Feb 11, 2015

Pneumonia, yet again

Dad has been in an acute area in Emergency at the Grey Nun’s for twenty four hours.  It now seems that he has pneumonia, for the fourth time in six months. He is very very confused and is in isolation but we have no idea why.  They only said that they were waiting for test results.  He is also awaiting a bed as he is likely to be there at least a week.  No idea how long that will take, possibly a few days.  At least he is not in the hallway in ER as a few others are.  I have not yet confirmed it but I recall that I was told last fall that a resident is allowed to leave the long term care facility for a maximun of 10 nights, including being transferred to a hospital.  After that he looses his bed and has to go the the bottom of the waitlist.  We’ll deal with that in ten days.  Cripes I can’t see my sibs packing up his room and starting all over again.  This time they had moved in some furniture.  It would be a huge job.

Sadly Dad is totally out of it.  I haven’t spoken to him yet.  He was given phenobarbital for pain last night and is still suffering the side effects.  He is on IV antibiotics and is not eating and is dehydrated.  Each time I call they are extremely concerned with Dad’s blood pressure.  When he crashed in the ambulance it was around 56/30!!  Today it is around 69/46 which for him is very good.  They keep trying to treat him for low blood pressure.  I have told several medical people his history but it does not get passed on.  I mean the guy’s heart is pumping around 25 -35% of normal so what do you expect?  Sadly it seems that the system is failing.  No one at the nursing home seemed to know the signs of pneumonia nor had an idea of what to do in an emergency.  They are sadly lacking in certain skills but excel at patient privacy.  Dad’s brother in law came to visit today at the nursing home.  He respected my sister’s sign to not disturb Dad from 1 – 3 PM as it is his nap time.  At 3PM he went into the room, found it empty as well as the bathroom and went to the front desk.  They told him that he had to call me here in Mexico for information.  When he refused they then they told him to call my sister which he could not do as he didn’t have her number either.  Finally after 20 minutes they told him that Dad was in hospital.  I only wish they would put as much effort into patient care.  Should I tell you the story of the staff member who was observed  ( just 3 days before Dad got ill ) sneezing several times into her bare hands and then proceeded to continue setting cutlery on the diner table?  Perhaps not.

He is not stable but I have reason to believe that he will be within a few days.  I thank you all for your support.  It really does make a difference.  Didn’t get much done on the condo clear out today.  However I not only got my beach walk in today but also got 90 minutes with a book.  I missed out on the 30C temps yesterday but did get outside in the 29C/84.2F balmy day.  The forecast is 28-30C for the next ten days.

Don’t forget that you can now click up on the top right hand side of the page to subscribe to my posts.  They will be delivered into your mail box.

I am going to leave you with a bit of humor I found on my online news this morning.

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Comments(13)

Feb 10, 2015

It didn’t even last two weeks!

I actually have been trying to write this blog post for at least two weeks but as you have heard from me, very often of late, I was busy.  This is how things went.  With ten minutes to spare with the 9:00PM deadline looming the only subject to the sale of Dad’s condo was removed on Thursday, January 29th.  That meant that the condo was officially sold with a closing date of March 19th.  My Magic Jack phone line rang at 10:00AM the next morning.  Dad was finally, after 6 months in hospital, being transferred to a nursing home.  This is the only nursing home in the entire city of Edmonton that can take someone with a chest tube.  It is at opposite ends of the city from where my family lives and is a big push for them to visit but there was no choice.  Normally you have 24 hours to accept the move and be moved to the nursing home.  Being as it was a Friday he would not be moved till the following Monday which was great as it gave everyone time to start packing things up.

dad was feeling quite well here ( taken a few weeks before he was moved )

Dad was feeling quite well here ( taken a few weeks before he was moved ).  My brother tells me that Dad was sending me a message that he was still in charge.

About 3:45PM that same Friday afternoon I received a phone call from the hospital stating that the doctor wanted to take Dad’s tube out  😯   I had very recently actually asked that doctor to consider taking the tube out as it hadn’t been drained since I was there in mid November.  He would not remove it.  You see if the tube was removed than Dad could go to one of the three choices of homes closer to the family.  So now at 4:00PM on a Friday we are being told that the tube is coming out on Monday.  Did that mean that Dad would lose the nursing home bed they were holding for him?  Would they hold the bed till Tuesday?  Amazingly Dad was being offered a private room.  That never happens I was told and everyone has to go to a shared room until a private one comes up about 6 months later.  But Dad would get his own room right away which was fabulous.  However what to do re the tube being in.  Family went back and forth.  Dad wanted the tube taken out before he moved.  I was fairly certain they would hold the bed for an extra day.  One sister thought that Dad should transfer to the home on Monday and come back in 2 -3 weeks to have the tube taken out.  Finally at 6:00PM  I spoke with the doctor and confirmed the decision to take the tube out before the transfer.  I didn’t find out till Monday morning that a sister had told the doctor we wanted Dad to move with the tube in.  She undermined me and the doctor should not have listened.

