Archive Page 282

Tuesday, July 24, 2007

Today was a really hard day – Axel’s surgery was postponed because he woke very confused, more so than usual.Tess was there with him in the morning, expecting to see him off to surgery, but he had had a fitful night, ripped his splint and bandages off – he was very upset, and yelling – so today he was groggy, and mumbling a lot and confusing his dreams for reality (some say this may be from morphine but he hasn’t been on morphine for some time now). Tessa called me at home, very upset, so I raced to Worcester (with Anne staying home with Sylvia). When I got there, Axel was restlessly sleeping, sleeptalking, fidgeting – it was unusual behavior for the middle of the day. His nurse was soulless and had no bedside manner to speak of with a nervous twitch that was rather unsettling. He manhandled dad’s arm when trying (unsuccessfully) to put it back on and didn’t respond when dad introduced himself. We don’t like him and made sure that he won’t come back to Dad’s watch.

So this weird behavior lasted for a while, but toward evening – about 4ish – he began to become lucid again. He had a catscan and from that point on was pretty much with it. He will most likely have another MRI tonight – as ordered by the neurological team that came in and evaluated him. They performed a bunch of tests with tuning forks and flashlights and rubber hammers and math questions. They determined a few things. 1) he is having a really hard time with concentration. 2) the (small) part of his skull that he fractured is very near his right ear mechanisms – so this is why he is having trouble hearing out of this ear, and why there has been occasional bleeding from this ear. 3) he is seeing double, with the image on the right appearing a bit higher than the one on the left – when they did the flashlight test the right eye was not in sync with the left – it was staggering a bit behind . This is one of the pieces of information that they have that can’t be explained by the injuries they know about – which is why they called for more scans.

To deal with this for now, they gave him an eye patch, so he looks like a pirate. We had him practicing his pirate speak after his dinner smoothie (mango/orange/apple/pear). He got a cold washcloth for his head around the same time as the patch – so it was pretty piratey in the room, I have to say. When the orthopedic surgeon came in to check in on him, and left without commenting on his pirate look, dad said ‘I can’t believe he didn’t comment on my pirate outfit!’ I must say, I can’t believe it either. This is the doctor, by the way, who also told us that the initial cat scan of his head (the one from today) didn’t show any huge glaringly obvious things wrong – which is a good thing. the bleeding hasn’t gotten any worse. They have to do an MRI to see better, I guess.

Tonight they had a really great ‘babysitter’ as she called herself – someone who looks after him/just sits there with him to make sure he doesn’t try to rip his splint off again. They had some fun, back and forth banter – it’s true that laughter is good medicine. Hearing laughter and laughing himself really seems to change his mood. She told us that there will be someone with him all night and through the morning, just to make sure he makes it through the night OK and doesn’t have another fit. I think his fits are brought on when he is all alone, wakes up in the dark and is confused about where he is with no one to help him, or calm him. So – hopefully having Tessa there again until midnight or so and then having a nurse by his side all night will allow him to get a good nights sleep (which I doubt he’s gotten since he was checked in).

It was a long day – I am glad it’s over. Tomorrow I will take mum to Worcester for her follow up appointment, and we will get to have a family reunion with dad and Tess. I can’t keep my eyes open anymore – I’m sure I forgot something, but it’ll have to wait.

Monday, July 23, 2007

As we are branching off into different treatment scenarios, updates now coming from three different sites. Tessa wrote about Axel early this morning.

Yesterday morning I talked with Joan who is at Spaulding Rehab in Boston and getting a work out. She is using visualization to help her out of her bed, chair and the to the end of the hallway. Go girl!!

It is a dreary day at Lobster Cove. I am inside today. Yesterday Sita wheeled me out into the yard in the sun and we sat and ate raspberries brought by her friend Brian.

Katie Blair ‘mommy sat’ in the morning so Sita could take care of some other things. Although I won’t be able to see this myself, KB also helped various fruits and vegetables to grow properly upward.

And once again, when we need something, the universe provides. Last night when Jim asked what we should have for dinner, in walked Carol with an extraordinary mediterannean chicken dish, while we were still nibbling on her exquisite pickled beans.

The VNA nurse came by today and helped Sita and me sort out my pain medication regimen which isn’t quite working the way it should. Tomorrow I have to go back to the trauma clinic in Worcester and that will be an occasion to see Axel (whose surgery has been postponed until some psychiatric and neurological glitches have been sorted out).

