Tuesday, February 27, 2018

A little sky



We have homeschooled/are still homeschooling.  I never had to ‘drop a child off’ to kindergarten. But I feel a little of what it’s like every time I go home; especially today. 


They moved him out of ICU today and into a regular room. 


Yay!  You say...  and yay is a good response. For me? It’s scary. No more glass doors and beeps and monitors and constant checking. 


When he pushes the nurses button, they don’t come ‘now.’  He does not have a ‘beeping’ monitor in his room. Everything is monitored at the nurses station, which are mostly empty. 


His new nurse told me that an employee in another room is constantly monitoring his breathing and heart rate, and if they notice any altercation, they notify the nurses right away. Comforting...


I had just established a good and constant rapport with the ICU nurses. Now I have to start over. 


Thankfully David can tell me if things aren’t right and I can address issues on his behalf. Although he will have to learn to speak for himself and become more self sufficient. 


I noticed they don’t ‘try’ too hard to understand what he is saying, and they turn to me for interpretation, but I am not always there. 


It’s only the first day, but it was hard to see him moved and hard to leave. I cried all the way home. 


He cannot walk; go to the restroom, sit up, move or change positions. He cannot eat food and still has tube feeding. His chest tubes are still there. And his breathing is not great. It is a struggle. 


He talked to his mom today, with the ‘speech valve’ on. He sounds mostly great with that attached to his trach, but he cannot wear it for long periods; thirty to forty-five minutes at a time. If he goes longer, when he takes it off, he has coughing fits that are endless and bring panic to my heart. 


 I fixed his new room up, that was in disarray, and made it tidy and warm. I moved the bed desk close by and put a few things he could ‘maybe’ reach but may need assistance. Did I say it is a struggle for him to even push the nurse help button?  


But he is re-learning everything. I see his once strong arms weak and feeble; with sagging skin. His shin bones that are well defined on his legs... his sunken cheeks that try to be hidden by the beard that has grown much, but doesn’t hide that fact from my view. 


But, he’s in the big boy room, can actually see out of the window, a little bit of sky. The machine beeps are silent because they are no more. Maybe...hopefully...he can actually get a good nights rest without all of the pokes and prods and beeps. 


And I have to trust... they are in top of everything while I am away. 


He has started to have nightmares that seem so true. And it fearfully shakes him. Yesterday he was asking me ‘hush hush’ questions....’did this happen?  Did that happen?’  Very terrifying inquiries, to say the least. 


I listen, and try to interpret what he ‘thinks’ he remembers. ‘Yes,’ I say ‘this happened, but your brain has interpreted differently.’ And I assure him all is well. 


The doctor told me this would happen. I was prepared. And, so far, the things he thinks are real are not exactly how he thinks but in a bizarre way are a mirror of what truly was real. 


However, he is finally off of the pain meds that cause temporary amnesia to avoid PTSD. And is only on hydrocodone  a few times a day. 


On a good note, he is being quite feisty, or rather, his true self. He doesn’t always show that side to others, only those close by. And, for me, that is good. I know he will defend himself and have a ‘voice’ so to speak, to get help when needed. 


That will be hard for him; he hates to be a burden. But I threaten him everyday before I leave...’you better push that button when you need help or I am going to be so mad at you.’  And he looks at me with his big little boy eyes as if to say, ‘Yes m’am,’ and mean it. 


He is a very unbossible man 95% of the time. But the other 5% is all mine and I take every inch. ;)


And so, that was my day. 

I did get him some ‘Do Rags’ for his crazy unkempt hair. (See attached pic) 




And combed his unruly beard that will not budge from hanging over his lip despite my greatest efforts. 


He is on blood thinners to avoid clots, from being bedridden, so shaving and trimming are out of the question at this point. 


He so wanted me to cut his fingernails that had grown to a nice length for a French manicure...but the nurse forbid it. And that was that. 


I have written more than I thought I had words for, but there was so much to update on. And I wanted to make sure you knew that we are not out of the woods just yet, but at least we can see a little sky. 


Love,

His Shelli. 


Monday, February 26, 2018

Please hold

Please hold...

That’s what life feels like right now; on hold.

As you know, David had a small minor surgery last Friday.  Doc wanted to reposition the chest tube on the right side. Chest tubes are not meant to be long term and the tube had slipped a little and was not being effective.

When he was on the vent, there was a constant blow pressure to keep his lungs inflated. Now that he is off of the vent and solely on the Trach Collar the lungs are depending on David’s breath to fill them up, but he is still so weak.  Both lungs are collapsed a bit, the right one being more so.
The chest tubes job is to remove blood, fluid, or air from around the lungs. It is placed between the ribs and into the space of the chest cavity to help his lungs fully expand... eventually. Sooner than later, please.

