Dr. D (pacemaker specialist) had nurse call Dad yesterday, (she left a message with me as well.) They are going to install a third lead from the pacemaker to the left ventricle next Thursday, April 2 at 8:00 am. It should be a relatively quick procedure with a small incision and light anesthesia. They'll need a little time to test and tune and put the pacemaker through its paces. I would imagine he would be dismissed Friday. He will check into the still brand new (opened Spring, 2014) Walnut Hill Medical Center, an acute care surgical center.
Dad is enjoying being released from his house arrest. He went to one of his exercise classes yesterday, then ran a few errands. When I talked to him he was heating some of his leftover braised short ribs and feeling pretty good!
Friday, March 27, 2015
Wednesday, March 25, 2015
Finally, a Visit With the Cardiologist
Dad and his entourage just emerged from a visit with Dr. Musselman, his cardiologist. And...
And...
The report from Dr. Hasan, the infectious disease specialist, was negative. The blood cultures showed no sign of infection and he is released for surgery. The wounds on his legs are much, much better, though he still has some swelling. (His physical therapist has suggested compression socks and Musselman agrees.)
The report downloaded from his pacemaker along with the EKG showed additional deterioration of the strength of the left ventricle. This could be remedied by the addition of a third lead from the pacemaker to the left ventricle.
Also under consideration is switching the pacemaker to a unit with a defibrillator. The performance of the heart is near the borderline and then there is the question of Medicare qualification. The matter is under discussion between Musselman and Dr. D. (the pacemaker specialist.)
Dr. M thinks it's a good idea to do the pacemaker work before the heart surgery. He prefers "optimizing the performance of the heart" and advises "not to take this surgery lightly, after all, he is what 89 and three quarters." We agreed.
So, Dad expects a call this afternoon scheduling the pacemaker update. It will involve a small incision to install the lead and run it to the heart. An overnight stay will be required for observation and fine tuning.
The new lead will give a new syncopation to the heart rhythm. Dr. M said there is a slight chance this will improve the mitral regurgitation, but he also said he's not expecting the improvement. but he DID mention it.
A timetable for the valve surgery was not discussed. Dr. M. did say that while the leaking is serious and needs attention, it is not an emergency. Dad should be able to return to his normal life in the interim.
And...
The report from Dr. Hasan, the infectious disease specialist, was negative. The blood cultures showed no sign of infection and he is released for surgery. The wounds on his legs are much, much better, though he still has some swelling. (His physical therapist has suggested compression socks and Musselman agrees.)
The report downloaded from his pacemaker along with the EKG showed additional deterioration of the strength of the left ventricle. This could be remedied by the addition of a third lead from the pacemaker to the left ventricle.
Also under consideration is switching the pacemaker to a unit with a defibrillator. The performance of the heart is near the borderline and then there is the question of Medicare qualification. The matter is under discussion between Musselman and Dr. D. (the pacemaker specialist.)
Dr. M thinks it's a good idea to do the pacemaker work before the heart surgery. He prefers "optimizing the performance of the heart" and advises "not to take this surgery lightly, after all, he is what 89 and three quarters." We agreed.
So, Dad expects a call this afternoon scheduling the pacemaker update. It will involve a small incision to install the lead and run it to the heart. An overnight stay will be required for observation and fine tuning.
The new lead will give a new syncopation to the heart rhythm. Dr. M said there is a slight chance this will improve the mitral regurgitation, but he also said he's not expecting the improvement. but he DID mention it.
A timetable for the valve surgery was not discussed. Dr. M. did say that while the leaking is serious and needs attention, it is not an emergency. Dad should be able to return to his normal life in the interim.
Tuesday, March 24, 2015
still waiting... and waiting, and...
For those of us who are antsy and wanting to know what's going on, we will know something tomorrow and that's a fact.
Dad has a 9:00 appointment Wednesday with the cardiologist and we fully expect to know which way the path will go from here.
I don't have all the details, but there were some issues with his pacemaker review session last week but I expect to have these issues clarified tomorrow as well as the details from the blood culture grown last week.
So, tune in tomorrow!
Dad has a 9:00 appointment Wednesday with the cardiologist and we fully expect to know which way the path will go from here.
I don't have all the details, but there were some issues with his pacemaker review session last week but I expect to have these issues clarified tomorrow as well as the details from the blood culture grown last week.
So, tune in tomorrow!
Saturday, March 21, 2015
Still Nothin'
Still playing the waiting game.
Talked to Dad every day this week. He doesn't seem too anxious and says he got stuff done around the apartment which is a change. He's usually complaining how he never has time to get anything done. Nurses coming and going. Kind of a routine has been established.
