Thursday, August 21, 2014

Thursday August 21st/2014

This morning I came a bit later since I called her nurse and checked on her and Michelle (who I may add is simply amazing!) told me that when she came on duty @ 7:30 am mom was perky and smiled at her and talked to her.  yea!!!  This did my old heart good :-)

Her morning was pretty good all in all.  bp is holding, heart rate too..  then they decided they were going to do a ct scan and sent down the contrast for her to drink.  Someone isn't listening when they're told she can't drink all that and has swallowing problems!!  The communication skills in this place suck big time and it's one of my biggest gripes.  You tell them something and no one listens and they have to find out for themselves but the one that pays the price is the patient.  It's always the patient that pays.  Michelle and I tried to get her to drink it but all she could get in her was maybe a fifth of it if that.

They came to get her around 2 pm and it's always so hard for her when they transfer her from her bed to a stretcher.  They bounce her around all over the place and she's in so much pain in her tummy already and her back.  It always sends her for a loop and she never does well for some time afterwards.  This time was no different, she came back whiter and sicker and really weak.  I let her sleep.

She got back about 3 pm'ish and not a half hour later a group of Dr's come in. 4 of them.  They have news.  The reason she was so bad on Monday was it turned out, a ruptured aneurysm of the gastroepiploic artery.  She had an aneurysm!  That's the reason for the massive and sudden bp drop and for how sick she was.  In the ct scan it didn't look like it was leaking any more so when the specialists were consulted they decided not to do a procedure on her that is similar to an angiogram in a sense.  They go through the groin artery and fish around to find the aneurysm and close it off themselves but it seems it is doing it on it's own which is a good thing.  Her I.N.R. was really high, almost 7 (should be 2.5 - 3) so they gave her a moderate dose of vitamin K to clot the blood more.  This will also help the artery to block itself off and seal up. 

They thought they were going to have to give her two different blood products.  One is to help reverse the thinness of her blood and the other is a transfusion if needed.  Her blood count is low but holding so later after another blood work done, it showed that for now, she needs neither thankfully.  Her I.N.R.'s came down significantly with the vitamin K and it saved the day.

So.. it's almost 8:30 pm and I'm just waiting now for her nurse to bring me her pills to give her.  I usually do it because she can be problematic when it comes to them giving it to her.  A lot of times she won't take them for them or even spits it out.  When she is overtired, like at the end of the day, it can cause confusion in her too.  Her evening nurse was saying in the morning she's confused until she gets her whereabouts which takes a few minutes.  I think that's normal when you wake up in a strange place and you're sick.  After I give her her pills I think I'm going to head home.  I was suppose to go to crappy tire on my way home but it's getting late and I have to feed the dogs, take a shower, etc. yet before finding my bed and getting some sleep so I can get back here in the morning.  Wondering who her nurse will be tomorrow.  Michelle went on days off now and when she comes back, she's rotated so it's someone new.  Hoping it's someone that knows mom form before, everything goes so much more smoothly when that is the case.

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