That Monday morning my first call was at 7:10AM and I was on the phone all day long and have been pretty much ever since.  A comedy of errors.  No one was available to take the tube out.  Meanwhile I was scouring the internet looking for adaptive clothing as Dad had to be dressed in normal clothes at the new place and of course he needed to be able to use a urinal.  I finally found some pants in Toronto that had a drop down front flap and had them overnighted.  Yeah for the inventor of velcro.  In the end the tube only came out just before supper Tuesday and Dad was moved Wednesday morning.  Not much recovery time at all.  So an exhausted and in pain man was transferred.  He was in a daze for days, literally.  He had been wearing a hospital gown for 6 months and only every ate in his room on his own.  Suddenly he had to dress and go to the dining room to eat.

Oh I forgot to mention that on that Sunday just a few days before the tube came out, he fell.  His third fall while in hospital.  So of course he was hurting from that also, not to mention that he hadn’t recovered from the fall he had just before Christmas.  Poor guy.  Of course once the tube came out dad could have gone somewhere else but he would still be on the waitlist.  He was tired of being in the hospital and eating a thee week rotation of hospital food for 6 months didn’t help.  He wanted out of that prison, so off he went to the nursing home.  It was a gong show getting him moved, the ambulance was late so my sister stayed with my Dad while my brother loaded stuff into his car and went ahead to the home.  He then got me in touch with the business office so I could get everything set up financially.  Can you believe that just in case, I had already gone there in November and pre signed some blank documents and left a void cheque?  So it was fairly easy except I had to figure out how to pay for the last 4 days of January.

The next several days were a blur of trying to get Dad settled, bringing in a few small pieces of furniture from home.  His room is really tiny.  I got him a phone and was able to retain the same phone number he has had for years and years and got his cable set up.  We brought in a much larger TV from home and a few personal momentos.  It wasn’t easy and it still isn’t finished, things need to be hung on the walls but we are waiting for maintenance.  Dad perked up after a few days and really enjoyed the food.  His favorite was perogies and sausages for lunch.

Dad is his new room.

Dad is his new room.

Meanwhile I am dealing with constant calls all day long from the hospital.  As I am the Power of Attorney I am the only one they will ask questions of.  My sister was put out as she was right there and knew the answers but rules are rules.  I spoke to so many people that my head was spinning.  One memorable strong discussion was in allowing Dad’s foam mattress top to be put on his bed.  After three nights of him not sleeping I stepped it up a few notches and he had the foam topper on within the hour.  Lots of similar battles.  At first they only would serve him minced food because they had to do a gag test to make sure that he could swallow.  It would take 10 days before they had time to do the test.  With my intervention it was done within 3 days and he finally could eat some real food.  Except he kept getting served sandwiches for lunch day after day.  It was my understanding that all meals had two choices.  When Dad and my sister asked they were told that you could only have the second choice if you were allergic to the first choice or what was put in front of you.  Two days later I finally was able to corner the head dietician.  He sheepishly admitted that it was easier to serve the same thing to everyone but if Dad wanted the alternative choice he could have it.  So that is the type of days I have been having.  I have to admit that I was shocked to get a phone call from Dad’s newly appointed MD late on night.  That was yet another hour of filling him in on Dad.  He did say to me that after reading Dad’s chart he had a certain expectation and yet when he met Dad he was surprised at how good he was doing.  I’ve said it many times, there is nothing wrong with Dad’s mind, just his body and how it functions.

Out of the blue I got a call the other day that my Dad’s top choice of longterm care home had him at the top of the list.  Did we still want him to move there even though he had been moved just a week ago?  More phone calls back and forth.  It was a private room ( the entire place has private rooms ), it was only two years old and it was only 15 minutes away from family.  However they all said no as Dad was worn out from move number one and they also didn’ t have the energy to move him yet again.

So the calls have been many and often lengthy.  I am also working at getting the condo cleared.  Then yesterday we got a request to advance to possession date.  So many decisions.  At one point this morning I was looking at flights to go back to Edmonton.  But honestly I have been coping from here and know I can continue to do so.  At least I get a beach walk every day and we are together.  I sit at the computer either typing or on the phone for a solid 4 -8 hours and sometimes more per day.  Thank goodness for Magic Jack.  Colin does his thing either studying Spanish or playing his guitar and comes in to feed me from time to time and later in the afternoon I am served chilled vino blanco.  We have had some nice times going out and last night was extra special but I will have to share that with you another time.

