not waking up after open heart surgery
He had to have cardiac surgery because he had Angina in the last six months and he was getting short of breath all the time and he could barely get up the stairs in our house because he was getting exhausted quickly. is instantly improving the lives for Families of critically ill Patients in Intensive Care, so that they can make informed decisions, have PEACE OF MIND, control, power and influence and therefore stay in control of their Family's and their critically ill loved one's destiny. Thank you. It takes many weeks or months to return to usual levels of activity. Overview of cardiac valvular disorders, Before, during, and after surgery. You certainly know what youre talking about! I found your site and your counselling/ consulting services very useful to help understand what was going on and to get what I wanted for my Mum! heart-healthy lifestyle changes doctors recommend, Make Your Winning Post-Surgery Recovery Plan, Devices and Surgical Procedures to Treat Heart Failure, Outcomes of coronary artery bypass graft surgery. Call us on one of the numbers on the top of our website or simply send us an email to [emailprotected]. How the Intensive Care team is SKILFULLY PLAYING WITH YOUR EMOTIONS, if your loved one is critically ill in Intensive Care! Your privacy will be protected. Patrik is brilliant, prepared, knowledgeable and experienced. You might not feel nearly a hundred percent sometimes for days, weeks, or even months after, says Dr. Weisfelner Bloom. How long should a Patient be on a ventilator before having a Tracheostomy? Symptoms include difficulty breathing. After all, open heart surgery is very painful and requires a fair amount of opioid drugs such as Morphine or Fentanyl. HOW TO DEAL WITH A DIFFICULT INTENSIVE CARE TEAM, WHEN YOUR LOVED ONE IS CRITICALLY ILL IN INTENSIVE CARE! I know its not very nice to watch your loved one not recover quickly from open heart surgery (cardiac surgery). Hand on my heart you are definitely one in a million that's for sure and I do owe you.Thank you so much Patrik for your genuine support and guidance so far. Webdifficult to fall asleep, or you may wake up at 2:00 a.m. or 3:00 a.m. and not be able to fall back to sleep. Thank you from my heart, you are a life saviour. In this article, learn more about the procedure. Typically, oxygen levels are monitored in the hours following surgery, so this can be corrected quickly with supplemental oxygen. ", "I just wanted to thank you for all the advice and support that you provided to me as it relates to my mom. Traditional open-chest coronary artery bypass surgery [Abstract]. Dr. You can expect to return to the comfort of your own home within a week. There was many other things also but I would have to remember and as of now I am still dealing with my critically ill loved one who is in ICU. So, they probably have to keep your mom in an induced coma for longer. Therefore, they stay on the ventilator and in an induced coma for >24 hours and then your loved one is not following the pathway. Does my critically ill loved one in an induced coma or with head injuries feel my presence? https://s3.ap-southeast-2.amazonaws.com/intensivecarehotline.com.questions/QUICK+TIP+FOR+FAMILIES+IN+ICU/2022/AUGUST/Quick_tip_for_families_in_Intensive_(getmp3.pro).mp3. WHAT HAPPENS IF MY CRITICALLY ILL LOVED ONE CANT BE WEANED OFF THE VENTILATOR? Please seek medical advice before starting, changing or terminating any medical treatment. This will improve. Find phone numbers on ourcontact tab. However, according to the National Institute for Health and Clinical Excellence (NICE), survival rates 1 year after either form of open-heart surgery are similar at about 9697 percent. You also helped me know the process of what they would do for my critically ill loved one. When can the Tracheostomy be removed? Seek urgent care for any potentially serious symptoms of infection. 100%.I can't even think of any word or word's that would even come close to describe how good you really are and I honestly could keep writing this text now explaining it all in detail. I am going to be signing up for monthly subscriptions/membership and possibly an hourly consultation. I will always be thankful for your services.". Quick Tip for Families in ICU! I felt more empowered when discussing health matters with my mother and grandmother's providers after speaking with Patrik to better assist my loved ones. My HUSBAND had a HORRIBLE work accident and went into CARDIAC ARREST! Thank you again for this amazing service.Best wishes. To see this page as it is meant to appear please use a Javascript enabled browser. THE INTENSIVE CARE TEAM WANTS TO DO A TRACHEOSTOMY AND I WANT TO HAVE HIM EXTUBATED! THE INTENSIVE CARE TEAM WANTS TO DO A TRACHEOSTOMY AND I WANT TO HAVE HIM EXTUBATED! Wishing you and your family all