Thursday, November 3, 2011

ICU

Last night didn't get much better for me or Joe.  I picked him up from dialysis and decided that since he seemed to be doing fine, the weather was bearable and I had the ambition, we would go grocery shopping.  We stopped by to pick up B.J. the Dog first for a little fresh air ride.

We made it home shortly after 7 p.m.  I carried in all the groceries, got Joe's dinner together, washed a couple of rugs that I think B.J. The dog had peeded on, vacuumed the floor, put the new waterproof mattress cover on the bed along with clean sheets and kept trying to eat my dinner.

After I made the bed, I called Joe several times and he didn't come.  Finally, I went to check on him and that's when I discovered he'd fallen out of his chair in the living room.  I finally got him up and sitting on the side of the ottoman where he stayed for the next 20 minutes.  He had such a blank look on his face, was not communicating in any way and wouldn't move.  There was NO reaction from him at all even with me yelling constantly.  I finally did get him up and helped him walk to the bedroom to tuck him into bed for the night.

About 12:15 p.m., I woke up hearing him keeping calling "dad, dad,dad".   I was sleeping on the camping mattress in the living room and I went to check on him thinking he was dreaming. He wasn't on the bed and I found him on floor totally scrambled and speaking some gibberish. He could not speak normal words.  I checked his blood sugar which was ok, his eyes were glazed, slurred words and no oxygen tube in his nose. I called the EMT's who said his blood pressure was very high which is total opposite of his normal.    He was taken to the emergency room and then very shortly to ICU. 

Joe wound up in the ER and then in ICU with hydrocephalus for a week. He had totally lost touch with reality and kept falling.

(My Facebook entry...Joe is now in ICU with doctors trying to find out what is going on. He may have hypertensive encephalopathy which as I understand it is that high blood pressure is causing swelling on the brain. It was a strange day yesterday with two falls last night and then this trip to the hospital. He has no idea where he is and speaks with some foreign gibberish when he does speak).

Wednesday, November 2, 2011

A Change In Routine HAS To Take Place

It's amazing how important numbers are in my life when they pertain to Joe.  Every morning it's check the blood sugar - too high means it's a booster of Humalog on a sliding scale that's posted on the refrigerator.  You would think that after all this time I'd have it memorized, but I don't.  So instead of pictures or additional refrigerator magnets, I have a "sliding scale" chart.

Then there is the amount of pills given throughout the course of the day in four separate intervals.  Those are sorted out by me usually one afternoon or evening for the next upcoming four weeks.  I put out Joe's breakfast meds in a little cup and then put the remaining pills away.  If I leave them out, he has a tendency to think it's time to take the next series of pills not realizing it's not time for them.  Even that is going to have to change since I discovered a half chewed pill laying underneath the dining room table.  I'd found a similar situation in the kitchen the day before.  Since B.J. the Dog is now in the house I'm quite sure he's the one doing the pill chewing and discovering it's not to his liking.  So, it looks like I'll be placing the pills in Joe's mouth for now one if we don't want Cujo the Dog living with us after an adverse reaction to Joe's meds.

Joe got lost in the bedroom again last night.  I only discovered that when I went in to get dressed.  It looked like a tornado had hit the room.  Items pushed off pieces of furniture; the artificial tree lying on its side; the trashcan overturned.  But Joe was in the bed so he eventually found the bed.  I still have to wrap my mind around why it's so hard for him to find the bed.  All he has to do is walk straight into the bedroom from the doorway about four steps, stick out his left arm and there's the bed.
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This morning was so hectic.  It was one of those mornings when it was so many little things that evolved into one big mess.

I got up before Joe - 6:30 this morning since I had an 8:00 a.m. meeting that required my attendance. I'd already found his clothing for the day and laid it on the dining room table.  I'd already packed his dialysis bag with his juice and a snack.  I'd already found him a woolen cap for his head and hung his coat on the chair.  Now it was time for me to get ready.I was enjoying my nice warm shower to the very end until Joe walked into the bathroom, couldn't shut the door because of clothing he'd taken off and there went all my warmth. Then I begged for a moment to at least let me get on my underwear before having to assist him with which way his "diaper" went.  (I'd already gone and opened up a new package, taken a Sharpie and marked the back of the Depends with a prominent heavy spot to help indicate the back of it).  That didn't work for Joe this morning.  That's when I discovered the three places on the mattress where his diaper had leaked sometime this morning.  Thank goodness there was a pad under the largest spot.  Sheets were stripped from the bed - poured some powder on one spot and would deal with it all when I come home later on tonight.  Then it was on to helping slide Joe's diaper on and still needing to get ready.