I called Dad this morning and he seemed very very spacey.  He told me he was so dizzy and couldn’t even sit up.  He did not eat last night nor this morning.  My sister called me and told me that Dad was not doing well at all.  A bit later she called and expressed  grave concern for Dad.   He was in pain, had trouble breathing and was very hot to touch and she thought fevered.  She had been putting cold cloths on his forehead. A bedside chest x-ray was done via a mobile unit.  I called the front desk for the results and was told that Dad was just fine……I asked about the Doctor coming to visit and the x-ray results.  Everything was fine they said and the MD might be coming by on Thursday.  Thursday  🙁  Another call to my sister at my Dad’s bedside.  She says he looks very bad and he wants to go to the hospital.  I called the nursing station yet again and insisted they go check on my father immediately.

Within 30 minutes an ambulance was called.  Calls back and forth.  Finally Dad is on the way to the hospital and she is driving there in her car.  As I type this, Dad is in ER waiting to be assessed.   Meanwhile I get a call from the newly appointed doctor.  He is upset.  He told he has repeatedly given the staff a specific number to call in an emergency, yet they left messages at 3 other numbers.  How many phones does this guy have?  At least he has called me.  He asks me some questions and between us it seems that the staff has not done the right thing.  An aside here…..I was told that the staff rotate daily so they don’t get burdened with the same patients.  My reply to that last week, was how the heck can anyone then assess how the patient/resident is doing if they haven’t observed him for a few days in a row?

So right now, Dad is in ER.  I was told by Dad’s new MD that Dad had crashed and was stabilized by the EMS before they could even get him to the hospital.  Could Dad have had a silent MI?  Yes I believe so and the long term care staff did not see it. Dad’s heart is only functioning at 40% or less and I was told that a cardiac event could trigger the end.   So now I still sit at the computer waiting to hear from my sister, from the hospital and from the doctor who has promised to call me as soon as he hears anything.

Sadly he never even made it to the two week mark before he went back to the hospital.

Comments(22)

Feb 09, 2015

Blog changes and some animal life

I spent a very large part of Sunday updating and making some changes to my blog.  Many thanks to Rae for her expertise and vast knowledge and very reasonable rates.  For those of you who kept asking me over that past year, you can now subscribe by email so you get each new post delivered directly to you mailbox.  Check out the link at the top right of the page.  Yes that is a search this blog box, not sure if you will use it much but I certainly will  😉  One other noticeable change to you is that you no longer have to fill in the Captcha Code box which will make it easier to comment.  Plus…..

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You can click on the small box under your comment if you would like to receive my comment back to.  You also can click on the green subscribe link and follow any comments without actually commenting.  Lots of choices and of course you can just make a comment and not click anything at all other than Submit Comment.

Big reunion happy hour over at RV2 last Saturday.  Hosted by Mary

Big reunion happy hour over at RV2 last Saturday. Hosted by friends Marilyn and Larry Vanstone who were last here four years ago.  Their blog is the Amazing Vanstones.

This oriole has discovered my outdoor food area and was busy pecking away at the zuccnini

This oriole has discovered my outdoor food area and was busy pecking away at the zucchini.

I am being invaded by these ???  First a white butterfly lays eggs and then they hatch ( and if I don't find them ) they grow into there worm things and

I am being invaded by these ??? First a white butterfly lays eggs and then they hatch ( and if I don’t find them ) they grow into these worm things who hatch into white butterflies that come and lay very tiny yellow eggs and the cycle starts all over again…. sigh!

 

So if I want to have kale ( they don't eat the swiss chard at all ) in my smoothies which we finally started today then I have to do a critter patrol every morning.

So if I want to have kale ( they don’t eat the swiss chard at all ) in my smoothies, which we finally started today, then I have to do a critter patrol every morning.

This horse dropped by for an afternoon snack yesterday.

This horse dropped by for an afternoon snack yesterday then moved on down the road.

Those are my girls first thing in the morning.  They sleep between us and each have their own pillow.  WIsh we had a king bed in the RV.

Those are my girls first thing in the morning. They sleep between us and each have their own pillow. Wish we had a king bed in the RV!

Last evening.

Last evening.

Silhouettes at sunset.

Silhouettes at sunset.

The pelicans were having a blast.

The pelicans were having a blast.

Let me know what you think of my blog changes.  Is there anything else you want me to change or have suggestions about?

 

 

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Feb 07, 2015

50% of our time on the Isla has passed

Have we really been here almost two months?  There is so much optimism when you first get here as the months ahead seem to stretch out giving you the illusion that you have oodles of time.  Sadly departure day of April 1st is fast approaching.  Where did January go?  We are enjoying our time but there seems less of it this year, well at least for me it seems so.  I  feel like I am on the computer all day and yet I have so little time to do what I want to do, like post a blog.  Carmeh & Caeli have taken more of our time because of their back issues and my time has been taken by family members. Caeli is doing much better and today we let her do a bit of a walk on the beach.  At least I am here and not in freezing Edmonton @ -23C  with the wind chill while here we are enjoying temperatures around 29C on a daily basis which today with the humidity feels like 32C  😎  Speaking of the weather….

