Monday, December 8, 2008

Monday 12/8 Evening

Sally had a great visit tonight with her granddaughter Tanya and Tanya's daughters.  It really brightened her day.

She said she can tell that she's getting stronger because she can sit up longer and doesn't feel so lethargic!  That's a praise God!

Slow, but steady progress.....

Monday 12/8 Mid-day

The rehab hospital doesn't have the ready wireless access to the internet, so my posts might be less frequent.

Sally had a good Sunday.  Both daughters spent a lot of time with her and even sneaked in an adventure by wheel chair back over to the Hospital to see the beautiful lobby Christmas tree.  Her appetite isn't great so we're still seeking menu choices that appeal to her.  Lots of learning here for all of us.

Her blood sugar is still ranging from the 100s to the 200s, so insulin injections are still needed.  She has had 3 physical therapy sessions today and would just as soon have no more, thank you!

Sally has enjoyed her cards, visitors and phone calls.  I have to say that she's in better spirits than I might be if I had been in here almost a month! 

We're expecting to get an idea on Wednesday about how long she'll be here in rehab.  We'll sure let y'all know.

Sunday, December 7, 2008

Sunday Morning, 12/7

It's nice to be back in Huntsville.  I saw Sally last night after Conrad and Rita picked me up from the Birmingham airport.  Sally's color looks good.  A week makes a lot of difference.  She has been having some neck pain so they had just given her a muscle relaxer when we arrived and she was drifting off to sleep.

The HealthSouth Rehabilitation Hospital seems ideal for Sally's needs.  We still don't know how long she might be there, though.

More later.

Knox 

Friday, December 5, 2008

Friday, Dec. 5

Sally had a new nephrostomy tube put in today (the fourth one!) and it is working beautifully. She had several therapy sessions today and was resting well when we left her this evening. Her room telephone number is: 256-428-2658. She is looking forward to seeing Knox when he arrives on Saturday.
Thank you for all the cards, calls and especially, the prayers.

Thursday, December 4, 2008

Wednesday, Dec.3 & Thursday, Dec.4

Wednesday morning Sally was transferred to Health South Rehabilitation Center. We made quite a parade walking across the Governor's Drive walkway from the hospital---with balloons, roses, and gifts from her birthday on Monday! We were greeted by several staff members, who guided us through orientation. Mark Anderson, Physician's Assistant, spent a good bit of time "interviewing" Sally on her health history and home environment. Conrad and Rita took careful notes during the interview.

Sally's room number is 302. I will post the telephone number later today.

Sally slept well Wednesday night and ate a good breakfast on Thursday morning. She had three separate physical therapy sessions on Thursday---walking, climbing stairs and other activities. She has a nice room with a view of Monsanto Mtn. Thursday morning she brushed her teeth, combed her hair and put on lipstick. She is a girly-girl princess. We have named the safety enclosure bed her princess bed. She had told the staff when she arrived that her name was Princess Sara!

Thank you for your prayers and please continue to pray for our Sally.

Tuesday, December 2, 2008

Tuesday - Dec.02

Picking up where last entry ended....
Monday night..
9:00p - Blood Sugar = 179, Walked one lap of 6th floor.
9:30p - Gina/nurse practitioner checked Sally's left leg/calf. Sally had been having pain in that leg. Gina says it looks o.k.

Tuesday - Dec. 02
02:10a - Blood Sugar = 161
06:30a - BP 165/76
07:30a - Dr. Cowart - said they will increase the insulin now that she is eating. She will continue on insulin in rehab and when she goes home. They will decide at a later date whether she will continue on the insulin indefinitely.
08:40a - Dr. Mengesha came by - said he would see Sally again in his office...after her surgeries, when she is stable.
09:30a - "wet" the chair (remember, the foley is gone). Nurse brought fresh underwear & pads. Earlier this a.m., Sally did walk to the bathroom, with assistance, and urinated in toilet.
10:00a - BP = 157/70
10:30a - Blood Sugar = 250
10:35a - Nicole- exercised Sally and walked 1/2 lap.
11:30a - Lunch : Ate 90% of roast pork, 50% of potatoes, 1/3 of green beans, and 1/2 roll, all of fruit bowl, and all of tea.
12:15p - Insulin and checked tube. When they empty the ba, they will strain it to see if there's any stones in it.
Used the Spirometer (500 highest reading).
Nurse applied cream for yeast infection.
12:20p - Breathing Treatment
12:40p - Walked one lap.
1:10p - Bath time.
1:30p - Walked one lap.
2:00p - Dr. McCrory came by and said Sally will probably go to rehab tomorrow.
3:05p - Vitals > by Kathy - BP 146/70 (elec.) Oxy 93
3:10p - Spirometer
3:20p - Becky (Rebecca), charge nurse came by to see if Sally needed anything....Sally says no.
3:35p - Blood Sugar = 124
3:45p - A lady came by to repeat what Dr. McCrory had said earlier, that Sally will be going to rehab tomorrow. Dr. McCrory & Dr. Newton have both approved. She said Sally needs comfortble clothes to wear. She will be going around 10:00a.m. She said that most people stay a maximum of 10 days.
4:15p - Breathing Treatment
5:00p - Supper > Ate 50% of Chicken & Rice soup, 75% of Jello, and 1/2 of tea.
5:15p - Urinated & nurse put cream on bed sore.
5:20p Spirometer (5 times) but quit early... says it hurts too much when it makes her cough.
6:20p - Meds > Insulin, Prevacol for cholesterol, pain pills (2 Prevacet).
Dr. Brown (Dr. Jimenez' partner) says to irrigate the nephrostomy bag. They said it didn't seem to be draining as much as it should.
7:30p - Vitals > BP = 149/72 (elec.), Temp 98.3.

