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Virgil

Update On Mom

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Well she had the operation Monday. Sunday night when I went over, she was still busy doing things around the house and she was packing a suitcase, which I thought was very odd. It was like she was going away, which she was I guess. Between the hip replacement operation and the rehab she may be gone almost a month. Nonetheless, it's not like she's going miles away. I could get stuff at the house and bring it over. But it's packed and it's in the trunk of my car.

She was fairly calm the morning of the operation. I was probably more nervous. We had a couple of hours waiting before the operation, where they went over stuff, which i can't remember any more. She couldn't get her wedding ring off. New rules, even wedding rings have to come off, at least at this hospital. Her knuckle is somewhat arthritic and a good deal larger than the stem of her finger. They said they would have to cut it off and that sent her into a panic. The used vaseline and and ice and she worked it for a good half hour and finally it came off. Her knuckle was red and raw and almost bleeding, but she did it.

I was allowed to be with her while she lay in a stretcher waiting to be taken to an operating room. Ahead of her was an old man, really old and frail, and I wondered what knind of operation he was getting. He had his daughter by him and they spoke in Yiddish (this is New York and I was speaking to my mother in Italian) so I couldn't understand. But he was a testy old guy, getting petulant at his daughter for whatever, and she did her best to calm him down. She would smile over, as I glanced over, as if to say, old age is but a second childhood and these old guys need to be treated as children. Yes I could see myself some day, grey hair and grey beard, skin and bones, pale white skin, almost translucent, getting petulant to someone, even more petulant and crabby than I am here on lit net sometimes. I guess there's a few years to go before that. I do hope the old guy made it out ok.

Then my mother went in and I joined a few others from my family in a waiting area. After three hours finally the doctor called and he said it went "beautifully." That was his word. They said she would be in recovery until they found a room for her and after a few more hours they told me i could go see her in recovery. She looked pretty decent, was in decent spirits but groggy, and they said she was doiing well. No room was available yet. And since it might be a bit and I wasn't really allowed to stay in the recovery I went home.

After going into work for a few hours in the morning, I treked over (hospital is a good hour and a half from work) I asked at the information desk what room she was in. They had this senile old lady at information, and she slowly typed my mother's name into the computer. First she says there's no record of her and then she says she's in ICU - Intensive Care Unit. What!!! My jaw just dropped and after explaining she was only in for a hip relpacement, she insisted ICU - go to the fourth floor. Ok, the elevator ride was not pleasant, my stomach was dropping and I buckled up and braced myself for the worst. I stumbled around looking for ICU and finding it, went in, asked, and they said there was no one here by that name. At least that was a relief. I guess the old hag at information didn't know what she was doing. They said to try somewhere else around the next hall (it's a maze inside there). And as I step outr, low and behold I see my uncle, my mother's brother with a sort of glazed look on his face. "What are you doing here?" I asked. And then he suddenly recognizes me and his face just awakens, "I'm trying to find your mother." He holds out his hand with a piece of paper with a room number. "I can't find it." He tells me he's been wondering the halls for two hours looking. They told him the 8th floor, the 6th floor, ICU, and the fourth floor. He's got a room number but where that room is, who knows. So I asked, was it the old lady downstairs? "Yeah!" he blurts out. We go around the corner to where ICU told me and she's not there. And we go back to ICU and they decide to look into the computer system and they find she's still in recovery. And yes, there she was. Groggy and a little swollen, but they said she was doing good. She actually seemed more out of it than last night. So we go to the waiting room for more wait.

Finally at 2 o'clock they tell me (my uncle is gone by then) she's in a room, over 24 hours after her surgery began. Rediculous. So I get to the room and there she is sitting in a chair, which I find remarkable. But she's out of it. Groggy with moments of elucidation. So I go to the nurse to ask how's she's doing. Good, but she's got some fever. Oh? How high? 102.9F. (39.4C) What! Yeah it's high but we're watching it. That's pretty high. And as I wait with my mother, she starts getting antsy in the chair, and says she wants to lay down. And as the nurse and an attendant get her out of the chair I hear from out side my mother screaming in pain at the top of her lungs. Oh God. This isn't going to be smooth, is it. So I'm worried about the fever, I'm worried that she's still very groggy, I try to get her to drink fluids (she hasn't eaten now in over 36 hours) and she's resistant, so i call the doctor's office. And he's surprised the fever's as high as it is. He says it's too early for an infection so it must be the blood transfusion. Oh dear. My sister warned me about blood transfusions. She's obssessed with it and that's the first thing she asked was whether they had to give her one. Anyway the whole afternoon and into the evening, I forced my mother to drink as much as possible, made her do this blow tube exercise to expand the lungs (apparently standard after an operation), and tried to not let her sleep that much. Towards the evening her fever came down to 101F (38.3C) and by 7 PM I decided to go home and let her rest.

So that's it and I have no idea if the fever broke or how she spent the night. I was exhausted last night.
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Comments

  1. Granny5's Avatar
    Oh my gosh, Virgil! I would be raising hell about the fever and why she wasn't in a room. Sometimes the family of a patient HAS to make the staff take care of their family member. I went through some pretty bad stuff when my Mom was ill and I wish I'd stood up to the staff more. Now, I'm a real b#$%h and my girls are too. Demand better treatment. My prayers are with your Mom and with you. Keep us posted.
  2. motherhubbard's Avatar
    goodness! Let us know how she's doing today. I hope it's better than yesterday. You sure are a good son!
  3. Petrarch's Love's Avatar
    Hi Virg. At least it sounds as though the fever was going down when you left. I hope she'll be doing better when you visit today. You were completely right to stay with her as long as possible and try to get her to take some fluids. I agree completely with Granny about the family needing to be vocal advocates for their loved one's care and stand up to the staff. My family has had a lot of experience with hospitals, and unfortunately you just can't trust that they are going to do everything the patient needs. Often the doctors are hardly there at all because they've got too much on their plate and the nurses are usually spending more time filling out paperwork for insurance purposes than thinking about the patients. Even when they do pop in, they often aren't thinking too deeply about the case. If this fever goes on make sure you get their attention and make them take her case seriously. Your mom and your family will be in my thoughts and prayers.
  4. PrinceMyshkin's Avatar
    I hope she does well and may I say I was very moved by the evidence of your solicitude for her.
  5. Janine's Avatar
    Wow, Manny, I feel so badly. But I believe all will turn out well. The temperature might just be a mild reaction to all the stress and the fact it is coming down is a good sign. Are they giving her antibiotics.