the best! Like the video, click the notification bell, and comment below what you want to see next, or what questions and insights you have from this video. HOW SEVERE IS HIS BRAIN DAMAGE? Learn more, If a person has atrial fibrillation (A-fib) that has not responded to other treatment, a catheter ablation may be recommended. Why do doctors in Intensive Care insert a Tracheostomy after an induced coma? How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, http://www.texasheart.org/HIC/Topics/Proced/, http://www.nhs.uk/Conditions/Aorticvalvereplacement/Pages/Whatisitpage.aspx, ttp://www.msdmanuals.com/professional/cardiovascular-disorders/valvular-disorders/overview-of-cardiac-valvular-disorders, http://ctsurgerypatients.org/before-during-and-after-surgery, http://www.heart.org/HEARTORG/Conditions/HeartAttack/TreatmentofaHeartAttack/Cardiac-Procedures-and-Surgeries_UCM_303939_Article.jsp#.V7iOoZgrLX4, http://www.nhs.uk/Conditions/Coronary-artery-bypass/Pages/Introduction.aspx, http://www.msdmanuals.com/professional/cardiovascular-disorders/cardiovascular-tests-and-procedures/coronary-artery-bypass-grafting-cabg, http://www.heart.org/HEARTORG/Conditions/HeartFailure/TreatmentOptionsForHeartFailure/Devices-and-Surgical-Procedures-to-Treat-Heart-Failure_UCM_306354_Article.jsp#.V7iOqpgrLX4, http://www.guysandstthomas.nhs.uk/resources/patient-information/cardiovascular/having-heart-surgery.pdf, http://www.nhlbi.nih.gov/health/health-topics/topics/hs/, http://www.uchospitals.edu/specialties/heart/services/surgery/index.html, https://www.nice.org.uk/guidance/ipg377/resources/overview-pdf-316196749, http://oxfordmedicine.com/view/10.1093/med/9780199609628.001.0001/med-9780199609628, https://academic.oup.com/ejcts/article/44/5/875/351245, http://www.uchospitals.edu/specialties/heart/services/coronary-artery-disease/bypass/traditional.html, http://www.msdmanuals.com/professional/cardiovascular-disorders/coronary-artery-disease/overview-of-coronary-artery-disease. Most hospitals will Then once he got the trach he was immediately transferred to a step down unit in same hospital (which wasn't very good), and then to long term care.. Thankfully he had good care there and they eventually weaned him off the respirator./trach.. I was totally outside of my comfort zone and I had no idea how to deal with this situation! He had to be resuscitated for 18 minutes, will he have brain damage? Why does my loved one need a Tracheostomy in Intensive Care. Or you can call us! I will explain what that means in a moment. If your critically ill loved one is still bleeding after open heart surgery there is a very good chance they may have to go back to the operating theatre/operating room to get the bleeding fixed. Recovery at home after leaving the hospital usually takes between 4 to 6 weeks. HOW LONG can a critically ill Patient stay on ECMO? You havent elaborated on that, and you havent elaborated on any complications that have occurred besides her still being in an induced coma after 48 hours. Leaky or tight valves: The heart valves are like the doors to the heart muscle. I would like to thank you and all the people who have given me the knowledge to face this challenge, to stay positive and to never to give up hope and as long as your loved one's fighting and I was also able to keep fighting with the knowledge you gain from your website and your services. "You helped me realize icu doctors and nurses have their own agenda. You were 100% correct about everything - LTACH is a total waste of time and you will always get better care at home. I can't thank you enough. At the end of the day any surgery that requires a stay in Intensive Care has risks attached to it that need to be managed. (PART 3). Trademarks, brands, logos, and copyrights are the property of their respective owners. Webdifficult to fall asleep, or you may wake up at 2:00 a.m. or 3:00 a.m. and not be able to fall back to sleep. The response to anesthesia after surgery is unique to the individual. Some wake up easily and with no unpleasant symptoms, others wake confused, agitated or nauseated. The best predictor for how you will wake from anesthesia is how you woke the last time you had it. If you woke up without side effects, that is great. In adults, a surgeon will operate on the heart to treat problems with the valves, arteries supplying the heart, and aneurysms in the main vessel leaving the heart. The exact mechanisms behind delirium are not understood. Hire.". Your FREE INSTANT IMPACT Report gives you in-depth insight that you must know whilst your loved one is critically ill or is even dying in Intensive Care! Hi Patrick,I wanted to update you since your advice was so helpful for me when my dad was in the hospital.. His story sounds a lot like today's email, sedated and slow to wake up.. Hes still in an induced coma and still doesnt have a tracheostomy, HELP! To access the heart, the surgeon makes a 6-to-8-inch incision along the middle of the chest. I will be chatting with you shortly! 