Thursday, January 22, 2009

Dad's Obituary

Please click here to see my father's obituary It will appear in the hard copy of the paper's next issue which will be distributed on 1/29/09. Unfortunately, I missed the deadline for this week's issue.

Tuesday, January 20, 2009

Dad's Memorial Service Information

A memorial service will be held for Robert O. Root on Saturday, January 24, 2009 starting 3PM at:

League City Church of Christ
1801 East Main St.
League City, TX 77573

There will be an open mic session where anyone who wishes can share a brief (3 minutes or less please) favorite memory of Bob.

In lieu of flowers, donations can be made to offset Bob's final medical expenses, with checks made payable to:
Robert O. Root Memorial Fund
c/o Capital One Bank
231 S. FM 270
League City, TX 77573

Sunday, January 18, 2009

Daddy's Finally At Peace...

The last post was leading up to Dad's release from the hospital. Here's how Mom reported to all of us via e-mail on Thursday following his release about 4:30PM:

He was very happy to be home instead of in a hospital or nursing home. There has been a steady stream of well-wishers on the phone, in the mail, in e-mail, and at the door in person since we got him home. The hospice staff is very professional and concerned, helping us anyway that they can. Bob is sleeping almost constantly now and is receiving pain medication to keep him comfortable. Our only concern now is to keep him comfortable, pain-free and at peace....until God calls him home.

God called him about 4:30PM on Saturday, January 17, 2009 -- my brother's 56th birthday....

I'm so glad that I was so wrong about being concerned that Dad was being brought home rather than going into another facility. Denise went by to see Dad on Thursday night before she returned home. Shari saw him all settled in before she returned to Smithville, too. Lori tended to his every need and desire, spending the night with him & Mom. Her RN hubby, Mark, also spent the night Friday night so that Lori could get a little shut-eye. Lori told me she was checking on him every hour Thursday night -- like watching a newborn, just to make sure that he was still breathing.

Friday morning he reached for a cup of coffee, but was too weak to sip it. About 2PM he fell asleep and never woke again. Gina & I came over Saturday about 11AM and then Alena & Jonathan brought us all Mexican food around noon. After pigging out, we all played Trivial Pursuit (a birthday present for Mom from Lori) until 4PM when Alena, Jonathan, Gina & I all took off for home.

Shortly after we left, Mom was alone in the living room with Dad when his breathing changed a little. She called Lori in, and he was gone. Mark called me and we were just a few miles from the apartment. We turned around and came back. It was almost like Dad was just waiting until we finally finished our game so he could spend a quiet minute alone with Mom....

All of Lori's kids, my cousin Leticia & her husband Dave, Mom's brother Bobby & his wife Fairy all came over about 6:30 and we all had a chance to say our goodbyes. We shared favorite memories, and in true Root family tradition, there was quite a bit of laughing & scratching going on :--) Uncle Bobby, Aunt Fairy, Leticia & Dave left about 8PM and then Lori called the Hospice team to let them know. The hospice RN came over and "pronounced" Dad at 8:32PM. He then called Carnes Funeral Home to come transport the body to the Baylor College of Medicine. Dad had donated his body to them years ago, wanting to help further medical progress by donating any organs usable for transplant and student practice or other research needs.

Gina suggested that we stand around the bed, hold hands, and pray. Lori & Mom spoke to God verbally, while the rest of us wept.

About 9:30 Gina & I went to the dumpster to take the trash out and when we came back I saw a man standing in the parking lot looking a bit lost. He had a clip board so I asked him if he was looking for Apartment 1023. He said yes and told me his name was Dan and he was from Carnes. I led Dan upstairs and introduced him to the family and then assisted him & his partner in getting the stretcher upstairs using the elevator. While they unloaded the stretcher from the hearse, I asked exactly what the process was and where they were going to take Dad. Dan explained that they would put a toe tag on him, wrap him up in sheets and a plastic cover, and take him to the Carnes crematorium. Then in a day or two Mom would get a call to come pick up the ashes.

