Pfizer pulls Lipitor ads featuring Dr Robert Jarvik
February 26, 2008 | Shelley Wood

New York, NY - After a series of questions and attacks over its choice of Dr Robert Jarvik to endorse Lipitor in a series of TV commercials, Pfizer has announced that it is withdrawing the ads. As previously reported by heartwire, Jarvik invented the first artificial heart, but he is not a cardiologist, nor does he hold a medical license—factors that drew criticism from detractors and made him and Pfizer a target of a US House Committee on Energy and Commerce investigation into celebrity endorsements in direct-to-consumer advertisements.

In a January 2008 statement, committee chair Rep John D Dingell (D-MI) observed: "Dr Jarvik's appearance in the ads could influence consumers into taking the medical advice of someone who may not be licensed to practice medicine in the United States. Americans with heart disease should make medical decisions based on consultations with their doctors, not on paid advertisements during a commercial break."

Complaints about Jarvik went up a notch this month when the latest ad in the series depicted the inventor rowing a racing scull across a lake, despite the fact that Jarvik himself does not row and the commercial used a body double.

Now, in a statement appearing on the company's website, Pfizer has announced that it is stowing the ads.

"The consumer advertising featuring Dr Jarvik, a well-respected heart expert and inventor of the Jarvik artificial heart, provided valuable and medically accurate information about the risks of high cholesterol and how Lipitor can help patients reduce their risk of heart attack and stroke," the statement reads. "Nevertheless, the way in which we presented Dr Jarvik in these ads has, unfortunately, led to misimpressions and distractions from our primary goal of encouraging patient and physician dialogue on the leading cause of death in the world—cardiovascular disease. We regret this. Going forward, we commit to ensuring there is greater clarity in our advertising regarding the presentation of spokespeople."

Jarvik himself issued a press release Tuesday afternoon insisting that he has been "sincere and honest" in his "role as Lipitor spokesman."

"The record needs to show that the ad campaign Pfizer tastefully presented to the public, using beautiful natural settings and high-tech modern architecture, fairly represents me as a world-recognized heart expert," Jarvik explains in his press statement. "I am in fact a medical doctor; I am a world expert in mechanical heart technology; and I am an athletically fit man who takes care of his own health through diet and exercise, including frequent five-mile runs."

Jarvik goes on to respond to criticism about the "rowing" ad, noting that he spent some of his vacation time during high school rowing and that he had, in fact, trained to row in the shoot. At the last minute, he states, he was told he could not do so for insurance purposes—the water was too cold—and a more experienced rower was chosen to fill in. "It never occurred to me that anyone would consider this dishonest," the statement reads.

Other media outlets have reported that Jarvik was guaranteed $1.35 million for the ads and that Pfizer spent $258 million on Lipitor advertisements between January 2006 and September 2007.



Your comments
Pfizer pulls Lipitor ads featuring Dr Robert Jarvik
# 1 of 41
February 26, 2008 11:22 (EST)
Joe Rindone
its about time
nothing more needs to be said IMO
# 2 of 41
February 26, 2008 03:35 (EST)
matt f
its a shame...
I am disappointed Pfizer pulled the ads. Its suggests that they did something wrong and that Congress effectively addressed some problem that really didn't exist.
# 3 of 41
February 26, 2008 05:15 (EST)
becky christianson
Matt, I disagree.....
Mr. Jarvik was not a licenced doctor. Yes, he has a medical degree, BUT he is not licenced as one. He never sat for boards. Common knowledge equates the word "doctor" with a physician. Only when you are in academic settings do people understand another use for that name. His saying "i'm a doctor, and I take..." tells Grandma and Grandpa Jones and their children that he is a medical doctor who has his own patients he treats and he uses this med, so it must be good! And the "idea" that Pfizer is really encourage a dialogue between consumers and their own physicians is a bunch of malarky! My docs have had pts come in and TELL the doc what medicines they want to have, and most of the time it is because they've either heard it on TV or read it in some magazine (you know--the three page ads??? How much do those cost?)