I finally succeeded in getting dressed, running outside to clear the snow and ice from the car, throwing salt on the sidewalk, but still had to take blood sugars and make sure he was ready to go.  That's when I noticed the blue fingernails and lips.  Oh my gosh - where was his oxygen tubing?!  How long had he been off that?  And, oh no, I'd forgotten about his portable tank!  With time running out, I had to replace tanks.  First time doing it with this one and it wasn't easy when you are in a hurry.  Aw crap, the first tank didn't show any oxygen.  Now it was on to the second tank and trying to line up those little nipples to the regulator.  Heck where was my Dollar Tree reading glasses - gotta find them.  I finally managed to get it fastened together and give instructions to Joe.  During this time, I'd watch Joe try to figure out how to put his woolen beanie on his head.  Yes, I snatched it from his hands and put it on his head.  Then he was trying to turn his coat inside out and yes, I took that away too and hung it on the dining room chair with instructions to not bother for the next hour.

I finally got my shoes on and left.  I didn't leave feeling good about leaving Joe this morning.  There were too many variables that could go wrong, i.e. not putting his coat on; trying to maneuver his oxygen tank (if he remembered to take it at all) and his dialysis bag; walking down the snow/ice covered sidewalk to the bus; did he remember to let B.J. the Dog out one last night; did he shut all the doors that needed shutting; did he leave his hat on his head and put on his gloves, etc., etc., etc.  It was then that I decided he'd be leaving with me in the mornings from now on as long as he's got this oxygen thing going on and if the weather is crappy.

Yes, I finally made it to work - late.

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I got a phone call from dialysis.  Joe had apparently had a major accident and I needed to have him cleaned up.  I was told I could pick him up, take him home for a shower and bring him back.  When I arrived, he was hooked up to oxygen, backside of his pants were very wet and he wasn't acting quite lucid.  He had worn no coat and had not brought his portable oxygen with him when leaving the house.  His reason...they were locked inside the house.  Even then, that shouldn't have been a problem since he knows (under "normal" circumstances that there is a spare key in the mailbox which he has used on numerous occasions.  Then I wondered why they would have been locked in the house.  About that time, we arrived at the house and I figured it out and he confirmed it...Joe's wet bottom came from the fact that he had come outside and sat in the snow/ice covered patio chair to wait for the bus.   There is no telling how long he'd sat outside in the freezing weather without his coat and gloves waiting on the bus and with no oxygen and an ever increasingly wet bottom.

This confirms to me that he can't be left alone any longer to wait for the bus.

Tuesday, November 1, 2011

Take Your Hubby To Work Day

Joe's at work with me today.  He's had a rough last few days and it's snowing outside and I didn't want to leave him at home by himself.  So, I packed him up along with an oxygen tank, his breakfast and lunch and brought him to work with me.  There's something to be said about peace of mind and at least I can get my work done without worrying about him.

I got him an appointment scheduled for this coming Friday to have his high blood sugar and urine output checked out.  Even with me guarding the kitchen and administering the correct amount of bedtime insulins, his blood sugar is high in the mornings.

Yesterday was another unusual day.  I took Joe to have a chest x-ray done, at the request of Dr. Neff, and nothing was found.  I think they were looking for an infection or something pre-bronchitis like.  Then I took him to the office with me until time for his Monday dialysis.  When we arrived and were waiting for him to be called in, he started having oxygen problems again.  His fingernails and lips started turning blue just like they had last Friday at the conclusion of his dialysis session.  They took him on back and started him on oxygen.  I had had a portable tank he had been using but found out it was only good for about an hour and we'd been gone from home much longer than that.

Joe's having real problems with his urination now.  I think he changed into a new diaper at least eight times and he was up and done several times in the bathroom.