In a couple of hours I start my physical therapy at home. News from the bowel front is good for those of you who want to know. Nurse Sita and Personal Care Assistant Anne Dodge are keeping me from racing too fast around the kitchen, and as for Dr. Potato, he hasn’t shown up yet, maybe for lunch.
Cheers
s

Monday, July 23, 2007

From Tessa last night, who has been camped out at the hospital…
‘Dad was doing well today… he had another difficult night last night but we think we may have straightened out his difficulties by eliminating some unnecessary medication, so hopefully he sleeps well tonight. His surgery has been moved to 11:30 am tomorrow (it was originally 7:30) which he is not too happy about as he is anxious to get the surgery done with (one step closer to getting home). He is doing well though, eating lots of fresh fruit smoothies, drinking plenty of liquids, and using his ‘thunder box’ as he calls it (the bed pan). He has more movement in his thumb today but seems to have back tracked a bit on the finger movement, but he’s working hard and doing well. He talked on the phone a bunch today which was tough work but really seemed to help boost morale. His room phone is working (Steve switched the broken one today), but he probably won’t be in his room until late in the afternoon tomorrow and will need to rest from the surgery. Things are looking good though, it was much easier saying goodnight than yesterday. Steve and I are staying in a hotel down the street (originally to be there early for his surgery, but since that changed we just stayed with him until he was passed out around 11:45 (we watched the Bourne Supremacy and Ocean’s 11, he’s following story lines and doing well). Things are looking good, the love and prayers are really helping in his recovery, so keep ’em coming!!!’
– Tessa

Sunday, July 22, 2007

This morning I enter a new phase in my recovery process and am sitting here looking out over Lobster Cove.Sita turned what used to be my home office into a lovely sitting/bedroom. Little touches like a “Why am I here” button that I had made for a Kenyan district health leadership program some years ago. Ummuro and Joan will remember. Sita thought it fit I go to sleep under that question. And I did.

I woke up under the gaze of the ancestors, a wall in my room that is covered with family pictures that go back at least a 100 years.. Some people who know about such matters, said there had been some strong (very strong) spirits hovering around us and I wonder if my mom is one of them.

As Tessa wrote, the goodbye to Axel was very difficult for all of us. Unlike the other happy patients who were wheeled home, we left in tears.

We made the transfer back home in goodtime, and thanks to Tessa’s skills and the good graces of the CVS staff in Beverly, I arrived just before the next pain pills were due. It wass wonderful to sleep at home.

I have caught up reading all the caringbridge comments and am undescribably grateful for all your words, deeds, prayers and love. The scabs falling of, the fading of the brilliant bruise colors and the improvements in my (everyone’s) movements are all signs that we are reciving what you are sending us.

I feel so blessed with all the good things that have come our way, especially this last week.Most amazing are the management and leadership skills (sorry, can’t help myself) of our daughters. Sita and Tessa are every parent’s dream come true.

Signing off for now with deep gratitude to all and everything.

s

Sunday, July 22, 2007

I will begin tonight’s entry by apologizing to everyone for this unexciting entry. Sita has been doing a phenomenal job keeping everyone updated with her humorous and touching writing. I however, am exhausted (recovering from the cross country voyage) and still absorbing all of the facts, so I will make this short and simple.

