Monday, March 14, 2011

Monday 3/14

Karen is having another good day today. When I arrived she was sitting up in bed watching Jeopardy and answering questions! Very alert and breathing well. We are hopeful that she has taken another step forward from the slump last week.

Rusty


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Sunday, March 13, 2011

Sunday

Last night and this morning Karen has been more alert and conversational. Her breathing also seems to be easier than it was earlier in the week. We pray that this is a permanent improvement and not just another "up" in the up/down recovery cycle. Regardless we are thankful for the improvement and celebrating today and not worrying about tomorrow (Matthew 6: 34).

She is still in IMC (Intermediate Care) and fluid management is the primary focus right now as well as nutrition. She still has no appetite but continues to receive tube feedings.

The outpouring of prayers, cards, well-wishes and support is amazing! Thank you all.

Rusty

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Saturday, March 12, 2011

Saturday Morning

Karen seems to be breathing better this morning.  She is having her dialysis treatment this morning, so very sleepy but seems to be feeling a bit better than the last few mornings.  My understanding is that in an attempt to reduce fluid retention, they may be doing some “mini” dialysis treatments between normal Tue/Thur/Sat treatments.  These will be shorter than the normal 3 hour treatments and the goal will be fluid reduction. 

 

Rusty



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Friday, March 11, 2011

Friday Noon

No real changes today.  Doctors are continuing to see what can be done to accelerate her recovery.

 

Rusty



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Thursday, March 10, 2011

Thursday Early Afternoon

Karen’s breathing has been much better today than yesterday, but she had dialysis early this morning which usually helps this by removing excess fluid.  They pulled off a bunch of fluid through her dialysis so this has left her very tired.  She is mostly sleeping today, but will wake up and answer questions.  The transplant doctors came by this morning and did say they are concerned that she isn’t progressing this week and will be doing some additional tests to see if they can get things moving.  She still has some level of pneumonia (has actually increased some) so they are considering changing meds for that.  She is also retaining a lot of fluid in her abdomen which contributes to the breathing issues.  They will be running some tests on that as well to see if they can address that.  Still no appetite.

 

Rusty

 

 



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Wednesday, March 9, 2011

Wednesday PM

Karen's breathing has improved as the day progressed but the hard breathing has really worn her out.

The last few days seem to be a step or two backwards but I think we have to expect some of that on this long journey to recovery. We just remind ourselves that God is still in charge and working in this situation!

Rusty

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Wednesday Noon

Not as good a day as we had hoped for. Karen has had some difficulty breathing again this morning. Some tests are being run to determine cause and treatment.

Rusty

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Tuesday, March 8, 2011

Tuesday PM

Karen's breathing was better after dialysis today, but as usual the dialysis left her very weak and extremely sleepy. Still no appetite.
As I previously stated, it looks like her best days will be the day after dialysis (Wed, Fri, Sun). The worst will be the days of dialysis (Tue, Thu, Sat) both before dialysis because she needs it and after because she is so exhausted from it. Monday somewhere in between!

Tomorrow will be a better day! Continue to pray for an appetite and increased strength.

Rusty

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Tuesday AM

Karen had a bit of difficulty breathing this morning but seems to be easing up.  It appears to relate to swelling/excessive fluid retention, but she is now on her scheduled dialysis treatment and that should help with removing the fluid.  Saturday to Tuesday is the longest stretch of time between dialysis treatments so that is probably why there is more of an issue on Tuesday mornings with swelling and therefore breathing.

 

No other big changes from yesterday.  She was awake much of the day yesterday.

 

Rusty

 

 



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Monday, March 7, 2011

Monday AM

Karen slept pretty well for her first night in IMC. Her appetite is still pretty non-existent so we continue to work on that. Doctors have discussed some approaches to help with that as well. Keep praying for this!

Karen sat up for about 2 hours this morning and is doing well and is watching TV.

I may begin reducing my postings to once per day unless there is some news to share. I expect changes to be fairly gradual from this point forward but will certainly let you know of any significant events.

Rusty

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Sunday, March 6, 2011

Sunday PM - Finally In IMC!

We finally got Karen into Intermediate Care (IMC). When we left ICU, our favorite nurse, Ben,
played "Pomp and Circumstance" on his ipod and Karen waved at everybody with a royal wave. All the nurses laughed! Ben said this is a great way to end his weekend and 3 days of work! I think he was as excited as we are that she "graduated" from ICU!

The IMC is very nice and is more like a private room with a window looking out at Ardmore. I think it will be much easier for her to sleep.

This was a great way to end the weekend for all of us with some definite signs of improvement.

Rusty

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Sunday Morning

WOW, prayers work fast! I just put on the blog last night to pray for Karen's appetite. Her nurse called first thing this morning to tell me that Karen had eaten her entire bowl of grits and 3/4 of a nutrition pudding cup (this is a lot compared to what she has been eating). I am now with her and she is more alert this morning and her vital signs are good. We are still in ICU waiting for a bed in IMC.

Thanks again for all the prayers, cards and emails!

Rusty

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Saturday, March 5, 2011

Saturday PM

Karen did well today but is very tired. She sat up twice for about 2 hours plus had dialysis for 3 hours so her fatigue is certainly understandable.

Still no open beds in IMC so she remains in ICU. Not having any appetite is the next big challenge. She really doesn't want to eat at all but really needs to in order to continue to heal and recover. Please pray for an increased appetite and for her patience with me as I push her hard to eat more!

