcome you to the call. Welcome to the live stream. Type your questions into the chat pad as we go along. There may also be an opportunity for you to call into the show if you like.
But first off, I want to quickly talk about what makes me qualified to talk about this topic. So, I am a critical care nurse by background. I have worked in intensive care for over 20 years in three different countries. And as part of those over 20 years, hands-on intensive care experience, I also worked as a nurse unit manager in intensive care for over five years. And I have also worked and still work with Intensive Care at Home services, which is something that I’m very passionate about. Something that I set up here in Melbourne Australia, but we’re also now in Sydney and in Brisbane. We want to go to the United States. We’re not there yet. We also want to go to the U.K., we’re not there yet. So please bear with us, but you can also check out intensivecareathome.com for more information there. But so, that is some of my background. I have been consulting and advocating for families in intensive care all around the world, since 2013. And I have a very broad knowledge about what’s happening in intensive care around the world. Not only have I worked in 3 different countries, but I’m talking to people in different countries all around the world every day. And that gives me a very broad insight of what is happening in intensive care, generally speaking. So, let’s dive right into the topic. As I said, please type your questions into the chat pad as we go along, and I can address them.
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So, today’s topic, “The difference between real and perceived end-of-life situations in intensive care.” So, why would there even be a distinction? Many families when they go into intensive care and their loved one is critically ill. Sometimes the intensive care team comes to them and says, “Look, the only option for your loved one is to have life support withdrawn and die.” That’s often what families are faced with, but it’s very difficult for them to comprehend that they don’t know what they don’t know. They don’t know what to look for. They don’t know what questions to ask. And here is the most important part, they don’t know their rights. They don’t know how to manage doctors and nurses in intensive care.
And then, they often contact us at intensivecarehotline.com or they contact us through our other website, Intensive Care at Home and they’re wondering, “Are there any other alternatives?” And then often my response to that is, “Well, is it a real or a perceived end-of-life situation?” Okay. Because that’s the ultimate question. So, let’s break this down.
What is a real end-of-life situation? So, a real end-of-life situation for example is, if someone comes into intensive care after a motor vehicle accident, they have multiple severe fractures, multiple severe injuries, head injuries maybe they’ve got an open chest, an open abdomen, lost a limb, lost a lot of blood. And despite the best efforts of the intensive care team, they’re going to die. There’s nothing that can be done medically, surgically, all efforts are in vain, basically. All efforts are made, but all efforts are also way in vain and the patient is inevitably going to die. There could be other situations, such as if someone has a heart attack, has a cardiac arrest, they’re going through multiple rounds of CPR or cardio- pulmonary compressions, going through mechanical ventilation, they’re going through a round of inotropes or vasopressors. And despite everything being done by the textbook, nothing can be done to revive them or help them survive. So, those are two examples for what are real end-of-life situations.
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But probably in a large number of cases in intensive care, we are probably talking about, what I refer to as perceived end-of-life situation. So, what do I mean by that? Well, a real end-of-life situation, as I mentioned, is that someone is going to die and it’s inevitable, despite all best efforts, treatment, care, equipment, whatever is there, manpower, you can’t save the patient’s life. Now, on the other hand, if there is a perceived end-of-life situation, it’s a perception. It’s a perception that someone may die. It’s a perception that if someone is removed from life support, that they are going to die. But it’s also a perception of that often, intensive care teams might say, “Look, it’s “in the best interest” for your loved one to die.” Well, that is up for debate. What is in the best interest for a patient, that is always up for debate and should not be decided just by one person. So, to illustrate that with some examples, a few weeks ago, I had a phone call from a very distressed family. And they’re basically ringing me up like 2:00 PM my time saying, “Our father is in intensive care, 77, he just had a stroke. He’s been going into intensive care. 3 days ago, he’s not doing well, he’s on ventilator in an induced coma, and the intensive care team says that tomorrow by 3 o’clock, we are going to withdraw life support and he’s going to die because it’s “in his best interest.”” So, they were pretty desperate, and they said, “What can we do?” And I said, “Okay, well, (A), the ICU team can’t just withdraw life support against your wishes, can’t just withdraw life support without your consent.” Which is also why it’s important that you or your family have an advanced care plan to document what you want in a situation like that. Cutting the long story short, I said to the family, “Okay, let’s get on the phone with the intensive care team and find out what’s exactly happening.”