So that’s where we are on that side. He is talking through the speech valve several times a day in short trials. It is uncomfortable but he has gotten better at it. However, afterwards he has coughing fits and it’s quite unnerving. It’s as if you aren’t sure he needs help or everything is ok.

Without the speech valve, he is actually able to speak, but long pauses through each word. Going forward there as well. When he is too tired to talk you can at least hear a small whisper, in between a dozen or so coughs; painful to watch; to hear.

He skipped a few days of physical therapy after surgery, and it’s crazy how less he can do after two days. But he will get back to where he was. I don’t want to say one step forward and three steps back, but essentially is what happened.

My very favorite respiratory therapist stopped by today to check on David. His name is also David, so I can always remember his name. He was there the very first day we were in the emergency room and was so very kind. We are attached to him.

‘Nice to hear you,’ he says. Haha.

So...onward we go.

Thank you so much, everyone. I have inadequate words to express our comfort from your love, support, every single message. I know you may feel as if your comments do not matter or we don’t read them. We do. And we love every word. More, please. It really helps!

Love love
His Shelli

Ps. His tears are not broken anymore; heartbreaking. Oh how I love that man.

Saturday, February 24, 2018

Dad says I love you...

Today...he is well cared for, tired from minor surgery that probably feels like major, sad eyes, and new tricks. I love you in sign language.

Heavy sigh...

His shell

Friday, February 23, 2018

The meeting

Today mom and I had a family meeting with the nurses and doctor and dad. They do these periodically to address any concern the patient and his family may have, to answer any questions and to apprise us of news on his condition. Before we went into the hospital we sat in the car and wrote down a few important concerns that needed to be brought up. For dads’ decency I cant divulge some of the specifics but suffice it to say that some of the nurses are providing care that is less than good. Its always a bit nerve racking to have to talk to a bunch of people about things that are being done wrong. We could tell too that the nurses in charge were not too thrilled about everything. But as we brought up our concerns they softened up as they realized ALL our questions and concerns were about the well being and safety of dad. In the end, I believe we were heard and things should change for the better as far as care goes.  

We mentioned in a couple of the last posts that dad may have to have surgery. Two days ago, he had a CT to give the doctors a clearer picture of what his lungs look like. Today, Dr. Long showed us a picture of the X-ray, and explained that around the lungs in what is called the pleural cavity there is air being trapped. There are holes in both of his lungs which is a problem. However, in left lung the chest tube is draining the air well enough to allow the lung to expand fully and contact as he breathes. The right lung is a different story altogether. The chest tube is not in a good place and the air is staying trapped. This means that the lung is not able to expand hardly at all. This is called a tension pneumothorax or collapsed lung. It makes it really difficult to breath when his lung is like that. So instead of surgery the doctor wanted to try taking out the old chest tube in the right and repositioning a new one to better drain the air. This afternoon he was able to do just that. As chest tubes are really painful, he did have to give dad some pretty strong pain medication. Dad was pretty loopy afterwards, but he will be able to have a little rest I think, since the medicine made him sleepy.

Dad is still on quite a bit of medication, so he is loopy and confused at times. He is mostly himself but sometimes he says things that are pretty off the wall. One nurse asked him if he remembered the name of any of the nurses that were treating him crappy. His response was no, but he thinks it was the guy with the concrete. To be clear, there is no one with concrete. He does have a sense of humor though… and takes advantage of his ‘loopyness.’ He will say something totally off the wall and then smile and say he is kidding. Mom said he couldn’t joke like that… we all laughed. He has his feistiness too. Mom was asking the doctor a couple of questions about the lungs and dad who had the speaking valve on at the time, looked at mom and asked if it was his turn to talk yet. We kinda just looked at him for a minute wondering if he was joking…he was.
Love, Hannah

Gone Fishin.....

Yesterday I took Jono to see Daddy. His eyes lit up. I included a picture of the moment. Honestly I am not so good at ‘capturing moments’ on film. I would rather just enjoy the moment. But this one was hard to pass up. 



He showed us new tricks. It was so cute. Dreaming about fishing...



Today, I had a family meeting with Dr. Long, Jasmine, the social worker/ nurse as well as Jolene the nurse manager. 



My mom offered to come by and spend time with the boys so Hannah could come with. 



It was so nice having her with me. She keeps me in the safe zone. I tend to be blunt where she tends to soften the edges a little. We make a great team. 



The meeting went....hmmm.  Ok.  The important people on the chess board know our concerns. No one was going to talk us down. We stood our ground...softly. 

But FIRMLY. 



So many things....so many things. It’s just overwhelming to say the whole story. 