I am sooooooooooooooo glad I asked for the specifics! I said, "No. My dad willed his body to the Living Bank at Baylor." Daddy would never have forgiven me for not making sure that this was done - especially since the last thing he told me to do was make sure that was all taken care of. They checked the notes and said that it had not been called in that way, so we'd have to change the paperwork. I went through the pre-screening form with them (Did you know that there's a weight limit for donors? If you're 5'6" or shorter you can't be more than 170 pounds. At 5'8" you can only be 190 pounds. So I need to lose some weight!!!) and he qualified. I then signed the form to release his body to them.

Dan explained that he would be taken to a storage facility at Baylor and when needed, his body would be brought out and used for whatever they needed. He said bodies are typically used for at least 2 semesters, then at the end of each academic year, Carnes cremates the bodies and then takes the ashes of all the donors out into international waters of the Gulf of Mexico, do a ceremony, and dump the ashes there. He said that families can request the ashes be returned to them, but that there is a fee involved for that service. If spread at sea, all services are free. I told him that Mom had already made it clear that she did not want the ashes returned. I was pleased to know that the ashes are treated with such reverence.

Dan also told me that Carnes does cremations and transportations for all of the other medical schools and several other non-profit agencies using cadavers, and once a year they host a commemoration ceremony honoring all those who have donated their bodies to science. I should get an invitation to this ceremony for our family sometime this summer. When they were about to leave with Dad on the stretcher, all nicely wrapped up and tagged, Dan made a nice little "thank you" speech to all of us for helping to add to the progress of science by making this sacrifice of donating Dad's body. We all know that Dad would have it no other way. Gina & I accompanied them and the stretcher back to the hearse. And right before they loaded him up, I touched the pretty velvet blanket that wrapped his body and said, "See Dad? I did what you wanted. Bye now."

All of us but Lori & Mark left shortly after that. They stayed to spend the night with Mom. Now, they've gone home and I'm here with Mom. She says she wants to spend the night alone tonight. I'll be available to come over if she changes her mind, but I plan to stay here with her until bedtime tonight. Then I'll be back tomorrow afternoon - I have a few errands that I need to run tomorrow morning. After MLK holiday, I'll have Tuesday-Thursday off from work on bereavement leave. Mom & I will be tending to some business needs and Denise is spearheading the planning of Dad's memorial service. Will post more details about that as they become available. I know that I speak on behalf of the entire family when I say...

THANKS TO ONE AND ALL FOR THE LOVE, PRAYERS, ENCOURAGING WORDS, AND SPECIAL THOUGHTS. It really means so much. And for all those who have asked what they can do to help, please know that continuing to keep Mom and all of us in your thoughts and prayers is all we require. We hope to put together a special "widow's fund" for Mom in the near future and any donations to that in lieu of flowers would be greatly appreciated.

Thursday, January 15, 2009

Dad Should Be Out of the Hospital Today

Dad was moved out of ICU back into a regular hospital room. His pneumonia has cleared up so he doesn't have the rattling in his chest, although it is still somewhat hard for him to breathe and he continues to cough up phlegm. That's probably due to the lung tumor. To keep his blood properly oxygenated, he still has the tube in his nose. That has made his nose sore and he doesn't like it. He still has the catheter as well, which he hates. These will both be removed when he is discharged. He has eaten very little the entire time he's been hospitalized, and they are no longer hydrating him with IV liquids. He's yellow from the jaundice and has some sores in his mouth. Both arms are completely purple from bruising after repeatedly being jabbed and poked for the past 10 days. Mostly he talks about wanting to go home and sleeps. Poor guy. He's quite miserable.

Tuesday, Gina & I arrived after work to take Mom to the funeral home for Betty Bynum's wake. There were so many flowers and plants in the room it looked like a florist shop! She was certainly loved and will be sorely missed. In the corner of the inside top of the casket was a small corsage with 2 roses from her great granddaughter, Aubrey, and her great grandson-to-be. Touching... It was wonderful to see my niece Lisa & her hubby Arthur again. They came all the way from Minnesota. And Jessica & Ken brought Aubrey, who actually reached out for me to hold her when I first saw her. I was delighted since the first time I met her, nearly a year ago, she was scared to death of me :-)

Before we went to the funeral home, my youngest sister Shari, brother-in-law Mark, Mom, Gina & I met with the hospice AMED reps and got him signed up. After 2 hours of talking about all the options and signing all the paperwork, Mom decided it would be best to have Dad in either the Harbor View nursing home (directly across the street from her apartment complex) or in a personal care home about 7 miles from her apartment on FM 518. I got permission to take a half-day off work Wednesday so that we could go and visit these 2 facilities and allow Mom to sign him up since Shari wanted to attend Betty's funeral Wednesday afternoon with my older sister and her family.