I am glad these have been pulled. They were quite misleading to the general public.

(I still think Congress should have kept their noses out if it, like the silly steroid investigation, but that's for another thread! ;-})

Becky
# 4 of 41
February 26, 2008 05:18 (EST)
D Hackam
eliminate all non-doctors from commercials?
Perhaps in that light we should not allow actors or actresses to portray doctors in television commercials or in TV sitcoms. Only real doctors should be permitted.

Also I think that fake firemen should not be allowed to portray real firemen on TV and fake police officers should not be permitted on the television series "Law and Order".

Imagine what this will do to the costume industry!!
# 5 of 41
February 26, 2008 05:25 (EST)
Naveen R
good news
Pretending to be a "physician" is nothing new for him. After the artificial heart was implanted, Jarvik would appear in press conferences, wearing the universal uniform of a physician, the white coat. Despite the fact that in regards to the heart, he was more an engineer than an actual physician..
# 6 of 41
February 26, 2008 05:46 (EST)
Melissa Walton-Shirley
If only Anna N's Howard Stern had been his manager....
So many issues here:
Jarvik did NOT do any harm to anyone.....except perhaps Pfiizer. It's the hypocrisy that really gets me here. He wasn't pushing booze, tobacco or Trimspa. But if he had been, he'd still be employed physician or not.
I'm not certain I agree with the entire pharmaceutical advertising thing to begin with, but if you are going to allow energizers, fat burners, weight reducers and memory improvements to be advertised in film or print, I think a guy who takes lipitor because he's trying avoid the same fate as his dad can probably be given some latitude, just based on precedent alone.
If only Howard Stern had been his manager, his message could have gone on uninterrupted, with even more glitz and glam.......but not without a hair cut. (sorry that was mean).
Melissa
# 7 of 41
February 26, 2008 11:24 (EST)
william rollefson
I didn't even know
I didn't know his CV until today. So, it's OK for Mandy patinkin to hawk Crestor but not ok for Jarvik to hawk for lipitor? I personally hate all this direct to consumer marketing for pharmacuticals as I am asked why I'm not Rx the latest, greatest med for the treatment of this or that based on an ad they saw on TV.
# 8 of 41
February 27, 2008 02:20 (EST)
Michael Cobble, M.D.
well he is an actor
He definately plays a doctor on tv and also needed a stunt double to row for him and used a fake son, and implied he was a real life doctor - not just an actor.

there is no love lost with "Dr" J and much of the cardio community.

I graduated from Utah Med School and I thought he was a cardio or CT surgeon from the ads. Surprised when I learned through the congress hoolibaloo that he was a fakey jarvik doctor.

I haven't seen congress do much of anything to be proud of in decades. perhaps if pfizer had simply labeled the ads a dramatization no one would have been put out.