When I first arrived in the morning I set dad up with a Poirot DVD which he watched with Jim and really seemed to enjoy. I also gave him a milkshake that our incredibly kind neighbors the Hinds’ (Thank You Debbie!!!) set me us with. The smile on his face was priceless… he loved the taste and was so excited to not be eating his purée hospital diet. Tomorrow I will bring some fresh fruit to mix up for him in a smoothie, and maybe some Gazpacho too. He had a tough night last night, emotionally he is really struggling, but today he seemed to have balanced out. He is aware of what has happened and is trying to come to terms with it all. He said today that he understands the position he is in, he does not want to be in it, but he knows now that all he can do is get better. This was good to hear. Also today he had a couple of other triumphs. He sat up on his own (only for a few seconds after he was lifted up) but on his own none the less. He was very happy with this and I think felt finally like there was progress to be made and he could do it. Also he is able to touch his index finger to his thumb on his left hand (the one with the radial nerve damage), which is a huge improvement from yesterday. He can wiggle his fingers and move them up and down (which he also could not do yesterday). He still cannot bend his thumb up and down (down a little but not up), but he is getting better every day. The therapist said that usually movement comes back from the fingers first and moves its way down so eventually he will be able to move his wrist up and down again… so he’s on his way and is getting better fast. Also his catheter was removed today (something he was not too happy about because now he has to pee into a weird water bottle type thingy), but still he’s making progress and on his way. The last of the sutures were taken out from his head and most of the staples are out.. the rest should come out tomorrow.
Mom got the staples taken out of her stomach (i think it was 23 or 24 in total). I also washed mom’s hair this morning (a real wash non of that no-rinse stuff). She was very happy to have actually clean hair. She is now home and sleeping comfortably in the bedroom that Steve and Sita set up for her in her office, it is quite cozy and she has all of her necessary gear (walker, wheelchair, and the all-important commode). She had a tough time leaving dad in the hospital today, but she got to stand up next to him and give him a shower of kisses. The ride home went pretty smoothly and the people at CVS got her pain killer RX as quickly as possible.

So thats the major stuff for today. Again I apologize for the quick unexciting prose, but alas, I’m pooped and promised dad I would be in the hospital to see him as early as possible (it was one of the most difficult things i’ve experience telling him that mom was going home but he had to stay, he looked hurt and sad and pretty upset) needless to say it was tough saying goodbye, Jim offered to hang out with him but he told him to go home and do what he needed to do. Dad continues, despite his condition to be constantly worrying about everyone else and making sure that everyone is ok and taking care of themselves.

Thank you a million times over to everyone, your love and support is so greatly appreciated and is surely helping with their recoveries.

Sita posted all of today’s photographs on her flickr site which you can reach under the ‘links’ link above.

-Tessa

Saturday, July 21, 2007

Sylvia is coming home today – Steve and I have been frantically trying to rearrange the house to accomodate a wheelchair and walker. It is taking some time, they have a lot of stuff, as many of you know, so I’ve had to get a bit creative with my stashing of things – plastic toy trolls (in the recycling bin), tennis rackets from 1965 (in the oven) and more books on organizational development than I care to mention (being used as a roof for the new addition we put up today). By the way – if anyone wants some magazines, we got em. I think my father has kept every magazine that was ever printed in the whole wide world…I sympathize a bit, my house is beginning to look a little bit the same, but really…I am thinking about bringing them all (a truckload) to his bedside and re-reading them all to him page by page, then donating them to the ICU waiting room. I think this would be a real improvement, as one can only read ‘Arthritis Weekly’ (I kid you not) so many times.

I got a report in from Jim and Tessa who are at the hospital today – Jim spent the day watching episodes of Poirot with my dad (Tess brought her computer in and some portable speakers), and mum spent a lot of time writing and reflecting – and gearing up for her move home.

Tessa told me that she made some of this shake that Mrs Hinds sent over (by using the Magic Bullet blender) – this is the first non hospital food Axel has had – and he absolutely devoured it. She said his eyes brightened and his tongue rolled to the floor and little pink hearts danced around his head.

Tess said that is was a good thing she had watched the infomercial for the Magic Bullet so many times, because otherwise she wouldn’t have known how to use it – she can recite it word for word, practically. It’s awesome.

It has been really wonderful having Tessa and Steve back. Steve ran many errands today, dismantled two beds and put them back together again (twice, actually, because I made a bad suggestion…oops.)
The weather here at Lobster Cove is wonderful – a good day for a homecoming. The flowers are in full bloom, the fish is swimming in circles and this post isn’t coming to you at 2 in the morning! Good news all around.

