Monday, February 1, 2010

Monday Feb. 1, 2010

So, I'm back in Whitehall and just back from the hospital. Andie's up and down and from what today's nurse said these cases tend to be this way. She had a scan today that verified that the surgery was successful in clamping the aneurysm but at the same time they also verified that she's in "mild" vasospasm. This was something that the doctor mentioned earlier that is not uncommon in people of her age and it can cause a stroke. They're doing three things to help push the blood through the brain in the area where the blood vessels are trying to clamp down. They're keeping her blood pressure up ( ironic since uncontrolled blood pressure was the cause of all this in the first place) They're also diluting her blood so it doesn't clot and cause a stroke and keeping her fluids up so the blood can move. She's also got a mild fever and it seems like an infection where the breathing tube is. Keep your germs at home...Since she's still not in a state that she'd want to be seen in I'm still going to say to hold off on visits until later.

I spent some time just sitting there with her reading while holding her hand - they say she can hear us but won't remember this all later on. I get the feeling she's kind of asleep at times then gets active other times so i take my cues from what she's doing and when she moves I talk to her but if she's still I let her rest.
She definitely tapped our hands and grabbed for hands when we held hers and then took it away for a second. Still seems like she's not using her right side the left leg and hand are the ones that move and the nurses indicate that the right foot is forcefully taken away as a reflex response to pain but not so much for the right arm. When she's with it they can ask how it feels - tingle? numb? and go from there.

Since I had my ipod with me I stuck one earphone in her ear while I listened to the other to hear the music she responded to and to be sure it wasn't too loud. There was definitely a response as she raised her eyebrows during high pitched parts of the music -mostly John Denver. I stopped into Friday's and updated the manager there and mentioned the ipod and they remember that Andie really liked 70s music when they played it so I think I need to put more of that on my ipod I'm going to take it in when I go and let her listen more. If nothing else it's stimulation and can't hurt.

Today's nurse was very informative about what might be coming up - maybe a trach tube to help her get more oxygen maybe another procedure to inject the blood vessels directly to stop the constricting which means opening that area up again. We shall see.

We'll be back there in the am and my Dad will call later on tonight to check in with the nurse just before we go to sleep.

Sunday, January 31, 2010

Andie update

I spent hours in Andie's room today. Most of the time she seemed out of it but when they brought down the sedation she opened her eyes, and moved around - her hands had been bound to stop the thrashing and grabbing at tubes - the nurse took the left one out of the restraints and said my parents and I could do that too but I didn't feel comfortable with that if he wasn't there. When the hand was free she was touching her face where it's swollen and was not too combative today that I saw. There was a tear in her eye and I wonder how much she realizes about what's going on.

More lists of to -dos and I carry my little notebook that comes out about half way into what the doc is saying since he seems to pop in and as he's talking I try to grasp it but know I should write it too so I can take it all in and remember and look stuff up later.

This doctor is fabulous. Ironically one of the women at my parent's church had an issue that was tended by him an few years ago. He indicated that since there was quite a bit of damage of Andie's temporal lobe but seemed pleased with her progress - even though it didn't seem like much to me... Talk of taking the breathing tube out but it was still there when I left and earlier there was mention of 3 - 5 days. Obviously, it's moment by moment stuff.

They say she can hear us and might not remember it later but I find it remarkable that she was more active today - alot while the pastor of my parent's church was visiting - and thought her eyes didn't really seem to focus I wonder if she saw us. My Dad thinks she tapped his palm - after I left and was driving home- and she does seem to respond to his voice as in getting more active... as much as a person can while hooked up to all kinds of lines and tubes and lying like that.

I'm home now and will chill here this evening and rest as much as possible and will decide about going back tomorrow or Tuesday once I've pondered all this.

Since I've applied for and gotten Dima's benefits and that kind of stuff is related to what I did when I had a paying job I should be the one to work out her insurance issues, Mom and Dad don't need more to think about. I do want to get back to Allentown to deal with that with the help of the hospital people. I've got files started that I left at Mom + Dad's about the hospital and Andie's mail so far with empty files remaining to be used as needed.

Again: DO NOT VISIT NOW she needs... above all... to rest and recover and most of you know how vain she is ...just don't go - when things have changed I'll let you know - I'll do my best to post nightly updates and we will call you - or at least I will - when we need extra hands.

The lack - of- job thing and car problems seem so trivial now!

Good Night. Guten Nacht. Buona Notte. Spakoina Noche

Saturday, January 30, 2010

Andie's day

She's still sedated because each time they try to bring her out of it she gets combative and spikes her blood pressure and was bleeding from the incision site so back into Lulu Land she went ... they'll try to gently bring her back out of it during the night.

Doc was concerned about brain function last night since there were issues with her reflexes on her right side (the part of the brain that was necrotic and removed was on her left the Left Middle Cerebral Artery and therefore the area responsible for speech and movement on the right side of the body) so.... she's better today than last night since reflexes are there - the surgeon was a bit concerned about that last night but optimistic this morning. The doctor also said it was "big surgery" so it's going to take a while to recover.
My parents and I went to her apartment today got the mail and stuff like that and last night I was making lists of stuff to do well into the night and still trying to wrap my mind around the whole thing. At this point I'm planing on going home to Glenmoore tomorrow after some time at the hospital. I'll regroup there and then get back here.

Her surgeon is wonderful seems like a nice guy, great bedside manner, spent time answering our questions and has an amazing background:
http://www.lvhn.org/Careers/Physicians/Why_Im_a_Physician_at_Lehigh_Valley_Health_Network|879

For all who have asked about how to help: For now her blood pressure and comfort are key issues and they try to keep things calm in the Critical Care Unit so visitors need to be limited. I'm confident that her care is in good hands - in a few weeks when she comes home I'll let you know how day to day things will be once she's here at my Mom and Dad's - that 's when we'll need extra hands.