the congressional medicare part d was a travesty and of rare help to my medicare population. very disappointed with congress on almost every turn or point they make - it's like they are completely out of touch with the average American and every issue that is important unless of course it is reality tv, tv ads or some sporting concern. :o)
# 9 of 41
February 27, 2008 08:14 (EST)
matt f
don't kill the messenger
I cant' seem to agree with those that support pulling the ad. Does it really matter that he is not an MD? The real docs in pratice get to make the final call. John Doe could come in and ask for the whole world via a script pad but they only get it if his doc says OK. How can we possibly blame Pfizer or any other DTC Rx ad? Pfizer is not handing out scripts at the airport. These community docs need to have more discipline.
# 10 of 41
February 27, 2008 09:18 (EST)
Melissa Walton-Shirley
Go Back to Basics
I think we need to take a step backward in the advertising world. Instead of mentioning the NAME of the medication, why not couch it as a public service announcement? Instead of Jarvik talking about taking lipitor, he could have truthfully said......Try taking the best care of your heart possible. Exercise, eat a mediterranean diet and talk to your doctor about your cholesterol., You might need medication to bring it down. Site a study or two, etc. Say things like "your heart beats 100,000 times per day. It needs your help to protect it, nuture it, etc.
I see absolutely NOTHING wrong with a public service announcement about a disease process and possible options for treatment. Just picture it...........a runway, hot music, lights, a little wind machine..... models, kind of Calvin Klein like - guys and Victoria's Secret - girls.......but wearing before and after lipid profiles . At the end, a quick flash of the company brand but no specific name.....It would work. Pitch it during the evening news, the political debates or during March madness.
Apply a little "superbowl" to the entire issue and you'll capture more folks than ever before who could really use our help.
Melissa
# 11 of 41
February 27, 2008 04:14 (EST)
becky christianson
I LOVE IT!!!!!
Melissa, you hit it right on the head! If I could look like one of those models, you bet I would sit up and take notice!!!!!
# 12 of 41
February 28, 2008 07:06 (EST)
William Phillips
I'm a rowing cardiologist...
and I actually thought the Jarvik ads were pretty good. I certainly didn't see a lot of patients asking to change from their generic statins to lipitor, but I thought the adds accurately depicted the benefits of lipitor and the evidence behind it. Jarvik IS an MD, so being called "Doctor" is his earned right.... just like a PhD or a Minister with a Doctor of Divinity degree. he's certainly made a contribution to the fight against heart disease, and you have got to respect that, whatever else you think.
But if Pfizer is looking for a real cardiologist who is also a real rower.... I'm available.
# 13 of 41
February 29, 2008 12:56 (EST)
Michael Cobble, M.D.
And I have a Doctor of Divinity degree,,,
I did get it on the internet, but wouldn't pass myself off as a minister on any ad, although I 'preach' to patients every day, sometimes I even beg and plead with them.

William, I will support you in your rowing campaign.
# 14 of 41
February 29, 2008 07:35 (EST)
Melissa Walton-Shirley
The ultimate
Dr & Dr. Michael--- perhaps you could replace Jarvik . we'll have you in the fore ground , holding a heart, while William "rows" in the back ground. Maybe I could get on my ellipitical runner, with a stethoscope around my neck, and swallow a statin like Salley Field, right there on camera.
I think we've done it. The ULTIMATE statin ad!
Melissa
# 15 of 41
March 3, 2008 10:07 (EST)
Michael Cobble, M.D.
I like that
Can we use a 'stunt' heart?
# 16 of 41
March 3, 2008 07:19 (EST)
Melissa Walton-Shirley
NOooooooo! Michael!
No Michael, this commercial has to be "real" in every sense of the word. And it has to be a heart from somone we know.... that actually took a statin, and had healthy coronaries, autopsy proven ..... and it has to have been Lipitor that did it......, with proof that the LDL did come down...and they weren't on niacin or anything else that could have impacted the profile and confused the public......hm..........
Melissa
# 17 of 41
March 3, 2008 08:19 (EST)
Brian F. Mc Bride
Agreed!
Melissa,

Your points germane to celebrity endorsements are well taken. The companies should contribute more to the public service announcements for heart disease. There was a nice series of editorials in Clinical Pharmacology and Therapeutics a few months back which discussed this very issue. It was very well written. Secondly, public service announcements of the type you mentioned can be very effective. For those who might be skeptical, I would direct you to www.dontpassgas.org for some hilarious yet effective PSAs.

The advertisement issue should also be extended to herbal supplements which now copy cat pharmaceutical advertisements in a direct attempt to mislead patients into products with the potential to be even more dangerous than prescription medications.

