Thursday, December 17, 2009

Thanksgiving and Christmas and Good Reports

Thanksgiving was a pretty quiet affair and pretty simple. Everything here was store bought, and there were 7 at the table-- with a glaring empty chair for Nanny. But Mom & Dad were here, along with Arnold, Mike, and Preslie (Pam's dad, brother, and Mike's daughter, our niece). Watched a little football and enjoyed the day.

The boys are flying in for Christmas! They will be here from December 21-28, so it will be a great time! Not sure when Mom & Dad will come in, but it will be nice to have the boys here! I'm sure we'll think up some fun things to do.

Mom had doctor appointments in early December and got back great reports and continued changes in therapy. Her knee doctor was very pleased, but did say the recovery may be slower than he originally thought ("it may take up to 3 years"), but he is please with the progress. He may consider a small surgery on the Achilles' tendon to help speed the stretching process along, but (as I understand), it would be in-house and not a huge deal.

We were able to go look at some of the Christmas lights in our area on Monday night (before the final appointment and trip back to Big Spring on Tuesday). One of our friends has a "computerized" light show with about 10,000 lights, so we went by for the show. They had a blast!

Not only that, it looks like Santa has already visited our Christmas tree! There are lots of presents that suddenly appeared!

Saturday, November 7, 2009

Kitty Grace Gunter Adams- Nanny

Pam's mom, Kitty Grace Gunter Adams died Sunday afternoon, October 25, about 12:30 p.m. After going into hospice on the previous Thursday night, she never regained consciousness.

It was a hard 10 days. Monday, October 19 was Kitty's 77th birthday. When Pam went over to see her, she had not been out of bed all day and had not eaten much or had anything to drink in most of two days (she is a Type I- insulin dependent diabetic). They tried to get her to the car but she was too weak. She protested at having the ambulance called, and along with her dehydration and dementia, she could not understand why she was in the hospital.

On Tuesday, a CAT scan indicated a tumor on the pancreas and a spot on the liver. It was advanced stages, and the doctor indicated it had probably been there for a year or more. Planning began immediately on what steps to take next, including trips to the bank, obtaining DNR forms and living wills.

On Wednesday, plans were made to move her to a hospice care facility; it was decided to go to the facility instead of the hospital, as they would be more able to monitor her medication. I believe the doctors knew she was much worse than any of us realized. She did receive much pain medication on Wednesday and blood transfusions on Thursday (against doctor's orders, as we learned later.)

She was moved to Hospice care Thursday evening, and was given medicine to comfort her and help her sleep after the ambulance ride. She convinced one of the ambulance drivers that she had been in the Navy for six years and had been deployed to sea three times for 9-month intervals. (She has never been in the Navy, but did work on a Navy test pilot base in the California desert for two years!) None of us realized this was the last conversation we would have between any of us. She was asleep by the time Pam and I got to her Thursday evening.

Friday morning presented some scares, and Pam spent the day Friday at hospice with her and Arnold, her dad. She never woke up Friday, and by noon began exhibiting signs of "imminent" death, as the hospice material indicated. Michael's flight landed about 6:00 p.m. and we went straight to the hospice facility; the Dallas area relatives came over that night and we all spent a lot of time together. Christopher's connecting flight was cancelled, so he could not come in Friday.

Saturday, many of the West Texas/Eastern New Mexico relatives arrived and spent the day. Christopher arrived around 3:30. There were not many changes from Friday through Saturday. There were probably 20 people in the room at one time! Hospice folks never said a word, and were very kind to keep us informed as to Kitty's status.

Sunday morning found only Pam, her dad Arnold, her brother Mike, and Mike's daughters Kathleen and Preslie at the hospice facility. It was a fairly quiet Sunday; no other relatives came in. While everyone was away eating, Kitty died peacefully at the facility. She would have wanted it that way- no one around to fuss about her. The way we looked at it: everyone else left, so she did, too...

We left early Monday morning for Midland for funeral services. We made the arrangements through a very difficult Monday afternoon, and family "headquarters" was at one of Pam's cousins' house in Midland. (We stayed in Big Spring overnight each time.) Tuesday night was visitation, and Wednesday at 2:00 p.m. was the funeral. It was a beautiful service, and Christopher asked to give the eulogy- he did a great job.

We returned home Wednesday after the service; Michael's flight (obviously a change from original plans) left at 7:00 a.m. and Christopher flew out at 2:30 Thursday afternoon.

It has been over a week and things are still difficult, as you can imagine. The true irony is that, after spending almost 18 months nursing my mom back to health, we lose Pam's mom in a week. We were all thinking the same thing would happen with Kitty as with LaVera, but such is not the case.

It has been a hard year. The roller coaster ride is getting old fast...

The holidays will be very bittersweet. We will have Granmommy back from so long in care; we will miss Nanny very much.

Please remember Arnold Adams, Mike Adams, and Pam in your thoughts and prayers especially this holiday season... as well as all of those who have lost loved ones and will be spending their first holidays without them.

Thursday, October 22, 2009

Cruel twist of fate

Mom is doing just fine. They had a doctor's appointment here in Dallas on Columbus Day; we had taken that opportunity to take an extended weekend (we both took Friday off) to fly to NYC to see the boys, so we missed them all around!

When I called Mom, she indicated the appointment had gone well but she wished it had gone better. The doctor is changing therapy again, but says she is improving; just not as fast as Mom wants to improve. They have another appointment in December; so they will be here in November for Thanksgiving, December for appointments, and late December for Christmas! We are excited to have them back!

However, other news is not so good. Pam's mom (we moved them here from Midland in 2008) has been feeling ill for the past 2-3 weeks, and has been getting more and more feeble and had more dementia problems in the past six months. On Monday, Pam went to see her and she had not eaten in 2 days; she was too weak to get to the car, so they called the ambulance. After many tests, they told the family yesterday that she had late stage pancreatic cancer; the prognosis was three months at the most. However, they are checking her out of the hospital tonight to go directly into hospice. We think it may be more like three weeks...