He did call doctors looking for results yesterday and finally called the right one, Dr. Hasan who is the infectious disease specialist. The nurse he spoke with was evidently friendly and patient with him. They are running a 5 day culture and the blood got to the lab on Tuesday, so it sounds like we should expect news on Monday. She did say that it was a good sign that the test was going the full five days. If an infection had bloomed, the news would have spread quickly.
Dad is staying put at the apartment and out of general circulation, but seems in good spirits. Phone calls are welcome. (214.696.1271)
I'll post as soon we know anything.
Talked to Dad every day this week. He doesn't seem too anxious and says he got stuff done around the apartment which is a change. He's usually complaining how he never has time to get anything done. Nurses coming and going. Kind of a routine has been established.
He did call doctors looking for results yesterday and finally called the right one, Dr. Hasan who is the infectious disease specialist. The nurse he spoke with was evidently friendly and patient with him. They are running a 5 day culture and the blood got to the lab on Tuesday, so it sounds like we should expect news on Monday. She did say that it was a good sign that the test was going the full five days. If an infection had bloomed, the news would have spread quickly.
Dad is staying put at the apartment and out of general circulation, but seems in good spirits. Phone calls are welcome. (214.696.1271)
I'll post as soon we know anything.
Monday, March 16, 2015
Confusing But Productive
We knew the confusion was there. It was discussed at dinner Friday night and persisted through the weekend.
So I showed up at Dad's halfway expecting to meet the home nurse who was to take blood samples. Then we were going to head to the cardiologist. Or maybe were going to the cardiologist at 9 and coming home to meet the home nurse. (The confusion!)
So there was Dad waiting to get in the car with a third option and we went to an 8 o'clock appointment, only to be greeted, "Honey, you're several hours early!"
His only appointment for today was this afternoon for a routine pacemaker check. So home we went and waited.
Finally both the nurse and physical therapist came at the same time. Dad got a good workout, his PT test (much better numbers) and blood was drawn for the cultures to test for the infection.
And it's the first warm sunny day in Big D in an unusually long time.
Not Don news
Thanks for the recent post, Dave. Just thought I'd post this which is off the subject, so you and Susan, Michael, etc. would know. I heard from Wlodek last night: Abby has been in the hospital since January 11. It's hard to get exactly what the overall problem is but it started with an infection from dialysis and since being admitted, she has had a stroke, a heart attack, a misdiagnosed heart attack, several surgeries and some botched procedures and a host of other problems. She's in Clements right now.
Sunday, March 15, 2015
Eye of Calm
Sorry for the silence. It's been a while between posts and I've received a couple of emails asking "What's up?"
Dad has spent the last couple of weeks since his discharge from the hospital at his apartment waiting to see if his infections flared. He went a week of IV antibiotics in the hospital, then a week of oral antibiotics at home, followed by a week with no antibiotics. The good news is that he has shown no sign of infection. And the infectious wound (scrape) on his left shin is healing as well.
The Man is getting restless, with two weeks under what amounts to house arrest. Helen has been spending nights. Nursing care and rehab has been provided by the hospital. Much support (meals and phone calls) has been received from the church community. Nancy Nichols and Amy Severson brought dinner fixed by Chef 'Sevy' of Sevy's Grill last week: Double Manhattans, linguini with lobster and strip steaks with pie and crème brulees for dessert. He's doin' alright.
Action resumes tomorrow.
He has two appointments with his cardiologist, one for his PT test (aka pro time, or prothrombin time test) and one to meet with Dr. Musselman.
He also has an appointment to get a blood draw which will be sent to the infectious wound specialist who will grow a culture to check for infections. Results won't be known for at least 24 hours.
Obviously the next hurdle is to make sure he's clear of infection, then we can begin to discuss rescheduling the heart surgery to repair/replace the valve.
Dad has spent the last couple of weeks since his discharge from the hospital at his apartment waiting to see if his infections flared. He went a week of IV antibiotics in the hospital, then a week of oral antibiotics at home, followed by a week with no antibiotics. The good news is that he has shown no sign of infection. And the infectious wound (scrape) on his left shin is healing as well.
The Man is getting restless, with two weeks under what amounts to house arrest. Helen has been spending nights. Nursing care and rehab has been provided by the hospital. Much support (meals and phone calls) has been received from the church community. Nancy Nichols and Amy Severson brought dinner fixed by Chef 'Sevy' of Sevy's Grill last week: Double Manhattans, linguini with lobster and strip steaks with pie and crème brulees for dessert. He's doin' alright.
Action resumes tomorrow.
He has two appointments with his cardiologist, one for his PT test (aka pro time, or prothrombin time test) and one to meet with Dr. Musselman.
He also has an appointment to get a blood draw which will be sent to the infectious wound specialist who will grow a culture to check for infections. Results won't be known for at least 24 hours.
Obviously the next hurdle is to make sure he's clear of infection, then we can begin to discuss rescheduling the heart surgery to repair/replace the valve.
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