Wednesday, February 20, 2013

Slow Progress, Slow Process

Shirley is now wrapping up her second day on 5 Northeast.  The chest tubes that we had hoped to come out today are still in.  Sam, her very helpful RN, explained that there is still more drainage than her body can absorb naturally, so they will stay in until the volume decreases to under 100cc per day.

The process of getting out has begun though.  We are meeting with various teams to be trained in how to manage outside the hospital. The Physical Therapist is working with her on strengthening exercises and will make sure that she can manage things like the 8 steps leading into Pete & Carolyn's house.

The Occupational Therapist has worked with her on limitations to her movement to ensure the incision can heal fully. Arms not raised above the shoulder; no reaching behind; no lifting, pushing or pulling of over 10 pounds for the next three months.

Tomorrow, there are appointments with the Respiratory Therapist who will show her how to use a micro respirometer that she will take home to measure her lung capacity each day.

She will also meet with a pharmacist who will go over all her medications.  Before being discharged, she will need to demonstrate the ability to accurately self medicate.  Given her prior experience with all the Alpha 1 medicines, this is a no-brainer--except there are a lot more pills.

On a side note, I have confirmed that Shirley is not to be in close proximity to fresh flowers for the next three months. I know some have asked about sending flowers, but this would not be good for her.

Thanks for your continued thoughts and prayers.  They are truly appreciated.

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