We are flying the grandsons home tomorrow; we hope they make it in time.

Please keep us and especially Pam's father Arnold Adams and brother Mike in your thoughts and prayers. They are devastated and she seems to be failing fast.

Saturday, September 26, 2009

Not much happening

Not much is happening since their last visit. Mom & Dad came back to the DFW area for appointments September 6-10. We went and looked at a couple of places on Labor day, but that was all. It gave us a start at what to look at and for.

Mom's appointments went very well. Her doctor from Vista Ridge doesn't want to see her for another 6 months; her knee doctor wants to see her in October and changed her therapy.

I talked to Mom & Dad last night and they are doing well. Therapy has been going very well; she goes 3 days per week and gets measured each time (angle of development with her knee?) and makes gains each time.

The only thing they haven't been pleased about is the fact that the house has yet to even be shown, so they are not in much of a hurry to pack, go through things, etc.

They attended a Masonic function last Thursday night, and Mom and Dad both got to see a lot of friends who have been thinking and praying for her for a long time. It was a great time for both of them.

They will be back here for appointments on the Sunday before Columbus Day; we will actually be in New York to see the boys for an extended weekend trip!

Sunday, August 30, 2009

Bittersweet homecoming and an old boot

Mom & Dad got home Monday, August 17th. There was a lot to do, especially to move back into a house to live in after no one had really "lived" in it since June 2008. (Granted, Dad had been back once a week, but only to "visit," pick up the mail, etc.). Mom said it took 3 garbage bags just to empty the freezer and refrigerator from all the expired food!

On Sunday, August 23rd, they were back in church for the first time in about 2 years. What a surprise for the Sunday School Class! Many of them commented about what a joy- and miracle- it was to see Mom back, better than before! It was a joyous homecoming!

That afternoon, Mom's sister and niece came down from Lubbock for a visit- the first time they had seen each other face-to-face in over two years. Lots of hugging and tears! Sue (Mom's niece) said they hugged each other and wouldn't let go for the longest time! It was very special. Plans were made to get back to see my uncle (who was in the hospital in Lubbock) as soon as possible.

But that was not to happen. My uncle passed away Monday morning about 2:20 a.m.

This really hit Mom and Dad like a ton of bricks. We had grown up with Aunt "Doda" (our name for my aunt) and Uncle Elvin in the same town, just blocks away for most of our lives. They were like a second set of parents, and our cousins were more like extra brothers and sisters. The family (minus Mom) actually saw Doda and Elvin back in May after Michael's graduation, but I know Mom really wanted to see him again. Dad and Uncle Elvin got along like brothers, rather than brothers-in-law. It was a special family bond that is very rare among our later generations.

Uncle Elvin was tough as an old boot. He had survived heart bypass surgery from about 30 years ago, when it was REALLY serious; it laid him out for about 6 months, as I remember. He had Type I diabetes, so he was insulin dependent; his kidneys had basically failed, so he had been on dialysis for more than a year (as I remember). He survived ailments and accidents that would have killed 30 normal men, so he was almost super-human. But a recent fall brought about complications that his tired body finally couldn't overcome.

But what is special about an old boot? It's hard and busted up on the outside. It's scratched and cut and beat up and it doesn't shine much any more; in fact, it's pretty much a waste of shoe polish to try to get an old boot looking good.

But an old boot is soft inside. It still feels good to put it on. It brings back special memories and feelings when you wear old boots. They don't hurt like new ones, They're comfortable to be around and special to wear whenever you can. They're just special...

And that was Uncle Elvin. Tough, beat-up, scarred on the outside; a tender-hearted, kind, serving gentleman on the inside. Mike and Sue (my cousins) told me a story once where he was going to send me money during college because he thought I didn't have enough. He once let Rusty (my younger brother) drive his brand-new car back from Abilene in the rain when Rusty was only 15 and only had a learner's permit. He thought all of us nieces and nephews were special, and he treated us all that way. Shoot... he treated everybody as if they were special; because in his eyes, they were.

What an example to try to follow. What a legacy to try to live up to. He set the bar mighty high.

There were lots of friends at the funeral, the cemetery, and the reception. And everyone remembered Uncle Elvin with a smile and kind words. Just the way it should be.

Not bad for a tough ol' boot.

Friday, August 21, 2009

They're home!

As of Monday, August 17th. We haven't heard from them since they got home, so no news is good news! We are looking at independent older living facilities as well as apartments to try to help them find a place here.

I think Mom was both relieved and anxious about getting home to a house that really hasn't been "lived in" since June 2008...

Saturday, August 15, 2009

Free at Last!!!!

She's been given the green light to go back to Big Spring.

Now, it's a matter of.... what do we do next? Now that Mom's doctors are here, we are looking at options to move them here. Apartment? Duplex? Independent Senior Living? Assisted Living? Lots of choices. Even more questions.

They visited the Masonic Home in Arlington, but I think that is not going to be an option.

Meanwhile, therapy has stopped until things settle down a bit. Even though she was released last week, she has not travelled back and forth to Big Spring with Dad yet; but I suspect that will come soon.

Sunday, August 9, 2009

Nuked up

Mom had 3 appointments this week with the doctor, so the home health care people have suspended care for now, until something more stable happens. Monday, Tuesday, and Wednesday were all at the knee doctor's for tests; I think about her hip. They put in a nuclear dye on a couple of days (I think because she glowed in the dark all week- just kidding!) and did some special scans, but nothing has been reported back yet. No more word on whether or not the pneumonia actually settled into her knee; it's still a little sore, but not so feverish anymore. She's still waiting for the doctors to release her to go back to Big Spring, and she's anxious to get back.

Having the home health care being suspended means that physical therapy has also been suspended, but she does her exercises her at home, and that helps.

