Tuesday, March 9, 2010

An Idle Mind is the Devil's Workshop

Lots of impromptu meetings today.

Dr. Delugos stopped by. He noted that everything looks good and asked me if she had any seizures. I said no, but did tell him about something that I discussed with Dr. Mike this morning. Last night when they paused the MRI to inject the contrast dye into Lauren's catheter, Lauren said she felt like she was going to have a seizure, only on the right side this time. This scared me a little bit as epileptics frequently have "auras" before a seizure. Of course, I told her that that was highly unlikely, that she was just tired and that everything would be OK. I then watched her like a hawk, and nothing happened. I did note to both doctors that I had seen her right hand twitch once and drop another time, but that I suspected they were pre-sleep twitches or fatigue. They both agreed with me.

Dr. Delugos said that they would continue Lauren on all her anti-seizure medicines for at least 3 months then start weaning her off one, then another, until she gets down to one medication. He said they would keep her on the one medication indefinitely. If we are lucky, some day we may be able to get her off all meds, but that is a wait and see possibility. Sounds good to me. We can live with one, effective medication.

The pain team was also here. They are moving ahead with Tylenol every 4 hours and Oxycontin as needed proceeded by Zofran (anti-nausea). She will be able to get "rescue doses" of morphine if needed, but they want to get her off the PCA, and eventually off the IV pole.

PT and OT will be visiting her separately, one in the morning and one in the afternoon. This is the routine she will have in the rehabilitation hospital, so they are trying to get her used to it. It is also good to get her moving around, as much as she might hate it. It will get her blood flowing, maybe make her hungry and more in the "real world". They suspect the morphine, lack of food and lack of activity may all be contributing to her headaches.

Just spoke with the Physical Therapist. She said that Lauren was in too much pain to get up and move around, but that they did in bed exercises. She stretched out Lauren's calf and hamstring on the left leg, which she said was pretty tight and they practiced sitting up on the edge of the bed, which Lauren was able to do without a lot of assistance. She was a little shaky and expressed frustration on not being able to do things, but the PT explained to her that it would come, she just needed to retrain her muscles.

She's going to love this. The education specialist was in, she called Lauren's guidance counselor and they are moving ahead with schoolwork for her to do in the hospital. Of course, we were told that she had completed enough of her work to pass the 11th grade, even if she never returned this year. This will complete her coursework though and give her more purpose to her day.

Sara and Ellen are coming in this afternoon to work on her hair and Aunt Julie will be here this afternoon too until Sandra can get off work. In the small world department: Aimee and Amanda know Mike DiLuna from Yale.

3 comments:

  1. Hey Chris and Lauren, I must say I don't always read this blog daily but find myself reading it if I haven't heard from anyone since my personality takes me right to OMG whats's happening. I am now reading it because although I talk to Sandra daily (sometimes several times) and numerous others for updates it has been a few days since I have been there and I am feeling not only guilt ridden but out of the loop. This blog really is a great way for me to know exactly what is going on. Thanks for doing this Chris. Laur...I am a little crazy at work and have found myself with daytime and nighttime appointments with not enought time in between to get there but am thinking of you constantly and promise to get there asap. Hope you will forgive me for not seeing you as often as usual. Prmise to be there soon.

    ReplyDelete
  2. Lauren, I think often of how strong you and your family are. It is great that you have all of their support and love. I have been reading the blog and finally thought I should say something to you. PT and OT will start out being hell... I know from the rehab of the knees, but it will all be worth it. I used my experience from my rehab to help others and I will tell you that the more you put into it, the more you will get out of it. It will take time to remind your muscles what they already know, but practice, just like in sports will make train them to work again. I had to learn to walk correctly again and you will also. keep your head held high and believe in yourself and everything else will respond. I know it will. Trust yourself, the therapist, your doctors and your family...they are your team. I will always be a Heaven supporter!
    Bob D.

    ReplyDelete
  3. hey, lauren, i know your head hurts, but i was wondering if there was any type of music, maybe played low that might make you feel better. also I was wondering if any particular smell made you feel both calm( as in ready) yet energized. Pine does it for me. I imagine the smell of the pine needles in new hampshire. plus i imagine as hard as i can the powerful sweetness of the Yum Yum shop bakery. i love the toffee cookies and the strawberry filled donuts. do you smell it now.... aunt leslie

    ReplyDelete