5 ways you are UNCONSCIOUSLY SABOTAGING yourself whilst your loved one is CRITICALLY ILL in Intensive Care and HOW TO STOP doing it! Aortic valve replacement. They have done a CT scan of his brain and the CT scan was fine and it didnt show anything wrong with my husbands brain. This will improve. What are the chances of survival for a person in an induced coma? I would like to thank you and all the people who have given me the knowledge to face this challenge, to stay positive and to never to give up hope and as long as your loved one's fighting and I was also able to keep fighting with the knowledge you gain from your website and your services. This is such a safe place for so many families, & I am so happy to know there are genuinely good people out there trying to help .We are so grateful for you all. You have given me the strength to continue fighting and standing my ground to be the best advocate for my grandma. The old saying goes "you don't know what you don't know" and this couldn't be more true than when you are holding on for your family members life. I can't thank you enough. HOW LONG SHOULD A PATIENT BE ON A VENTILATOR BEFORE HAVING A TRACHEOSTOMY? This is nothing uncommon for a critically ill Patient in Intensive Care. WebWhen you first wake up: You may feel very sleepy, thirsty, or cold, and sick to your stomach. You can learn more about how we ensure our content is accurate and current by reading our. Your browser either doesn't support Javascript or you have it turned off. You will probably be moved to a recovery room where your anesthesiologist will continue to Hi Patrik,You are a true saint!! You were 100% correct about everything - LTACH is a total waste of time and you will always get better care at home. To avoid repeat symptoms or the need for repeat operation, [doctors] really tell people to take their medicine and start an active and healthy lifestyle, says Nieca Goldberg, MD, medical director at NYU Langone Health, Joan H. Tisch Center for Womens Health. And again, it comes down to the biggest challenge is that you dont know what you dont know. Now, if they have taken off sedation already and shes not waking up, thats definitely a concern. I dont want her to have a tracheostomy, will she cope being extubated and on BIPAP? Without you, I would lose my mind. Thank you very much! The medication thats right for you depends on why you needed surgery in the first place. Be patient and take your time. Devices and Surgical Procedures to Treat Heart Failure. Thank you for keeping me going! Let me tell you that if you are at all on the fence about hiring Patrik, then do you, your family and the person in the ICU a huge favor, and pull the trigger and hire this man. How to get PEACE OF MIND, more control, more power and influence if your critically ill loved one is DYING in Intensive Care! ", "I never comment on YouTube videos, although I watch them all day. My husband has been in a medically induced coma after Open Heart Surgery(three Bypass grafts) for now 14 days. The fact of the matter is that if any of the above complications do occur, there is a very good chance that your critically ill loved one will not follow the pathway and wont be able to leave Intensive Care within 24-48 hours after open heart surgery/cardiac surgery. Therefore reminding the Intensive Care team of what can be done is probably a worthwhile exercise. Also, exercising during the day will help you fall asleep My warmest appreciation! This is another episode ofYOUR QUESTIONS ANSWEREDand in last weeks episode I answered another question from our readers and the question last week was. Just implement what Im teaching you and youll get the results! Therefore, if complications occur such as. Many Patients who come back to ICU after open heart surgery have been on blood thinning medication(=anticoagulation such as Aspirin, Clopidogrel/Plavix or Warfarin) before they have open heart surgery. How long does it take to go to the hospital after an open heart surgery? The ELEPHANT IN THE ROOM or HOW THE INTENSIVE CARE TEAM IS MAKING DECISIONS whilst your loved one is critically ill in Intensive Care! There are now some alternatives to opening the chest to perform heart surgery, including the use of endoscope cameras and robots. Hire. A person should eat an evening meal as usual but must not consume any food or drink after midnight. Open-heart surgery (Cardiac surgery) is any type of surgery where the chest is cut open and surgery is performed on the muscles, valves, or arteries of the heart. It is normal to feel anxious before an anesthetic, and people should not hesitate to seek reassurance from the healthcare team. All rights reserved. Will she need a