We got on the phone with one of the doctors and lo and behold, they were saying what they told the family, that there’s no chance of survival. We are only doing what’s in “the best interest” for this patient. And I said to them, “Okay, but you haven’t asked for consent from the family.” And I reminded them that they have an obligation to act according to policies, procedures, laws, and so forth. And every hospital has policies and procedures about end-of-life care. Every country, every state in a country has often their laws around how to manage end-of-life situations. And again, all comes down, whether it’s hospital policies or whether it’s state laws, it has to be consented by a patient or by a family in intensive care to offer the family because the patient is not in a position to make those decisions, make those calls. But that’s also why it’s important that you have ideally an advanced care plan. And that’s very confronting to fill in an advanced care plan, because at the end of the day, you must think in advance, what happens if you go into intensive care? If I go into intensive care one day, what do I want? And that can be very confronting, I understand that. It’s not an easy topic. And I also understand nobody’s sitting at home thinking, “Oh, what happens if I or my family member needs to go to intensive care next week?” It’s nothing that people spend too much time thinking about, but obviously if it does happen, then literally it’s very confronting and decisions must be made, and you need to be well informed. Again, families in intensive care don’t know what they don’t know. They don’t know what to look for. They don’t know what questions to ask. They don’t know their rights and they don’t know how to manage doctors and nurses in intensive care.
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Coming back to our client, so obviously, I spoke to the intensive care team. And I said, “Look, if you asked them about their plans,” and they said, “Oh yeah, look, we want to withdraw life support,” and then we would start the patient on high doses of morphine and midazolam. Morphine is obviously a very strong painkiller and midazolam is a very strong sedative. Midazolam is also known as Versed. So, I went back to them, and I said, “Look, if you are withdrawing life support against family’s wishes, the family could take you to court. It could be perceived as euthanasia, could be perceived as potentially murder.” And they backed off. And lo and behold, a few days later, the patient ended up on a tracheostomy and is still in ICU. It’s been maybe now 9 weeks. Patient is still in ICU but is making progress. Getting off the ventilator slowly, has some setbacks with some chest infections, had a pneumothorax. But he’s alive and he wants to live. And the family wants him to live, no matter how long it takes or if it doesn’t happen, if he doesn’t get out of ICU, it doesn’t matter at the end of the day. They’re very grateful to have more time with their father and that is important for them and that needs to be respected. People can accept when people are dying, but people also need to have end-of-life situations on their terms and don’t need to be coerced, in “Tomorrow at 3 o’clock, we’re going to withdraw life support and then have your loved one die.”
Interestingly, when we were working or we are still working with this client, the ICU team went to the ethics committee in the hospital, presenting the case and the ethics committee was signing off on it. Now, makes you wonder what’s an ethics committee there for, makes you wonder. And I did actually speak to the ethics committee on that day as well. And I said to them, “Well, you’ve used every euphemism under the sun to justify, to withdraw life support.” And I’m asking this question to you that you’re watching, can you now see what I mean with a perceived end-of-life situation? That’s a classical example and there would be countless other examples that go down the same track, real versus perceived. The other thing that you need to understand, if you have a loved one in intensive care, the odds are actually in your loved one’s favor. So, the latest stats that I’ve seen, it varies a little bit, depending on the research paper that’s out there, that over 90% of intensive care patients survive their intensive care stay. Think about that. That means despite the doom and gloom and the negativity that you’re often hearing; the odds are in your loved one’s favor. The odds are in your loved one’s favor.
