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Thursday, March 19, 2009

Good bye ICU, better??

Been a few days since I posted an update. I have mixed and confused feelings about whether or not Mom is doing better. She's left ICU, which means they think she's doing better; but we're up and down with that feeling. She's miserable, she's in pain, they've continued to do lots of test and she is well beyond discouraged. Monday late in the day (dinner time) they moved her from ICU to step down. The move alone caused her both emotional and physicial difficulties. Tubes get jostled during the rolling around process which causes discomfort. They began giving her food, but she didn't tolerate it well. She felt nauseated, full and nothing tasted good. She's not yet gotten her voice back since the respirator was removed. Getting help takes longer, larger unit, more patients per each nurse etc. Plus when they answer her call light over the intercalm she's not able to speak up enough to let them know what her needs are. Occupational and Physical Therapy came in and did a wee bit with her which cause her heart rate to get real high, her oxygen level to drop (thus oxygen put back on), and caused her more pain and tired her out. Medicated and a nap were in order. No sooner did she fall asleep til they came in and removed both chest tubes..............she said the pain was excruciating. She looked very bad after that and had a tough night, followed by a tough day of more nausea, vomitting, x-rays etc.

Obstruction? They're wondering, as she's full even when they aren't feeding her. After another round of x-rays (too many to count at this point), they moved her yet again to another floor. They discussed putting other tubes in last night and she was most upset about that. However, when I left around 10 last night I was told no tubes, and they were through poking and prodding...or at least for the night.

I don't know what to expect for today.

I've spent 3 days making phone calls and visiting rehab centers in and around my work schedule; trying to prepare for when she'll be released (as I think they do things too hurried and beds in good rehab centers aren't that easy to come by. I've toured 4 and talked to about 8, and have her on a list for 2.

I'm very wordy this am, sorry sometimes it's good --sorta of release for me to type about it.

HUGS to one and all for the prayers, please keep'em coming.

Monday, March 16, 2009

Today day 18, in ICU

Well by the title you can tell Mom didn't get moved out of ICU yesterday. It was another tough day with another feeling of going backward. Such a let down after you think it's finally going the direction it needs to. She was pretty uncomfortable yesterday with having several x-rays, a new central line being put in (arterial line); and an old one removed. Problem is Mom is a very very hard person to stick, draw blood, start IV etc. They have to really work, often get multiple people, and she ends up bruised head to toe. This is frustrating to her, painful and makes her anxious which makes her vitals jump and be less stable than they should.

The person who removed the central line didn't come prepared with what she needed to complete the job and left the room part way through to obtain supplies, somehow doing that the water used in conjunction with oxygen started pouring in through the nasal cannula. She thought she was drowning, as did my Dad who ran for help. That incident made both of their blood pressures sky rocket. Emotionally she was on edge all day, as was he. Her bed was soaked, she had to moved alot to get everything cleaned up which caused her to be in more pain and wore her out.

On the positive side, she had several bites of soup, juice, and jello yesterday. Her nutrition is still really coming from the tube feeding; but....they're introducting clear liquids for the first time. I think thats pretty exciting.

It sounds like if they need her bed in ICU today, she may be moved out; as they consider her stable. Being stable is obvioiusly a good thing; though she's apprehensive about going to a different part of the hospital. In step down areas and regular areas of the hospital you obviously have less nurses taking care of patients and thats a bit scarey.

Hoping today is a better day. I'm going to the hospital before heading to work. I do feel I need to try and get back to work again.

Again many thanks to all for the prayers, and well wishes.

Sunday, March 15, 2009

Day 17 in ICU begins

Mom is still in ICU. She is doing better. Vitals are better, they've reduced her Oxygen level as she's able to do better now on her own. They removed the respirator and she's doing well with that. She still can't talk beyond a whisper. I don't know how long it will take to get her voice back since the respirator was in that length of time. But...the exciting thing is, she's doing far better than she was when they removed it the first time and had to put it back in.

She still has 2 chest tubes, but they are now draining on their own via gravity rather than being hooked up to suction which is another mini step forward.

She's still being fed by way of a feeding tube, though she has been allowed a few ice chips and a pop sicle or two which has been a real treat for her. She's more alert and though still in need of pain meds, it seems she needs them a little less.

We're very grateful to have her still with us and for all the wonderful support and prayers you've all offered.

She might....still a little iffy get moved from ICU today to what they call a step down unit. She still has much ahead of her and will still need lots of support and prayers in the days and months ahead; but for the first time I feel like she's truly turned the corner and is out of the woods.

HUGS and blessings to you all

Friday, March 13, 2009

2 Chest Tubes, ICU...Day 15

We got another surprise yesterday in ICU. Got there wanting a report on the callopsed lung and expected to hear update regarded the possible removal of the respirator. Instead we got news they wanted to insert a second chest tube for the other side of the lung. Apparently, even though puncturing her lung was a mistake and not what anyone wants the upside is that things were draining well. They felt draining the other side with chest tube rather than another needle extraction was needed to remove as much fluid as possible to increase her ability to breath when respirator was removed and to improve her vitals. So, another painful day for Mom. They pulled off quite a bit of fluid during the procedure and even more after by way of the tube. The got her situated, medicated again after the procedure and I think thats the most restfull I've seen her in this long 2 weeks. We all left, as visiting hours were over. Hubby and I headed back when visiting began again at 9 pm to tuck her in. I like to stay until I know she's sleeping and as comfortable as possible. Last night is the first time she was asleep when we got there and remained so. We checked on her 3 times before heading back home.

With any luck at all the next post will be that she's improving, and things are looking up. I thank you again for your support and prayers.

Knitted 2 pair of booties yesterday during our waiting time. Will toss some more yarn in my bag today as I prepare to head back to the hospital.

**Favor to ask
I posted a mini new post on my travel blog (it's nice to post something unrelated to the hospital, something I already have pictures edited for etc.), please stop in look around, post a comment or two. I'd really like to improve traffic on that page. Thanks!

Thursday, March 12, 2009

Another backward step in the ICU......

Yesterday , last night specifically marked 2 full wks Mom's been in the hospital-The ICU-, fluid levels seemed to be improving, vitals were leveling out some and we were feeling some encouragement. They discussed removing the ventilator/respirator but her throat was too swollen to do so. They added IV steriods to her long list of meds to help with that problem. Yesterday, that problem seemed resolved and they told us they might remove it today (Thursday). They decided she still needed to have more fluids off her lungs to help with the breathing and her vitals and did a double lung tap yesterday (one to each side), however shortly after doing so x-ray indicated the lung may have been punctured in the process. A scan was needed to ascertain that they did in fact punture the lung. Now, in addition to everything else she has a punctured lung and a chest tube was inserted. Another drain, another wound, something else to add to her pain and discomfort. We understand chest tubes do heal pretty well, but are quite painful.

Thank you all for your continued prayers and support. I truly appreciate it.

I left work early, as soon as I got the call and headed over. I've told them I won't be at work today, and am unsure what tomorrow will bring.

Monday, March 09, 2009

A Good Day in The ICU

Things are looking brighter for us in The ICU. My brothers, Dad and I had a consultation today with The ICU Doctor, got lots of our questions answered and received a pretty decent report. Test results have come back and things are looking better than they have for the last 5 days. She's still in ICU, she still has the respirator on; but....toes and fingers crossed we think we're seeing some improvement and we're told they definately do.

Thanks to all for the good wishes, prayers and the positive vibs......all are truly appreciated.

Just a mini update here. I am planning to go to work tomorrow for the first time since this all began. I'll have cell on naturally and go to the hospital after work; but ...it will be good to get back to some normal activity.