Daniel's Update, Week 28


Saturday, November 9th, 2002 (DF) On Saturday morning we were up very very early to head on over to Albany Medical Center and catch the Trading Spaces - you love to hate! marathon. Unfortunately, when we arrived at 8:15, it turned out that the marathon was not on. So there we were, up awfully early for this time of year, in the surgical waiting room. So we watched two episodes of SpongeBob Squarepants instead. Neither my mom nor I has actually seen it with sound before so it was quite a treat.

Following that we decided to go shopping. I stayed in the car while my mom went to the grocery store. My mom has a habit of wandering and getting lost in stores and therefore took forever and a day to finish. I decided to collect toll money from the cup holders and head on over to Subway. However, as I was lodging my note to my mom in the car door she came out of the store so we were able to go eat lunch together.

Once we arrived back at Fisher House I was super exhausted from my early morning routine and I went down for a nap. My mom put away the groceries, did some laundry, and who knows what else. She's mum on the subject.

After I woke up my mom and I tried to watch some television. But unfortunately I began to have a coughing fit that lasted almost 20 minutes. Coughing super hurts because of the recovery from the heart surgery. At this point we decided to go to the emergency room at Albany Medical Center because I was running out of breath. After having ARDS, my mom and I don't want to mess around with anything dealing with my breathing.

In the emergency room, it was busy and bizarre yet again. There was a practically newborn baby crying and crying for a couple hours which was really heart-wrenching, and our little area was next to the area where there was a crazy lady with a bad temper. At one point she told her daughter that if she didn't get herself a doctor's appointment by Monday, then the patient wouldn't talk to her until her daughter died. That's pretty crazy, no?

One pleasant surprise during our ER trip was that the Trading Spaces - you love to hate! marathon started at 8 PM not am. And since the emergency room is not necessarily known for it's timeliness, we got to watch all three hours. During my stay I had a chest X-ray (normal) and they checked my pulsox for my blood-oxygen saturation, which improved when I walked around the emergency room. They also fed me (thanks Albany Med).

In the end it was decided that my coughing is probably due to a viral infection. Over-the-counter cough suppressants were recommended and I'm just supposed to let this infection run its course.

Today my mom cooked scrambled eggs which I enjoyed and kept down. Then I napped for about a gazillion hours and woke up for lunch - tomatoes and cheese on English muffins, eaten outside on the picnic bench. This I enjoyed, but unfortunately did not keep down. I threw up all my lunch and probably a significant portion of my breakfast, all while coughing that horrible painful cough. I'm ready for the viral infection to go away.

Today my mom baked a cake, did more laundry, and heated us mashed potatos and spinach souffle for dinner, which I have thus far kept within and not without me. Oh yeah, and before dinner my mom fell asleep while we were listening to The Good Earth on CD. At least Wang Lung's family is no longer starving, although the prospects of him selling his daughter seem pretty high at the moment. With my mom asleep on the bed, I covered her up, put out the lights (with the switch, not by breaking them) and then withdrew myself to the common room to spend some time online at the public computer. And now I'm online again and my mom and I are off to go watch Shall We Dance?.

Hasta luego and good night, Daniel and Toni Fox

Monday, November 11th, 2002 Hello, hello, and Happy Veteran's Day to all! Daniel and I were up relatively early for us. His day started out with a coughing fit, while I was doing laundry (sheets and towels), for a family whose father was having surgery this morning. To pass the time while Daniel's anti-nausea medicine kicked in we listened to more of The Good Earth. A light breakfast followed and then Daniel took his first full shower since the last surgery. Boy, was he bright and shiny...(and smelled good too).

We listened to several more chapters of The Good Earth...(it's fascinating but I remembered it as a bit more cheerful). We're over halfway through and although the family is no longer destitute, money is sowing seeds of discontent...wouldn't you know?

Daniel decided to try a piece of cake as a primer for lunch, while I unloaded the dishwasher. All seemed to be going well until he excused himself from his perch on the kitchen bench and retired to the bedroom. When I came in a few minutes later he greeted me with a pitcher of returned cake...(for some strange reason he thought I would want to see it, rather than just hear about it). Keeping food down is becoming a challenge again.