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Now, granted, if someone leaves intensive care alive, goes to a hospital ward or gets discharged to a service like Intensive Care at Home, and I will talk about Intensive Care at Home a little bit later. We’re not talking about quality of life, we’re talking about a patient surviving. Now the whole discussions around real versus perceived end-of-life situations also needs to be embedded in the discussion around quality of life or should I say, perceived quality of life. Because again, quality of life is just another perception. We’re talking about a lot of grey areas, where it’s very rarely black and white. Very rarely is discussions around end-of-life and so forth, a grey area. Quality of life, it’s not black and white. It’s often a very grey area. So, with those stats in mind, that the odds are in your loved one’s favor, well, you should be moving heaven and earth to keep them alive and see where it goes. Because the reality is this, if things don’t go as planned, there’s plenty of time to talk about end-of-life, plenty of time. What’s the rush? What we are often seeing, and I know that after having worked in ICU, the rush towards end-of-life often happens in the first few days. It can happen down the line as well, but it often happens in the first few days. Why is this? Well, from my experience, it’s simply ICUs are trying to manage their worst-case scenario. What’s their worst-case scenario? The worst-case scenario is to look after a patient in intensive care indefinitely with an uncertain outcome. And many of the patients, when I talk about real versus perceived end-of-life situation, fit that criteria. ICU beds are in high demand. They were in high demand before COVID. Now, the demand has gone absolutely through the roof, absolutely through the roof. And now, there’s even more pressure on ICU beds and you will need to even fight harder to keep your loved one alive, and make sure they’re getting best care and treatment. And that you’re not getting coerced into an end-of-life situation, that you probably deeply regret if you sign up for it. What do I mean by that? We have many families coming to us here at intensivecarehotline.com and they say things like, “Oh my goodness, I had my mom in ICU last year, I had my dad in ICU and what you’re describing is exactly what happened. They asked us to stop life support, we didn’t know any better. We stopped life support. They were probably heavily sedated after they removed life support.” It could have been perceived as euthanasia, could have potentially even been perceived as something else.
But at the end of the day, the loved one died. And they said, “I didn’t know I had any rights. I didn’t know there were advocates out there, I had no idea. And I’m so sorry that my mom, or my dad or whoever it is, has passed away and I can’t turn back the tide.” This is the whole thing. Once someone has gone, they’re gone. They’re gone for good. How can you let go quickly? There’s plenty of time to talk about end-of-life. If treatment doesn’t work, it doesn’t work. But at least, you need to be aware of treatment options, you need to be aware of alternatives, and you need to be aware of your rights.
So other subjects or other issues around, what I refer to as perceived end-of-life situations, are simply someone might be dying, but again, they may still have another 6 months to live. And where do they want to spend that time? Do they want to spend that time in intensive care? Can they go home with Intensive Care at Home, for example? There’s a multitude of factors, factors you want to look at. I think another very important question here is, what are your spiritual beliefs? What are your religious beliefs? Are you a Buddhist? Are you a Christian? Are you a spiritual person? Are you an atheist? Doesn’t matter what your beliefs are, but I believe your beliefs are very important to how a situation like this should unfold. Again, do you believe that everything should be done? Does your loved one believe that everything should be done according to their faith or their beliefs? It’s a very important aspect in this discussion. Very important aspect in this discussion.
But the bottom line is that you should be asking always the right questions. The intensive care team also doesn’t tell you about the mechanics when it comes to withdrawing life support, for example. Let’s take another example, you’re taking somebody off the ventilator and there’s no guarantee that people are going to die, just because you take them off a ventilator. They might be able to breathe for a few days, they might be able to breathe for a few weeks. Who knows? I’ve seen all of those aspects and that’s where you need to ask. Okay, if they’re so certain that if they remove life support, that your loved one is going to die, what if they don’t? Good question to ask. What happens if they don’t die like they tell you that they will? What’s waiting on the other end? Or if they don’t die, will they help to, “make people comfortable with midazolam, morphine, fentanyl, strong opioids, strong sedative, so they do stop breathing.” And that again, could be perceived as euthanasia.
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Julia, thank you for your question. I’m just reading this out to you. “Hi Patrik, my name is Sarah from Melbourne Australia. I had a septic and toxic shock in 2019, will this video be up to share with my family?” Yeah, for sure, those videos are all public. You can share them, of course. Of course, absolutely. But I’m very glad to hear that you’ve come out of this well, Julia. And I can only imagine what you’ve been through, if you’ve been to ICU and had a septic shock. So, Julia, the video will be uploaded after I finish. And, it should be uploaded later this afternoon, and then you can share it. Of course, it’ll also go to our website somewhere down the line, we transcribe the recording, and then it’ll be published on our website, but that might take a few weeks. And also, Julia, I am in Melbourne too. We’re located in Melbourne, so you can even contact me through the website, if you like.
