catching up

I haven’t meant to keep you in the dark about life here. I just haven’t been able to wrap my head around posting much lately.

We have made a lot of progress with care for Nana. We now have her nurse/case manager from hospice on board and have been able to pass off prescription management to her. The number of medications needed has dropped because a number of them are no longer needed. For example, she doesn’t take a statin anymore because her cholesterol level is irrelevant at this point. It makes it easier to keep track of her meds, especially because hospice has taken over the ordering of refills.

Hospice is also handling medical equipment, such as oxygen and a wheelchair. They are good at solving problems, like providing cushions to protect her ears from the oxygen tubing. Simple things like that make a big difference.

It is nice to have just one number to call. If there are any questions, we just call hospice and they contact whichever doctor or service is needed. There is always someone on duty, even in the middle of the night, to address concerns or problems.

Meanwhile, ABC is already five weeks old! She had a checkup and is now almost two pounds (0.9 kg) heavier and 2 1/2 inches (6 cm) longer than when she was born. She has outgrown her preemie clothes and can wear regular newborn sizes. She is starting to focus on her surroundings. She is playing with some of her toys and is getting more tolerant of diaper changes, baths, and getting in and out of her carseat/carrier.

She is fascinated by her reflection in the mirror.

It is a blessing to have her here with E and L, watching them become a little family and assisting with baby care and general household tasks. Most advanced economies give parents paid time off for this life stage, although, sadly, the United States does not. We are grateful that E and L are able to have this important time to bond, especially because L will have to return to the UK in mid-August. We will miss watching his tender care of her, especially when he sits at the piano with her, cradling her in one arm and singing to her, accompanying himself with his free hand.

We are also blessed to be able to bring ABC to visit Nana and Paco. Unlike the earliest weeks, ABC now stays awake for part of the visit, so Nana and Paco get to see her deep blue eyes.

Tomorrow, L’s mom arrives from the UK and our younger daughter T arrives from Missouri. We are gathering for ABC’s baptism on Sunday.

ABC will wear a tiny white dress, first worn by my older sister, followed by me and our younger sister, twenty-some years later by my daughters, and twenty-some more years later by my granddaughter.

I retrieved it from the bottom of Nana’s cedar chest last week and we will return it there next week, in case another precious baby girl arrives in our family to wear it.

 

health update

I wanted to give you an update on Nana and Baby ABC.

On Friday, Nana was accepted into hospice care. I now that some people are used to thinking of hospice as a last-days-of-life service, but it is really designed to be an integrated care program over the course of what is expected to be a final illness. It is meant to keep the patient comfortable and as engaged as possible for as long as possible, while also helping the family caregivers.

Nana will have regular visits from a nurse/case-manager, personal care aides, and chaplain. A social worker will be available to help with paperwork and recommendations as needed. A volunteer will arrive to keep Nana company while Paco goes off on his weekly trip to Wegman’s grocery store on the bus from their senior living community. More services can be brought in as needed.

In addition to hospice, we have aides coming in at night to assist Nana to keep her safe and so that Paco – and the rest of the family – can sleep without worrying about her.

Nana has improved over the last few days. It turned out that her oxygen machine that she uses when she sleeps was malfunctioning. Now that it has been replaced with a new unit, she is able to sleep longer and better so that she can have more quality time during the day.

Meanwhile, ABC is two and a half weeks old and doing well. She initially had a bit of jaundice, which is not uncommon in babies, especially those who, like her, arrived a bit ahead of schedule. She had light therapy at home which, along with time, took care of it. At her two-week checkup, her weight was a bit above her birth weight and she is now having a growth spurt and nursing frequently.

It is a joy to watch E and L who are wonderful parents, despite being so new to it. B and I love to snuggle and rock our granddaughter and are finding that our long-unused infant-care skills have reappeared readily.

We especially love being able to take ABC to visit Nana and Paco, who love every moment with their great-grandchild, even though she is often napping during visits.

We expect to see a bit more of her (currently) deep blue eyes in the coming weeks.