She did fall one time last week in the bathroom, but no damage. Dad was there quickly to help her back up. Just got a little overbalanced; I think it is part of the learning curve that she has to go through about what to do.

We have been having Friday's off during the summer, but that all has stopped now. Dad has been going home on Friday's while someone has been here, but not sure if that will change or not.

They have looked at the Masonic Home in Arlington as an option, but that's the only one they have looked at so far. If anybody has any ideas for places, let me know by commenting to this post. But plans are to move to this area as soon as possible.

Wednesday, July 29, 2009

Well, no wonder...

she got out so quickly. Seems the pneumonia went to her... knee?!? She went to the knee doctor on Monday (her actual appointment was today, Wednesday) and they did some tests. Gave her a bunch of antibiotics, but still aren't through with it yet.

Meanwhile, she's done with therapy for a while until it clears up a little more.

And another meanwhile- they seem to think the hip replacement may be "slipping." They are scheduling a "nuclear" test for it sometime later.

And I'm trying to type this with my new no-line bifocals... so pleeze forgiv the mispled wurdz!

Friday, July 24, 2009

She's out!

Back out of the hospital yesterday (Thursday) before noon, Mom has been feeling much better. Only a few more pills were added, and the therapists in the hospital even had her doing a little walking.

She's back to our house- watched "Rio Bravo" last night on movies!

Tuesday, July 21, 2009

Ooops- a little setback...

Turns out all those chest pains and shortness of breath were pneumonia. But nobody could really tell that yesterday (Monday, July 20th) morning, so Dad called the ambulance. The emergency room at Lewisville hospital gave her lots of pain medication, and by the time I got there last night, she was feeling somewhat better, although still a little sore in the chest. She is in Room 168 at the Lewsiville hospital.

Interestingly enough, it was not the x-ray but the CAT scan that spotted the pneumonia, so it must be a relatively mild case and/or they caught it early.

We all suspect that, due to the severe problems with her lungs earlier, she will probably always be susceptible to lung issues like this. In hindsight, the trip to Fredericksburg may not have been the best idea... but who would have talked her out of it?!? Not me!!

Otherwise, she has really been progressing well. Her therapist comes several times each week (until yesterday, of course), and has been working her pretty hard; he even commented yesterday that he hadn't noticed anything wrong, so was surprised she was sick.

So, a slight setback... but I don't think for long.

Monday, July 13, 2009

Beautiful wedding...

Even though it was a little warm, there was a cool breeze at 11:00 a.m. last Friday morning as the only granddaughter in the family got married. The wedding was outside under a huge tree, with lots of branches for shade. It was a small ceremony, and (as you can see), I had the honor of escorting Mom down the aisle for the bride's grandmother. Dad actually escorted Thekla into the ceremony.

It was short and sweet; in fact, pictures took longer than the ceremony! But the reception was inside, and it was all wonderful. Mom and Dad both did great.

One of the highlights had to be the attendance of the Archangelos. Over 18 years ago, Gabriela Archangelo was the recipient of Aaron's liver; she was within 30 days of probably losing her life. Instead, she is a beautiful 20-year old sophomore at Duquesne University in Pittsburgh, PA. She has remained close to all our family, and it was wonderful to see them at the wedding!

The trip was a little over 5 hours long, and it did take it's toll on Mom as she was pretty sore on Sunday after the trip back (we actually left on Thursday, had the wedding Friday, and returned Saturday). But she seems to be doing fine this morning.

Home Health Care will start physical therapy this afternoon. She's getting around the house pretty well; she actually walked (with her walker!) from her bedroom to the living room yesterday! WOOHOO!

I'll try to post a picture of the folks with Gabriela next time...

Saturday, July 4, 2009

Independence Day!!!

She's home!

As you can see by the picture, today REALLY was Independence Day. Mom came to the house about 4:30 p.m. today, and moved into the back bedroom with Dad. We'll all goto Fredericksburg to the wedding this coming Thursday; the wedding is on Friday; we'll come back here on Friday.

There are several items in the house that are specially for her (they'll take them back to Big Spring when they finally return), but for now, she's here. She has an appointment with her knee doctor (the knee replaced- it's the one with the brace on) on or around July 27th where she'll probably be released for either six months or a year. She's had great success getting rid of the "drop foot" and, though she still stays in a wheelchair most of the time, is continuing to gain steam walking.

The plan is to return to Big Spring after the appointment on the July 27th. Between now and then, there may be some searching for a possible place to move into this area? We shall see...

Friday, July 3, 2009

One more day at Vista Ridge...

then to our house until The Wedding.

I'm not sure I mentioned that Mom will actually get out on Saturday. She was originally scheduled for Sunday, but there is no office help there on the weekend (holiday weekend as well), so they decided to move out tomorrow.

She had her last therapy sessions with one of her therapists yesterday, and it ended "the way it started?- with a massage! The therapist said that, when Mom first came to VR, she started to touch her feet and Mom yelled in pain. This time, it was different- Mom said the massage felt great!

There is to be a delivery this morning of some equipment (wheelchair, some bath and toilet assists) that she will be able to use here at the house before going back to Big Spring. We're all a little worried about whether or not the bathroom will accomodate a walker or a wheelchair, but we think everything will be OK.

One more night!

Friday, June 26, 2009

Let the countdown begin!

9 days and counting!

Mom will be released back to the real world on Sunday, July 5 (at least according to the schedule). She'll come here to the house until Thekla's (the grand-daughter) wedding in Fredericksberg on Friday.

She is now the poster child at Vista Ridge for all those needing a little inspiration. She gets to lead the counting during group exercises, and they have asked her to talk to people who have given up hope or lost their way getting back in therapy.

They are also doing more "coaching" with her now- reminding her not to do things alone, not to depend too much on the walker but know when to use the wheelchair, etc. They will provide her with quite a bit of equipment when she comes home to make the transition easier (as none of our houses are really wheel-chair or walker friendly). She's learning to walk sideways and backwards in the walker as parts of her final therapy sessions.

