Hello - My mother has been ill for a year now with abscesses in her abdomen. It started with a bout of diverticulitis that ruptured the colon that resulted in a fistula to the skin surface. She has had 5 surgeries with two different surgeons trying to clear up the internal pockets that would not heal. They kept rupturing up to the surface with fluids. She has even had a wound vac. Her primary has said all along he thinks it still has to do with the colon. The last surgery she had was with surgeon number 2 and he thought it best to operate by fully opening it, cleaning it and sewing it all up. Sure enough one month later, last Saturday she ended up in the ICU with a severe infection the size of a grapefruit in her abdomen almost septic. Sooo, with yet another admission through the ER surgeon number 3 opened it, cleaned it up and put in a drain. He told us he thinks it has to do with the sigmoid colon and that part may need to be removed. That was the last we heard 3 days ago after he did the cleanup surgery. She is now in med-surg in the hospital and they are talking about moving her out to a rehab facility (for the second time). WE STILL don't even know what is going on, or why this keeps happening 5 surgeries later. They keep doing the same thing over and over and getting the same results. All these surgeons know each other and are somewhat connected thru the network or personal relationships. I need some advise as to how to get to the bottom of all of this. We are not even sure who's care she is under anymore. All of this is complicated by the fact that she now has a second bout with CDiff (from the antibiotics from the surgery last month) and is diabetic. Who do we look to as the doc who is watching the bottom line? Now, in the hospital she is under the Hospitlaist Doc. If she goes to rehab she will be under the rehab doc. Who is watching the big picture and making recommendations to heal her? We need somebody that will look at all the pieces and take some charge here. Is there somebody at Medicare we can contact that will help? What if we want to take her into one of the big hospitals in Boston rather than these suburb hospitals? How do you start that? She is the sickest I have ever seen her right now and all we are hearing is that she is off to rehab without any plan!! Please, any help from anybody who has navigated something similar would be helpful and appreciated. Thank you in advance. Michelle