Saturday, July 21, 2007

Friday, 20 July 2007
Today was a bit of a rollercoaster – all good still, but I think it’s beginning to sink in with my father that this is going to be a long journey. My mother got then news today that she may be discharged tomorrow – she has a meeting with a physical therapist in the morning, so the final word will come after that. We are coming prepared with a dress from Burkina so she can be rolled out in style, if need be. Upon hearing this news my father pouted a bit and said “that’s not fair, I want to go with her…” If only.
She is doing really well today – her face is a lovely peach and she used the private toilet for the first time, although it’s not so private, I suppose, when you have two nurses and your daughter watching.
She had some lovely food today; fruit plate again, hummus, tabouleh, nice chocolates from Doug & Sallie Craig Huber (which we nibbled on all day). A bountiful cornucopia of fruit and cheese and other goodies arrived from Phil & Bobby, which mad my father’s cat food meal look sooo vomitous. I am thinking about bringing a blender in – he’s on a puree diet, but one can puree just about anything with the proper blender. A cheese/sausage/apple/pear/popcorn smoothie might actually be pretty good, no? Tessa and Steve spent a lot of time with him today and lovingly fed him orange mush, and fish mush that looked like it had soap bubbles in it. Oh – and the bottle of “No-Rinse” reappeared in my father’s room this morning, and the PCA washed his hair with it (that’s my job, lady…). I imagine it much like one of those Mormon commercials – “I’m sorry, Sylvia, I took your “No-Rinse,” I’m really sorry…
Dad listened to a bit of Harry Potter while I paid some bills and had a very, very nice talk with a woman from T-Mobile, who, upon hearing the news, credited my cell phone with 200 free minutes to accommodate all the extra calls this month. My mother found this very comforting/touching (as did I, it was a warm gesture). I actually think it was the first time I had seen her shed a tear since this whole ordeal happened…She said it was really nice to know that there were good people even in really, really big conglomerate companies, good to know that good people were empowered to do good things.
My mum’s machinery arrived this afternoon – a wheelchair and a walker with an arm rest thing – I am going to suggest that we spray-paint it fluorescent orange so she doesn’t get lost at night when she escapes from the cage we are going to keep her in. It should be very interesting having the run of the house with her out of commission…We’re going to have a good time!
She’s not too much of a movie person, but there may be some times that Jim, Steve, Tess (and Joe Sterling) and I may want to go hit the town, in which case, it would be good to be able to cuff her down and plop a movie in on repeat…I jest, I jest. But if you do have any movie suggestions that don’t involve plane crashes or hospitals or axe wielding maniacs, let us know. I think I will be taking full advantage of my Netflix account in the nest couple of months.

Saturday, July 21, 2007

Another big piece of news today is that Axel will be having surgery on his arm on Monday morning at 7:30am. They will be administering general anesthesia, and will have a breathing tube put in (this time much more gently, and he will be asleep, so it won’t be traumatic, or scary or anything like that). The anesthesiologist was very reassuring, and seemed highly competent, even with her Patriots head wrap on. I met again with the orthopedic lady who told us all about the actual operation – they will put a rod through his bone and put screws on either end. Simple enough for me – I don’t need to know any more. The operation will take about 2.5 hours, then he will be in the recovery room for a few hours. After this is over, and he’s back to bed, some other team will come in and will evaluate how long they think he will need to recuperate from the surgery – after that, off to rehab! It seems like they might send him to Shaugnassey (?) in Salem – which would be great for us caretakers – less driving, more family time.
I’m sure I’ve missed something – oh! My father has moved. The man in the room with him was really sick, moaning and groaning, screaming, and his family of 43 was around his bed all day (all very nice folks) so they decided to move him to a private room, and gave my dad the window bed, as Tess and I have been requesting. This is a much nicer setup – much like my mother’s – he now has a sill on which he can keep all the beautiful bouquets of flowers they have received – One of the nurses came in and said, “It’s like a regular greenhouse in here!” We did some interior decorating, as we had done in Sylvia’s room – hung some new curtains, put knick knacks and photos all around, found some nice old blanket of Herman’s in case he gets cold – looks quite homey I must say.
Tonight was the most fun part of the day – after my dad got situated on his new side of the room, we wheeled my mom in with a handful of roses for a nice Friday night TV date. My father wanted to try to stay up as late as possible so he could try to sleep through the night, so he thought it’d be nice to be old farts together and watch tv, hold hands and sip on Styrofoam cups of cranberry juice and zoethout tea. It was a very romantic scene when Jim and I finally left at 9:30 – them holding hands, her spoon-feeding him yogurt, watching Monk. I felt at peace leaving them like that, it felt complete, they looked absolutely beatific and charming and so in love.
Hopefully tomorrow you will have an update from Sylvia herself – she has been frantically writing all day today, and I’m sure she’s got a lot to share with you from her side!
Thanks again for all the support!
xoxo, a very sleepy sita.