Remember the drop foot? The right foot was horribly bent. She has finally gotten a heel strike when she walks now with BOTH feet! Her therapists are ecstatic, because they NEVER thought she'd get a heel strike. (It still needs work, but it's getting there.) She's actually getting very close to walking "normally" (heel to toe forward, etc.).

One of our outings last week was to my father-in-law's 80th surprise birthday party- he was surprised, and Mom was the hit of the party! Everyone was glad to see her! We went to Cotton Patch before the party for steak fingers! The next day, Father's Day, Tamara came down from McKinney and all the girls (with Dad pushing the wheel chair) went dress shopping for the upcoming wedding. (Haven't found anything yet, so more shopping to come!)

And the countdown continues...

Wednesday, June 17, 2009

Still working hard

It's been a while since I posted, but not much has changed other than she continues to make progress towards July 5th- out of Vista Ridge. They are "fine tuning" the therapy now; she gets up and goes to the restroom (still with help, she's a little wobbly); she's also learning to "slide" left and right in the walker. It's amazing how much we take for granted that we do that she must re-learn...

We go out about once a week- last week it was Red Lobster (oh, those garlic biscuits...)

They are planning on staying with us here until Mom's next big appointment with her knee replacement doctor, which should be at the end of July. After that, they'll head back to Big Spring.

Thursday, June 4, 2009

New picture, new year...

Exactly one year ago today, June 4, 2008, the plane left Big Spring around mid-morning and arrived at Love Field around mid-afternoon. Mom was rolled into Regency Hospital in Plano, in a medically-induced coma and on 100% breathing life support.

What a difference a year makes, and how blessed are we?!?!

The new picture is of Mom and Dad eating OUT at On The Border in Lewisville celebrating Dad's birthday (it's actually June 5th, but this is the day we could get everyone together). She has learned to get in and out of the car with assistance, and we wheeled her right into the restaurant. She enjoyed a huge meal (I think she had some enchiladas), including some birthday brownie/ice cream dessert. We got her back into the car and back to Vista Ridge, tired but thoroughly thrilled.

So this is huge progress. If she is able to get out and back and forth to the car, she is really on the road to "checking out" of Vista Ridge. All she needs to do is to continue to build her stamina.

We're hoping that she can come spend the night with us sometime next week...

Sunday, May 31, 2009

Progress in Higher Gear

Sorry I haven't posted in a while, but there hasn't been a lot of changes. Mom's progress continues to grow, she gets stronger each day, and walks a little more every day. She's now somewhat able to get herself from bed to the wheelchair and back again (still with some difficulty, but managing). Also, she is walking on carpet as well as tile, so she is able to get up and down the halls at Vista Ridge a little more often.

When Vista Ridge decided that July 5th would be the magic date, they have now changed some of the therapy rules. They are asking that she spend more time out of bed and moving around. They are asking that she do more to establish her independence. In fact, they are asking that they consider some nights away from the nursing home over the weekends to facilitate her leaving. We are getting ready to host her here whenever she is ready!

She has changed her therapy times- once in the morning and once in the afternoon. Pam & I still think she spends too much time in bed, but that may change- we keep hinting for her to spend more time sitting in a chair and less time in the bed. We'll see if that makes a difference!

Monday, May 18, 2009

July 5

is the magic date. That is the date that has been set by Vista Ridge to have Mom "graduate" from the nursing home and all the therapy. Finally- a goal we all can agree on!!

However, that does cut it close, with Thekla's wedding on Friday, July 10th. Yikes!

But progress continues, and they are talking about changing her therapy from 2 hours one time each day to 1 hour two times each day. That could help speed things up and reduce the "fatigue" factor on her muscles, allowing some time each day for recovery.

Otherwise- everything going on schedule!

ps- Tech Graduation last weekend was wonderful! Wish Mom could have been there...

Friday, May 8, 2009

She's graduated to her own walker...

as you can see by the picture. She's no longer in the huge contraption, but now uses a standard walker to walk around in- and she's walking in the halls! Still in her wedge shoes, but walking!

What we discovered the other day is that she is standing from her wheelchair to her walker- on her own! No one is helping her get to her walker- she is able to use her upper body strength to stand herself up into her walker. We are closer than ever to get her out!

There are two hurdles left: continence and the drop-foot problem. They are working on both. Looks like she has a good shot at making her granddaughter's wedding in July!

On another note- we all enjoyed a visit last night with both our boys, in for Michael's graduation from Tech this weekend. Christopher flies back to NYC on Tuesday morning, so we will enjoy a long "Mother's Day/Graduation" weekend with the whole family- we haven't seen Christopher since Thanksgiving!

Saturday, May 2, 2009

One doctor's visit later...

and you would not believe the difference. From a struggling, depressed "old lady" to a person who-- by Friday-- stood with her walker on her own!!!

She went to the doctor's appointment on April 28 with a feeling she was behind, having lost 10 days in the hospital, and feeling pretty disappointed in all of the situations. The doctor, however, was elated. "I didn't' think you would have made this much progress in a year, much less 6 weeks!" was what they quoted him as saying. He gushed on and on about mom's progress and flexibility, ability to stand and walk, and so forth. He wants to see her in three months- regardless of whether she is in the nursing home or not! Those were inspiring words!!

So- she attacked therapy with a new vigor, and is starting to make huge gains again. In fact, yesterday- Friday- she stood for three minutes on her own with her own walker. (The picture above shows her standing with the therapist's walker, a machine that provides much more support than her walker.) Even her new roommate (Peggy, that greeted her upon her return from the hospital) comments that she is 80% better than when she first met her. Things are back on track!