Brian McBride

PS If anyone read the investment journals recently, declining shareholder returns are shiofting CK and Victorias Secret away from using models so they might actually be looking for work!
# 18 of 41
March 3, 2008 09:13 (EST)
Michael Cobble, M.D.
Melissa and Brian
Well Melissa - I don't think that is fair, everyone knows that tv and cinema aren't real and only for entertainment and we should have 'artistic' license or at least marketing license - can't we use a healthy heart not on statins and say they were? :o)

Brian, good timing on dontpassgas.org, I had a friend send me a cutthecheese wmv file discussing cutting cheese of the course the employee was able to cut cheese better after the other employee pulled their finger. they also said that women don't cut cheese well because they are too delicate about it (I thought that was sexist) - but he was better able to cut cheese after having his finger pulled. Good to keep in mind next time when having cheese and crackers or wine if you will..
# 19 of 41
March 4, 2008 10:24 (EST)
Brian F. Mc Bride
Importance of the Impression
While humor in a PSA may be important, the abscence of it can be equally effective. Another excellent example is the PSA by New Jersey Governor Jon Corzine for the use of seatbelts. http://www.youtube.com/watch?v=c-qC9MJjNhc
# 20 of 41
March 4, 2008 11:46 (EST)
becky christianson
Define "everyone", please....
Michael, not "everyone" knows that cinema and TV are for entertainment. How many suits and news stories in the past 2 years have been directly attributed to some TV show or movie influenced crime being made? We have teenagers and young adults beating each other up or killing each other because they saw the moves done on a video game and that person got up! How many people believe what is in the Natl Enquirer, etc? I really hate to beat this to a pulp, but Mr. Jarvik did a great disservice to medical doctors who are actually in the trenches every day listening to pts demand medicine because some "expert" on TV said it would save them from something! The same is true with herbals (diet pills, "natural" male enhancement therapy, etc.) And now with ENHANCE's debacle in the media (see that blog) people are STOPPING meds because of "expert" sayings, instead of having an intelligent discussion with their own doctors/APN's. It's quite disheartening.
# 21 of 41
March 5, 2008 09:34 (EST)
Melissa Walton-Shirley
Herbs indeed
I think the most salient points of this entire thread are the hypocrisy of advertisements of herbal product , weight reduction gadgets and supplements, balanced against the good message that was delivered with a less than ideal vehicle and I only think it was less than ideal because the company left itself open to criticism. A good PR person could have looked at that and said......"now what can be the potential criticisms, loop holes and caveats?" I think the Jarvik add would have been fine and left to do a good work if the company had not allowed the viewing public to think he was an MD. It really doesn't bother ME as an MD because the message was good.
What really bothers me is that the message suffered.
Melissa
# 22 of 41
March 5, 2008 05:34 (EST)
Michael Cobble, M.D.
Melissa
Cheers and well put. You make an excellent moderator and voice of reason. The packaging was bad, the message was good, now it's lost on many with the drama and entertainment that resulted.

I hope the risk/reward of this ad is balanced. ie for all those who started the statins appopriately to reduce further risk is greater than all those who may stop a statin based on inappropriate messages in the aftermath.

mc
# 23 of 41
March 5, 2008 09:36 (EST)
Melissa Walton-Shirley
We are all trying to do a good work here!
Thanks Michael!! Great to have your posts here on the forum as well ! I live for posts! :)
Melissa
# 24 of 41
March 6, 2008 11:54 (EST)
Sean Rhuland
great thread
I was not aware of Jarvik's lack of a license and being a younger physician, not aware of all of his details of medical career. Irrespective, I don't like any of the tv direct marketing to consumers. It is no different using Jarvik or Bob Dole or whoever famous to shill the products. Pfizer spent $258 million on advertising from 1/06 to 9/07 per an article on theheart.org, what is the sum total of all advertising by big pharma? I bet it comes close to billion or more. I wish that could be put into different uses for our pts.
Personally I wouldn't mind all drug ads disappearing and most reps with them.
# 25 of 41
March 6, 2008 12:03 (EST)
D Hackam
great idea
I wholeheartedly agree with the previous post. Billions of dollars wasted which could have gone into product development and testing. Sick and tired of sales calls.
# 26 of 41
March 6, 2008 12:07 (EST)
Sean Rhuland
great thread
I was not aware of Jarvik's lack of a license and being a younger physician, not aware of all of his details of medical career. Irrespective, I don't like any of the tv direct marketing to consumers. It is no different using Jarvik or Bob Dole or whoever famous to shill the products. Pfizer spent $258 million on advertising from 1/06 to 9/07 per an article on theheart.org, what is the sum total of all advertising by big pharma? I bet it comes close to billion or more. I wish that could be put into different uses for our pts.
Personally I wouldn't mind all drug ads disappearing and most reps with them.
# 27 of 41
March 6, 2008 12:09 (EST)
Michael Cobble, M.D.
Sean, quite a dilemma
'Personally I wouldn't mind all drug ads disappearing and most reps with them.'