Helene, welcome back. Nice to see you again. Helene, you’ve got a question. “What about when pulmonary physicians manipulate you/me to change in midstream directive, do not resuscitate?” Yeah, that’s a great question. Oh, that’s a great question, Helene. So, look, number one, you need to be aware of that. Manipulation might be happening, that’s the first thing. You got to keep your eyes open, like with anything, you need to verify of what you’ve been told, and I know you’re doing this, Helene. If there is a midstream change in directives to “do not resuscitate”, so what you need to do then is, if you don’t agree with the “do not resuscitate” directive, you need to look at the hospital policy. Most of the time, you can’t just put in a DNR (do not resuscitate) or an NFR (not for resuscitation) without family or patient consent. So, it comes back to you questioning and it comes back to looking at policies, procedures, comes back to looking at advanced care plans, for example. So, those are all the things that need to be looked at. It always comes down to arming yourself with knowledge, arming yourself with the mechanics of intensive care of the hospitals. And that’s what it comes down to. Everything can be questioned. Everything can be challenged. I don’t know whether you were here in the beginning, when I talked about the case study, where we’ve saved a life and we’ve done this many times now, where we just with our insights and knowing about patients and family’s rights can save lives in the short term. I would never guarantee we can save life in the long run, because sometimes people die. That’s just going to happen. But what I will promise is to get the best outcome for you in whatever time is left. I hope that answers your question, Helene.
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Helene, you might have been tricked. You might have been tricked, but simply, you need to forgive yourself there, that simply you didn’t know any better at the time. And I know you’ve been reading my blogs and I know you’ve been watching the videos. You can’t turn back the tide, unfortunately. And I know that’s very painful, I get that, but you can’t turn the tide. You’ve got the knowledge now, and maybe you can do something with the knowledge now, I don’t know whether you could review medical records, whether we can look at medical records and see whether you would have any grounds to stand on, potentially for medical negligence. I think with everything that I know about your mom’s case, what you’ve shared with me over the last few months, I think you do have a case for that. I do think that by reviewing all the medical records, that something will come to light, that they’ve probably broken hospital policies, breached hospital policies, breach their duty of care and so forth. I think you do have a case, but we obviously would need to look at everything in much detail.
Coming back to what is the perceived end-of-life situation. Again, can’t tell you how often, when I worked in ICU, but even now, talking to patients and families, someone goes into ICU, let’s just say with a heart attack, with a cardiac arrest…Sorry, I need to interrupt.
Sarah, you’re saying you had an advanced care plan in place, but it was ignored. Wow. Was it ignored in your favor? Or was it ignored that to a point where it would’ve worked against you? Because sometimes advanced care plan do get ignored, but it might actually work in a patient’s favor, especially if they survive. Can you share some light on that, Sarah? And while I’m waiting for your answer, I might just carry on.
So, patients go into intensive care, and they’re often very sick in the beginning, especially if they come in heart attack, cardiac arrest, anything that’s trauma related, and then ICUs are very negative, very bleak from the start. They say, “Look, it’s not looking good.” And whilst I can agree with that in the beginning, it often doesn’t look good, experience has also shown me that if treatment is given and the best foot is put forward, things do improve.
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Again. I’m not talking about then, what does quality of life look like down the line, how long does it take to recover, I’m not talking about any of these, because it does take time and it can cost a lot of money for the healthcare system. Can cost a lot of money for the healthcare system. But that’s beside the point, it’s your loved one that you want to be looked after. That’s the bottom line.
And the other thing you got to keep in mind, when the intensive care team is telling you, it’s not looking good, they give you all the doom and gloom, they give you all the negativity, they’re covering the worst-case scenario. What’s the worst-case scenario? The worst-case scenario is they will promise you, we do X, Y, and Z, and then your loved one will leave intensive care on Thursday alive. Now, imagine that’s not going to happen. You could potentially sue them. You could hold them to account. So, you got to read between the lines every single time they’re negative. You got to read between the lines, because they’re managing their downside, which is you could potentially sue them, if they make promises they can’t keep. Simple as that.
I also want to quickly talk about Intensive Care at Home. So, we are running a service Intensive Care at Home here in Melbourne, but also in Sydney, and Brisbane, where we look after predominantly long-term ventilated patients, adults, and kids at home, instead of intensive care. And I can tell you, many of our clients have been in intensive care, where the intensive care team suggested that they should stop life support and basically die, because they wouldn’t have any, “quality of life down the line.” That’s a classical perceived end-of-life situation in my eyes. And now, we are looking after those clients at home, and they report a very good quality of life. Their families report a very good quality of life, because they’re finally at home, instead of intensive care. Well, you can have a much better quality of life at home, instead of intensive care. And if you ask those clients, well, they prefer being at home on life support than being dead. Now, before you ask the question about costs and whatnot, the cost is about half of an ICU bed. An ICU bed is around 5 to $6,000 per bed day. But here in Australia at the moment, NDIS (National Disability Insurance Scheme) is paying for most of it. But also depending on the situation. The TAC (Transport Accident Commission), ICARE, and other funding bodies that pay compensation for workplace injuries, car accidents and so forth. But also, the DVA, the Department of Veterans Affairs, is paying for some of it, sometimes the hospitals fund the service directly. So, you should definitely contact us if you have any questions there or if you want to know more, but at the end of the day, our clients report a much better quality of life after having been in a perceived end-of-life situation.
