My MIL had some form of dementia/Alzheimers.
She eventually forgot how to eat and had to have a tube placed. She made it home for about a week with the tube. She aspirated during a feeding one night and the next morning her O2 saturation was 80%. We called an ambulance and got her to the ER where they put her on a ton of oxygen but her breathing wasn’t improving. She was constantly on the max amount of oxygen they could push until the doctor came in and said she isn’t going to recover and we need to call family to say goodbye.
She went from totally fine, to the hospital, to gone in two weeks.
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