Delirium, the state of confusion that my mother, Emilia Malarik is in at Coney Island Hospital

Paul Malarik Jr

22 Jan 201503:55

Summary

TLDRThe transcript captures a family's struggle with a mother's health crisis at Coney Island Hospital. She is experiencing delirium, with medical professionals conducting tests like a 24-hour holter monitor and EEG to determine the cause. The patient's fluctuating consciousness and desire to return home are highlighted, along with the medical team's efforts to stabilize her condition. The narrative conveys the emotional toll on the family and the hope for her recovery.

Takeaways

🏥 The individual is discussing a situation at Coney Island Hospital, indicating a medical setting.
📅 A specific date and time are mentioned: January 20th, 2015, at 4:30 p.m., suggesting an important event or observation.
👵 The subject of the transcript is the speaker's mother, who is experiencing health issues.
💊 The mother is given Ativan, a medication used to treat anxiety and delirium, indicating her mental state.
🧠 The mother underwent a 24-hour holter monitor and an EEG to determine the cause of her delirium.
😵‍♀️ The mother's state of consciousness is fluctuating, with periods of delirium and recognition issues.
🛌 The mother expresses a desire to go home but is unable to do so due to her condition.
🤔 The speaker is concerned about the mother's mental state and the effectiveness of the medical treatment.
👩‍⚕️ A team of healthcare professionals, including a neurologist and a physical therapist, is involved in the mother's care.
🙏 There is an expression of hope for the mother's recovery and a return to a more normal state of consciousness.
👶 The speaker mentions 'baby' and 'not a baby,' possibly referring to the mother's cognitive state or the need for care.

Q & A

What is the main concern expressed in the transcript about the patient?
-The main concern is the patient's delirium, which the medical team is trying to diagnose and treat.
What medical condition is the patient experiencing according to the transcript?
-The patient is experiencing delirium, which is causing disorientation and confusion.
What medical tests have been conducted to determine the cause of the patient's delirium?
-A 24-hour holter monitor and an EEG have been conducted to try and figure out the cause of the patient's delirium.
What medication was administered to the patient in an attempt to alleviate her condition?
-The patient was given two milligrams of Ativan to help with her condition.
How is the patient's current state of consciousness described in the transcript?
-The patient's level of consciousness is described as alert but with fluctuations between being oriented and experiencing delirium.
What is the patient's desire according to the transcript?
-The patient expresses a strong desire to go home, but it is not possible at the current time due to her medical condition.
Who is Dr. Ben Pfeifer mentioned in the transcript?
-Dr. Ben Pfeifer is likely one of the medical professionals involved in the patient's care, possibly a physician or neurologist.
What is the significance of the date and time mentioned in the transcript?
-The date and time (January 20th, 2015, at 4:30 p.m.) mark a specific point in the patient's condition that the speaker is referencing.
What is the patient's current living situation as described in the transcript?
-The patient is currently in the hospital, with a team of doctors, including a physical therapist and neurologist, working on her treatment.
What is the family's hope for the patient's condition as expressed in the transcript?
-The family is hopeful that the patient will get better soon and that she will be able to return to a more normal state of consciousness and happiness.
What does the transcript suggest about the patient's current emotional state?
-The transcript suggests that the patient is frustrated and distressed, wanting to lay down and sleep due to the discomfort and disorientation she is experiencing.

Outlines

00:00

🏥 Hospital Stay and Delirium Diagnosis

The speaker discusses a family member's hospitalization at Coney Island Hospital, where she is undergoing various medical tests, including a 24-hour holter monitor and an EEG, to determine the cause of her delirium. The patient's desire to return home is mentioned, along with the administration of Ativan to calm her. The speaker expresses hope for her recovery and mentions the involvement of a team of healthcare professionals, including a physical therapist and a neurologist.

Mindmap

Keywords

💡Delirium

Delirium is an acute, often sudden, state of confusion and disorientation. In the script, the term is used to describe the mental state of the speaker's mother, who is experiencing episodes of delirium in the hospital. This condition is characterized by her fluctuating levels of consciousness and confusion about her surroundings and the people around her. The medical team is trying to determine the cause of her delirium.

💡EEG

EEG, or electroencephalogram, is a test that measures electrical activity in the brain. In the script, an EEG was performed on the speaker's mother to help diagnose the cause of her delirium. This test is crucial for understanding brain function and detecting abnormalities that might explain her altered mental state.

💡Ativan

Ativan, also known as lorazepam, is a medication commonly used to treat anxiety and seizures. It can also be used to sedate patients who are experiencing agitation or delirium. In the script, the speaker mentions that his mother was given two milligrams of Ativan to calm her down during a particularly agitated episode, although the speaker himself does not require it.

💡Holter Monitor

A Holter monitor is a portable device used to continuously monitor the electrical activity of the heart, typically over a 24-hour period. In the script, the speaker's mother is undergoing this test to check for any heart-related issues that might be contributing to her delirium. It is an essential tool in diagnosing arrhythmias or other cardiac problems.

💡Coney Island Hospital

Coney Island Hospital is a healthcare facility mentioned in the script. It is the hospital where the speaker's mother is currently receiving treatment. This context helps establish the setting and the medical environment in which the events are taking place.

💡Neurologist

A neurologist is a medical doctor who specializes in diagnosing and treating disorders of the nervous system. In the script, a neurologist is part of the team working to determine the cause of the speaker's mother's delirium. The neurologist's expertise is crucial in assessing brain function and managing neurological conditions.

💡Physical Therapist

A physical therapist is a healthcare professional who helps patients improve their physical function and mobility. In the script, a physical therapist is part of the team caring for the speaker's mother. Their role is likely to assist in her physical rehabilitation, aiming to restore her strength and mobility during her hospital stay.

💡Consciousness

Consciousness refers to the state of being awake and aware of one's surroundings. The script mentions the speaker's mother's fluctuating levels of consciousness, highlighting her periods of alertness and confusion. This fluctuation is a key symptom of her delirium and is closely monitored by the medical team.

💡Orientation

Orientation is the ability to recognize one's environment, including time, place, and identity of people. The script discusses the speaker's mother's level of orientation, which varies due to her delirium. At times, she does not recognize the speaker or other people, indicating a severe disorientation.

💡Medication

Medication refers to the drugs administered to treat or manage medical conditions. In the script, various medications are mentioned, including Ativan, used to calm the speaker's mother. The discussion of medication highlights the ongoing efforts to manage her symptoms and improve her condition.

Highlights

Patient is experiencing delirium and the cause is being investigated with a 24-hour holter monitor and EEG.

Patient expressed a desire to go home but is currently unable to do so.

Patient was given 2 milligrams of Ativan to help with agitation.

Medications are being adjusted to help the patient feel more oriented to reality.

Patient is currently in a raw state and wants to lay down and sleep due to pain.

Patient's level of consciousness is fluctuating, with periods of alertness and delirium.

Patient did not recognize family members initially.

A multidisciplinary team of doctors, including a neurologist and physical therapist, is working on the patient's case.

Patient's condition is being closely monitored for improvement.

Coney Island Hospital is the current location where the patient is receiving treatment.

January 28th is a significant date mentioned in the patient's medical history.

The patient has an appointment with Dr. Ben Pfeifer for further evaluation.

Implants and other medical procedures are being discussed in relation to the patient's condition.

The patient is thankful for the care received at the hospital.

The patient's mother is also mentioned as being involved in the care process.

January 20th, 2015 at 4:30 p.m. is a specific time mentioned regarding the patient's level of consciousness.

The patient's current state is described as alert but with limited orientation, possibly around level 12.