    Oh geez, hospitals!!! Aren't they grand? Why do they put deficient workers on the front desk? I have been through several operations, I know how badly things can go with stupid technical things, like getting in a room. Believe me, I know! Sometimes things go smoothly, but then there's the times when they can't find you a room, they send you looking for someone all over the hospital, which is so scary for the poor person hunting for their relative. I have some horror stories, too. Anyway, when you said UCU, I thought that would probably not be too uncommon, if she had been there, after such bone surgery. When I had back surgery, I was there a number of days; actually one gets the best care in those units. I can't believe the doctor didn't know about the fever; why would he suggest that the fever was due to the blood transfusion? That part's really weird. I have this thing about using other people's blood and bone, as well, like your sister. I had to have a bone fusion; I made sure months ahead, I donated my own blood, insisted I get my own bone, too. I thought by now (2008) all blood supplies were safe, so don't worry too much about that. More than likely, she just picked up a secondary infection. Also, fevers sometimes indicate our body's immune system fighting; ends up being a good thing. With rest and whatever else they are prescribing, she should recover fine; probably just a temporary setback.
    Why was she screaming in pain? Did her pain medications wear off? Usually nowdays they give one a pump with morphine, that the patient can administer themselves, in small doses when needed, one can't overdose, it's regulated that way.
    Recovery isn't really the easiest part. Usually recovery/therapy are the most challenging/difficult. You are asleep and under pain meds during the operation and as those wear off it gets a little rough; your mom is a trooper; she has much fortitude. Sitting her in a chair, is standard procedure after an operation like this; do so to become mobile right away, so you don't form adhesions. Blowing in the tube is totally standard for any operation. It is to keep the lungs clear/functioning normally. Keep doing that with her/stress she does it on her own.
    I'd come right out and ask the doctor what he meant by the fever being due to the blood transfusion. Members of the family also can donate blood to a parent, if the type matches; might consider this option in the future. But basically, would believe the blood supply nowdays to be safe; they test it extensively. I hope today she is much improved. Let us know how it goes after you see her. Glad you aren't far from the hospital.
  6. Shalot's Avatar
    you'd think that putting a patient who has undergone an operation in a room, would be a priority. Why was she sitting in a chair? Crazy! I hope she makes it through okay, in spite of the hospital care she is receiving. I hope they don't lose her personals. If they do, call risk management or something and demand that they reimburse you for the cost.
  7. andave_ya's Avatar
    yikes, I hope things smooth out for her.
  8. mtpspur's Avatar
    Hang in there Virgil and we'll keep her in prayer. Hospital time is never a pleasant passtime--made moreso when you don't have full capacity operating. Hopefully your update will have better news.
  9. Virgil's Avatar
    Thanks everyone. She was much better today. No fever until late tonight and she had only 99.7. And that was after she recieved another bag of blood. I wonder why? Perhaps some microbes that one has not built an immunity to yet. She was more alert, not groggy but drowsy, if such a distinction exists. They had her in a chair for over three hours and they even had her take about three or four steps. She did eat too. I can't answer all your questions. Let me try a few. Yes Shalot, today they want you to get the operated part moving and functional as soon as possible. The more you wait, the more atrophy occurs. Oh I had taken all her belongings with me. She'll be at the hospital until Friday and then she goes to the rehab facility. Unfortunately I have an obligation to go to my sister's in Ohio this weekend, so I'll have to leave the management of transfer to my brother. Yikes!!! Why screaming in pain? Janine a hip replacement requires a lot of cutting of muslces, tendons, and bone I think. Even with pain killers if you move it the wrong way you'll get a sharp pain. Thanks Prince. Actually I was even more dedicated for the couple of years my father was in hospitals and nursing home.
  10. Janine's Avatar
    Virgil, I am sorry, I think you took me wrong. I didn't mean it would not be painful. I know all too well it is and I fully sympathise. Two fusions in my mid-back area was no picnic. I just wondered why right after the surgery, she would be in such pain, when they have great drugs now to keep you out of pain and usually a morphine drip you control. It seems the goal of doctors nowdays to give more pain meds to keep the patient comfortable, so they heal faster, so I was surprised she was in that much pain. I guess if one moves the wrong way you would scream. I thought it was something unusual that made her scream. I hope today she can move a little better and I am very relieved to know the fever came down to normal or close to it. I continue to have her in my prayers and know the next month will not be easy for her and for her family. I hope your brother comes through for you and gives your mom a lot of support, when you are gone those few days.
  11. applepie's Avatar
    Best of luck to you and your Mum Virgil. I know this whole process has been hard on you too. I was glad to read that she was doing better today. Hang in there and I'll pray for a fast recovery. You mom sounds like quite a lady, and I'm sure she'll be doing fine soon.
  12. Virgil's Avatar
    Well, she's doing so much better that i just got a call from the hospital and she's being discharged to go to the rehab facility. They actually pulled this up a day. It wasn't supposed to happen until tomorrow. I spoke to her on the phone and she said she felt good. Seems rather fast to me.