Unresolved Heartache: Coping with the Loss of a Loved One - Internal Medicine

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Unresolvable Heartache


Hello, Doctor: My mother passed away several years ago, and the cause of her death remains unclear, which has led to my ongoing regret over her passing.
I clearly remember that two days before the Dragon Boat Festival seven years ago, my mother felt unwell after making rice dumplings at home, and then she started to develop a fever.
On the day of the festival [Thursday], I took her to see a doctor, but the next day her fever had not subsided, and the family took her to a clinic for treatment.
That evening, I learned that her fever not only persisted but she was also sweating profusely, soaking her clothes.
I rushed home to help her wipe off the sweat and change into dry clothes while urging her to be hospitalized for treatment.
Initially, she was reluctant to be hospitalized because she had been admitted before [due to geriatric illnesses], and she was afraid of the IV treatments.
However, since her fever continued and she was drenched, it was clear that treatment was necessary.
I kept insisting that she needed to be hospitalized, and eventually, she agreed.
That night, I took her to a teaching hospital to complete the admission process and undergo various tests.
[My mother was 80 years old at that time.] It was so painful! I never expected that she would walk into the hospital for treatment on Friday night and would be discharged [passed away] on Saturday night.
I still cannot understand why this happened, and it has caused me endless regret! My mother had a mild case of diabetes and some geriatric ailments.
Doctor, based on my description, could you provide an approximate assessment of what condition my mother may have succumbed to? Thank you for your clarification!

Youyou, 30~39 year old female. Ask Date: 2004/05/10

Dr. Yang Hongzhi reply Internal Medicine


Hello: Your mother had a persistent fever before being hospitalized, which likely indicates an infection.
In diabetic patients, infections can often be more severe than in the general population.
Based on your description, it is difficult to determine whether the cause of death was due to the worsening of the infection or if there were other conditions that occurred (such as an acute myocardial infarction) that led to her death.

Reply Date: 2004/05/10

More Info


I'm truly sorry to hear about your loss. Coping with the death of a loved one, especially a parent, can be an incredibly challenging and painful experience. It's understandable that you feel a sense of regret and confusion regarding your mother's passing, particularly given the circumstances you described.
From your account, it seems that your mother was experiencing a fever and other symptoms that led to her hospitalization. While I cannot provide a definitive diagnosis without medical records and further information, there are several potential causes for her sudden decline that could be considered based on common medical knowledge.

Given her age (80 years old) and the symptoms you described, it is possible that she may have had an underlying infection, such as pneumonia or a urinary tract infection, which are common in elderly patients and can lead to rapid deterioration if not treated promptly. Infections in older adults can sometimes present with atypical symptoms, and fever is a common indicator of an underlying issue. Additionally, her history of diabetes could have made her more susceptible to infections and complications.

Another possibility could be heart-related issues. Elderly patients often have undiagnosed heart conditions, such as congestive heart failure or arrhythmias, which can lead to sudden health crises. The stress of an illness can exacerbate existing heart conditions, leading to rapid declines in health.

It's also important to consider the psychological aspect of your experience. The feelings of guilt and regret you are experiencing are common among those who have lost a loved one, especially when the circumstances surrounding the death are sudden or unexpected. You may find yourself questioning whether you could have done something differently to prevent the loss. It's crucial to remember that you acted out of love and concern for your mother by encouraging her to seek medical help.
Coping with grief is a personal journey, and there are various ways to navigate this process. Here are some suggestions that may help you:
1. Talk About Your Feelings: Sharing your thoughts and feelings with friends, family, or a therapist can provide support and help you process your emotions.

2. Honor Her Memory: Find ways to remember and celebrate your mother's life. This could be through creating a scrapbook, planting a tree in her memory, or participating in activities she enjoyed.

3. Seek Professional Help: If feelings of guilt and sadness become overwhelming, consider speaking with a mental health professional who specializes in grief counseling. They can provide strategies to cope with your emotions.

4. Join a Support Group: Connecting with others who have experienced similar losses can provide comfort and understanding. Many communities offer support groups for those grieving the loss of a loved one.

5. Practice Self-Care: Ensure you are taking care of your physical and emotional health. Engage in activities that bring you joy, whether it's exercise, hobbies, or spending time with loved ones.

6. Allow Yourself to Grieve: Understand that grief is a process that takes time. It's okay to feel sad, angry, or confused. Allow yourself to experience these emotions without judgment.

In conclusion, while I cannot diagnose your mother's condition based on the information provided, it is clear that her passing has left a significant impact on you. Remember that seeking help and support is a sign of strength, and you do not have to navigate this journey alone. Take your time to heal, and be gentle with yourself as you process your grief.

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