...this boat came into our bay last weekend seeking shelter and dropped anchor right out front. Those dark clouds dropped a huge amount of rain from midafternoon till the next morning. It took us two days to dry out. Our roof has a leak. We won't do anything about it till next November just in case a hurricane blows the entire palapa away. We haven't done anything to it since it was built 4 years ago so we are due for repair work. That amount of driving rain at this time of year is most unusual but we dried out, it's only water.

These pelicans were hoping to catch some fish around the net.

Another shot showing how far over the sun is setting. When it reaches the right of El Faro it will be time for us to leave the Isla.

Rather than leaving the net in all night as he had done the previous day he pulled it out at sunset. You can see some of the fish he caught in his net.

It was one of our first nice sunsets in a week.

I went into town on my own yesterday just to get away from the phone and to wander around.  It was fun exploring several of the stores surrounding the mercardo, the mercardo itself and a large department store across from the Cathedral, Fabricas de Francia.  Lots of lovely very expensive clothes that I would love to have but can’t afford.  Still it was nice to browse and I found a salad spinner to replace ours that had packed it in.  It was marked down to 279 pesos from 399 and then I was given a further 20% off to a final 223.20 pesos.  However I hard a card in my wallet that I was given last year when I bought a tote bag there and I had no idea what it was all about but handed it to the cashier thinking I would be collecting points.  Instead it gave me another 99.80 pesos off, surprise!  So in the end I paid a grand total of 123.40 pesos ( $10.40 CAD ) for a salad spinner that was originally priced at $33.67 CAD.  Now that was a deal for the only one on the shelf.  I had a wonderful shrimp burrito stuffed with lettuce and avocado and cheese.  It was advertised as a quesadilla but served like a burrito, great deal at 27 pesos/$2.25CAD and very filling.  I ended up carrying three full bags around with me so no photos.

For the first time ever I went into town, came back to the Isla and then went back into town last evening.  It was Art Walk, the first Friday of the month, an art event where many artists open their homes and studios to the public.  Click here to see photos and my write up about Art Walk from last January.  Colin and I strolled around, saw some friends and looked for somewhere to have dinner on the Plazuela Machado.

Who did we run into but Hannelore and Peter? We haven't seen them since last March and they were not planning on returning to Mazatlan this winter but there they were, having just flown in a few days ago. A lovely surprise. Forgot to mention to you Peter, I really like your shirt.

This photo was taken January 18, 2014. Wow, do I ever look different! Hannelore and Peter you look wonderful year after year.

My post on January 18, 2014 was entitled Enchanted Evening.  It was one of my most favorite evenings ever.  Read about it here.

This is the Carnavale monigote, Luz de Luna, that overlooks the Plazuela Machado.

Enjoy your Saturday everyone.  We certainly enjoyed last night, great to get out and do something different.

 

Comments(16)

Feb 01, 2015

Clouds & rain = good cooking

The last sunset of January, considering the heavy cloud cover it was respectable. Big freighter coming into port.

Came back inside to find Carmeh sitting on my computer chair. She is not supposed to jump but it was my fault for not pushing the chair under the desk. I have no idea why she wanted to be up there.

I did make pizza last night and it was perfect. First I made the crust then added pizza sauce and topped that with a mix of chopped swiss chard and kale fresh from my garden. That was topped with broccoli, soy pepperoni, mushrooms and pineapple and of course wonderful Chihuahua cheese. We even have leftovers.

It rained off and on through the night and petered out by 10AM.  We spent the morning relaxing and reading.  Colin did take Carmeh for her walk and I decide to take the day off by not walking at all.  Just felt like it.  It was cool this morning and so I got the thought to make some soup.  By the time the veggie guy came and I started chopping the veggies, the sun was out and it was getting warm.  While the soup was simmering I got to sit out in the sun and read.  Another good day.  It was cool if you were not in the direct sun and the wind was strong so…..

...Colin had to be creative. If you look closely you will see he is sitting with his back to the wind off the ocean and his sheet music is being held in place with clothes pegs. That is Carmeh behind him on the chaise.

A story about my lentil soup. I didn't have any lentils! I was rushing the last few days before we left Kelowna and somehow I ended up with 4 bags of split peas and no brown lentils. So I made the soup with the green split peas and it was very good but I suspect it will thicken overnight. I'm certain I can get lentils at the mercardo in Centro but when will I ever get there. We don't leave the Isla much, no real need to.

The last two days have been more relaxing for me.  I really needed to pull back.  Monday morning is massage day  😀

Thanks to blog reader Sandy for sharing more info on the benefits of avocados.

 

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