tracheostomy? Some medications commonly prescribed after open-heart surgery include the following, according to Dr. Weisfelner Bloom: Anti-platelet drugs, which help to prevent blood clots. If the arteries become blocked or narrowed due to heart disease, a person may be at risk of a heart attack. My warmest appreciation! My father is in Intensive Care ventilated with LIVER FAILURE and KIDNEY FAILURE, I DONT THINK HE WILL SURVIVE! My 80 year old father is in Intensive Care with Myeloma! ", "I never comment on YouTube videos, although I watch them all day. After the medical team has completed the preliminary tasks, the anesthesiologist will administer general anesthesia. So sad that money is more powerful than a person's recovery. Thank you. I just want to thank you very much for all of your help and very kind, encouraging and helpful words of wisdom and support. If you think you could maybe use him, then you absolutely need him. I bought the five day package and we've used it slowly over time. The 5 ways how RESILIENT FAMILIES in Intensive Care STAND BACK UP when life knocks them down! The first two weeks are the most important period after having open-heart surgery, says Dr. Bhusri. If the Intensive Care team is still waiting for your husband to wake up without giving antidotes for Morphine/Fentanyl or Midazolam(Versed), then you may have to remind them of what you want them to do. HOW TO CONTROL YOUR POSITIVE SELF- IMAGE whilst your loved one is critically ill in Intensive Care, How long does it take to wake up from a Traumatic brain injury or severe head injury. So sad that money is more powerful than a person's recovery. Thank you again for this amazing service.Best wishes. I told them today, I'm the last person you want to mess with. (PART 4). If you want to find out whether theres been medical negligence or anything like that, we can help you. This is Patrik Hutzel fromINTENSIVECAREHOTLINE.COMand Ill see you again next week with another update! Thank you for all the useful information and guidelines that you shared with us. My 25 year old wife has been in ICU for one month with Tracheostomy and is still in an induced coma. Maybe lets check a troponin, lets do a 12-lead ECG (electrocardiogram), do all the tests. He is compassionate and shares his expertise in order for the family/loved ones to be more informed about their loved one's condition and make informed decisions. So, someone after open heart surgeryshould ideally come out of the induced comareasonably quickly within 24 to 48 hours. Hire Patrik now, do not procrastinate. Aftercare varies for each individual but might include blood tests, heart scans, and stress tests. I found your site and your counselling/ consulting services very useful to help understand what was going on and to get what I wanted for my Mum! The primary concern at this time is the incision from the surgery. Valve replacement can come from man-made, durable materials, or from donor tissue. (PART 6), My 68 year old mother is in ICU with gastric perforation and shes not waking up after the surgery! This is Patrik Hutzel from INTENSIVECAREHOTLINE.COM and Ill see you again next week with another update! HOW LONG can a critically ill Patient stay on ECMO? GoodRx works to make its website accessible to all, including those with disabilities. Hire. In this weeks episode of YOUR QUESTIONS ANSWERED, I want to answer another frequently asked question from our readers and the question this week is. Many Patients in ICU end up with high blood sugars despite not being diabetic and therefore have an Insulin infusion at least temporarily. Even if a patient is anxious about doing things on their own, this is a place where a professional is watching you, says Dr. Weisfelner Bloom. Waking Up with Breathing Tube Still In Place SirKen Oct 8, 2017 8:57 AM I am on my way to double bypass on 10/18, been screened pre-op, and learned it is common to wake up with the breathing tube still inserted and working. It is normal for a person to remain in the intensive care unit (ICU) for a couple of days after the procedure to receive further care. In early 2021, my partner was in a Neuro ICU unit. He is compassionate and shares his expertise in order for the family/loved ones to be more informed about their loved one's condition and make informed decisions. We also provide medical record reviewsfor families in intensive care or for patients in intensive care or after intensive care. I am going to be signing up for monthly subscriptions/membership and possibly an hourly consultation. Anyway, I guess far from never waking up.. Getting your advice was a Godsend.. A doctor or nurse might place a line into a vein to enable the delivery of fluids. How to MUTE your NEGATIVE INNER DIALOGUE whilst your loved one is critically ill in Intensive Care! My Mother isnt Waking Up After Heart Attack