Friday afternoon I sent this fine gentleman home early from work. I was charge nurse at the time. He told me he would take the final patient back, and then he would go. I said, ok, and sent him on his way. Little did I or anyone that day know that Azeem wasn't feeling good. We now know that he had been complaining to his wife of left arm pain and back pain over the phone. He never said a word to us though.
When he got home, he just thought he pulled a muscle. After all he is our transporter in Endoscopy. Nothing a little Bengay couldn't fix. He put some on, and went to bed.
He awoke in the middle of the night with severe shortness of breath. They called 911. Once in the ambulance, he had a code blue. Got to the hospital, the one we work at, got him on the table in the cath lab, he coded again. They found 100% occlusion of the LAD, the main artery in the heart. Azeem was then moved into our ICU, where he coded twice more.
Cue me coming in on Monday, I am the last one to clock in. I already have a heavy heart... the news of the Boston bombing, the flooding in IL ruining so many people's homes, the fact that a friend of a friend is battling metastatic breast cancer at the age of 28, another friends mother in law with a abrupt diagnoses of leukemia and currently on a ventilator, and the unexpected death of my Uncle Richard Friday morning... things were just not right with the last 7 days of life. As I go to ask who needs a break like I do every morning.... Carol and Sabrina pull me aside and tell me about Azeem with all the above information... I was ok and hopeful, until they told me that his ejection fraction (the volume your heart pumps out) was 3%. A normal ejection fraction is 50-65%. His body was barely pushing blood around. I knew right then and there, he would not make it. I was officially deflated. I had not cried about anything up until that point... and there you have it... the waterfall of tears started flowing. I was also told that Azeem was having high seizure activity. If he did pull thru for some reason, he was already brain dead.
I debated with myself all day if I should go and see him. As a nurse, you find yourself quite detached most of the time, but I knew I wouldn't be in this situation. By the end of the day, I went down and sat next to his bed. I held his tremoring hand, I wiped a tear that was forming in his eye with a tissue. I held it together, and told him, to do what he had to do... to just be comfortable, I assured him his wife and his children would be alright. Jokingly, I told him that I had no idea how to shut off our new department coffee machine that was delivered that Friday morning... he was the only one paying attention to the guy who was teaching us to use it. I told him that I'd figure it out though. He was made a DNR (do not resuscitate) prior to my visit. The minute I walked out, I fell apart.
Tuesday, was especially rough. We were just all waiting for the inevitable. And at about 4 o'clock, it was over. I went down again, and they were doing post mortem care. Lisa, Sabrina, and I went in the back room and spoke to his wife. The days before she was in such disbelief and denial. Telling Azeem, "wake up, wake up... if you open your eyes and smile, I will work and you can say home." Also saying, "without him, I do not exist, I am nothing." After his death her feelings were much healthier... she told me, "I must be strong and learn to live in a world without Azeem." On a side note, Azeem did everything for her and their children. He was the sole provider in every aspect of their lives... from making doctor appointments to finances and bringing in all the money to shopping. Azeem's wife will now have to learn all of these things. We told her we would help her. Azeem had just prided himself 1 month before on helping her study for her US citizenship as well as teaching her to drive... both of which she passed. A blessing in disguise? When they were done making Azeem look like Azeem, we went in... and sat again. What a difference. How rested, how calm, he looked so much better.
Today, I went in to work for a couple hours and we had a unit meeting. Sister Laura came up and we prayed for Azeem. As a Muslim, their belief is to be buried within 24 hours, so at the time we were praying, he was being buried. We exchanged some stories, but my story, I couldn't pull myself together to tell. I will tell it another day.
He has left such a huge hole in our hearts, in our department, and our hospital as a whole. Because he was a transporter we all knew him, and if you didn't know his name, you knew of him. He was such a blessing. One man vs. 30 women. Not many could handle that. But you could always go to him and tell him whatever, cause it never went beyond his ears. We always gave him a hard time. And he did the same to us. So many inside jokes, so many memories, so many friends he had.
Even after typing this, I still can not believe I am talking about my friend, Azeem. It's hard to comprehend the fact that he won't be there anymore. It's hard to see the others cry over him, when you just finished and fixed your make up. His wife and his 3 children are on our minds, always. It just plain sucks.
Life is so damn precious.