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Thread: Day 7: Getting There

  1. #1
    Distinguished Community Member Earth Mother 2 Angels's Avatar
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    Thumbs up Day 7: Getting There

    ((((((HUGS TO ALL))))))

    Jon had a good day today. He slept for 5 hours! He would have slept longer, but at 7:00 this evening, his blood pressure plummeted, unnerving his nurse (his "hospital wife") and his nurse, who cared for him in 2009. I told them that this was typical, while he is in deep sleep, and that when he woke up, his BP would probably come up.

    His nurse gave him a bolus of 250 cc's of water, and we woke up Jon to reposition him ~ pull him up in bed and turn him. I wasn't crazy about doing this, but we needed to know whether his low BP was related to his positioning and deep sleep. Thankfully, Jon woke up without any problems, and he immediately grinned at me from ear to ear.

    I said to his "hospital wife," that I didn't think he was experiencing organ failure, which is what she and the other nurse were fearing. They conceded that I know Jon well, and we were all relieved.

    Jon is breathing on his own entirely with SATS of 100. Wow! He isn't coughing or requiring suctioning. Great progress!

    His body temperature is normal, no longer in the 93 range. His urine output is excellent. And he's pooping great quantities! Everything is operational. YAY!

    Treatment for his toe ends tomorrow (bathing in Betadine and applying Gentamiacin twice daily), but the podiatrist didn't leave a protocol for what to do next. I will ask his nurse to call the podiatrist in the morning.

    Of greatest concern now, other than his low BP, is his hemaglobin, which has been low since his arrival and has decreased daily. If his hemaglobin drops below its current 8.1 level, he will likely need a blood transfusion.

    The on-call doc today is the Chief of Cardiology. In 2009, he did a scoping of Jon to determine whether he had fluid around his heart. He told us that Jon's heart looked perfect. He is a lovely man, and the chattiest doc I've ever met.

    He looked at Jon's echocardiogram results, and said that the 50% injection fraction was nothing to worry about. Then, he and I went over all of Jon's chemistry. He said that he feels that much of Jon's issues relate to his poor gut motility. He listed drugs, like Reglan and Erythromyacin, and I nodded, "He can't take those." He responded that he was sure that I'd already investigated everything, and that all of the needed specialists had been consulted and had given me their advice or suggestions.

    He said, "Usually, when we see patients, such as your son, it is quite obvious that their care is substandard. In those cases, we sometimes find it difficult to tolerate the demands of the family or caregivers, because it is clear that their care has been poor. But, when we see Jon, we see that his care is impeccable. We are amazed and delighted that Jon is so well cared for and so loved. And, we are impressed with your knowledge and understanding of his complicated medical condition. You are a wonderful Mother, and he is blessed to have you as his Mother. And we all know that you only want what is best for him, and we must listen to you and hear your concerns, as you know him best."

    I thanked him, as tears welled, and he put his hand on my arm, and said, "Dear, no thank you necessary. We do our best, of course, for all of our patients. But it is especially heartwarming for us to work with you in the care of Jon."

    These compliments from the docs and nurses about our care and devotion to Jon are helping me to cope with my guilt feelings ~ why didn't I know to do this? Or recognize that it could be that causing his problems? Or ... you name it, and I have a long list of could'ves and should'ves. I am so grateful for the reassurances given to me by Jon's medical team.

    I didn't have an opportunity to go to the Towers ICU to find Roslyn today. I will try to get there tomorrow.

    As always, I thank you so much for your love, support, and prayers. Your prayers are working miracles on our sweet boy, and we are anticipating his return home some time this week. We just have to coordinate everything (His home health nurse's work schedule for the week and obtaining the necessary supplies and equipment to give Jon IV Zosyn [antibiotic] and a feeding pump for Jon's formula).

    Thank you, thank you , thank you!

    We Love You!

    ((((((((((((HUGS)))))))))))

    Love & Light,

    Rose
    Last edited by Earth Mother 2 Angels; 06-24-2012 at 11:02 PM.
    Mom to Jon, 43, (seizure disorder; Gtube; trache; colostomy; osteoporosis; hypothyroid; enlarged prostate; assorted mysteries) and Michael, 32, (intractable seizures; Gtube), who were born with an undiagnosed progressive neuromuscular disease and courageous spirits. Our Angel Michael received his wings in 2003 and now resides in Heaven. Our Angel Jon lives at home with me and Jim, the world's most wonderful dad.

  2. #2
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    Dear Rose,

    How wonderful that Jon is improving and going in the right direction.

    You need to congratulate Jon with his breathing sats at 100. That is unreal. Grant's is generally around 97% on his own. Wonderful also that Jon is not needing suctioning = remarkable.

