We can't force adults to do what they ought to do. Even the best doctor or nurse can give the best advice, but it's up to the patient to choose to follow it. As his wife, I do assume responsibility for his health which is why I spent all day and all night at the hospital at his side, walking with him around the unit during the night, suctioning his NG tube at the bedside for hours while my back ached, losing a lot of sleep and eating little, asking questions, and praising and helping the nurses to give them relief -- all the while keeping a watchful eye over his care.

I don't blame the hospital; I agree that a patient and patient's family assume ultimate responsibility. I'm really only curious, and I have nothing but praise for all the personnel, nurses, doctors, and other staff who went out of their way. I'm not the type of person who expects royal treatment, but that's what we got.

I just now looked over the paperwork again and the only mention of after-care is "unless told otherwise" he may resume normal diet that day and usual activity the next day.

If I send a letter it would be a friendly tone and include abundant praise for everything done right, and finish with a comment that written instructions might help some patients who won't recall later after the sedation wears off.