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They all have this in common that the intensive care would’ve stopped treatment, if it hadn’t been for the advocacy from the families, that they wanted their loved ones to live no matter what it looks like. And, they’re very happy that they have made that decision. And before we came on the scene to help them, they often spent months, sometimes even years in intensive care, tragic, very tragic. But now, they’re in a better place. So, on that end, you should check out intensivecareathome.com for more information.
Now, Sarah, you’re saying, “I don’t know, but I would like my records, . I was discharged a few months before COVID hit in Australia.” Sure. Yeah, I would recommend for everyone to look at their medical records. One of the first questions that I’m asking when we work with clients is, do you have access to your medical records? And in this day and age, they should just send you a link to a website. They should just send you a link to a website with the username and password, that should be it. Most hospitals are now electronic. Some hospitals are still using paper-based documentation. And then, they need to scan and need to email it to you, which is more time consuming. But I know a lot of hospitals, whether here in Australia, in the U.S., in the U.K., it’s very easy for clients now to give us access to medical records, if they want us to, of course, with link to a website, username and password and there you go. It’s all accessible for you. So, very simple in this day and age.
I am conscious of the time. I want to wrap this up in a few minutes. I really want to encourage you to ask some more questions now. If you have any, please type them in your chat pad. If you can do that, and then I can get to them.
So yeah, and also with the Intensive Care at Home service, you should be looking at that option too, if you think what if my loved one can’t get off the ventilator, what are the options down the line? Intensive Care at Home services have been around now for, coming close to 25 years. First started out in the late 1990s in Germany and I was part of it then. And I set it up in Australia now too, because again, it’s a win-win situation. It’s a no-brainer. It’s a proven concept. Intensive Care at Home here in Australia has third party accreditation. As far as I’m aware, we are the only service in Australia at the moment that has 3rd party accreditation and has the intellectual property for Intensive Care at Home services. But again, I know people are watching in Canada. I know they’re watching in the U.S. I know they’re watching in the U.K., please reach out to us because we might be able to point you to some service providers, depending on your area that you’re in the U.S., or in Canada, or in the U.K. We certainly have put our feelers out there because we’re having so many inquiries about our service, irrespective of location.
Again, I am conscious of the time. I want to wrap this up in a minute. If there are no other questions, you can also leave your comments below the video once it’s uploaded. You can also type into the chat pad, what topic you want me to do next time. What you want me to talk about next time.
So, Sarah, you’re asking, “What about aftercare, I was in ICU for almost 2 months, I’d love to meet with you Patrik.” Sure. Look, I don’t know your situation, obviously. I don’t know your unique situation. If you are not on a ventilator, if you’re mobile again, which I hope you are. We’re not the experts in aftercare for someone that’s recovered. We are the experts on, if someone needs to go home from intensive care on life support, that’s our area of expertise. Our area of expertise is the consulting and the advocacy when patients are in intensive care. But the aftercare, when someone has recovered, that’s not so much my area of expertise. But of course, I’m very happy to have a chat to you and see what your situation is and see whether I can point you in the right direction. What I’ll do Sarah is, I will send you an email. I’ve got your email address and I’ll send you an email after this call and send you my phone number. Very happy for you to reach out to me.
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Helene, you’ve got another question, “What about when clonazepam, propofol, or morphine are misused to cause patients to be ventilated?” Yeah. Look, that’s a tricky question, Helene. I would argue that pre-COVID, and I’ll tell you why there’s a distinction there in a moment. Why it’s a tricky one. I wouldn’t say that clonazepam, propofol, or morphine are misused to cause patients to be ventilated. I wouldn’t go that far. There are certainly tools in the toolbox of intensive care doctors, intensive care nurses to start ventilation, but it’s usually clinically indicated with blood gases, with clinical symptoms, clinical science, respiratory deterioration, chest x-rays, and then those drugs come into play to make ventilation possible. Now I will say this, sometimes morphine pre-ventilation or clonazepam pre-ventilation might lead to a respiratory arrest or might lead to respiratory depression. But then again, it’s often caused by a clinical picture such as pain, seizures. So, I wouldn’t go that far.
