So it's Friday evening and dad has been feeling ill all day, his primary doctor has been contacted earlier and he advised to only push liquids plus monitor for any changes. Around 10pm dad starts vomiting really really dark brown liquid I have never seen this so I call the on duty triage nurse, dad gets medical through the VA. She says to transport to ER. After the ER does their thing, wonderful staff by the way, it's determined he has a femoral hernia and his bowel is kinked inside the pocket caused by the hernia. Surgeon called in and he tries to massage externally the bowel out of the hernia, he is only partially successful.
Now we are facing 2 options 1) surgery to fix it, which because of age and the CBD puts him at a high risk or 2) do nothing and hope it slips back into place on it's own. Option 2 is also very risky because the bowel could lose blood flow and tissue dies resulting in a infection, which will probably cause death.
Dad is semi-coherent so the choice is put to him but he doesn't seem to understand, I have PoA and healthcare so the decision is mine. Since time is not on his side I have to decide ASAP, risky surgery which he may not survive, be in bad health afterwards and require nursing home care OR let a man who's probably 5+ years into CBD get some final rest.... I choose surgery and it went ok. He is in ICU now resting with long road to healing ahead of him. Did I make the right decision.... I'll never know....