Rusty

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Saturday AM

Karen is doing pretty good again today. Sometime today she will get dialysis. She is eating some Biscuitville grits (that I brought this morning) like a good southern girl! Her appetite is still not very good but she is trying (and I am pushing).

She is still on the waiting list to go to IMC (intermediate care) but there are 6 people on the list. Nurse doubts she will get moved today, but that is ok because she is getting excellent care in ICU. The only down side is that she is ready for a change in scenary which would help clear her head a bit.

Rusty


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Friday, March 4, 2011

Friday PM

Karen continued to do well throughout the day. She sat up for about 2 hours during the middle of the day and then rested well in the afternoon. When Russ came home late this afternoon from NC State, she was alert and upbeat.

The doctors have decided to move her to Intermediate Care (IMC) but at this point there are no beds available so they will keep her in ICU until a space becomes available. Her nurse told us that it sometimes takes several days before a bed becomes available.

Thankful for another good day!

Rusty

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Friday AM

Karen is much brighter today than yesterday (consistent with my expectation that Wed/Fri/Sun will be good days due to dialysis schedule). The plan is to get her up in a chair later today.

Transplant team just came by. They don't feel she is ready yet for a regular room but are considering moving her to Intermediate Care (IMC). They will let us know what they decide later today. They do feel she is progressing but just reminded us that recovery will be slow. We are thankful for these small steps forward.

Rusty

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Thursday, March 3, 2011

Thursday Evening

After sitting up for 2 hours this morning followed by dialysis this afternoon, Karen was pretty well wiped out today. Hopefully she will get some good rest tonight and feel better tomorrow!

Rusty

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Thursday Morning

Karen is about the same as yesterday but perhaps a little more tired. The dialysis is absolutely necessary but it wears her out on the day she has it and then the longer it is after dialysis the more tired she is. So her best days will probably be the days after dialysis (Wed, Fri, Sunday). She is scheduled for dialysis today.

She has been sitting up again in the chair this morning to regain a little strength. She is sitting up about 2 hours per day. She has also been allowed to drink a Coke (which she loves)!

The transplant team just came by and has decided to keep her in ICU at least one more night so she can gain a little more strength and be watched a little closer. We all agree that this is a good idea.

Rusty

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Wednesday, March 2, 2011

Words from a Greeting Card

Karen received a card today with a some words that, in my opinion, describe Karen so well and I wanted to share them with you all. Here it is:

"You've been through so much lately, and I know it has taken a lot out of you and at times it must seem like things will never be normal again. But I know that you'll handle it, because you're one of the bravest people I've ever known. You might not see yourself that way, but I do...You have an inner strength that keeps you hanging on in situations that would try the best of us. That's not to say that it's easy, just that you're a fighter..." (Author: Linda Lee Elrod).

I know that Karen would say that her "Inner Strength" comes from her faith in God.

Thanks to Debbie for this wonderful card!

Rusty



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WEDNESDAY PM

Karen continues to do well tonight. She is sleepy/tired from sitting up so long this morning but still alert and communicating well (and still showing her sense of humor) but still very weak.

The plan is still to move her from ICU tomorrow after she gets dialysis subject to her continuing to do well tonight and tomorrow.

Thanks for all the comments and emails celebrating her progress. God is good!

Rusty

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OK - IT SHOULD SAY WEDNESDAY AM

For the title of the post below I put "Thursday AM" instead of "Wednesday AM!" Interestingly, this morning Karen asked me if it was Wednesday and I said, "No, its Thursday!" Obviously she is more with it than I am! Way to go Karen! (Thanks Wooten for your email setting me straight!).

Wednesday AM (Corrected Per Post above!)

Already a good day! Karen is sitting up in a chair drinking juice and eating ice chips. She is also initiating some conversation and speaking out loud. I also see some of her sense of humor back today. She told me I wasn't any better than her when I couldn't think of the word for the juice she was drinking "crangrape."

Transplant team just came by and are pleased with her progress. If she continues to do well they plan to move her out of ICU tomorrow. She may also spend some time at the Sticht center (rehab) before she goes home.

Great progress from yesterday. Praise God!

Rusty

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Tuesday, March 1, 2011

Tuesday evening

Karen continued to do well with her breathing. She was very tired today from a combination of breathing on her own and dialysis. They did sit her up in a chair for about an hour late this afternoon and she even ate a popsicle (the first thing she has eaten since having the breathing tube removed). She gave me a big smile and I am sure this tasted so good to her throat!

She is still not initiating any conversation but will respond by nodding her head or mouthing an answer. She is just so weak.

Please pray for a good nights rest after a long day and for strength!

Rusty


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Tuesday Morning

Things went well through the night with the breathing!  We are extremely thankful for this and for all of your prayers.  At this point Karen is only receiving oxygen through a nose canula (sp?) which is the little thing that just barely sticks into her nose to provide oxygen.  It was wonderful to see her smile at Ashley when she came to visit last night and this lifted all of our spirits.  She is still very weak and not really talking much yet, but is mouthing words to answer questions.  Today she is having dialysis at some point but not sure when.  She is now on a Tue/Thur/Sat schedule for dialysis.  That is certainly something she needs but is also very tiring for her.  I am not sure how long she will remain in ICU, but thinking for a couple of days.  Doctors said that we should count on a couple of weeks more in the hospital.

 

Rusty

 

 



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