Tag Archives: MGH

Day 66: Thursday, July 16

Had a decent sleep, interrupted of course by nurses bringing meds, taking vitals, and drawing blood. Also, they moved a new patient, Jim, next to me late at night. He’s 91 and seems to have multiple problems. I haven’t talked to him. Despite the interruptions, I put on my headphones and listened to ambient sleep sounds and slept soundly till 8 am. Fitbit gave me a 78.

I was not moved to MGH yesterday, obviously. Still waiting for beds to open up.

Sat in on the final MMGA Helpline Training class in the evening. Partway through the nurse stopped in to tell me that a bed had opened up at MGH and that an ambulance had been ordered. I asked if it could be put off until after the class at 8 pm, and she said she’d ask. Came back to say they were ok with that.

Ambulance to MGH: Drove down Memorial Drive and I could see out if the back some of my old haunts from when I worked in Kendall Square. Seems like an age ago. We checked in at MGH and set off for Ellison. It has 23 floors and I was hoping for a high one, but I’m back on the 6th floor which is where I was before. I’m in room 618a – no window, but probably nothing to see anyway! A nice nurse, Caitlin, helped me settle in.

Dr Ratnasamy from orthopedics stopped by. He told me that my femur was fractured, alongside the plate. I’m surprised that the doctors at Emerson didn’t catch it. Anyway, it’s going to be a CAT scan and an X-ray, probably tonight, followed by surgery tomorrow.  After discharge from MGH it’ll be a minimum of six weeks in rehab. Will try to catch my case manager to see if we can get into Whittier this time.

Day 52: Thursday, July 02 – Discharge

PT came early and we talked about equipment. She adjusted my brace which had not been right since the CAT Scan techs took it off two nights ago. She also talked about the importance of keeping the foot in the proper position, otherwise it may set in a bad position when I take off the brace. The boot is used for when I’m lying down or I’m in a chair, which is most of the time; it’s not a boot for walking. She gave me an exercise to strengthen the foot with a band. We also did the stairs bum-sliding and she was satisfied with that.

Back in the room I still expected that discharge would be Friday, but after Maureen had left I saw a doctor from infectious diseases who said I might be discharged today. This was confirmed by another infectious diseases doctor, who also told me about the antibiotic I had to take. When Maureen arrived she joined in the discussion. The doctor ordered the required medications from the hospital pharmacy. At 3:00 PM I started watching the Spain Austria game in the World Cup. I wished Martin was still around to see it. I was supporting Spain, Maureen, although not following the game, was for Austria. Just after the first hydration break Oyarzabal scored to give Spain a 1-0 lead.

The game had just resumed when I got a message from the pharmacy that the meds were ready for pick up. The nurse, Vallerie, came in with a Doctor Jill something to discuss discharge, and to tell us that there was another medication we had to pick up. While waiting for the pharmacy she told us about the antibiotic, it’s called Bactrim. We talked about dosage, also possible minor and major side effects.

A little after half time everything was in order for me to leave. I took 15 milligrams of morphine, got into wheelchair, and Maureen wheeled me to the hospital pharmacy to stand in line for the remaining medication. Maureen wheeled me outside and parked me while she left to get the car. I had never gotten in the car before with the brace so I wasn’t sure if it could do it. But it did. It was harder even than when I had the cast.

It was a relatively quick drive home, and I bum-slid up to the bedroom and to the bed. Quite exhausting! Took another 15 mg of morphine. Maureen left to get milk and a few groceries, and to pick up Trixie from Andrea’s. Maureen back home. Trixie very curious! Happy to be home!

I sent out an update to my correspondents “One Step Beyond.” So far, no one has caught the reference to the song by Madness.

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Day 51: Wednesday, July 01

Best sleep for a while except for nurses waking me up every few hours. The good news is that for the first time I had no chills or shivering last night. Fitbit can’t calculate a sleep score. Blood tests show WBC down from critical levels at Encompass. Other counts are a bit worse.

Bridget, the nurse practitioner, stopped by to tell me that the most recent blood cultures at MGH were negative. That’s a good thing, meaning they didn’t detect any bacteria. I obviously had something at Encompass, however, but MGH doesn’t have access to the blood cultures that they did there and are trying to get copies.