The bottom line?  Dr Long is my ally. Jasmine and Jolene are my allies. I have someone to go to if I have concerns. 



David is in the ICU. I think some of the nurses need to be reminded of that fact. Yes, he can push the call button when he is rested. NO he CANNOT push the button after physical and occupational therapy. He needs to be checked on often. 



Yes, the nurses see his vitals at the nurses station. Fine. They do not see that he is gagging on saliva and needs someone to suction his trach and mouth. He needs to be moved often so he is not stuck in the same position too long. He needs someone to closely watch him when they have the speaking valve on because it feels like he can’t breath sometimes. Talking is just as hard as lifting your leg if it has been immobile for 40 days. He is not on a catheter but cannot go the the bathroom on his own. He can’t even walk with assistance to the bathroom. They have ‘puppy pads’ under him for a nice way to put it. The puppy pads need to be monitored and taken care of. Puppy’s need new pads many times a day. 



Yes. I am graphic. Sorry. It’s just the things I am having to deal with that I should not be dealing with. He is in the ICU. And they should treat him accordingly. 



47 days. He’s an ornament. New people come in and get higher priority. The nurse says she will be back in a minute. And she doesn’t come back for two hours. Unacceptable. 



David has become a great mouth talker and I have become pretty good at lip reading. 



Any one who knows David KNOWS he does not fuss and complain. However if he does have to fuss and complain, you KNOW it’s serious. 



I cannot file for medical POA because he is on narcotics, but they can ask him questions that he is confused about and get him to agree with them. 



No. The same applies to them. And we have to creatively make sure his needs are met without stepping on toes. But inevitably ties get stepped on. Sorry. Move your foot, please. 



And so I rant. It’s a heavy thing. We will get through, I’m sure. I know. But we also will not be a doormat, but David’s ally we will be. And that’s that. 



If you have gotten this far and still like me. Thank you very much. 



Much love to our faithful followers because of your concern for David. Thank you so much. It is not always easy to write. I felt I needed to write today since we skipped yesterday. But I am still a bit emotional about it. Sort of. I am not crying. I am just ready. My shield is before me as I stand in front of David. And I WILL stop any unnecessary static. 



Love love

Shelli 

Wednesday, February 21, 2018

Rainy day

Today...
Rainy, wet, and below freezing equals stay at home, girl. One injured person at a time.

It’s never easy to stay away. I called a few times. Miss Nurse was everything but nice.

‘Just calling to check on David.’  Speed racer reply, ’he’s on the trach collar, his vitals are fine...’and many other things that were just fine, but I couldn’t make most of it out because she was talking so fast. ‘We will call you if there’s a problem. Anything else???’

That was the first time I called.

The second time I called she was getting him ready to get a CT SCAN of his lungs for the pulmonary Doc.

‘My hands are full, I’m very busy, I’m getting him ready for a CT, I can’t talk.’

‘Ok. No problem.  I will call back.’  But WHAT; a CT Scan?  I knew it was going to happen....but it’s happening.

I knew it was going to happen. The Doc stopped me yesterday and said he was doing well but that his right lung collapsed again and the leaks aren’t repairing themselves.

Depending on what the CT reveals will depend on whether he has to have major or minor surgery to repair the leaks.  If it’s major, there will be a breathing set back.

It’s scary. And it wasn’t just raining outside today. There was a lot of rain going on in our little home as well. Melancholy faces and teary eyes.

 I’m here and he’s there. It’s hard enough not being able to talk to him while I’m away, we can’t even text. I give the nurses messages for him. ‘Tell him I love him and I will be there soon,’ and other short messages. Nothing complicated. Mostly I love you’s...

‘Did the nurse give you my message?’  He shakes his head no.

All nurses are not alike. Tomorrow he has Leigh. I know he will be in good hands.  When she’s there and I call, she is so pleasant and even steps in his room when she can and lets me say my love you’s. The nurses wear a phone necklace and the call is always on speaker so they can continue working while talking.

I don’t expect you to understand. I’m sure I sound neurotic.  And I am most likely repeating myself. We have been married for 24 years. We have never been apart any more than a few days at a time. But there’s texting; and FaceTime. It makes the separation easier.

He really is doing well. As of 3pm he was still on the trach collar. Phenomenal!  That’s well over 48 hours; almost 72. Whaaaaa???

Yay him!

So we wait, to hear the results. We wait...not really even painfully anymore. It’s beyond painful. It’s like we are stuck between the past and the present.

The clock ticks, but time seems so elusive.

I don’t have to ask you to pray. I know you will. And we are also beyond thankful for you.

Thank you is not enough, I know, but for lack of a more powerful word, thank you.

Shelli
XO