In this 'free' economy it has been hard balancing the 'marketing/sales' messages and the disease state/educational messages.

In our consumer driven and capital economy - it would be hard to discriminate drug ads yet allow alcohol, food, airbourne, detergent, toilet paper, baby food ads, etc..

I think the key is if awareness is provoked by and ad or by a sales rep - if we look at the information in fair balanced and critical fair lighting - most should benefit.

The reps may interrupt my schedule but most are courteous, interested, resource driven. Most of my mismanaged insurance companies refuse to pay, decline to pay, ask for chart notes, ask for rebilling, delay payments, say we have done an experimental test or intervention, raise premiums, raise all copays, refuse service, require chart notes, require prior authorizations, make prescription choices for my patients or against my choices, etc... The real enemy to us appears to be the mismanaged care system which discounts my service 35-55% and then we lose another 10% with a billing company fighting to collect the money we have already earned. on and on, my pts are tired, we are tired. we have more complaints each day about how bad each and every insurance company is...

Our pts certainly appreciate the free medications which are appropriate and the pharma patient assistance, etc..

thx
# 28 of 41
March 6, 2008 01:01 (EST)
Sean Rhuland
agreed
Michael,
I agree that not all reps are bad, and in our region we certainly appreciate being able to sample our pts (2nd lowest wage index in country, ~30% uninsured). It is unrealistic to expect to stop advertising because the dollar rules for everyone except us as physicians who are expected to be perfect in most respects and be low "utilizers".
I definitely agree with the "waste" involved in the health insurance business who are interested in protecting the pts, or in reality their profits- just like today having to change a pts med for third time in less than one year due to "formulary restrictions". Oh well, life is hard, but it may become much different in the very near future if we become "nationalized".
Appreciate your comments and insights
# 29 of 41
March 6, 2008 05:26 (EST)
Michael Cobble, M.D.
thanks Sean
I've been in private practice over 13 yrs now and the medicine isn't any harder in fact it's more fun all the time.

What has become harder is trying to collect insurance payments, trying to follow formulary and access restrictions, etc..

We have at least 5 people each day complaining of poor insurance, inability to get insurance, canceled insurance, changed insurance, changed medication forumlaries - on and on and this really affects our care delivery.

Now I have to worry about all of these issues rather than just making the right diagnosis and introducing the right intervention. I would give up 1/2 of my salary to have equitable care for all - mismanaged care has forced that on me already.

We all need to write our congress people, pts and clinicians. I don't see it getting better, certainly mismanaged care has not improved quality or delivery. What has improved quality are technology and medication advances.

