Wednesday, July 11, 2007

More Plus than Minus

My 6AM call indicated she had a fair night and numbers were stable.

When I arrived today, they had another blood gas study planned, another bronc and depending upon the results, removing the vent. Needless to say, Joy couldn't wait! Just before noon, the tube was removed and her voice was amazingly better than previously. The plan then was to let her rest a little, sit in a chair and walk. Right now, the toughest thing she has to do is walk and the one thing that will help her the most is walk. We learned that the "something" they noticed in the previous biopsy was rejection and they have started three antibiotics to try to counter. A stress management specialist visited her twice today and trying to assist her with bouts of anxiety and stress. He O2 was reduced to 2 lpm which is an improvement. So by noon everything looked on the upswing and then she had pain management issues throughout the early afternoon. Around 6PM they walked her a full lap in and out of Acute Care and she appeared to tolerate this better than any previous walk that I am aware of. We may have spent a few more minutes with her today but again, her room is adequate for the care but small for visitors and naturally no seating. Kevin bought her a couple magazines that she would typically like, but she deferred reading at this time. Her memory remains normal, her thought process about 99% (still on a lot of meds) but still naturally weak. They have increased the insulin injections to fight the increasing sugar levels brought on by the meds and we do not know how long this will last. She still has all nine drainage tubes in place a couple of which in her back may be the culprit for the pain issues.

So all in all, we are optimistic but how she manages the night and what she is like in the morning should tell a lot. The plan is to have her walk at least three or four laps around the same course as mentioned above.

Now, Joy's niece Dr. Laraine Bortner, asked me to tell you how I am doing. Wayne is doing fine. Tiring days? Sure, but I feel that I am managing the time away from Joy and DUMC by getting good rest and sleep, taking a coffee break here and there and do not feel guilty for not being there all night. And, I have added comfort in that Joy does not expect that. She continues to get great care and if needed, I could be there is 25 minutes. Writing the blog at night seems rather therapeutic as I recap the day and document Joy's status and progress. This blog also serves as a diary of facts, feelings and a days observation that Joy may find of interest when she comes home. I know we have many relatives, friends, friends of friends interested in Joy and I look forward to the nightly Post and reading the various comments. I could not possibly manage phone calls and e-mails without the benefits of the blog and I have received so many notes of appreciation for providing current updates. Joy and I bought into this ordeal as a team and I have nothing to complain about most especially when compared to what she is going through. Honest, I cannot envision any circumstance where I would consider this surgery. I remain so proud of her and applaud her effort to extend her life and know what a sacrifice and price she is paying for that time.

Now, let's hope and pray for continued improvement tomorrow. The road will still be long and progress in mini steps and set backs, but we have no schedule or timetable and do not expect things to go perfect.

Good night and God bless.

5 comments:

Anonymous said...

Thanks for telling us how you're doing, Wayne. I'm glad that you are doing a few things that are helping your stress level and you certainly shouldn't feel guilty. One thing I've learned as a counselor is that you won't be good to anybody if you don't take care of yourself. Joy needs you to keep your strength up too. That's great that Kevin is still there with you. Please tell him that I said, "Hi"! Joy sounds like she's holding her own and I'm glad to hear that she did better walking as I know that is key. I hope they can take those drainage tubes out soon and maybe her pain will decrease, but I'm sure they need to be there or they would have already taken them out.
You are probably asleep by now as it's 11:30 p.m., but I still have to get Sammy to go to the bathroom one more time. I think he's making progress, but then again, it may that I'm the one that's getting trained!
Love ya,
Laraine

Anonymous said...

Joy, Wayne and family:
What a roller coaster. Wayne, I'm so glad that you are taking the time to care for yourself. You'll be no good to anyone if you become so exhausted that you make yourself ill. Also it sounds like you have a nice unofficial support group of spouses their at Duke. I hope that the lose of your friend doesn't cause you to shy away from close relationships with others. You have so much to give to them and they to give to you. I can't believe that Joy walked a full lap, that terrific! Thank you for keeping us all up to date. My prayers and thoughts are always with you all. Blessings and Love, Dee

Steve said...

Hi again,
Wayne, we're also pleased to hear you're holding up so well. It must be very difficult watching all this. I guess we all feel a little helpless. But it's reassuring to hear that Joy is putting up a fight. I imagine it's those old Bauer genes! You all remain in our thoughts and prayers.
Love,
Steve & Trina

Anonymous said...

Daer Wayne and Family
It was a great relief to read that Joy was able to have the bronc removed and that she was able to get some walking in. Please gvie her our Love when you visit tomorrow and continue to keep yourself well.
Love
Bill and Kitty Chandler

Anonymous said...

Wayne & Joy-amazing what modern technology has brought us, with this wonderful and efficient way for us to communicate and the chance that it offers Joy for an extended life. However no technology will ever replace Him and I'm sure that you are staying in communication with Him too! You both are in our thoughts and prayers, Love, Pam and Dave