Side note: Just got home from the hospital – wrote in the car, which seems to be the best way to maximize my sleep time, but came home to find Steve and Tess still awake. We’re having a Friday night after all, sitting outside in Oma’s lawn chairs and watching shooting stars – another welcome break. Tomorrow Steve and I will prepare the house and Tessa and Jim will man the hospital – Tessa’s cell isn’t working but you can reach Jim at (508) 369-9517 if it’s necessary to call – but please, only if you need to arrange a visit. Otherwise you can call the hospital and ask if he’s in the mood to receive visitors.
And – if you call him, please be prepared to have no longer than a 30 second long conversation – He is always really excited to hear peoples voices, but it’s hard for him to hold the phone up for too long, so if you call – let him know who you are, say hello and make him laugh, let him know how important he is/how it’s going to be so great when he comes home – and then let it be. Please, please, please don’t say “I’m so glad you’re alive…” Today this caused some problems because he’s beginning to come to terms with the fact that he could have died/had more brain/spine/etc injury, and this is a really big burden – it’s is making him worry, get upset, and get “freaked out” as he said today. Try to keep visits upbeat, positive, fun – simply letting him know you are there and thinking of him and are saving a nice dinner and a cold beer for him seems to be a good approach. We have yet to read him any of the comments, or show him any pictures because it’s all too soon, too real, too scary at this point. There will be plenty of time for longer conversations! The flowers are beautiful, the cards sent to the hospital are lovely – He is very aware that a million people are sending love his way, but to actually receive something in the room seems to really cheer him up.
I will post photos of their Friday night date later on my flickr account (the link is in the link section of this site).
Good night all.
s.

Friday, July 20, 2007

By the way – we finally sorted out all the name errors today. Axel is listed under Richard Magnuson, and my mother is Sylvia Vriesendorp (instead of Vresbsenforp or something like that!). I forgot to mention that Joan was released today and taken to Spaulding Rehabilitation Center in Boston – I am curious to hear how her time there is – sounds like a lot of hard work.
My father is currently in room 413, my mother 409.

Friday, July 20, 2007

Tessa and Steve arrived today – after a long long day of flight delays and bad weather and a steward who actually told them ‘Sorry for the delay – we’re going to get you to Boston as safely as possible…’ Very reassuring indeed. In any case, they finally made it to Worcester courtesy of the Katie Blair and Andrew taxi service – thanks for that! When they came to the hospital they had easy access to both Axel and Sylvia because, believe it or not, they are now living only a few doors apart!

Axel was released from the ICU today in the late afternoon/evening. He is currently in room 413 (not a window seat, unfortunatley) and has been totally ‘unplugged’ from all his drips/meds. He had a ‘lovely’ meal today of what looked to be catfood and powdered mashed potatoes and a side of pureed carrot. It’s amazing how four days of not eating makes even animal food look good. He had a pretty eventful day leading up to his transfer – last night at midnight he had a 2.5 hour MRI session that (oddly enough) really interruped his sleep. He felt jostled and prodded, and was a bit fed up with things this afternoon. He kept saying ‘I’m ready to go now…’ He also was able to stand upright today – the nurse told us that the fractures in his pelvis are actually very minor (they looked at the 3rd set of x-rays today), and that he is able to put all his weight on his legs when standing. This is really a remarkable thing – it means that he will be able to more self sufficient than we had previously thought during his rehab time.

He is still a bit groggy/loopy – but i get the sense that this will pass with time. His neighbor is an older gentleman named ‘Franny’ or Frances, whose whole family was visiting today and (as Axel tells me) had a very philosophical debate about sinners in America. They have a smiley face on the whiteboard at the end of the bed that is saying ‘Jesus loves you and so do I…’ I drew a picture of a dinosaur with hearts all around it on my dad’s.

When he came to the 4th floor, they wheeled my dad into my mum’s room and they waved and visited for a few moments, then later she hopped in a wheelchair and raced down the hall to see him. They sat for quite a while and my father talked about how the tough Irish nurses in the ICU had bossed him around. Later, when he asked if he could brush his teeth, the attendant (Henry) said, ‘Sure – you can do whatever you like!’ to which my father dropped his jaw and said – ‘wow. that’s the first I’m hearing of that! The ladies upstairs were brutal!’ The freedom to brush the teeth is a good freedom to have.


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