Keep on Truckin. :o)
# 30 of 41
March 6, 2008 07:30 (EST)
Melissa Walton-Shirley
Being a diagnostician is usually easy but....
It's really interesting that the least difficult task for any practitioner is "getting the diagnosis correct". So what are the difficult tasks?
Case examples :
1. New onset afib. 3rd party payor wants the patient out of the hospital within 48 hours on LMWH.....creatinine is 2.2, weight 120 pounds Hb 10.0. Age is greater than room temperature. Try to explain that LMWH is relative contraindicated in renal insuff, plus you want to keep them close with history of anemia. Phone calls, phone calls, it's Friday evening, no decision. Patient sweats all weekend wondering if their bill will be covered.
2. Next patient, let's say it's the non genetically identical twin of the patient above:. Afib, creatinine 0.9. Different third party payor ....I WANT Lovenox as an outpt..Alas, they won't cover it. (No logic, no balanced approach). Patient mad all weekend because they can't go home.
3. Elderly white female discharged from tertiary center after CABG. She is home for a few hours, stands and nearly faints. If I flick her tongue, it would shatter ... Orthostatic. I admit her........Sirens, alarms, flashing lights, the third party payor police ride in on their black steeds....... Because "she hasn't been home long enough" to be admitted again. I replied "What the heck are you talking about?"
After a round table discussion, phone calls, conference calls and a letter, tears on behalf of the elderly patient that lives alone...... we finally win that one. Shouldn't have been so difficult.
4. Paged to ER. ST's up. Patient coding. Family reveals "he stayed home all day because he knew he was having a heart attack and didn't have good insurance. Pronounced because code had been in progress 1 hour prior to arrival following 10 minutes of collapse with no CPR.

"It's times like these that try cardiologists' souls".

Hillary, Barack, John?
# 31 of 41
March 7, 2008 10:00 (EST)
Wiliam Blanchet
New wrinkle on wasting my time
The newest wrinkle is that I write a Rx for a patient with appropriate refills. The mail order pharmacy enters it then faxes me a form to sign. Periodically they re-fax me the same form before the refills had expired. Occassionally they will change the med or dosing on the form they ask me to sign.

I am seeing >2X more prescription faxes every day than I am seeing patients. I need to have my MA look up the patient's chart to be sure that the Rx is appropriate. A new added cost with no added value. A new way to make a mistake and experience litigation.

OK kids, how long do we remain victims? When do medical professionals take back the industry for the safety and wellbeing of our patients?
# 32 of 41
March 8, 2008 06:19 (EST)
Melissa Walton-Shirley
OK
OK, spell out the plan.
Melissa
# 33 of 41
March 8, 2008 01:48 (EST)
Michael Cobble, M.D.
Melissa
Those are stories that break your heart.

Some people might thing you are practicing in a third world environment or canada for example.

Only when this is happening to our congresspeople where their family members are denied will change occur - or enough of our population becomes angry and active enough to demand change will something happen.

The fear mongers and proponents against change will continue to misinform and scare the public and providers however.

So much for a govt by the people and for the people, more likely by the special interest lobby and for the special interest lobby. And this in our area has been the mismanaged care organizations.

I apoligize for this outburst. My insurance company denied 'my' lipid panel the other day. Why am I paying them over $20,000 to insure my office and staff?
# 34 of 41
March 9, 2008 11:39 (EDT)
Wiliam Blanchet
What we can do
Physicians have developed and published standards for treatment of disease states. We also have a good understanding of inappropriate physician behavior.

I feel that we should evaluate and publish standards regarding acceptable insurance company behavior. If it is published with peer review by established medical organizations, the insurance companies would have no ground to stand upon when they behave badly. I believe that this would represent the first steps of a meaningful change regarding insurance company behavior.
# 35 of 41
March 11, 2008 03:53 (EDT)
Michael Cobble, M.D.
provocative article in JAMA
"Who Really Pays For Health Care? The Myth of Shared Responsibility"

P 1057-1059 march 5,2008 vol 299 no 9

This is the kind of dialogue that needs to be happening in homes and congress and providers and employers and making it universal to reward all.

mc
# 36 of 41
March 11, 2008 09:25 (EDT)
Melissa Walton-Shirley
cost ......a relative term
Along those lines, do you know that the life time expenditure of a smoker makes a pack of tobacco "cost" 40.00$ US. (That's per pack).
I'm a wealth of useless information....
Melissa
# 37 of 41
March 12, 2008 02:06 (EDT)
Michael Cobble, M.D.
Cost....
Melissa, I love that stuff. So $40/pak. I'll add that to my neuron/axon bank - just so I can drink a beer sometime in the next 3 months and destroy that little memory cell later.

