6/30/08 Update

Mom has had three meals and a snack now and seems to be doing very well with food. She was also given the go ahead to drink water from a straw. They stopped the feeding through the tube but haven't taken it out of her nose as a precaution. It is likely to come out tomorrow.

The current plan is to discharge her on Wednesday. They think that she is doing so well, she could go straight home without going to a rehab facility first. We are in the process of making the decision about whether that would be a good idea. Mom would really like to come home. If she did come home we would have either round the clock care for the two of them (after I leave) or care from the early morning until they went to bed.

When she comes home she will not be able to drive or lift anything over 10 pounds for 6 weeks.

Cindy

She's Eating!

Mom was just given chocolate pudding, raspberry yogurt, and cranberry necter.  "It is out of this world!" she says with each bite.  She is so funny.  She made us open all of the containers at once, having no doubt she would eat them all.  The next step is getting the feeding tube out.  They will wait and get a calorie count tomorrow to see if she has her appetite  is back completely. Apparently,  when people haven't eaten for a while, they don't have an appetite.  Somehow, we don't think this is going to be a problem with Mom.

Cindy

Great News!

Mom passed the test!!! She can eat!!! We just have to wait for the doctor's orders saying so.  Mom is disappointed that lunch is over and she has to wait for dinner.  I think we will persuade the nurse to get her applesauce or pudding or something.

Cindy

6/29/08 Update

Mom is getting stronger by the day.  She walked 1/2 way around the ward today.  They are doing a swallowing test as we speak.  If she passes, she can start eating food as soon as the doctor agrees.   She can also drink water if she passes.  Her oxygen level is great. It appears that the only reason she is using the oxygen mask is to keep the air moist so she can continue to cough out the thick secretions in her lungs.  Her heart functions continue to be great.  Everyone is very pleased with her progress. 

Cindy

6/28/08 Update

Sorry I am posting this so late.  Mom is quite a handful now that she is feeling better.  She is on the cardiac floor in Room 329.  She is getting stronger by the day and speaks quite well now.  

She is still only given ice chips (5-10/hour) and is on the feeding tube.  We think they are being a little too conservative but I guess it is better to be safe than sorry.

Mom is busy begging people to give her ice chips.  She told me to just get her a glass of water to drink, she would be fine.  When I told her I couldn't and explained why, she confessed that she had already gotten up by herself, grabbed a glass, filled it all the way up and drank it!  "It was so good!" she said. I haven't told the nurses for fear they will restrain her arms again.  The doctors have finally given the okay for family to give her ice chips but only 5-10/hour still.  So if you come visit be prepared for very persistent requests/demands.  She can be very persuasive.  "If you know what is good for you, you will get me some water!"  

Speech therapy was just here and she thinks that Mom's swallow response is good.  They will do swallowing studies tomorrow so that maybe she can have water and food on Monday.  Heart functions and blood pressure are great.   Her oxygen saturation level stays in the mid-90's even when she has the mask off.  Mom reports that the physician assistant who saw her today said that she would probably be transfered to a rehab facility in 4-5 days.  

Cindy

Out of the ICU

Mom was moved to room 329.  

6/27/08 Update

News continues to be good.  Mom will be transferred off the ICU unit today.  She gets ice chips now which make her very happy.  She has even promised a nurse a lasagna in exchange for the ice chips.  Sounds like she is back to normal.  Her speech is getting stronger and much easier to understand.  She walked farther today and is gaining strength.

They estimate that she will be on the cardiac floor for a week.  At that point she will be go to Rehab.  We are trying to get Mom and Dad in the same rehab facility so Dad will be taken care of at the same time. 

Cindy

6/26/08 Morning Update

Mom continues to make great progress.  Physical Therapy had her up walking this morning.  She is using the oxygen mask at 40% oxygen but they will be trying to wean her down to less today.  The speech therapist came in to study her swallow response, a crucial step before allowing her food and water.  Her throat muscles are still weak but she was able to swallow several ice chips without a problem.  If the doctor agrees they will give her 5 ice chips an hour.  It sounds like real food and water is a couple of days off.  She is speaking better but her voice is still hoarse.

Since I am scheduled to go home on July 4th or 5th,  we are looking at care options.  I will be speaking to the doctor soon to find out what she predicts the discharge plans might be.  

Morning Update 6/25/08

Mom does have the tube out.  She is using an oxygen mask to keep her oxygen level up.  It is vaporized so it loosens her lung secretions so she can cough them up.   She can talk only in a whisper since her throat is so sore from the tube.   This apparently gets dramatically better in hours and by tomorrow she should be able to communicate better.   

She will remain in the ICU until she can keep her oxygen level above 92-95 while only on 20% oxygen. So far she has been getting 40%.  They will continue to wean her off of this as the day goes on.   They may also keep her in the ICU to see if she can eat and drink without getting anything in her lungs.   

She says she is hungry---always a good sign.

Cindy

Great News!

We haven't been in to see Mom yet because they are busy taking her breathing tube out!!!!  More later after we see her.

