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[Figureman52]

I came across this in my father in law's medical notes.

"HS 1+ 2+ ESM"

Does anyone know what it means?

[plym ian]

hs is hours sleep. Dont know what esm is sorry

[Figureman52]

Thanks for the reply.

Found it again, now it says "HS 1+ 2+ ?ESM, soft, loudest aortic area"

[tigers_gonads]

Whats up the old fella ?

[Figureman52]

He went into hospital. Diagnosed and treated for pnuemonia. Died of a heart attack 6 days later. Swmbo can't come to terms with it. Convinced the doctors missed something. So she got all the notes and is trying to understand them.

[tigers_gonads]

He went into hospital. Diagnosed and treated for pnuemonia. Died of a heart attack 6 days later. Swmbo can't come to terms with it. Convinced the doctors missed something. So she got all the notes and is trying to understand them.

Might be a idea to get your 15 minutes of free legal aid or even Pm Guffer 

[RobG]

Ejection Systolic Murmur

[the alarming man]

i belive it is a heart murmur heard in systole..been a long time though....

[D]

Heart sounds one and two heard normally plus an ejection systolic murmur, which could be normal for an older person. Or not.

Edit: Soft and in the aortic area, sounds age related.
Sorry for your loss.

[D]

He went into hospital. Diagnosed and treated for pnuemonia. Died of a heart attack 6 days later. Swmbo can't come to terms with it. Convinced the doctors missed something. So she got all the notes and is trying to understand them.

Quite lethal in its own right. More so if you are older than 65.

[albitz]

He went into hospital. Diagnosed and treated for pnuemonia. Died of a heart attack 6 days later. Swmbo can't come to terms with it. Convinced the doctors missed something. So she got all the notes and is trying to understand them.

Quite lethal in its own right. More so if you are older than 65.

Im in no way a medical expert,but I would agree with that.
Ime its common for bereaved relatives to find it difficult to accept sudden or unexpected death of a loved one,and often feel a need to blame someone. I saw a degree of it after the sudden death of my mother.Hospital and doctors actions being questioned etc.
Each family member has a different recollection of what happened,but my own recollection is that my mother had several serious health issues including a large clot, part of which had moved from her leg to her lung (s ?). She apparently got it into her head that her daily blood thinning injections were going to kill her and refused to have them.She died very suddenly a few days later,and I believe that part of the clot had probably moved from her lung to her heart which caused almost instant death. 

[Dishevelled Den]

//......

Sorry for your loss.

Well said D.

I would also like to add my condolences to both you and your wife.

[Figureman52]

Thank you for replies and expressions of sympathy.

We are not on a witch hunt, just want to be sure that all that could be done was done. We can’t help but feel at the moment that even if he had got pneumonia there was still an underlying heart problem.

Would “Pneumococcal antigen, shows negative” suggest no pneumonia?

[albitz]

I didnt mean to imply that you were on a witchunt.I hope my post  didnt convey that impression.
Just sharing my experience that the need to apportion blame can,for some people at least, be a part of the grieving process.

[Figureman52]

Not at all. I understand where you are coming from. Witch hunt probably the wrong phrase.

Wife feels that maybe she could have done more and is partially blaming herself.

Just looking for the truth.