til next time...

Monday, December 1, 2008

Monday...Happy Birthday, Sally !!

Sunday night 10:40 p.m. Sally helped into bed.
11:15 p.m. Breathing treatment.
Monday 12:15 a.m. Blood Sugar 144 BP 168/80
2:30 a.m. BM
2:45 a.m. Walked a lap.
3:15 a.m. Breathing Treatment.
6:25 a.m. Dr. Newton came by - wished Sally a Happy Birthday. Said we'd celebrate by walking. People will be coming later to evaluate Sally for Rehab. Oxygen 94, off of canula.
7:10 a.m. Dr. Harris listened to her heart and wished her a good day.
7:15 a.m. Dr. Cowart (Endocrinologist, works with Dr. Johnson) came and listened to her heart. Says he's having them schedule a faster acting insulin (Novalog).
7:45 a.m. Sherri/tech checked vitals. BP 175/83 Temperature 98.8 Oxygen 93.
8:10 a.m. Scott/nurse gave her morning meds: Aspirin, Centroid (?), Levaquin (antibiotic), and an expectorant. He said that Dr. Cowart had ordered an increased dosage of Lantis (a longer acting insulin).
8:30 a.m. Sally chose her meals for Tuesday: Breakfast: Bagel with cream cheese, margarine, cheerios with banana, and peach yogurt. Lunch: Roast pork, green beans, mashed potatoes, iced tea Supper: Bowl of chicken and rice soup, jello.
8:40 - 9:15 a.m. Sally took another walk around the hall (1 lap).
10:00 a.m. Mary/RN came by to check Sally's ulcer (bed sore). Says it's looking better. Mary says she also has a yeast infection. She'll order some cream for that. Mary mentioned again that Sally needs to be moved at least every 2 hours to reduce pressure on the ulcer/bed sore.
11:05 a.m. BP 188/74 (elec).
11:10 a.m. Lunch: Beef burgundy with nodles and carrots, iced tea with splenda (She ate it all).
11:15 a.m. Scott gave Sally her scheduled novalog/insulin shot. Scott and Sherri treated Sally's sore and moved her from bed to chair.
12 noon Spirometer.
12:10 p.m. Nurse checked BP (man) 160/70.
12:12 p.m. Breathing Treatment.
1:00 p.m. Bath Time.
1:25 - 1:35 p.m. A lap around the floor.
1:35 p.m. Physical Therapist/Nicole helped Sally exercise her feet and ankles.
1:45 p.m. Dr. McCrory came by and wished Sally a happy birthday. He says she may go to Rehab as early as tomorrow (Tuesday). I told him our concerns about Sally being sent to rehab too quick, before her numbers were under control, such as blood sugar, BP, etc. He said her health treatment will continue at rehab unabated. Rehab is located just across the street and is connected by a walkway over the street. Says the only holdup right now is bed availability.
2:20 p.m. Spirometer.
3:00 p.m. Small BM.
3:20 p.m. Dr. Jimenez said he would like to remove the kidney stones within the month, preferably before Christmas. He said her respiratory isn't strong enough for surgery yet. He said as far as he's concerned, her foley can come out if Dr. Newton says it's O.K. He asked how long Sally will be in Rehab. (We know there's a 21 day maximum that insusrance will pay for). Karen had heard 5 to 7 days. Dr. Newton said on Sunday that Rehab might be 7 to 10 days.
3:25 p.m. Temperature 96.9 BP 200/87 (elec). BP 178/70 (man).
3:50 p.m. Blood Sugar 163.
4:30 p.m. Breathing Treatment.
5:20 p.m. Dinner: Roast beef 45%, mashed potatoes 50%, broccoli 25%, tea with splenda, bite of roll and jello 50%.
5:35 p.m. Removed foley!
5:45 p.m. Insulin and Prevacol.
6:30 p.m. Cleaned incision.
6:50 p.m. Spirometer.
7:15 p.m. Temperature 98.4, BP 188/88 (elec), BP 168/78 (man).
7:20 p.m. Meds. BP medicine/Lisinopril, Coreg, Mucinex, Percocet (for leg pain).