However, there’s probably one exception at the moment and that is with COVID. What I’m hearing on the ground is simply that patients are being ventilated earlier compared to pre-COVID. I’m hearing on the ground that some ICUs are starting to ventilate and intubate patients when they’re on 6 liters of oxygen, because then the patients would need to go on BIPAP or on high flow nasal prongs. And, that there’s the risk for aerosol spreading with COVID and the risk for staff getting infected. Therefore, those drugs actually might be used to get someone ready for ventilation. So, the COVID has changed a lot of things as we’re all aware. So, there might be some situations at the moment, but I can’t be certain about that. I hope that answers your question, Helene.
So, I want to wrap this up now.
And Helene, you’ve got another question, “Iatrogenics injuries, septic shock, and hypoxia.” Again, Helene, I can’t comment on what has been covered up by the hospital. The only way you can find out what might have been covered up by the hospital is by having us review the medical records. That’s the only way we can give you assurance whether you are speculating, or whether there is some truth in that. And it sounds to me, like there is some truth in that, but obviously we would need to help you to provide the evidence of that. Okay.
So, Sarah, I will shoot you an email in a minute and then you can reach out to me.
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And I want to wrap this up now. Thank you so much for your support. Thank you so much for coming on to the call. Leave your comments below and let me know what you want me to talk about next week. I have some ideas. I have no shortage of ideas, but I’m very happy to be guided by you, of course, what you want me to talk about that is intensive care related or Intensive Care at Home related.
Like the video, subscribe to my YouTube channel, leave your comments, and click the notification bell.
And if you have a loved one in intensive care and you need help, go to intensivecarehotline.com. Call us on one of the numbers on the top of our website or send us an email to [email protected]. And if you have a loved one in intensive care that needs home care, ventilation, tracheostomy, TPN, or is medically complex, BIPAP, CPAP, or seizure management at home, go to intensivecareathome.com. And again, contact us and we can guide you from there.
We are operating in Sydney, Melbourne, Brisbane, also in Adelaide, and we could go to Perth as well. And we are going to the U.S. at some stage, we’re just not there yet. Thank you and have a wonderful Saturday night or Sunday, depending on where you are.
Take care for now.
This is Patrik Hutzel from intensivecarehotline.com and I will talk to you in a few days.
Take care for now.
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Sign up and download your FREE “INSTANT IMPACT” REPORT now by entering your email below! In your FREE “INSTANT IMPACT” REPORT you’ll learn how to speak the “secret” Intensive Care language so that the doctors and the nurses know straight away that you are an insider and that you know and understand what’s really happening in Intensive Care! In your FREE report you’ll also discover
- How to ask the doctors and the nurses the right questions
- Discover the many competing interests in Intensive Care and how your critically ill loved one’s treatment may depend on those competing interests
- How to Eliminate fear, frustration, stress, struggle and vulnerability even if your loved one is dying
- 5 mind blowing tips & strategies helping you to get on the right path to making informed decisions, get PEACE OF MIND, control, power and influence in your situation
- You’ll get real world examples that you can easily adapt to you and your critically ill loved one’s situation
- How to stop being intimidated by the Intensive Care team and how you will be seen as equals
- You’ll get crucial ‘behind the scenes’ insight so that you know and understand what is really happening in Intensive Care
- How you need to manage doctors and nurses in Intensive Care (it’s not what you think)
Thank you for tuning into this week’s YOUR QUESTIONS ANSWERED episode and I’ll see you again in another update next week!
Make sure you also check out our “blog” section for more tips and strategies or send me an email to [email protected] with your questions!
Also, have a look at our membership site INTENSIVECARESUPPORT.ORG for families of critically ill Patients in Intensive Care here.
Or you can call us! Find phone numbers on our contact tab.
If you want a medical record review, please click on the link here.
Also check out our Ebook section where you get more Ebooks, Videos and Audio recordings and where you can also get 1:1 counselling/consulting with me via Skype, over the phone or via email by clicking on the products tab!
This is Patrik Hutzel from INTENSIVECAREHOTLINE.COM and I’ll see you again next week with another update!