Tuesday, February 5, 2019

Tuesday, February 5, 2019, 11:36 am


HE IS CURRENTLY IN ROOM 318 A

Good news: He actually got two hours of sleep last night.  Yeah!
Bad news: Galore: -
-I thought he was able to maintain his oxygen level with just the nose tubes.  No, he’s been back and forth.  He’s on the nose tubes until his oxygen level drops too low, and then he’s put back on the mask.  He sometimes asks to get off the mask for a while.
-I was told his hemoglobin was low, and he might need a blood transfusion and that the low HH had something to do with his kidneys.
- I was told he is still in critical condition.

THEN, his kidney doctor came in:
Mostly good news:
-Yes, his hemoglobin is low. Normal is something like 12-18. His is at 8.4.  They will give a transfusion if it drops below 7. 
-Yes, they have been monitoring him regularly with a CBC. Now, they are taking blood every 12 hours to watch him.  They have to be careful as to how much blood they take because he’ll start feeling and looking like he was attacked by a vampire.
-The reduce red blood count is not a result of his kidneys.  It is caused by reduced output by his blood marrow. The doctor said that it is normal for someone who is so desperately ill as Mike is. YEAH!  This problem will correct itself as he gets better. Phew! 
-All this information came from Dr. Lau, who is his kidney doctor. Then he said something like, “ Since he is a candidate for a kidney transplant . . . “ WHAT!!!! He can still get a transplant after this?!! Yep!  We’ll see. “ Maybe he can get a pancreas transplant at the same time he gets a kidney transplant.’  I’ll be married to one biologically confused human being. He already has a corneal transplant.   Any more organs want to volunteer for replacement?
- When I told Dr. Lau that he was still in critical condition. He agreed he was very sick, but told me he has been moving in the right direction.
THE respiratory therapist just came in.  He agrees that Mike is having difficulty maintaining his oxygen level on his own because of his low blood count.  It is the red blood cells that carry the oxygen.  However, he also told me that he doesn’t have the nose cannula set at the highest level.  That means his body can do more on its own.  Also, he has been on the nose cannula for more extended periods. 
             I slept pretty well last night, more than the 6 hours I’ve been running. I had to leave earlier than usual yesterday.  I left at 3 instead of 5 or 6pm.   I was going to wait till he was moved to a floor, but I couldn’t bear another minute. My heart felt like I had lead in it. And then, there was that lump in my chest a bit higher.  It felt like I didn’t have the strength to stand up straight; the weight was so great. I knew I had to get out of there before I dropped dead at the foot of his bed.
            Before Jean left to go back to NJ, I tested my blood pressure with her monitor. It was 154/94. Yikes!  That’s what I run on the very, very high end. My blood pressure has been as low as 126/ 75 within the last year. Concerned that my body would start considering this the new normal, I contacted my primary physician in Kona and asked her to prescribe blood pressure medication for me.  Because I’m Kaiser, she could send it straight to the hospital pharmacy. Done!  Unfortunately, it doesn’t seem to be making much of a difference. I take my blood pressure every morning and night and is still showing numbers like 150/90.  My pulse is also high. 
            The good doctor told me to take it one day at a time, he’s making progress.  I pointed out to the good doctor that this morning was the first time I heard about his hemoglobin problems.  As far as I was concerned, this just started.  Ah, the good doctor said.  It’s not a steady process; it’s peaks and valleys.  I’m in shock and exhausted by this roller coaster.


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