Call to the Hospital Am June 1st

I called in to speak with Richard his nurse. He stated not much change to speak of. The blood works and Xray were still processing. His vitals were still stable. I guess that is good news to be stable and unchanged.

Dr Sorathia was just stopping in to see him and going over the charts.

Dad has been completly off sedation now for about 36 hours. Arcot said about 48 to 72 is more likely the time frame when he might come too. They thought maybe Friday would be possible for the trcheostomy now. As of this morning though there was no surgical consult.

They are still treating him for (Vancomycin-resistant enterococci (VRE) also refered to as Mersa.

XXOO

Vivian

Call to the Hospital

I spoke with Jennifer today who was not the most talkative type. His status is about the same as yesterday. The chest X-ray was still showing pnemonia.

He is still breathing over the ventilator by 2 breathes, the Ventilator is back to 55% and he is stable on that.

They have stopped all sedative medications to bring him out of the sedation. I think some whiffs of Hershey's Chocolate with almonds or a Manhatten might bring him right out. ;-)

His kidney's continue to improve in small amounts.

He did get his urine culture back and his latest infection is Vancomycin-resistant enterococci (VRE). Not sure about the spelling. He is taking Chlrythromyacine for it. This is not a good baterial infection it is very resistant to treatment.

Mom was getting in shortly and will call me.

When mom came in, she met with Dr. Arcot and he told her Dad was set for the tracheostomy. Possibly tomorrow. This requires surgery and since dad is Crtically Stable (oxymoron or what) he would be fine to do the procedure. He said we are not at any decision points at this time.

The pulmonary Dr said things looked fine to day and no changes at this time. Mom was waiting to see Dr. Sorathia the last time we talked.

XXOO

Vivian

Tuesday - Mom's Visit to Hospital

Dad had a small leak in his air line and it required the ventilator to be increased back up to 60%. As well they had to re-sedate him. This will prolong the process for the Tracheostomy. They will need to start the weening process again.

HR - 79
BP - 146/82
Sat - 96%

Kidneys and X-ray were about the same. They will change the catheter today and the air line. Dad's swelling is almost completly gone, his hand are still a little swollen.

Mom Played tennis lost the first 2-6 and won the second 6-0.

XXOO

Vivian

Memorial Day - Mom's Hospital Visit

Dad seems to be the same, with some slight improvement in the lungs. Dr Arcot, the intesivist, is recommending we do a tracheostomy. He seemed very positive. His lungs have improved enough to where they think he would benefit.

Since the tracheostomy is temporary, the tube will eventually be removed. Healing will occur quickly, leaving a minimal scar.

His vitals are otherwise normal and the fever is completly gone today.

After Dr. Arcot left the nurse came by to mom and gave the vitals:
White Blood Count 12.6 - down
ATGB - 11.1 / 32.8
Blood Sugar is high @ 100 expected with the fluids
Neurological - wheening sedation and may take some 48 hrs -72 hrs to come.
Pulomonary - slight improvement they will be making some adjustments including tracheostomy.
Blood gases are in normal limits based on sedation levels
Tube feedings will increase , doing well w/them
BM normal
Urinary/Renal BUN 99 Creatininie 1.7 Output is good
Cardiac - HR 60-70.5
BP - 120/70 - 130/80

XXOO

Vivian

Sunday May 28th - Hospital Visit

I spoke this morning with Mom and Joanne, his nurse. Dad's condition is about the same with slight improvments.

He was breathing over the ventilator yesterday by 11 breaths and they made some adjustments to the ventilator to get the breathing to work better. They also gave him one additional sedation medication to see if that would help. He is now breathing only 2 breaths over the vetilator. They increased the time the oxygen would stay in his lungs so he would expel more to the body.

Mom is on her own today and is doing well. She has a great network friends in both in Florida and around the country and Brasil that we really appreciate knowing that they are there for her to call. Virginia gave her some instructions on the computer for email and Google. She is monitoring Dad's email account.

Joanne is really a very informative and accommodating nurse, as far as his nurses go. She explains alot and has no problems receiving calls and telling you what she knows.

His kidneys continue to improve, the Creatinine dropped to 1.8 and the BUN continues to drop as well.

The white blood cell count is at 13,000. Hemoglobin's are low so they will give him 2 more units of blood today. Visitors still need to wear gowns.

HR, BP and oxygenation are about the same as well. No fever today. One note, the nurse made, was that Dad doesn't cough when she tries to clear his throat with the aspiration. But I don't recall him ever coughing at all in the last 2 weeks. The sedation medications they are giving him is quite a bit. The coughing and eyes dilating are neurological signs. His eyes do dilate when they have a flash light shined in. He seems to really fight the ventilator when his sedation is not as high. I think that's a neurological sign as well.

Love you Dad and Mom

Vivian...

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Eu falei esta manhã com a Mamãe e o Joanne (enfermeira). A condição do Daddy é mais ou menos idêntica de ontem. Estava respirando encima do ventilador ontem por 11 respirações e fizeram alguns ajustes ao ventilador para começar respirar a trabalhar mais melhor. Deram-lhe também um remedio a mais para fazer a sedação para ver se aquele ajudasse. Está respirando agora somente 2 respirações sobre o vetilator.

Aumentaram o tempo onde o oxigênio permaneceria em seus pulmões assim que expeliria mais ao corpo. A Mamãe está sozinho hoje, mas está fazendo bem. Têm amigos grandes de uma rede em em Florida e em torno do país e Brasil que nós apreciamos realmente saber que estão lá para que se chame. Virgínia deu-lhe algumas instruções no computador para o email e o Google.
Está monitorando o cliente do email do Dad.

Joanne é realmente uma enfermeira muito informative e obsequiosa, tanto quanto suas enfermeiras vão. Explica muito e não tem nenhum problema receber chamadas e dizer-lhe o que sabe.

Os rins continuam a melhorar, o Creatinine deixado cair a 1.8 e o BUN continua abaixar, também. A contagem branca da pilha de sangue está em 13.000. O Hemoglobin é baixo assim que d-lhe-ão 2 mais unidades do sangue hoje. Os visitantes necessitam ainda desgastar vestidos.

A bate do coração, BP e o oxygenation são mais ou menos como o poço. Nenhuma febre hoje.

Uma nota, enfermeira feita, era que o Daddy não esta tocendo quando tenta ao espaço livre sua garganta com o aspiration. Mas eu não o recordo sempre tocendo em tudo nas últimas 2 semanas.

Os remedios do sedação estão dando-o são completamente um bocado. Tocendo e os olhos que dilating são sinais neurological. Seus olhos dilate quando têm uma luz brilhada perto. Parece lutar realmente o ventilador quando seu sedation não é como elevado. Eu penso que é um sinal neurological também.

Amá-lo Papai e Mamãe

Vivian…