As I was on my way down I-45 to meet Mom & Shari for lunch, my younger sister Lori called and said she had found someone to cover for her and she was going to meet us at the apartment. She decided to take a 10 day paid leave of absence to care for Dad in home hospice care. Mom, of course, jumped at the chance to have him return home. So, rather than visit the other facilities, Lori & Mom arranged the apartment to make room for the hospital bed and equipment that Dad will require, while I looked over the lease to see if there was any way to get Mom out of it without penalty. She won't be able to afford the apartment once Dad dies since her income will be reduced by over half. Unfortunately, the only "escape clause" was for military duty and you had to show them your transfer orders. The three of us went to talk to the apartment assistant manager and explained the situation. He seemed very willing to work out something with The Moorings management team - and since Mom & Dad have been good tenants there since 2002, I think it's the least they can do.

We then went to the hospital and awaited Dr. Kovitz to join us at 4PM so we could tell Dad the good news of his soon-to-be release. Although I have some misgivings about the change from our decision to have Dad released to a facility rather than home hospice care, Dr. Kovitz and Kelly (the hospice rep) seemed to be in favor of having him moved home. My concerns are what will happen if Dad continues to need care after Lori must return to work on 1/27/09 and what affect having Dad home in hospice care will do to Mom. And I did continue to voice my concerns throughout the day yesterday, but Mom held firm to the idea that Dad would want to be home and she could handle it. As for what to do after Lori goes back to work...we'll cross that bridge if/when necessary.

So Dad told Dr. Kovitz "I want out of your playpen." and Dr. Kovitz said, "OK I'm going to send you home tomorrow. Are we friends again?" And they shook hands. Shortly after Dr. Kovitz left, Dad motioned me to come to the bed and said, "Unplug me and take me home." I said, "Tomorrow Daddy." And he said, "NO! Now! The doctor said!" And I replied, "Dad, I was standing right here. He said tomorrow." He shooed me away from the bed and motioned to Shari and said the same thing to her about unplugging him and taking him home. She patiently repeated "Tomorrow." And he sighed and said, "Oh shit."

JD, Denise and all her kids (including Jacob, my nephew, who drove in from New Orleans - great to see him again, too!) came up to the hospital at 7PM and Denise told Dad about Betty's death and funeral. He showed appropriate concern and sympathy for them all. So, even though at times he seems out of it, and has said some crazy things, most of the time he's been lucid and self-aware. Making it just that much more difficult to watch him suffer so. He motioned me back to the bed and asked me if I had contacted the Living Bank and the funeral home that delivers donor's bodies to them as he had requested that 2nd day he was in the hospital. I told him that I had it all covered. We gave the information to the hospice rep so that they could make those arrangements when the time comes.

This morning, Shari worked her ass off cleaning the apartment and bought some shelves to hold all Dad's stuff. Around noon the hospice team moved all the equipment and hospital bed into the apartment and Dad should be home sometime this afternoon. I'll update again tomorrow. I'll be staying over there most of this holiday weekend to help out as I can since Shari & Denise are going back home.

Mom has repeatedly told all of us how much she appreciates what we have done to help her and that she never could have done all this without us. Of course, we're all doing exactly what we want to do - helping them as much as possible - and I'm so grateful that I have 3 other strong, capable sisters to share these duties with.

Tuesday, January 13, 2009

DNR and Hospice for Dad

Mom and all us daughters met with Dr. Kovitz, Dad's oncologist, yesterday about 5PM and discussed what specifically we wanted to do with Dad. He was very agitated all day and kept talking about wanting to go home and live with God. He also wanted the Sheriff to come rescue him. He's been insisting that he wants the catheter removed and wants no further treatments of any kind in his more lucid moments.

So, we all agreed that a "Do Not Resuscitate" order should be put in his chart and he should be discharged into a facility that can deliver hospice treatment until he dies. The cancer has progressed to a point where it has negatively impacted his quality of life, and putting him through anything more, we all agreed would just be cruel.