Saturday, April 25, 2009

Finally out of the hospital

as of today (Saturday, April 25). She was released back to Vista Ridge about 2:30 today. She's feeling a little better, but still in some pain and discomfort, but the doctor seems satisfied the bowel issue is past (no pun intended-- I could have said behind her now, but that would have been worse... sorry!). This trip to the hospital didn't seem so frantically invasive (with nose tubes, etc. from the get-go), but more of a methodical way of trying to handle the bowel problem.

She DEFINITELY needs some anxiety medicine. Last Sunday, we found her very upset in the hospital room and had to wait for some medicine to finally quiet her down; the Xanac (sp?) made a big difference, calmed her down, and relaxed her enough to get some sleep. Tonight (and, actually, all day today) was almost the same, although she wasn't as upset as last week.

She is discouraged that she has lost a week of therapy and seems to be very anxious about moving forward. She's already missed one "deadline"-- she'll miss Michael's graduation in 2 weeks at Tech (unless a miracle occurs), so the next big hurdle is to be out and better in time for granddaughter's wedding in Fredericksburg in July. The clock is ticking, but at least she's back at Vista Ridge for more therapy.

Friday, April 17, 2009

Back to the hospital... rats!

I've been busy every evening this week, so tonight was the first night I got to go see her. Pam told me that she had stomach problems on Tuesday and, sure enough, it's another bowel/intestine blockage. She went back to Lewisville Hospital on Wednesday and is still there. She was a little down tonight and taking LOTS of pain medication, but they have not put the tube in her nose yet, so they (the doctors) must think they can attack this a different way. This is the first time she has been back in the hospital for this since early January, so progress still continues to be made, but it's another frustrating setback, just as things were really taking off...

Dad decided to wait until Monday to go home, hoping she might get to go home this weekend, but they seem to be moving slowly on her treatment (trying different medicines instead of going straight to the tubes and pumps...) Let's hope it works... and soon!

Saturday, April 11, 2009

Bladder infection & pneumonia...

were the reasons she was feeling bad Tuesday. They discovered everything on Wednesday (while I was in Austin for a conference until Friday) and used some pretty powerful antibiotics to knock it down. When we got in Friday night (after our church's Tenebrae service), she was feeling better and had been through a full day of therapy. She continues to make progress!

Monday, April 6, 2009

Check out the picture

of her walking! This was made on April 3rd. Leading Mom around is her therapist on the contraption she walks with. You can see she still sometimes uses the brace (on her right leg) and that her left leg still won't quite straighten all the way. But she's still making great progress!!

Meanwhile, youngest grandson (Michael) has returned home from Tech until graduation (May 9th!). He's still hoping for a grad school appointment in California in debate. Michael came in on Saturday, so it's been nice having him home.

Mom wasn't feeling too well tonight when Michael and I got there. Headache and generally achy all over, with 100.5 fever. She had taken some Tylenol and it had already come down 1/2 degree in about 30 minutes, so they kept pumping her with Tylenol and a nasal spray. When Dad came in at 9:30, he said she was feeling much better and no longer had a fever.

Saturday, April 4, 2009

Stitches- or staples- are out

and the walking continues. The doctor was pleased with the progress except for the fact that she is doing most of her walking with the "wedge" shoes (because of the drop foot problems). He wants her off the wedges and walking either in regular shoes or barefoot. She has been doing a little of both. She is walking almost every day!

She continues to gain strength and they are working on the drop foot issue. So far, she is on track with therapy (as far as we can tell). She has another appointment with the knee doctor at the end of April to determine what happens next.

Wednesday, March 25, 2009

TEN STEPS!

Yesterday, after being out of the hospital one week, she took ten steps!!! That's the first time she has walked in about a year! Today, she took eighteen steps!

The therapy has been going great, and she has been so excited!!

Needless to say, the steps don't come without a lot of support, but just moving her legs and shifting her weight from one leg to the other is a big deal! We are all very excited and blessed!

The next step (so to speak) will be for her to be able to get herself around and out of bed and to a standing position on her own.

I believe (not sure) she has a doctor's appointment either the end of this week or early next week to see about the stitches, etc. from the knee surgery.

They'll have her walking the halls of the nursing home pretty soon!

Saturday, March 21, 2009

New attitude still paying off...

We were with Mom on Thursday night when the Occupational Therapist came in. Turns out she was really an (independent?) evaluator to give instructions to the Vista Ridge OTs for Mom's therapy sessions. She talked about the relationship between Physical Therapy and Occupational Therapy, and that a lot would overlap; but OT was most concerned that she be able to conduct life skills (go to the bathroom, get around to do necessary life things, etc.) She was very impressed with Mom's upper body strength (of course, she wanted more, but commented she was stronger than she expected). She was concerned about the other knee (the one NOT replaced) and felt it could be an issue. She also asked about equipment available and made recommendations for that as well (Mom does have a walker). She gave Mom some exercises and told her she would check back with her soon.

Dad left yesterday morning for Big Spring and commented that Mom was having a bad day; she had a headache and wasn't feeling very well. When we saw her last night, she had been through all of her therapy and was feeling just fine! Pam commented that, had she felt bad 4-5 months ago, she would have told the therapists and just skipped therapy; she's now charging right on through! It will be interesting to see her progress with her new positive, goal-oriented attitude!

They had a nice anniversary together on the 19th and shared cards (we took her some cards to select from for Dad). Dad gave her a box of chocolates and they enjoyed the day!

Thursday, March 19, 2009

Spending the anniversary in Vista Ridge

Mom returned to Vista Ridge yesterday about 3:00 p.m. By the time we checked in around 5:30 p.m., she was enjoying a dinner of catfish. She was completely "untethered" to any morphine, blood, or other intravenous activity. She was in a great mood, but a little tired from the ambulance ride back. She was in a good mood and good spirits.

Today (March 19th) is Mom & Dad's 55th anniversary.

We went and bought an assortment of cards last night for Mom to choose from, and I took them to her early this morning before Dad got going (about 8:00 a.m.). She was asleep, but woke up enough to choose a card or two to share with Dad for their anniversary (we did the same thing for her on Valentine's Day).