High/Low

Yesterday was Pentecost Sunday, which began with 8 AM Mass. I knew that daughter E would be cantoring, but found out on arrival that her spouse L was singing with her and that the handbell choir was ringing for the last time before their summer break. It was heartwarming and joyful to hear E and L sing together in public in the weeks before their first child arrives. Our friend music director Nancy said that she could feel L’s breath supporting E, although I think that even into her ninth month of pregnancy, E’s breath control is better than mine.

Unfortunately, the rest of the day was more subdued. We wound up needing to take Nana to the walk-in medical clinic and then to the emergency room for some tests. She had made some gains and started outpatient physical therapy instead of having in-home therapy, but, in the last week, she has gotten weaker and more fatigued. This morning, we have a follow-up appointment with her primary care physician.

Sometimes, it is two steps forward, one – or more – back.

triple threat

My mom, known as Nana here at Top of JC’s Mind, has been having some cardiac issues and has been going to rehab twice a week. Last week, she had to miss because of the giant snowstorm and because she seemed to be suffering from a cold.

She had already been to the walk-in medical clinic once for her cough, but on Friday, her condition worsened, so she went back. They were concerned that she might have developed pneumonia so they ordered a chest X-ray from the hospital. The plan had been for her to stay at the hospital until the X-ray was read, but they were so busy, we had to take her home to wait for the results the next morning.

When the X-ray came back positive, we went back to the hospital. We spent the day in the emergency room, while they ran more tests. We were shocked that Nana’s “cold” had actually been type A influenza. The extra-strength flu vaccine that she had received last fall had kept down the usual fever and body aches that one expects from flu.

The other factor involved was some continuing problems with congestive heart failure symptoms. We are hoping to get a better understanding of the cardiac factors involved so we can chart the best possible course going forward.

Nana has been improving steadily with intravenous antibiotics and diuretics. We are hopeful that she will be able to come home in a few days, in time for Paco’s 92nd birthday this weekend.

We would all appreciate any healing thoughts and/or prayers that you might send out on Nana’s behalf.

 

One-Liner Wednesday: power

“Only love can safely handle power.”
~~~Richard Rohr
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Join us for Linda’s One-Liner Wednesday! Find out how here:  https://lindaghill.com/2017/03/08/one-liner-wednesday-lemons/

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SoCS: three dates

My mother – known as Nana here at Top of JC’s Mind – needs a diagnostic heart catheterization as follow-up to this fainting episode and likely prelude to heart valve replacement surgery.

The date of the heart cath was supposed to be June 28.

The week before, she had to have blood work done and the cardiologist didn’t like some of the numbers, so he cancelled it.

After weeks of doctor visits and tests, she was cleared to proceed.

The next date was August 17.

Unfortunately, the day she had to have the pre-procedure blood draw, she developed shortness of breath and wound up in the hospital overnight with a new diagnosis of congestive heart failure. She was discharged from the hospital and sent home to rest, waiting for the planned procedure on the 17th.

Except that the doctor’s office, looking at the pre-hospital rather than post-hospital blood work, cancelled it again.

I was very, very, very, very, very upset. After consulting with her primary care, the cardiologist promised to fit her in next week.

And then proceeded to give us the date of August 31st.

Which is not next week.

I’m still pretty upset, especially because the delay is what I feel got her into the diagnostic category of heart failure.

But, deep breath, and all that…

Fortunately, she is doing quite well now, although she has to take it very easy.

We are waiting for August 31st.

Third time’s the charm.

At least it better be.
*****
Linda’s prompt for Stream of Consciousness Saturday this week is “date.” Join us! Find out how here:  https://lindaghill.com/2016/08/19/the-friday-reminder-and-prompt-for-socs-aug-2016/

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SoCS: what I long for

Things I long for – or long for more abundantly:

peace
sleep
more hours to write
more hours when my brain is operating clearly enough to write
love
good health for my family, friends, and everyone else, too
co-operation for the common good
caring about important things
for public sanity and good will in the face of so many challenges
unity
an end to hunger, oppression, and deprivation

*****
This short and impossible list is  brought to be Linda’s Stream of Consciousness Saturday. This week’s prompt is “long.” Come join us! Find out how here:  https://lindaghill.com/2016/07/01/the-friday-reminder-and-prompt-for-socs-july-216/

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