I really do feel the good vibes and the love from everyone - yesterday -even after going over the potential worst case scenario with the doc and after the stress of seeing her wheeled toward the OR and a few tears ... about an hour into the surgery I had a peaceful feeling and don't even know how to describe it.

still feels like a dream to me ....

Thursday, January 7, 2010

Inky hands

If you see me walking around later today with ink on my fingers it's because I plan to go out to get fingerprinted this morning to get my application to the school district going. I got my college transcript last night via fax - COBOL in 1983??? - I really don't know why I thought that could be a good career path for me.

Anyway, just last night I submitted the application on line and want to get it moving I'm feeling energized and excited about going to work within the schools. For now I'd just like to substitute as needed so I can still be here with Josh before school most days, uh... so I don't have to pay for child care, then I'd like to move on to something more permanent once he's in first grade next year. It looks like they have some openings for substitute clerical / secretarial and I think my varied back ground at the front desks of the dental offices I worked in should have prepared me for that - let alone the paperwork involved in the adoption of our boys and now advocating for Dima and his AD/ HD Wrap Around benefits. I've been planning to get around to doing this at some point and now that Chris is here working on working I could technically leave Josh here with him to free me up to get to work but I'd still like to be flexible enough to free him up when he has an interview and once he's actually going to an office.

As far as the job search, he's still searching and making calls and poking around on corporate websites all day every day. He got a call from a friend yesterday who's been searching for 6 months (yikes!) who gave him information on what's worked to get him interviews and interest in his resume. Chris has had a few interviews with companies and with recruiters and hopefully one of them will lead to a job.

Since he's still looking, if anyone has any connections please forward the resume I sent out earlier - email me if you need me to send it again. Some of you out of towners have asked about the possibility of moving, actually Chris's former boss said he could work right now if we'd be willing to move to Chantilly, VA but I don't think we're at that point in the search yet. We'd like to stay close to the family we have around here. Not to say that six months from now our outlook won't change, just want to try to stay local if we can.

Now that I think about it do they even use ink for fingerprints anymore? The last time I did this was 2003 pre-adoption - maybe they have newer technology these days. Retinal scan? Finger scan? I guess I'll find out.

Tuesday, December 22, 2009

H1N1 clinic at Shamona Creek Elementary

This evening I volunteered at Dima's school during the H1N1 clinic. I was one of the people there to check kids and school staff in and to get their paperwork filled in before they went to the nurses. Most of the kids were brave or maybe just didn't know what was coming, for a few there were tears, there was some screaming (not from the volunteers) , there was one escapee whose poor mom was dealing with a fussy younger sibling while the older one made a run - out from the nurses station, across the gym, and out the door. Thankfully Mr. Reed, the principal, was nearby and caught up with the kid - out in the parking lot! I wouldn't have believed it if I hadn't seen it myself.

Thursday, December 17, 2009

Dima's made up words

Booby pair = bra. Dima makes up words once in a while booby pair being his most recent. Before this he's combined pretty and beautiful and come up with prettyful and when he couldn't remember the name of a neck tie he called it a church bow. I guess that goes along with his creative bent - we just got a nice post card from his art teacher telling us what a pleasure it is to have him in class. He's definitely got a creative mind.

Sunday, December 13, 2009

laid off???

Hey, next time a Veep of the company you work for that's reducing it's workforce tries to call you into his office to talk - tell him you're too busy or something - DON'T GO!

Last year around this time Chris's company laid off about 10% of their work force. While feeling relieved that we weren't effected by that lay off I was thinking of the situation that puts those people in and wondering if it's better to go through Christmas and then being laid off or if having it happen before Christmas would be better. Well, this year we were effected and on Dec 4th Chris was laid off. It's hard to believe - still feels like a dream to me!!

So, this year our Christmas will be scaled back stuff - wise from what we'd originally planned. But the kids don't have to know it. We had been thinking of a DS game system for Josh and a kid's GPS for Dima for geocaching but we're definitely not spending that kind of money now. We're switching to plan B and will go simpler things. People have been very good to us and we even have friends who gave us their old (very well taken care of) Game Boys to give to our kids - I know they'll think they're the greatest things!

We're going to a concert on Tuesday night that the tickets are already paid for - just no dinner ahead of time now. It's hard to feel festive when something like this looming. The company gave us a decent severance package, well, Chris earned it with the time he gave to the company, but I'm definitely aware of getting creative with what's already in the pantry, using leftovers, eating at home instead of going out and stuff like that. We're both being very aware of what we're spending - I usually am but now Chris is on board with me - something I'm hoping can continue even after it doesn't HAVE to. Can't hurt to be aware of the day to day nickle-and-diming that adds up over time if you're not careful.

Now Chris's days are spent in our basement - he set up an office down there, no, I didn't just send him down there! - working on his resume then getting in touch with lots of people to get the word out that he's looking for work. He's spending time during work hours looking for work. He's already had a phone interview and a face to face interview in Wilmington, DE on Friday but we'll have to wait a few days to see what the word is from them. I'm not too sure that would be a pleasant commute - like being in DC all over again!

In the mean time I've put his resume on here and would encourage all of you to get it out there. Please feel free to send it to anyone and everyone who might be helpful in this situation.


Chris' Resume


When you do forward the resume if the job just happened to be near here and pay really well and have great benefits that would be ideal - I can dream can't I??

Thanks, Lyn