We anticipate good things to start moving quickly!

Wednesday, March 18, 2009

Leaving the hospital?

Yesterday was a tough day (I think we all knew there had to be a bad day in there somewhere). They gave her 2 units of blood, so she couldn't use the morphine pump. They were giving her pain medication orally, though. Both OT and PT did pretty much the same thing- make her stand, which really hurts-- but we all know those are the next big steps (no pun intended). As far as pain management, when the nurse came in last night to ask how her pain was, she said she was a 6 (out of 10); the nurse asked her if she wanted any medicine, and she said no.

Two big problems with standing and walking (and even moving around in bed, for that matter): (1) one loeg just had surgery (2) the other has atrophied to a point where it is not real functional at this time. She still has drop foot on both feet (although one leg is not as bad as the other), so standing requires her to be on her tiptoes. There's still a long row to hoe on this part. Therapists are working a lot on upper body strength so she can help support herself while standing (and walking in the future).

Mom and Dad both mentioned that the doctor will probably try to release her soon. The social worker came in again last night and had contacted Vista Ridge for transportation today (Wednesday) back to the nursing home, so, if all things fall into place (lots of bureaucracy at the hospital, of course), then she may be going back to the nursing home today.

That would be good for all of us! Presby is at least 40 minutes away in traffic, plus they charge a dadgum $3 to park there!!!!

Monday, March 16, 2009

OK, so what do you mean by "time-space continuum"?

Don't read this until you read the In much better shape than after the original surgery first!

Here's how the story went last night. It was too funny to make up...

We had tickets to the Dallas Symphony "Pops" on Sunday to see Debbie Boone. Come to find out, it was actually the Glenn Miller Orchestra in the first half of the show with Debbie Boone singing a tribute to Rosemary Clooney (her mother-in-law, as it turns out) in the second half. We told Mom when we got back about some of the stories Debbie Boone told (including being the granddaughter of Red Foley of Grand Ol' Opry fame) when we got to her room (she seemed lucid enough at the time).

When we got to the hospital to see Mom, Tamara (my sister-in-law) had been with her most of the day, and left soon after we arrived (it was about 6:00 p.m.). They were preparing to move Mom to a different room away from ICU (a semi-private room vs. the private room she was currently in), so they gave her a pain pill which she took along with her morphine pump. While we were talking (this would be me, Pam, and Mom), one of the machines pumping medicine into her intravenously starting beeping (about every 4 seconds), creating somewhat of a nuisance, but not really causing any problems as they prepared to move her to the new room.

So, we asked Mom what all she and Tamara talked about, and she said: "I got really tickled at her, because Debbie told her that she was the granddaughter of Red Foley, and she was amazed at how she didn't realize that!" While that caught us off guard, the next one was even better: "Tamara had a real problem trying to count between the beats of the machine, and was getting really frustrated that she couldn't fit four beats between the machine beeping!"

Now, needless to say, Tamara wasn't even there for the Red Foley story, much less was she involved; the same goes for the beeping machine story, as she had already left before the machine starting beeping. So, for Mom, the time-space continuum sort of all blended together in the medicated swirl of her world....

At least we know-- she felt no pain!!


So, as we discussed

In much better shape than after the original surgery

This was a big topic of conversation tonight More on that later...

Mom is doing really well. She was moved to a room out of ICU yesterday and is eating regular meals and is recovering quickly. Tamara stayed with her most of the day yesterday and we visited last night and tonight (just after Dad arrived back from Big Spring). They stood her up twice today, as well as continue doing her upper body exercises. A social worker came in this afternoon to arrange physical therapy services back with Vista Ridge, so we believe things are progressing as expected.

She still has the morphine pump, which makes for interesting trips into the time-space continuum. When she's pretty "pumped up," she confuses stories and even the characters involved. It can be pretty entertaining. That didn't happen tonight, but happened several times last night.

Back to the title of this post. We had a long discussion about how poorly Mom was doing last year before surgery. Even the grand-kids commented about how concerned they were following Thanksgiving and Christmas 2007. She seemed to fall asleep at the drop of a hat and couldn't keep up in a conversation without falling asleep, so we don't really know what was going on before the hip replacement last March. All we know is that she is in much better mental and physical shape to come out of this surgery than she was a year ago. We like to contribute that to better medical care than she could was getting, but quite frankly, we really don't know. If you saw her in the first 3 months of 2008 (before the hip surgery), you would be amazed at how much she seems like herself again as opposed to how she was then. She's back to her positive, determined, optimistic ways. She seems determined to get out of the nursing home as soon as possible. We never saw that last year!

Friday, March 13, 2009

Lovin' that Morphine Drip!

Mom's in ICU, so we only got to visit about 10 minutes before they ran us out. (Dad gets to stay all the time.) She was groggy and tried to talk to us, but her voice would just fade away- even though her mouth kept moving. When she came out of the fog (for a few seconds), she was pretty lucid, but it didn't last long. She has a morphine drip that she can control, but she was so far gone it didn't matter!

They did have her setting on the side of the bed for a while today. She is on oxygen. Her pupils are about the size of Abilene. She has movement (she was moving her arms quite a bit), but for no real reason.

Dad said she was fitfully anxious most of the day; she'd sleep for a few minutes, then wake up and look around frantically until she finally saw him. That happened throughout most of the day, so she's still quite disoriented-- for now.

We did look at the x-rays of the new knee, and it IS pretty invasive, but an engineering marvel. It does go quite deep into both bones, so hopefully it will heal quickly.

The doctor saw her today and said that if she continues to make progress, he'll probably move her out of ICU tomorrow. She seemed to feel no ill side effects (such as nausea) from the surgery.
We hope so!

Thursday, March 12, 2009

All the gory details- mixed reviews...

