damage if it existed. So we had to wait some more.
At one point when I was holding her hand her eyes suddenly opened for the first time, and she looked terrified and tried to sit up a bit. She calmed down, finally, and then stared right into my eyes. She still was still intubated, however. Her eyes looked incredibly sad, and I noticed tears forming and slowly rolling down her cheeks. I squeezed her hand tightly, and she closed her eyes and her vitals went back to what was her baseline.
The next morning when I got to the room she was sitting up, no longer intubated, and with a lot less wires and connections. She was tired, but could talk, and she seemed okay. She asked me what had happened, she asked if the boys were okay, she asked how long she’d been there. Her brain, miraculously, was fine.
The cardiologist had examined her, and her ejection fraction was 25%. This number refers to how efficient the heart is, the amount of blood pumped out of the lower chambers with each contraction. Normal range for a female is 55 – 75% or so. There are several ranges, but the last is called “severely abnormal” and that is anything under 30%. She was at 25.
I realize now (and did a bit then as well, but tried not to think about it) that the techs and nurses there assumed she wouldn’t make it. There were many signs: how they looked at me when they thought I wasn’t noticing, all extremely sad and despondent. When I asked if the boys could see her, the main nurse suggested against it saying “I think it’s better for children to remember their parents as strong and healthy,” that “the last image of their mother should be a good one,” etc. Stuff like that, but worded carefully.
I knew she would be okay, somehow. It wasn’t even a worry for me, once she could breathe on her own and there was no brain damage. I didn’t really understand ejection fractions, though I could tell from my father’s wife response to the number that it wasn’t good (she had been an ICU nurse over the course of her career). Still, she kept improving.
Her blood pressure recovered, as did her heart rate and other vitals. The ejection factor was in the high-30s when they started physical therapy, and after a couple of days she could walk the length of the corridor by herself. I could tell the staff was a bit surprised at the speed of her recovery, but she was always strong physically for such a small person.
She got to leave ICU finally and spent another day in a regular hospital room, and then she was discharged. She’d been in the hospital just under a week.
She had appointments set with a cardiologist, I bought her one of those blood pressure measuring machines, and her insurance (Medicare) promised that she was allowed a home visit from a nurse three days a week for a month and then weekly for a few months after that.
The nurse never came, I learned later.
But she improved, her numbers getting better, the first cardiologist appointment I took her to a month later had good results. She seemed more normal. Her texts to me and posts to Facebook seemed more normal, not scattered, with attention to clarity. It was like my old daughter. She seemed happier.
I made sure she kept her appointments, made sure she filled the first round of prescriptions that the hospital provided, and drove her to the cardiologist so I could also answer and ask questions. The doctor seemed pleased with her progress.
During the whole week or so I had been terrified. Terrified that the paramedics couldn’t revive her. Terrified that she would never breathe on her own. Terrified that she’d be brain damaged. Terrified of a life without her, terrified for her boys and how they would respond to the loss of their mother. I’d cry when no one was around and then be mad at myself for not being more positive.
But then there was that reprieve.
I’d imagined all these horrible outcomes and scenarios for nothing.
She was a survivor.