Today Mom is supposed to meet with a social worker to determine what Medicare will cover and the occupational and physical therapists are supposed to assess him to determine what he can and can't do. That will inform the hospice team what kind of care he will require.

Hopefully he will be moved out of the ICU and into a regular room today. Then it will just be a matter of moving him out of the hospital to a facility that will accept him and getting the hospice team assigned.

It still absolutely amazes me that just 10 days ago he was fine. And 8 days ago he drove himself to the ER. At least he won't be suffering much longer. Thanks to everyone for your continued support.

Monday, January 12, 2009

Dad's Info Over the Weekend per Lori the RN Sister

This is from Friday 1/9/09 - the photos in my post below was from Saturday, 1/10/09.

Daddy had lots of encouraging signs he was giving us today. Much more so than yesterday. He urinated again this morning, although it was only 180ccs and still very dark. He started doing a little bit more for himself like moving his bed position by pushing the buttons more and he actually held his own cup and drank from a straw some of the time. He was also better able to communicate. Once or twice he was clearly audible. He is still coughing up a lot of crud, but at least it is coming out of him. He still complains of pain though Mama and I both thought that he seemed much more comfortable and we think it's because of the Fentanyl patch they placed on him. He got morphine in the late afternoon after he told the nurse's aide that he was hurting. The nurse promised us that she would give it again just before she left for the day and that she would pass on the word to the night shift to give it to him on an every four hour basis.

Daddy is mostly coherent but does say some things that are a bit strange. For instance, he said to me "I'm not on chemo, right?" I said "Right." Then he said "But I am still getting therapy, where is it?" I pushed the IV pole into his line of sight and pointed to it and said "They are giving you fluids right here." I think that is what he was referring to. He also asked the GI doctor when they would be taking "the wire" out of him. Mama, the doctor, and I all looked at each other a bit puzzled. Either Mama or I told him that there was no wire in him. Mother later told me that she thinks that he meant the PICC line in his arm. Daddy was able to drink more water and suck on more ice today. He took a few small sips of Ensure and Mama got him to eat 2 or 3 bites of jello off his lunch tray. But that is all he took.

His labs are a mixed bag. The liver tests all came back worse than before, and his belly seems to be growing bigger by the day. His skin is mainly pink, but has a yellowish tinge that I fear will get worse with the liver worsening. His eyes are yellow. His electrolytes like potassium, sodium, etc are normal for the most part. His album level is very low which is not surprising because it is a nutrition marker. His BUN (blood urea nitrogen) level is extremely high at 72. His creatinine is high at 1.9. These are both kidney function indicators. These are probably so high mainly because of his severe dehydration. I hope that they turn around and that he doesn't go completely into renal failure requiring dialysis. His blood pressure is still very low for Daddy, who normally has high blood pressure, but his systolic, upper number, stayed above 100 all day. So that is much better than yesterday when it plummeted to 80. When his thrush gets better and his throat doesn't hurt so much and his pneumonia gets better, hopefully, he'll be going home with Mama.

My biggest worry about that right now is his extreme weakness. He is like a baby with that. He can't move himself in bed. He needs help with everything and then gets upset when we don't understand what he wants or exactly how he wants us to help him. Mostly he has been extremely patient with all of us and very, very stoic though. The nurse's aide was a doll today. She tried so hard to help Daddy and asked Mama and me how he likes things done and our advice on how best to deal with him. She gave him a good bath and I helped her. He didn't care much for the washing up procedure because every touch seemed to hurt him, and Lupe the aide was very gentle with him, and also because I think he might have been slightly embarrassed about having to be cared for to such an extreme. No modesty allowed in a hospital you know.

One funny thing he said was that when we changed his socks, I asked Mama to pull out a pair of dress socks and a pair of sturdier athletic socks so he could choose which he wanted. He said "Shit, I don't care." Lupe, Mama and I all had to laugh at that statement which was very clearly understood by all of us. I am hoping that he gets some physical therapy help at the hospital to get out of bed and sit in a chair, go to the bathroom, walk around some, etc, before they discharge him. He'll have to regain more function to be able to go home with Mama. But, it seems that the infections and resulting pain must be dealt with first. Also, his growing abdomen is a huge concern of course.