So if you post this again in 3 months - I will think it is really cool again or if I ask for the information in the future you will know - oh he had a beer which targeted that poor little $40/pak tobacco axon.

Keep the wealth of useless info coming, I'm so much fun at cocktail parties when this kind of stuff comes up - I wonder why people wander off to other conversations when I start talking??? :o)

you and I can talk at the next cocktail party.
# 38 of 41
March 12, 2008 08:45 (EDT)
Melissa Walton-Shirley
Weird and wonderful!
Michael,
See post "How best to attend the ACC". I know we got off topic, but it explains a bit as to why people might think we are weird "at cocktail parties" and the like.
Because we are!
Melissa
# 39 of 41
March 14, 2008 11:43 (EDT)
Mari Stewart
getting back to "SICKO" medicine
My dad fell 1 mo ago in California (MANAGED CARE hell) and I am exhausted/intensely frustrated from deailing with his managed care medicaire plan!
Hey, I was not surprised at the red-tape, fragmented care, denied care, etc. since I actually left that state because of that reason....(NC is MUCH better). But if I had not been there as his bedside advocate in the hospital then SNF, I think he could have easily died from PE, pneumonia, sepsis. My brother (bench research scientist in genetics-working in his own little la-la world) was appalled as it was his first real experience with "US healthcare". He was overcome at the horrible flaws in the system...which we almost don't even notice anymore for the sake of our own survival. Maybe when more baby boomers begin to wake up to this mess there is a chance for change...combined with Hillary or Obama?
# 40 of 41
March 14, 2008 11:29 (EDT)
Melissa Walton-Shirley
Boy oh Boy can I ever relate to that
Mari,
Good luck with your dad. I'm sorry for the stress your family has endured both because of his illness and the stupid "system".
I can relate to you in that my dad spent 3 months on a vent plus 3 months inpt. rehab , three months out patient PT and 3 months Pulm rehab following CABG due to absolutely HORRIBLE looking Bullous emphysema. (not much in the way of symptoms either pre op or now 5 years later) Despite having had a G tube and a trach, and being strange as heck for months afterwards, he now leads singing at church and farms as if nothing ever really happened.
One night very late in the ICU while he was still on the vent, the surgeon came in, sat down and said "Melissa, why don't you go home. You are exhausted ".
To which I replied, "If I go home......I think he will die and I just cried right there in front of him". At one point I prayed that he would die if he could not get better. I understand now better than ever before what ICU families are going through. The stress of a prolonged and complex illness is at times completely unbearable.
CAVH, transfusions, failed weaning attempts, rehab, mini stroke, refractory hypotension and hypoxemia (BP 58/30 on pressors), delusional and the grand daddy of them all : ENT resident came to change trach, took it out and couldn't re establish an airway.....nurse came out and whispered to me "come in and don't wake up your mom". O2 sat 70s. I actually paged the surgeon out of a CABG to get an airway.
My statement to the surgeon that night who is TOP NOTCH was Not meant to be a slur but no one on any surgery team anywhere would have had the time to spend that it was going to take to save my dad. * I'll be you can relate to this statment!
I shut down my practice and stayed with my dad for a month then my brother and I traveled back and forth the entire time. My mom moved in to an apartment of sorts for 6 months to stay near him.
God gets the credit though because it was an absolute miracle that he made it.
One piece of advice. I knew my dad was wacko while he was there and wouldn't remember any of it (if he would even care to). But, I wrote it all down in a 40-50 page story. A year later, he began to read it, every page and he sat down and cried. After that, I think he really appreciates life more than ever. You might want to write down your experiences. I might be therapeutic for you at least.
Melissa

# 41 of 41
March 14, 2008 11:31 (EDT)
Melissa Walton-Shirley
correction
"IT might be therapeutic for you at least".
Melissa

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