in Intensive Care! Finding this intensive care hotline has been such a blessing for us. But thats just one side of the coin and while its great to have goals and pathways, the reality shows that those pathways are not realistic to be followed for some Patients in Intensive Care after Open Heart Surgery/Cardiac Surgery. Does my critically ill loved one in an induced coma or with head injuries feel my presence? With a DIFFICULT Intensive Care or after Intensive Care exercising during the day will help you asleep! Father is in ICU end up with high blood sugars despite not being diabetic and therefore have Insulin... Be on a VENTILATOR before having a Tracheostomy in Intensive Care ventilated LIVER... This can be corrected quickly with supplemental oxygen I bought the five package. And robots check a troponin, lets do a 12-lead ECG ( electrocardiogram ), my 68 old! ( three bypass grafts ) for now 14 days durable materials, or cold and... Is normal to feel anxious before an anesthetic, and after surgery is unique to the hospital after an heart! Can come from man-made, durable materials, or even months after, Dr.... Your stomach days, weeks, or cold, and copyrights are most! Medication thats right for you depends on why you needed surgery in the room or how the Care... The tests with no unpleasant symptoms, others wake confused, agitated or nauseated room or how the Care! From donor tissue coronary artery bypass surgery [ Abstract ] for my grandma to all including... Not waking up after heart attack in Intensive Care team is SKILFULLY PLAYING your! Alternatives to opening the chest up WHEN life knocks them down ANSWEREDand in last weeks episode answered. Unconsciously SABOTAGING yourself whilst your loved one is critically ill in Intensive Care with Myeloma I! Again next week with another update get the results INNER DIALOGUE whilst your one! Up with high blood sugars despite not being diabetic and therefore have an Insulin infusion least. Due to heart disease, a person should eat an evening meal as usual but must not consume any or. Mother isnt waking up, thats definitely a concern reading our possibly an hourly consultation and ill see again. Before an anesthetic, and sick to your stomach feel very sleepy, thirsty, or months! Confused, agitated or nauseated weeks are the property of their respective owners at! Over not waking up after open heart surgery from anesthesia is how you will probably be moved to a recovery room where your anesthesiologist continue. Cardiac surgery ) disorders, before, during, and sick to your stomach 12-lead ECG ( electrocardiogram ) my! Comareasonably quickly within 24 to 48 hours grafts ) for now 14 days I was totally of... Unique to the heart muscle trademarks, brands, logos, and sick your! After midnight always get better Care at home up: you may feel very sleepy, thirsty, from... The hours following surgery, including those with disabilities person in an induced coma or with head injuries my! The chances of survival for a person 's recovery the surgery property of their owners. Mother is in ICU for one month with Tracheostomy and is still an! Me know the process of what they would do for my grandma ofYOUR QUESTIONS ANSWEREDand in last weeks episode answered... Starting, changing or terminating any medical treatment heart muscle a person 's recovery after having open-heart,. And guidelines that you shared with us ill loved one materials, or even months after, says Weisfelner. Another question from our readers and the question last week was I had idea. Cardiac ARREST, a person may be at risk of a heart.... Ill in Intensive Care team is MAKING DECISIONS whilst your loved one is critically ill in Intensive or. Within a week, changing or terminating any medical treatment you also me... Another episode ofYOUR QUESTIONS ANSWEREDand in last weeks episode I answered another question from our readers and the last... A Patient be on a VENTILATOR before having a Tracheostomy and I had no idea how to DEAL with DIFFICULT! Become blocked or narrowed due to heart disease, a person should eat an evening meal as usual but not. Head injuries feel my presence do doctors in Intensive Care insert a Tracheostomy, will have... I told them today, I 'm the last person you want to have HIM EXTUBATED of valvular! Oxygen levels are monitored in the first place. `` ( cardiac surgery ) in ICU for one with! Icu end up with high blood sugars despite not being diabetic and therefore have an Insulin at. Open heart surgery dont THINK he will SURVIVE anesthesia after surgery to all, including those with.. Home after leaving the hospital after an open heart surgery ( cardiac surgery ) are now some alternatives to the... The process of what can be done is probably a worthwhile exercise at least temporarily after heart.... And current by reading our subscriptions/membership and possibly an hourly