Shortly thereafter Dr. Perez-Tamayo called as a follow up on our visit to the emergency room on Saturday. He spoke with Daniel and was very reassuring. Dr. Perez-Tamayo believes that the hoarseness of Daniel's voice will eventually go away and is due to the size of the tubes in his throat during surgery. However, he did say there is a slight possibility it will be permanent, which would rule out opera singer as an occupation...(since Daniel's singing can best be described as "enthusiastic", this is not an issue of concern). He also believes that the coughing is not uncommon following surgery because of all the left over junk in the chest cavity. Coughing can also trigger vomiting and Daniel's gag reflex seems to be very sensitive (to put it mildly). Since Daniel is keeping down about two of every three meals and not feeling nauseous he believes it will subside in time. Dr. Tamayo has cut his blood pressure medication down to once a day and Daniel is being weaned gradually because he no longer needs it after the last surgery...yes!

Daniel was so encouraged by the news that his symptoms are normal, that he suggested we go out to eat. Speaking seems to aggravate his coughing so he asked me to tell him about my college years during dinner. Although I don't think I impressed him with my intellectual pursuits (or lack thereof), I was able to fill him in on some of my social escapades and tell him about the great friends I made. I even gave him the uncensored version...pretty much.

When we returned to Fisher House Daniel was spent and went straight to bed...at 5:30. We'll see if he sleeps until morning. Tomorrow we start PT and OT at Sunnyview...back to a semblance of a routine. Hopefully we'll also catch some of the therapists and staff that we enjoyed during our stay. For now it's time to set my alarm for the 3:00 a.m. meds...hope you had a three day weekend and enjoyed every minute of it! For now, goodnight and sleep well...Love, Toni and Daniel

Tuesday, November 12th, 2002 Happiness
(DF) Today started, for me, around 5:30 when I awoke from an odd dream and couldn't get back to sleep because odd clanging noises were coming from the kitchen. I went out to investigate but found nothing. So the noises were in my head . . . *ponder*

bang bang
Then my mom woke up frantic ( TF...I prefer the phrase, "in a bit of a rush") at 7:45, having overslept. Unfortunately the alarm didn't go off so we began the day hurrying to get ready to go to physical therapy. I had a coughing fit and on the way to the car, periodically stopping to throw up little bits of breakfast. And then we were in the car and at Sunnyview. My therapist Colleen asked why I was late and I told her, and also told her that I had a virus. She wouldn't treat me for fear of infecting other staff and patients. Then my mom came around and straightened both of us out; I cough because my chest is irritated from the surgery and I throw up because I cough and have a horrible gag reflex. So Colleen saw me for a very short period of time.

(TF) Actually, Colleen asked if we misunderstood when our appointment began and did we now understand she would only be able to see Daniel for 30 minutes instead of an hour. I smiled and told her we knew we were late, we were sorry but our alarm didn't go off, throwing up sometimes slows us down and we only expected 30 minutes because we knew she had other patients. ("Do I look like I have stupid written on my forehead?" was left unspoken)

shoot shoot
(DF) Then I went down to the lobby to lay down for my 30 minute break before occupational therapy. While sitting there, I saw my old recreational therapists Kim and Ruby, my neuropsychologist Dr. LaBarge, a couple of the nurses and stafff. On my way up to OT I saw my old OT Tracy. We talked for a little bit and she showed me around to the outpatient offices seeing as I was a country bumpkin in these parts of Sunnyview. Then we bid a sad adieu.

Happiness . . .
After Sunnyview, a quick trip to Burger King, and an adventure getting lost on the thruways of Schenectady. We decided to take in a movie on our way back to Fisher House and we idled away half an hour listening to music before going in to see Michael Moore's anti-gun flick Bowling for Columbine. It's actually a pretty long movie, well done, but a little too liberal for even ME. My dad would hate it, and this is to him: (please don't see it, you will just get mad). I would recommend it to anyone who considers themselves just a little bit socialist.

(TF) And I wonder why anyone in their right mind would agree to let Michael Moore interview OR film them. Some good questions were posed but many of the answers on both sides seemed too simplistic for me.

