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Gösta Andersson received an apology from the Södertälje Hospital admitting to wrongdoing and stating several contributing reasons. His diary gives divided messages:
“Very active retiree. He generally runs one cycle of the Vättern Round annually ”, it is indicated on the first page. And on page two, under the heading posture on life support treatment: “0 VAT, 0 CPR, 0 respirator,” which meant that he would not receive intensive care, CPR, and would not be put on a respirator.
– This is a death sentence, says Gösta Andersson.
The decision to limit treatment. He was behind daughter Ulrica Stigberg, on April 10, she received a shocking call from Södertälje hospital, where her father was transported in an ambulance three days earlier, with a fever and shortness of breath. He was not given priority for a place in the intensive care unit even though there were vacancies, as DN reported after a meeting with Gösta Andersson in June.
– I begged and prayed. I am very grateful to have my father alive, says his daughter Ulrica Stigberg.
Catharina and Gösta Andersson in Södertälje fell ill with covid-19 this spring, but Gösta, 81, was the worst.
Photo: Barzan Dello
Gösta Andersson, 81, has completed 32 Vättern rounds and trained for another race, when he, like his 78-year-old wife Catharina, came down with a fever and cough in the spring.
Gösta was sicker there and was taken by ambulance to Södertälje Hospital on April 7, where he was admitted with covid-19. The reassuring message with the night nurse that Gösta would be admitted to the intensive care unit in case of deterioration turned half a day later into the opposite, when a doctor called and announced that Gösta had gotten worse, but had taken the decision not to prioritize. for intensive care.
– I knew there were intensive care units available, otherwise I would not have stood firm, but now it was not necessary to take that ethical consideration, says Ulrica, who also referred to the physical form of the father.
Good Friday On April 10, the entire family gathered outside the brick Mexita village in Södertälje to protect themselves against corona infection and had close contact with the hospital. Catharina describes the drama:
– We were desperate. The son finally ran to the neighbor to see if he could help us get a seat. But at that point they called from the hospital and said they would offer Gösta a place at Huddinge Hospital, she says, and her eyes get wet.
Gösta says that all this passed by.
– I remember how I walked out the door and into the ambulance on April 7. Then I wrote in the almanac on April 20, when I came off the respirator and ended up in an isolated room with medical personnel in full protective gear.
Gösta Andersson, 81, is happy with the recovery at Södertälje Hospital, but at the same time critical. “I still don’t know who decided to ‘reset me.’ I want Ivo’s research to prove that.
Photo: Barzan Dello
After receiving continuous care at the infection clinic at Karolinska in Huddinge, he was discharged after a total of 31 days in the hospital. After the six-month check-up at Karolinska in Huddinge, he has been declared healthy.
– The doctor said that it is not noticeable that I was on a respirator, says Gösta and describes the gratitude he feels for the care that saved his life.
Recently was, Catharina and the daughter also in Södertälje hospital, to participate in the investigation of the hospital incident.
– Okay, but it is important to follow up now. I hope I can help prevent more people from being affected.
The hospital’s event analysis, which was completed this week, shows several ambiguities regarding the decision on life support treatment and how it was documented:
A ward doctor worked temporarily at the hospital during the spring and lacked experience in hospital routines to make these decisions, according to the report. This contributed to her writing the decision in the journal and not on a special form. It is unclear if the decision was made before he was admitted, as the doctor claims he was not involved. The doctor also had no contact with the patient or with his family or with any colleague regarding this decision.
By patientansvariga The nurses, for their part, did not react to the decision of the ward doctor, since it was not entered on a valid form.
Catharina and Gösta Andersson in Södertälje
Photo: Barzan Dello
At the same time, deficiencies are identified in the templates of the electronic medical record system. Covid Care also helped create new magazine templates, which led to misunderstandings.
The report also highlights that the synchronization affected the lack of communication with the patient and relatives, since the situation was very tense due to the pandemic.
At the same time, it was stated, incorrectly, that Gösta Andersson suffers from high blood pressure, hypertension, one of the risk factors in covid-19.
– It’s completely incomprehensible where it comes from. I have always had low blood pressure and I have to take it carefully when I wake up.
Gösta Andersson’s neighbor For several decades, Rolf Skuncke, a retired chief physician working at the Södertälje Hospital, has helped the family to make their own report to Ivo and also to read the hospital report.
– I see the hospital investigation and Lex Maria’s report as a party presentation. A weak point is that you do not know how many people have died or may have been injured because of a bad job. We don’t know if the doctors received orders from above, says Rolf Skuncke, who wants to see a broader investigation.
On Monday, the hospital sent its lex Maria report to the Swedish Health and Care Inspectorate, Ivo. This spring, Ivo began a review of critical care priorities in all hospitals in the Stockholm region, which is not yet complete.
DN has sought out the chief physician at the Södertälje Hospital. Lena Sunnermalm leaves a written comment:
“The Södertälje Hospital has conducted an investigation on the report we receive on decisions about life support treatments. It shows that we have not followed the guidelines that we have, among other things with regard to consultation with patients and families. It has resulted in an action plan that will guarantee and control the quality of these decisions in the future. We take what has happened very seriously and have sent a report according to Lex Maria to Ivo, to review our management and our proposed measures “.
Rolf Skuncke, a retired chief physician and a resident of Gösta Andersson for decades, believes the research has weaknesses and wants, among other things, answers on whether more patients have been affected by the hospital’s lack of routines. “Doctors may have received orders from above not to provide intensive care to people over 75 or 80 years old. I would like to see a review of the medical records of all the patients who were treated at the hospital and died with COVID-19, ”says Rolf Skuncke.
Photo: Barzan Dello
Anyone who spends a couple of hours with Gösta Andersson understands that he is an 81-year-old man of a special caliber. You seem to have a hard time staying still. The 32-round Vättern set started on the 50th anniversary, when he received the starting place as a gift.
– So I hadn’t pedaled at all. But it was just to keep up.
The health declaration at the beginning. He took September as a clear sign to start training again.
– Since then, I have cycled 550 km this fall. But now I run a little shorter laps, he says, which means three and a half miles instead of five.
What happened has given a new perspective to life. Construction projects that have always been on the sidelines now must rest.
– I realized how quickly it can end and I thought I should also have time to withdraw.
The goal is the Vätterrundan next year, together with the oldest grandson.