It's 10:00 p.m., I just got out of a school board meeting, and have caught some mixed info about exactly what went on (and am a touch brain dead), but here's what I know...

They were ready to go at 5:30 a.m. for the surgery; Dad called me at 6:51 to tell me the scheduled time was for 2:00 p.m. (boy, was I glad I didn't take the day off). As it turned out, she went in about 11:00 a.m. My sister-in-law, Tamara, arrived about 10ish, so she got to see both of them before Mom went to surgery.

She didn't come out of surgery until around 3:00 p.m., so the surgery lasted much (MUCH) longer than had been anticipated, and it was even longer before the surgeon came out to visit with everyone. According to Tamara (Dad was asleep when I came in- don't blame him), the surgery was much more invasive and complicated than expected. There was a lot more damage than anticipated, and he removed a lot more bone and material than he had anticipated. Mom's right leg will probably be 1/4-inch shorter. There was a Plan A (go in with just a plastic joint replacement) and a Plan B (restructure the knee), but this required a Plan C which he wasn't entirely ready for, so that was the reason for the extra time. More parts were needed and they were placed deeper into the bones. There was more muscle, ligament, and nerve damage than anticipated, so that reconstruction part took longer as well. The doctor was not sure to what extent the nerve damage could be healed.

As the doctor visited with Tamara and Dad, Tamara was especially taken as to how he kept referring to "when" Mom would walk-- never "if." He was concerned with the left knee, which would not straighten out entirely, and said that, at some point, it would probably need surgery. He was concerned with the drop-foot, but said it was a matter of re-stretching the Achilles tendons, which we are sure will be a part of the therapy.

Therapy starts tomorrow. Since this doctor is a "complex joint replacement" specialist, we figure he and his therapy team know exactly what they're up against, so it shouldn't be any big deal, other than it's going to take a lot of therapy and she will probably be in the hospital a little longer (maybe 1 or 2 days) than expected.

They finally got to see her in recovery, and the first thing she said was, "I hurt." She's on a morphine pump that she can control herself; Tamara mentioned to the nurse that she was in pain and the nurse said, "not from the knee." Come to find out, they put a nerve block (kind of like a spinal they give to women in childbirth) from the knee on down, so basically the whole right leg was as if it were full of Novocaine... Tamara did remind her that she had other ailments, so the nurse showed her how to work that morphine pump.

She and Dad had some special moments together that both Tamara and the nurse noticed- whenever the nurse asked "how long have they been married," Tamara told her over 50 years. Mom overheard enough of the conversation and responded, "it will be 55 years on March 19th" (so she had a pretty good grasp of her faculties, so to speak). Tamara then teased her and said, "Yeah, she's put up with him for 55 years" to which Mom responded, "I've loved him for 55 years... no, actually, I've loved him for 73 years." Very special time for them to remember.

There will be several more days of pain and the therapy will not be fun, but Pam commented earlier that she felt Mom was in better shape both physically and mentally for this surgery than she was for the hip replacement that started this whole thing. So, hopefully, the recovery will go quicker.

Dad and Tamara both left the hospital about 6:30 after the nurses ran them out. She is spending the night in a highly-monitored area (but it's not ICU). I don't know what room she's in, but I'm sure it's temporary until tomorrow.

Bottom line- the doctor was concerned that it was worse than he thought and that the recovery may be longer, but he seemed confident that everything went very well and the surgery was very successful. I'll try to write more tomorrow night and keep everyone posted for a little while on how everything goes.

Wednesday, March 11, 2009

Tomorrow is "KNEE-DAY"!

I was waiting to post until I found out exactly what all the issues were and if they were resolved are not. The did pre-op on Monday and found an unusual "sound" in her left carotid artery. Enough that they decided to do a doppler test on Tuesday. Dad called about the results this morning and everything was fine.

They are currently in the Presby Hotel on the 9th floor of Dallas Presbyterian Hospital. Pre-surgery starts Thursday morning at 5:30 a.m.; all they will have to do is get up and go downstairs. We don't know when the surgery will be exactly. There is a possibility that the knee may only require a small cap; in that case, surgery should take 45 minutes or so. If there is other damage (and, honestly, that is what is anticipated), surgery will take around 2 hours.

Tamara is scheduled to come in sometime tomorrow to be around. I will re-post tomorrow night as soon as I know something and am able to post.

Everybody say an extra prayer tonight!

Sunday, March 1, 2009

We have a date for the surgery...

March 12. This is following a March 9 appointment with all the doctors and the final pre-surgery checkups, etc. I think everyone is ready.

Pam and I both have been harping about the need for extra care by the anesthesiologist. I think this is a critical area that Mom has always had problems with, and I believe it caused her current condition. This is something we have told both Mom and Dad to mention STRONGLY when they go for pre-op appointments.

Otherwise, everything is going fine. Life in a nursing home has its own unique society, and it is one that Mom has had some experience with, just- fortunately- not directly with her or in her room. One "friend" she met there died over a month ago and one former roommate passed away just this past week. It paints a little different picture of everything; and a somber reminder that we want her to work hard and get her out as soon as possible.

Continue to keep her in your prayers as we get closer to - not D-day, but Knee-day: March 12.

Monday, February 23, 2009

Still goin' strong...

and no other changes. No news is good news.

I understand there may be some question about her days and there may be a decision to postpone the surgery on the short term to make sure the Medicare/Medicaid days are available. More on this later.

Otherwise, everyone is doing just fine- Mom keeps exercising and building her strength. Dad keeps doing what Dad does, and we are just as busy as always, but always enjoy our visits at the nursing home. Mom would love to hear from you or see you. If you comment to the blog, I print them out and take them up to her, so feel free to let her know you are thinking about her- it really helps!

Sunday, February 15, 2009

Days are draggin by...

but still things are pretty good. She's really starting to get bored again, so hopefully the time will move by quickly. The staff and all have been good to her, and she's still eating well, but TV is pretty boring. She still reads a lot and does puzzles, but it just seems time is dragging by.