This is taking a big toll on all of us, but I know that none of us would have it any other way. Daddy changed our diapers and comforted us when we were too little and helpless to do it ourselves, now it's his turn for some payback. I know that we all love being with Mama and Daddy, even when it's hard, sad and very frustrating not to be able to help him more.

This news is from Sunday, 1/11/09...

Grandma Root convened all of us that are here, including Shari, who has now joined us, and let us know after a little discussion that she is putting the living will back in the chart. Dr. Patel, whom we all love, explained how things would probably turn out for Daddy very thoroughly and lovingly and that made Mama's mind up as to how Daddy will want things to go when it comes that time. Mama's a brave warrior!

As far as the long-term plan goes, it's still up in the air. Daddy's condition is taking us all on a frantic roller-coaster ride. Earlier in the day things were looking very grave, but then this afternoon he rallied. For instance, he's off the drug that was dripping into his veins to keep his heart rate down and his heart rate and blood pressure are stabilized and back to his "norm." He isn't even requiring the IV fluids now as he is taking in enough fluids and more "full liquid" foods by mouth to keep him in good standing. Also, his liver function tests have improved again today and his urine output is way up.

When I asked him about whether he is hurting he said "Yeah." I said "Where?" He said, "In my back and butt." He didn't mention his throat, chest or belly, which had all been very painful due to the infections and liver inflammation he's lately endured. Mama told Dr. Patel that his belly is much softer now and he concurred. The "back and butt" pain is probably due to the fact that for six days he's been laying in a hospital bed in basically the same position. Mama is going to ask about why he isn't being turned and moved around more.

He's weak as a kitten and still has to work hard to talk in a barely audible voice, but all the signs are now looking up for the immediate future. Hopefully, they'll get him back to a regular room on the floor tomorrow, since he no longer seems to require ICU care. Physical strength is a big issue however. Dr. Patel said that they will start his occupational and physical therapy back when his heart stabilizes and that happened today, so hopefully they'll start working with the strength issues again tomorrow. Dr. Patel also mentioned hospice, which will be needed probably at some point. I think hospice is a great idea when the time comes that he needs it. The nurses and techs who work in hospice care have a whole different outlook from the "floor" and ICU nurses who are working to correct immediate health problems and don't seem to have time for the more "mundane" things that the rest of us would call basic human existence. Comfort is their main focus and that is not a bad way to exit this life for any of us, comfortably as possible, I mean.

Saturday, January 10, 2009

Photos of Dad in Hospital

Flowers on the left are from Denise, ones on the right from Jeraine & Millie, and short ones in middle are from Uncle Herb & Aunt Beti.

Beti & Herb had a matching wrist corsage delivered to Mom for her 83rd birthday, which was on 1/8/09.

Here, Lori & Mark, the family's RNs try to explain lunch to Dad.



Ah, they finally agree on the gruel in the top left corner of the tray :-)


Dad was moved to ICU today about 4 hours after these photos were taken. Prayers for him are greatly appreciated. Thanks!

Friday, January 9, 2009

Update on Dad from Lori (my sister the RN)

Hi all. A further update on Daddy here. Today, as we all know, was Mama's 83rd birthday! Happy Birthday Mama!

I picked her up this morning and we proceeded to St John's hospital to see Daddy. He woke up shortly after we arrived and was surprised to see me there, too. He realized after a while that today was Mama's birthday and mouthed Happy Birthday to her. He next wrote me a note to tell me to go buy her a birthday present from him to her and that she should write a check for it. I showed the note to Mama and she laughed and told him loudly in his right ear that she needed no birthday present from him except that he should cough up all the crud in his chest, get better, and get back home with her. Sixty-one years of married bliss showing up in all its glory there.

The nurse told Mama and me that Daddy had had his last dose of morphine at 9:40am and that he couldn't have another one until 1:40pm. Daddy was complaining of pain in his belly, throat and chest. This was at 10:00am. Daddy and Mama told everyone who entered his room that I was his daughter and that I was a nurse, to which they replied "we know." Mama expounded telling each of them that another daughter had taken off work and spent the last 2 days with them and that they didn't know what they would do without her. I told them that there were four of us daughters and that we'd each be taking turns being with them and making sure that they were ok. Mother was concerned about Shari's schooling obligations and told everyone proudly that she is working toward her Master's Degree and is very busy every day. In short, our parents are extremely proud of their children.