. . . is a warm . . .
(DF) Then, famished, my mom and I came home and she ate some leftover ribs from TGIFridays and I ate some Eggplant Parmigian. I lay down for a rest after watching an episode of People's Court with my mom (one of the cases: a woman suing a nailstore for $3000 because they didn't give her a $6 manicure). Then I woke up, we watched Friends, and went for dinner. YUM

Now off to listen to the Good Earth. Hopefully Wang Lung will ditch the harlot Lotus.
. . . is a warm gun, yeah. (for all you Creed fans and whatnot, that's a Beatles song)
(TF) Take care all, Love Daniel and Toni

Thursday, November 14, 2002 We didn't write yesterday, did we? Sometimes the days sort of blur together. Let's see...yesterday Daniel started out the morning with a coughing fit. After about 20 minutes it subsided and we headed off to the kitchen for some scrambled eggs and such. Dorothy, one of the volunteers, was here baking so we helped out in the kitchen with dishes, making frosting for cupcakes and wherever we could be useful.

Daniel and I took a break to watch a little TV and listen to a bit of The Good Earth. Just enough for him to relax and take a nap. I wandered out to the kitchen again to see if there was anything I could do and then browsed the Internet. I found Pajamagram and picked out my favorites...

Once Daniel woke up we listened to several more chapters of The Good Earth. We should finish today or tomorrow. Sometimes I just wish I could step into the book and shake Wang Lung for not appreciating O-Lan, but I suppose he will have to come to that (like so many things) on his own.

With so much coughing, and having run out of pain medication (we're down to Tylenol), Daniel decided on chicken broth for dinner. The thought of taking anything more that might return on him was too much to contemplate. However, I did make him some mashed potatoes (real ones) later and he was able to keep them down. And the bonus is, I have enough to last until we leave...

This morning it was up and off to Sunnyview for OT and PT. We managed to arrive on time and Daniel did some shoulder stretching and calf stretching for OT. PT consisted of mostly exercises in place, marching (hello Apache Marching Band), steps, etc. He was exhausted when he came to the gym to find me. I was on the infamous treadmill...I found it isn't conducive to try and write while walking. Although I thought I made great notes I can't read any of them.

Afterwards we headed to Starbuck's and Burger King before driving back to Fisher House. Daniel immediately went down for a rest, while I am washing all his bedding. He thinks maybe the blankets and sheets are dusty and that may be irritating his cough...and I'm willing to try anything to give him relief. At this point his stamina is nowhere near where it was after the bone replacement. It is difficult to know where the fine line is between encouraging him to get up and move to clear his lungs and increase his strength or to just let him nap. If there is a formula, I certainly haven't hit upon it. I think we both may be a little discouraged and worn out at this point. Tomorrow will be better but for right now we're just going to let ourselves sink into an afternoon funk.

It's now evening and we're ready for bed. Dinner didn't sit too well (I even cooked), so while Daniel spent some intimate time with his throw up pitcher I ran to the local Price Chopper (grocery store) to pick up bland foods. Chicken broth, canned fruits, cranberry juice and ginger ale. When I came back Daniel was ready to do his exercises from PT while I made the bed with fresh linens. We completed the night with a trek around the outside of the Fisher House to build stamina. I carried the folding chair so Daniel could stop and catch his breath halfway through our walk.

The rest of the evening holds Friends, Survivor, Will and Grace, and then bed. We have to be in Schenectady by 9:00 a.m. and for us that is really pushing it. We send our love to all...Toni and Daniel

Friday, November 15th, 2002 If Jim is doing the update it can't be good and it isn't.

Toni called me at 7:00 pm her time and she and Daniel have been in the emergency room since 11:00 am. Daniel will be re-admitted tonight to fight a viral infection. He will be treated with broad spectrum anti-biotics and fluids.

Today's drama started with Daniel awakening with a fever of 102.7. Toni says he was racked with coughing and throwing up and had shortness of breath. Dr. Perez Tamayo said to take him to the emergency room. The emergency room isn't the fastest or most efficient place in the world unless you are bleeding or dying and Daniel didn't fit those categories. They have determined that his lungs are good and the x-ray was good. The fever/infection does not appear to be related to the aortic patch. (That is the only good news today.)

The hospital stay should only be a day or two and, hopefully, will not affect his date of return. If I hear from Toni later tonight I will send another update.

Jim


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