Work in progress 👀
My grandfather (my mother’s father) was diagnosed with Lou Gehrig’s disease in October, 1968. The doctor who diagnosed him said he would probably live for another year or two, but that didn’t happen. He continued working at a foundry just outside Boston, but the ALS was slowly weakening his muscles. Shortly before Christmas 1969, less than three months after he was diagnosed with ALS, he came home from work one day and felt like he was getting sick. Just a cold, he thought. He stayed home for a couple of days, but it was not a cold, and eventually he went to the hospital and was diagnosed with pneumonia. His cause of death was pneumonia, as per his death certificate. The lead underlying cause of death was amyotrophic lateral sclerosis (ALS). His doctor at the hospital assured my mother that he would not have died if he had not contracted pneumonia. The pneumonia killed him because the ALS had weakened his lungs to the point where he could not combat the pneumonia. If he did not have ALS, he more than likely would have survived pneumonia (as did my father-in-law, twice since the age of 60).
According to als.net

At the time he contracted pneumonia, ALS had already reached the involuntary muscles that controlled his lungs, so the pneumonia decimated him within a few days. If it was 2020 and he contracted COVID-19, he would likely have died just the same. The cause of death likely would have been COVID-19. The underlying cause of death would have been ALS. He did not admit himself into the hospital because of ALS. If he did not contract pneumonia, he would not have died on January 5, 1969. In his case, ALS was not the cause of death, rather it was a significant factor (underlying cause) contributing to his cause of death.
A friend of my parents was diagnosed with ALS in 1993. His doctors (as was the case with my grandfather’s doctors) said he would probably live another two or three years. Surprisingly, he lived with the disease until his death in 2020. He was in a wheelchair for more than 20 of those years. He wanted to die at home with his wife and family, so they arranged for home hospice care in 2019. On October 14, 2020, he died at home in his bed. His last words to his wife were: “I’m just going there to check it out. Will see you then. I’m just around the corner.” Even though he had ALS for 27 years, he remained cognizant and alert the entire time. His doctors always said how miraculous it was that he lived for so many years with the disease. As far as I know, he never contracted pneumonia, influenza, or COVID-19. My mother was told his cause of death was complications of amyotrophic lateral sclerosis (ALS). According to scientific consensus, “All deaths directly caused by ALS result from respiratory complications.” In his case, the underlying cause of death would likely be classified as some type of respiratory failure.
Here is an in-depth overview of ALS from medscape.com.
It begs the question, if my parents’ friend had contracted COVID-19 and then died, what effect would that have on the information submitted on his death certificate? Would COVID-19 be classified as a significant contributing factor (underlying cause) or would it be the cause of death?
The cause of death. Pneumonia killed my grandfather in 1969. It was the leading cause of his death. “OTHER SIGNIFICANT CONDITIONS, as per his death certificate:
Amyotrophic lateral sclerosis (see death certificate below)
ALS. Anthony had ALS. If he didn’t have ALS, he most likely would not have died in four days. Four days in the hospital and he was dead. The same hospital that diagnosed him with ALS on October 10, 1968, three months before he died on January 5, 1969. It’s entirely possible if he didn’t contract pneumonia he would have lived another year or two or more. My parents’ friend, Chris Pendergast, lived twenty-eight years with ALS (see pic below).
At 70 years old, Chris Pendergast got his voice back.
Unfortunately I do not have access to neither Pendergast’s autopsy nor death certificate. I could not confirm his cause of death. It’s possible his cause of death was ALS, but other causes are equally possible, including pneumonia or COVID-19. Most media accounts stated “he died peacefully.” Locally, Chris Pendergast is sometimes referred to as the “Latter-day Gehrig.” I personally met him in 1985, and had less than ten brief interactions with him between 1985 and when he was diagnosed with ALS on October 13, 1993. He was told he had three years to live. He lived for 28 more years. He died on October 14, 2020. Rest In Peace, Chris.
Now, let’s have a look at my grandfather’s autopsy. It was performed on January 5, 1969. It was seven hours post mortem. Here is his discharge diagnosis:
DISCHARGE DIAGNOSIS (list in order of importance)
Amyotrophic lateral sclerosis
Acute necrotizing bronchopneumonia, bilateral, severe.
Laryngeal edema, mild.
No comments:
Post a Comment