Cindy

Morning Update

Okay, Okay, I know it is after 12:00 so it is not technically morning but I was waiting to hear from the doctor.  Mom is making excellent progress.  She is spittin' mad  that she cannot get her breathing tube out today and threatened to cut it off with scissors if they didn't take it out!  (All this is by pantomime and written notes. With the tube down her throat she still can't talk.)  So, you can tell she is doing really well and is back to being herself.

The doctor said she could get the tube that drains fluid from her chest cavity out today.  That is the one that was really bugging her.  Unfortunately, her lung secretions are still really thick so she can't cough them out as effectively as she would need to so that she could get off the breathing tube.  She did breath entirely on her own for the last 24 hours so that is an excellent sign.  They plan to get her up walking today.   

Her temperature is normal, her white blood count is going down steadily, and her blood pressure looks great.  

If you have any questions, please feel free to ask via the blog or give me a call. You can leave a message at Mom and Dad's house.  

Take care, 

 Cindy

Afternoon Update

Hi Folks,

We got a chance to speak with Mom's doctor.  She thinks Mom is doing well. Before they take the tube out she has to be coughing up phlegm by herself.   So, tomorrow is very optimistic.  She thinks Wed or Thurs is more realistic.  

Mom is back on all her usual medications (for those who were concerned about that) with some change in blood pressure meds.  They are also giving her aspirin as an anticoagulant.  

The doctor reassured us that she has never seen permanent neurological problems with the short time that mom was off the heart-lung machine.  She said that sometimes it takes people a bit of time to get back to normal but all have gotten back to their previous level of functioning. 

We are going in to see her one last time and then we will be leaving for the day.  Visits from family members this afternoon and evening would be welcome.  You will be pleasantly surprised by her progress.

Thank you for all the support!

Cindy  

Morning Update

Mom looks great today.  When we came in she was sitting in a chair.  She really acts like herself now.  She still has all the equipment attached to her but is making good progress.  Her pulse is closer to the normal range today.  She will probably not have the breathing tube out today because they gave her breathing assistance last night (though it is not clear she needed it).  She indicates what her needs are.  She is madder than a wet hen about all the tubes they have got running through her nose and clearly wants them out.  When she can talk we are all going to get an earful.  

Morning Update

Hi Folks,

I am taking over the blogging so it will probably have a slightly different tone.  Mom is making steady progress.  Today she is alert and aware of her surroundings.  She nods or shakes her head to yes and no questions. It is so nice to have her responsive. The respiratory therapist reported that she did a good job following his instructions and that he thinks she is making good progress.  Her temperature is normal but her blood count is still a little high (13,100).  She is still receiving an antibiotic, vancomycin every 12 hours.  They think that if she continues to progress she may be off the ventilator (have the breathing tube out) by early in the week.  We are very hopeful and pleased with her progress.  

Cindy

 

Morning Update

This morning we were greeted with mixed news. It turns out she has Gram Positive Coxide clusters hopefully the broad spectrum anti-biotic she was on will help get rid of it and now they might prescribe a new medicine that will help more. She is able to keep her eyes open for short periods of time seeming to recognize us. She is breathing on her own but with the machine compencating for being in her lungs.

Morning Update

This morning grandma seems to be doing much better. THe fluid has gone from her lungs and there is no bacterial growth. She is no longer sedated and will open her eyes. The respiratory therapist says hopefully they will do some weening trials today to get her of the respirator.

Morning Update

We found that there hasn't been much improvement from when we left last night when we came in this morning. She is given 16 breaths per minute and is taking anywhere from 18-32 breaths per minute. Her white blood cell count is 18,100. Otherwise there has been no change.

Into the ICU

We were let into the ICU for the first time today we were given some information by the nurse, Katherine who seems very knowledgeable and nice. They have reinserted the breathing tube, something negative but with some positive effects. She can now focus her strength and energy on getting better. It seems like this has been working as they are giving her 18 breaths per minute and she is taking 22-28 breaths per minute, out breathing the machine, which she didn't when she was in the ICU before. The doctors have replaced the arterial and central line. Her white blood cell count is elevated from the normal range of 3,600-10,600 she has about 23,100. The cultures to tell us if there is an infection should be out tomorrow morning at 9:30 or 10:00. They will not treat her until these are back, so they can treat her more effectively. Unfortunately she will probably be in the ICU for a while at least a few days and the breathing tube will not be removed today.

Back to the ICU

Grandma was transferred back to the ICU this morning around 10 o'clock. The doctors and nurses thought that she needed to be monitored more carefully. Also there was a big fluid build up around her lungs so the doctors gave her some medicine to clear that up and they are giving her a larger dose now that she is in the ICU. She has an oxygen mask on at all times because her blood has low levels of Oxygen. She also has an elevated white count, signaling the possibility of infection, there are currently blood cultures in the works to check for any sign of one.

RE: Updates?

It has come to my attention that the update email service has a great delay on it, so I have deleted the post an if you have had subscribed to it feel free to unsubscribe link at the bottom. Hopefully by tomorrow I will have a different service working with no delay. Sorry for the inconvienence.