The doctors had initiated blamed the hematoma on the dislocated shoulder, and blamed the dislocated shoulder on a sudden severe fits. However, after we asked for answers, they got a Orthopedic specialist to come see the fracture. He was able to confirm that the hematoma was not caused by the dislocated shoulder.
While they are still unable to explain the dislocated shoulder, the new theory they are going by now for the hametoma is that while doing the shunt, the location of the shunt is very close to a major artery on the chest. Over time (one week to be exact, since the shunting operation), the rubbing of the shunt with the artery caused the artery to burst. Blood leaked from the burst artery at a very fast speed and at a certain level, the huge hametoma exert enough force on the artery to stop it from bleeding. As the hametoma has not gone down significantly yet (after almost 2 weeks), they have to "wait and see". They are not ruling out surgery if the hematoma doesn't go down.
The doctor has, however, indicated that it is highly unlikely that he would suffer a major fit attack, dislocate a shoulder and have a huge hematoma, all on the same night. He did not have any major fit attack before this incident.
We have complaint to the nurse clinician (head nurse) and the doctors of the ward and have long talks with them and they did mention that they will impose some disciplinary action on those involved. We chose not to pursue the incident anymore, at least not at this time. Instead we set them the more difficult and important task of making sure my dad is well taken care of and that they make sure they do everything they can to get him well. They have since been extra attentive to him.
Steve, I think he was conscious throughout the whole ordeal. I can't bear to imagine when his shoulder was dislocated and how many time they have turned him the night not knowing he had a dislocated shoulder. He looked really miserable when we visited him in the morning. The saddest part of the whole incident is that we were the ones (and not the nurses on duty) who discovered the hematoma which ultimately led to the doc telling us he had a dislocation.
He was unresponsive for two days this week, when the infections set in. His mental state seemed unaffected, but we do not really know at this point as he is still very weak.
Ronan