Daddy has thrush in his throat making sipping virtually impossible. He silently screams out in pain when attempting to do so. He has no voice. A first for our Daddy! He can whisper, which comes out in puffs of breath and I must lean my ear into his mouth to "hear" it and finally can understand it after several tries. He tries to write down what he is saying, but his handwriting is wavery and his strength is slight. We eventually understand what he is trying to communicate, but it is very taxing. He falls asleep often in the middle of an exchange and then awakens a few minutes later looking a bit surprised by his surroundings.

He was wearing a diaper, had an IV going with fluids in it, and sleeping with his mouth open and a gurgly sound coming from his lungs. At about 11:00am, Dr. Patel, an associate of his oncologist, Dr. Kovitz, came to visit him. Daddy became alert and answered Dr. Patel's questions, with me interpreting, throughout his stay. Dr. Patel explained that Daddy was neutropenic, meaning his white cell count is very low and that is why everyone in his vicinity must wear masks to keep from breathing germs on him. Also, that he thinks Daddy had a partial bowel obstruction because at some time during the night he passed a "semi-normal" stool. So, he believes that the constipation Daddy had experienced prior to his hospitalization was due to a stool that would not come out and then he had diarrhea passing around that and thus he became dehydrated. He said that all of these things were due to the last chemotherapy Daddy received a little over one week ago.

Also, he has the yeast infection, or thrush, in his throat, which is terribly painful, and it appears that he also has pneumonia. Daddy has been coughing up phelgm all day, greenish and sometimes bloody. Also, his liver tests are up, meaning that his liver is not working properly. Daddy's abdomen is swollen, although his arms and legs are skinny as can be. This is probably from his inflamed liver. Dr. Patel said that his liver problems are a combination of the tumor, which has grown from 5 cms. to 10 cms. and also from the assault of his latest chemotherapy treatment, which his liver is trying to rid from his body and fighting a tough battle on.

Daddy was still breathing room air at this point in the day and his oxygen saturation levels were about 95% which is ok. Dr. Patel said that Daddy would remain hospitalized throughout the weekend at least and that he would be the one to come in on Friday and that Dr. Kovitz would be back on Saturday. He was a kind and caring man, just as Dr. Kovitz is. I felt relief that Daddy is in his care. Daddy's legs are hurting him and I asked Dr. Patel if he needs TED hose, which are those tight leggings to help prevent blood clots from forming in the legs from too much lying in bed. He said that he would order them, but they still haven't been placed on Daddy. I will follow up on this in the morning.

Soon after Dr. Patel left, the tech (nursing assistant) came in the room to take Daddy's vital signs. His blood pressure was 80/44, which is very low, and his heart rate was 123, which is very high. These are signs of dehydration. The nurse was called in and she called a "rapid resonse team" meeting which consists of a nursing supervisor, the bedside nurse, a respiratory therapist, and the internist doctor. They came in and checked his oxygen saturation, which was still good at 93% and the doctor then said to give him a fluid bolus. So he squeezed Daddy's IV bag until 500 ccs went into him and then his blood pressure came up to about 120/60 which is good, but still low for Daddy. His heart rate went from 123 to 89, so that was good too. I wrote notes to Daddy throughout this time to explain to him who the various people were in his room and what they were doing. The nursing supervisor asked if Daddy was a "full code" meaning that everything that can be done for him would be done in the event of his heart stopping or his breathing stopping. So, Mama said that yes it should all be done. The doctor and nurse acknowledged this and later in the day, the nurse gave Mama back the copy of Daddy's "living will" that he had signed back in June, which states that he wants no heroic measures.

The internist also said that he thought that Daddy should have a PICC (Peripherally Inserted Central Catheter) line implanted because his veins are shoddy and he has already been stuck several times for peripheral IVs. These lines go into the inner elbow area and are very long and can last a long time and they can give fluids and medication in them and also draw blood from them. Mama said yes and Daddy agreed to have this done. Daddy's next possible dose of morphine was due at 1:40pm and so Mother and I decided that after he received that, that we would go out to lunch at Luby's. At 2:00pm, the nurse finally showed up to give him the morphine. We told him that we were leaving for lunch and he said ok.