Pam bought her some cards to choose from so she was able to give Dad a Valentine card. Holidays do tend to bring out the boredom and situation all the more, so it was nice that she had somewhat of a choice.

Otherwise, it's still going well. She's getting over the cough and cold pretty quickly; they continue to treat her for it. The changing weather (hot one day, cold the next) doesn't help a lot.

Hopefully, the new week will bring a renewed enthusiasm for her to get dressed and get around in the wheelchair some more.

Sunday, February 8, 2009

No update is good update...

Not to jinx anyone-- but this has been some pretty good days. She is calmly awaiting March 5- Knee-day. She's had somewhat of a cold this week (mostly bad cough), but with the weird weather and all kinds of sickness going through church, towns, and schools, it's a wonder she hasn't gotten anything worse than that. They have given her some extra medicine and put her back on the breathing treatments, but other than that, nothing's new.

We continue to be amazed that she has such a positive outlook. Occupational therapy has ended (she's running out of various times of therapy, etc.), but she and Dad are "working out" on their own. (One of the comments made about OT is that she has learned to write again, which is fascinating considering she told one of her friends from Big Spring that she wouldn't be able to write anymore back in April. She's writing in books and working puzzles, crosswords, sodukus[?], things like that.) They have stopped physical therapy to save all her days once the knee surgery is completed (post March 5).

So, it's just a waiting game. She watches some TV (it's pretty lousy in the nursing home) but reads a lot and works puzzles, etc. They are trying to get her showered and in the wheelchair as least one hour per day, hopefully longer. She is convinced that, once she recovers from the knee surgery, she'll be able to get out.

We are, too...

Tuesday, January 27, 2009

To surgery... or not to surgery...

Turns out there is some sort of "day count" in Medicare that has reared its ugly head; some sort of 60-day rule, or 99-day rule, or whatever.

Bottom line is- Mom has to have been out of the hospital for 60 days before she can go back in again and Medicare will cover it; otherwise, it is 100% billable to the family (yikes!).

So, let's see- her last day in the hospital this last time was January 3rd- that leaves 29 days left in January, plus 28 in February, making 3 in March, carry the two, move the one over to the tens spot and... oh, never mind. Looks like if she makes it to March 3rd, she gets a whole new set of days... don't know exactly how many, but at least it all starts over.

So, surgery has been re-scheduled for March 5th. Meanwhile, the plan is to strengthen everything else, so that all that is left to rehab will be the right knee. So, they (Dad and Mom) are working together at least 3 times each day on different exercises to strengthen the left leg and upper body.

They both have a very positive attitude about everything, and think this will all be for the best, so, in spite of the time delay, hopefully that will really put her on the fast track to recovery- and getting out of Vista Ridge.

So, keep Mom in your prayers that she doesn't have to go to the hospital between now and March 3rd!

Monday, January 26, 2009

And the verdict is...

Surgery.

They're going to try to schedule it for February 5th. The right kneecap especially has to be replaced, and the dislocation of her leg put back straight again.

This was a long day. They left around noon for the 1:00 p.m. appointment. Pam & I got there around 6:45 p.m.- nobody home. We went and grabbed a bite; they were there when we got back around 7:30 p.m. (finally!). So, they were both beat.

The surgeon was very positive, and Mom was very upbeat about the surgery. It will be held at Presbyterian Hospital (we think) on Walnut Hill in Dallas. That's the best I know right now.

The surgeon has indicated this should be an easy but very necessary surgery. The dislocation (which happened over 6 months ago, according to best estimates) has caused some stretching of the muscles and ligaments and could lead to nerve damage if not repaired as soon as possible, so that's the reason for the early date.

Mom (and Dad, for that matter) remain in good spirits, and they both believe this surgery will stall part of the progress but hopefully increase it on the other side. Recovery will be different- the surgery will leave her leg straight and she will have therapy to bend it. Could be helpful in the long run...

So, put her and the surgeon back close to the top of your prayer list! I'll keep you posted as I find out more.

Monday, January 19, 2009

The new attitude and the old knee

Things were really going great with the new attitude-- until the right knee issue reared its ugly head.

For those who have visited and seen the right knee, it looks like it has a grapefruit attached. With all the other problems, it sort of slipped by. It wasn't really painful, and none of the medical folks seemed to think it was an issue, until someone (I think it was Mom) actually asked to have a doctor take a serious look at it.

It's dislocated.

It probably happened during one of the many moves, and actually probably happened during the first 3-4 months while she was unconscious.

So, there was kinda of screeching halt on the new attitude, and she seems very concerned with the possibility that surgery may be required to fix the knee. They are looking at it carefully and we still haven't heard the final word. They did give her a brace for it so far, but have slowed therapy (again), which also affects the attitude.

Meanwhile, I actually haven't seen her since last Monday (January 12th- Pam's birthday) due to night meetings and a nasty cold that I am still recovering from, but hope to see her today.

Her birthday is January 23rd; you can attach good wishes to her on this blog and I will print them out for her.

Thursday, January 8, 2009

Back, bigger and better than ever

It was a fairly short stay in the hospital. She was back home Saturday, January 3rd, with a new attitude and new resolve to get better. She seems determined to get out of the nursing home by the end of the month: a giant leap, so prayers are needed!

Dad supports her in this, and continues to help work her legs when not in therapy. They are shooting for at least 3 extra times a day to do self-therapy, so hopefully this will help.

I don't know whether they jacked up her anxiety and depression medicine or what, but it really seems to be helping. She got her hair fixed/cut yesterday and seemed in the best spirits I've seen her in a while.

According to my non-exact figures: as of December 29, she has been in a medical facility of some sort for 9 months.

Her birthday is January 23rd, so if anyone wants to send a card or email, let me know. She would love to hear from you!

Thanks for all your continued prayers. Happy new year, everyone!