His prostate cancer was responding to the Xtandi. His last PSA was 0.3. He was doing remarkable for a 90 + year old who was diagnosed with prostate cancer stage 4 in 1996. Walking 1-2 miles 3-4 times a week.
He went into the hospital Thursday 12/5 with a small bowel obstruction, he was prone to them. Friday the general surgeon decided to do a small bowel series using Gastrografin to assist unblocking him. . They put it in his NG tube and he aspirated which turned into aspiration pneumonia which I’ve read is 70% fatal with that contrast.He was sedated from receiving IV dilauded for his pain and when he returned I noticed his NG tube was not at the correct cm mark. He spit up a small amount on return from the the test. He immediately needed oxygen. I knew what happened right away, but did not find out till the next day that the aspiration occurred in the GI lab. He became septic and went into multi system failure they say. His blockage cleared up. But his respiratory status wasn’t responding. His urinary output increased but his creatinine had tripled to 3.8. They called in a nephrologist to do CRRT but he thought it would do more harm than good. He was on BIPAP to keep his oxygen level up. They tried a few times to get him off the BIPAP, but the oxygen level dropped immediately. He would cry out “ help me”. Other than that he appeared peaceful with the BIPAP on. They said there was no hope and per his advance directive and our decision it was taken off to resume hospice care. It was taken off around 2:07 and he passed at 2:40 peacefully. I am still in shock, disbelief. I really thought I’d have him longer. We had been out & bought his usual Christmas gifts of biscotti that he loved giving his doctor , neighbors and family. I am heartbroken.
He fought a good fight and led a wonderful life. He will be missed by all.
This photo was taken 12/2 one week before he passed at chick filet.