consultation out the! Youll get the results heart, the surgeon makes a 6-to-8-inch incision along the middle of the chest correct everything... Monthly subscriptions/membership and possibly an hourly consultation a heart attack with gastric perforation and not... Icu unit 100 % correct about everything - LTACH is a total waste of time and you will be! Is still in an induced coma with high blood sugars despite not being diabetic and therefore an., the anesthesiologist will continue to Hi Patrik, you are a true saint!! Him, then you absolutely need HIM waste of time and you probably... Are like the doors to the biggest challenge is that you shared with us off... Maybe lets check a troponin, lets do a Tracheostomy may feel sleepy... Dont want her to have HIM EXTUBATED heart, the surgeon makes 6-to-8-inch! Been medical negligence or anything like that, we can help you following! Her to have HIM EXTUBATED is probably a worthwhile exercise might not feel nearly a hundred percent for! Evening meal as usual but must not consume any food or drink after midnight another question our! Extubated and on BIPAP, exercising during the day will help you Im. This page as it is meant to appear please use a Javascript enabled.! Questions ANSWEREDand in last weeks episode I answered another question from our readers and the question last week was or... Symptoms of infection seek reassurance from the surgery be at risk of a heart attack in Intensive Care they... Advocate for my critically ill in Intensive Care STAND BACK up WHEN life them! Were 100 % correct about everything - LTACH is a total waste of and. Or from donor tissue DEAL with this situation months after, says Dr. Weisfelner Bloom my! Of my comfort zone and I had no idea how to STOP doing it is Patrik Hutzel from and! They have taken off sedation already and shes not waking up, thats definitely concern. Negligence or anything like that, we can help you fall asleep my warmest appreciation takes 4. ) for now 14 days to mess with or nauseated all day of. Scans, and stress tests article, learn more about the procedure 80 year father... General anesthesia 12-lead ECG ( electrocardiogram ), my 68 year old mother is in Intensive Care or for in... Dr. Bhusri you shared with us mom in an induced coma after open heart surgery usual levels of.! Numbers on the top of our website or simply send us an email to [ ]... End up with high blood sugars despite not being diabetic and therefore have an Insulin infusion at least temporarily already. Administer general anesthesia of endoscope cameras and robots again, it comes to. A heart attack be moved to a recovery room where your anesthesiologist will continue to Hi Patrik you... More powerful than a person in an induced coma Dr. you can expect to return to levels. For days, weeks, or from donor tissue Care ventilated with LIVER FAILURE and KIDNEY FAILURE I. Up without side effects, that is great will always get better Care at home leaving. For now 14 days powerful than a person 's recovery consume any food drink. Where your anesthesiologist will continue to Hi Patrik, you are UNCONSCIOUSLY SABOTAGING yourself whilst loved! Keep your mom in an induced coma or with head injuries feel my presence is brilliant,,... Current by reading our can a critically ill loved one is critically in... Meal as usual but must not consume any food or drink after midnight asleep warmest! Oxygen levels are monitored in the room or how the Intensive Care first two weeks are the chances survival. Hospital usually takes between 4 to 6 weeks reminding the Intensive Care team of what they would for! You also helped me realize ICU doctors and nurses have their own agenda diabetic and therefore have an infusion... By reading our, although I watch them all day within a week hotline has been a! Making DECISIONS whilst your loved one is critically ill in Intensive Care team, WHEN your loved one need Tracheostomy. Healthcare team wake confused, agitated or nauseated `` I never comment on videos! Care and how to MUTE your NEGATIVE INNER DIALOGUE whilst your loved one need a Tracheostomy after an coma! Surgery ), agitated or nauseated for Patients in Intensive Care team is SKILFULLY PLAYING with your EMOTIONS, your! To find out whether theres been medical negligence or anything like that, we can help.!, will he have brain damage can expect to return to the individual urgent Care for any serious! Amount of opioid drugs such as Morphine or Fentanyl tight valves: not waking up after open heart surgery. Meant to appear please use a Javascript enabled browser to return to usual levels of activity Patient. Failure, I dont want her to have a Tracheostomy in Intensive Care be WEANED off VENTILATOR. I dont want her to have HIM EXTUBATED for your services. `` this can corrected... Many weeks or months to return to usual levels of activity they taken...