Then the dietician met us in the hallway and we talked to her for a while about his not being able to tolerate anything by mouth because of the pain in his throat. Then, a delivery person showed up at the door with a beautiful vase of flowers for Daddy and a wrist corsage, smaller but made of the same flowers for Mama for her birthday, both from Beti and Herb. We brought them in to show Daddy and he was delighted, as was Mama with her gorgeous corsage. Meanwhile, the doctor told us that we no longer need to wear masks at Daddy's bedside because his white blood cell count had increased to half that of normal. So, good news there. Before we could leave, the PICC nurse arrived and said that she'd be putting in his line and that we would have to leave during the procedure. So we went to lunch.

Mother had shrimp and fries with a combination carrot/cheese cake for desert. She had me share the cake which was delicious and she took most of the shrimp dinner home with her in a styrofoam container to finish later. She said that with everyone's cards, gifts, and well wishes that she was having a happy birthday even though it was also very tough with Daddy's condition happening at the same time. When we got back to the hospital, Daddy's bed had been removed from the room. We found the nurse who explained that it had been difficult for the PICC nurse to get the line in him so they were doing it via fluroscopy in the fluroscopy suite and that Daddy understood that and had signed the consent for it himself. After about ten minutes they wheeled Daddy back into the room with oxygen in his nose via nasal cannula because his breathing became rougher during the procedure. The line is in his left elbow. After a while, the nurse finally got a Fentanyl patch for pain, which the internist had prescribed for him.

Daddy urinated 350ccs after no urine for 2 days. His blood pressure continued to be good at about 120/60 and his heart rate maintained at about 90. After spraying chloraseptic spray in his throat Daddy drank a big sip of his Juice drink and ate one or two bites of a popsicle from his dinner tray. To backtrack, when we first came back from lunch and found Daddy gone to fluroscopy, it was time for Mother's appt with Dr. Winfield about the abcess on her face. So we went over there and Dr. Winfield said to keep taking the antibiotic she is on and call him Monday for an appt if it hasn't gotten better.

At about 6:00pm, Mother and I were very exhausted and Daddy was able to sleep a bit so we told him that we were leaving for the night. He had his nurse call button, his suction apparatus, his chloraseptic and his pad and pen within reach and he mouthed that we should "go." We kissed him goodbye and then stopped by the nursing station to let them know that when he pushes the call button, to go to him rather than talk over the intercom because he cannot hear anything. The secretary said she would pass this on to the night shift. We will return in the morning. More updates later...

Wednesday, January 7, 2009

My Dad's in the Hospital

His liver tumor has doubled in size and he had an adverse reaction to the new chemotherapy they started on 12/30/08 -- the combo put him in the hospital. He's been there since Monday and isn't doing well at all. I've been with my mom, trying to help out, but I'm really glad that my younger sister Lori will be taking over for me tomorrow & Friday. She's a registered nurse and will know how to make sense out of the medical jargon.

Exhausted, so I'm going to bed now. Will update soon.

Monday, January 5, 2009

Answers to Alena's Questions

After reading about the strict regulations on dogs in Germany, Alena asked:

I want to know what Germany did with all the people who already had those breeds of dogs, but didn't have the $$ to pay for the fees or classes? Do they just take their pets away?

My friend Iris got back to me after checking with the local authorities and answered:

In case an owner can't pay the dog tax he will be visited by a taxman, who tries to confiscate something with the value of the tax. The owner has the right to pay the amount in partial amounts and also the right to apply for a respite. The law says: Yes, the dog can be removed. The mayor can submit the proposal to give the dog to another dog holder who is able to pay. This is - from the legal side - very close to an injunction.But in fact this has never happened in our county.

Sunday, January 4, 2009

Evidence of My Mid-Life Crisis


At least I have a good reason for purchasing a "new" vehicle (it's actually a 2006 model). The Honda Hybrid had 100,300 miles and in October we had to spend $1300 for a new electric battery. When I took it in over the Christmas holidays for its 100,000 mile check-up I was told that it needed 2 new catylitic converters or it wouldn't pass the next emissions test (due in June) and each converter cost $900! I couldn't see putting another $1800 into a car with that many miles on it, and decided trading it in now was the best option before it had even more mileage on it. Click here to see a slide show of my MINI and here if you want to see it with smaller photos but music included by the Doobie Brothers!