    Normal temperature is cool = all very good.

    I don't know anything about blood transfusions, but if Jon needs one then perhaps that is the best.

    It really is greart that the doctor likes you so much and recognises your expertise. And the other doctors and nurses at the hospital obviously feel the same. That is a good place to be in Rose.

    We will continue to pray for Jon that he will be home on the range soon.

    God bless and seeya,

    Paul, Alison and Grant the champ.
    Grant's story in pictures and music. A must see :)
    http://www.youtube.com/watch?v=fiZGlwj6VCQ
    Seeya there :)

  3. #3
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    Everything is moving in the right direction, yay!!!! I am especially happy that the doctor found the truthful words that reassured you, because what he said IS TRUE, but some doctors would be too vain and insecure to give credit where credit is due (so much of the credit goes to you and Jim - of course they save Jon's life and everyone is grateful for that, but that's the tip of the iceberg). I was wondering - I know you and Jim do NOT have enough help at home by any means, but does the IV treatment come with any additional nursing hours to support you? It should!!!!! Sending love and prayers, xoDonna
    Donna, Mum to Natalie (20), ablebodied, kind and beautiful and Nicholas(23), severe CP, non-verbal, tube fed, multiple surgeries, chronic pain, happy kid except when Liverpool football club is losing!
    Check out my blog: http://www.donnathomson.com


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    Distinguished Community Member andromeda31's Avatar
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    Hi Rose!

    Wow! How amazing about what that doctor said! I think that is so true, that they see the worst of the worst and just become jaded and lump everyone in that category...so glad they recognize what a great mom you are!!! I agree with Donna, hopefully they can add some nursing hours at your home to give you & Jim a break....though I know it is hard to give up control! :) Praying that Jon continues to improve so he can get back home!

    Lisa O.
    Lisa O: mom to Caitlin (12-CP, VA shunt, seizures), Brandon (10), Tyler (7), Logan (5)

  5. #5
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    PS: Rose, meant to ask you, How is the synthroid going???
    Donna, Mum to Natalie (20), ablebodied, kind and beautiful and Nicholas(23), severe CP, non-verbal, tube fed, multiple surgeries, chronic pain, happy kid except when Liverpool football club is losing!
    Check out my blog: http://www.donnathomson.com


  6. #6
    Distinguished Community Member Earth Mother 2 Angels's Avatar
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    ((((((Paul, Donna & Lisa))))))

    Thank you!

    Our home health agency bases their service to Jon on the number of visits per month, not the number of hours of nursing. The number of visits will increase to accommodate the IV, but likely only for the few days Jon will be on the home IV for Zosyn. They do offer private duty nursing, but I suspect Jon's Medicaid wouldn't cover it, unless he came home on a vent. I'm not sure, as I've never pursued it.

    Jim and I are fine on our own, especially when Jon is well. It's actually more tiring and more work for us, when he's hospitalized.

    Donna ~ it's too early yet to know whether the Synthroid is affecting Jon's TSH level. He's only receiving 25 mg of Synthroid/day, which is the lowest dose possible. We've been told that it can take up to a month to see a change in his TSH level. As far as any negative effects, that probably takes time too. For now, I can't see any difference in his status, except that he has a challenge maintaining a good BP. I don't know whether that is related to the Synthroid. We will need to keep a close eye on him and have weekly blood draws for seizure meds.

    I'll post an update on today in a little while. Jim just got up, and now it's time to give him "report," like the nurses do during shift change. Who would have thought that an English teacher and a scaffolder would become nurses in their old age?

    Thanks again!

    Love & Light,

    Rose
    Mom to Jon, 43, (seizure disorder; Gtube; trache; colostomy; osteoporosis; hypothyroid; enlarged prostate; assorted mysteries) and Michael, 32, (intractable seizures; Gtube), who were born with an undiagnosed progressive neuromuscular disease and courageous spirits. Our Angel Michael received his wings in 2003 and now resides in Heaven. Our Angel Jon lives at home with me and Jim, the world's most wonderful dad.

  7. #7
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    So true about you being nurses! Wow, there are some people in this world (you and Jim are #1s on the list) who should receive degrees in nursing. And I'm thinking honourary Doctorate here, nothing less. There should be a presidential medal in the US and here in Canada, an Order of Canada for people who perform extraordinary care over a long term for a loved one. Maybe that's a new project for me - I think I'll blog about that. xo
    Donna, Mum to Natalie (20), ablebodied, kind and beautiful and Nicholas(23), severe CP, non-verbal, tube fed, multiple surgeries, chronic pain, happy kid except when Liverpool football club is losing!
    Check out my blog: http://www.donnathomson.com


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