Word of the Day: DNR

It is called DNR – a simple piece of paper that patients or patients’ family sign instructing the hospital NOT to resuscitate or revive a dying patient.

Yep, Melit was pronounced as “dying”. Dr. Sena took one look at her and proclaimed her “dying in a few hours.” Her cyanosis has worsened, her BP dropped to 50/30, her other vitals went berserk. She was obviously suffering. Major organ failure due to septicemia was the diagnosis. We signed the DNR right away but still trusting that God knows best.

We were very clear about our wishes:

NO to aggressive interventions: nothing surgical, nothing mechanical.
YES to palliative care.

Looking back, there were ten things we were very thankful for:

a. that Dr. Sena made some major, major suctioning
b. that the nurses were able to find an IV line after 11 tries and thus Melit was receiving Dopamine and Invanz- a front line antibiotic
c. that we did not just wait for death to arrive but continued to care for Melit
d. that we did a perineal care which allowed the release of toxins
e. that we insisted on a catheter even if she is dying..within seconds, 1500 ml of pus came out of Melit’s bladder
f. that relatives, friends, and Camp JMC teachers came to visit
g. that Ate Sonie and family stayed with us until late evening..
h. that Dr. Sena ordered an NGT open to drain
i. that the COMC station 5 nurses were so helpful: Honey, Mark, et

Melit survived the scare and lived.


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