Because the blood cultures are negative, it’s possible that I can be discharged in a day or two. It really depends on Physical Therapy and Occupational Therapy assessments. OT was just here and they watched me transfer from the bed to the recliner, and use the walker. I’m still waiting on PT.

The pool water was delivered this morning, and I watched most of it with the backyard Eufy camera. It appears to have been successful. I had Maureen prime and run the pump and it’s working correctly.

Kylie, the PCA, helped me to the bathroom for a BM. Then she did another blood draw. I guess there’s a real knack to drawing blood. Some nurses are really good at it and others poke painfully around before they find the vein. It’s important, of course, to be properly hydrated, but it also helps I’ve found if they warm the area before they try to draw the blood. Not all nurses do this.

Doctor Gace confirmed what Bridget said that the most recent blood cultures were negative. But they need another 24 hours for the blood cultures to continue negative. They’re still trying to get results from Trident.

My roommate, Andy, had a couple of procedures today. I don’t know all the details, but he’s been treated for cancer before and now it has metastasized to his brain. I overheard the doctor yesterday talking about what to expect. He’s able to walk but needs a walker because he’s a bit steady. It certainly sounds as if the treatment is to control the tumor rather than it. He’s an ex-Marine, about 50. years old. We talked about what happens when we die. It sounded a bit like what I’ve thought about the eternal now. And it sounds like he’s made peace with the world.

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Day 50: Tuesday, June 30

Another rough night. At 11 pm I had another short episode of uncontrolled shivering followed by feeling very cold. I asked the nurse for extra blankets – initially she refused outright to give them to me under the misapprehension that I was running a fever. I assured her I was not running a fever, that she could to take my temperature, and that I’d had similar episodes of feeling cold without running a fever. I must say I was annoyed at her reaction, falling back on a cookie-cutter remedy to shivering without asking me about my actual experience.  I politely repeated my request – no point in pissing of the nurses if you can avoid it. I woke up at 4:15, tired, but feeling quite a bit better. I wanted to find out if I could take my morphine meds, so I asked the same nurse to take my blood pressure. She replied that she didn’t want to. When I told another nurse, Catherine about this later she passed it off as a bad joke. Maybe it was, but I didn’t find it funny. She did eventually put the cuff on me but then did not come back for 20 minutes to read it. It was normal. Bad nurse went off duty – hope I don’t get her again tonight. Catherine came on about 7:00 to take care of me, replaced the antibiotics bag which had mysteriously been disconnected overnight, and gave me my meds, including 30 mg of morphine. It’s hard to say if it works better or worse than the other opioid based painkillers, but I’m not in the mood for experimentation. The NP came mid-morning to remove my last remaining drain. I also got a visit from an oncology doctor, Jessica Lin, who let slip that pathology had identified the cancer as a chondrosarcoma, but no further details as to grade. When I said that I hadn’t heard this from SLC she back-pedalled a bit saying, maybe she was mistaken.  Maureen came late morning and left early afternoon, and I’m still on the ER overflow, although status on the portal has changed to say “Preparing for Admission.”

Worked on blog all afternoon, then at 5 pm Nurse Maddie came to tell me that I had a room. Mad unplugging of everything. While all this was happening the ward nurse came with an iced drink of somethin nasty. It was contrast for a CT scan at 5:30, for which, of course they had to remove the brace. Scan was about 20 minutes after which they had to replace the brace which they couldn’t get right. Had to have the nurse adjust it properly when I got back to the ward. Finished packing up and then was wheeled up to the 16th floor. Feeling pretty good right now except for some leg pain.

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Day 49: Monday, June 29

Woke up around 6 am according to my Fitbit. The nurse, Jenny, brough me my meds and took my vitals around 7 am. Breakfast as 8 am. I was feeling ok despite the episode of nausea the night before. I had a bowel movement just before Maureen showed up 10:15 for the joint OT/PT Caregiver sessions scheduled for the morning. It started with Lauren, the OT who had essentially nothing to say that we didn’t already know, but kept talking anyway. She was interrupted by nurse Jenny coming in to say that they were sending me back to MGH. They were worried about the infection but were holding off on prescribing antibiotics. Maureen left to go home. I was transferred to a stretcher and went by ambulance to MGH. It was a very quick ride; I was at MGH before Maureen had reached home. I was transferred to another stretcher, checked in at the Emergency Room, and got a bunch more blood tests. Maureen got here at MGH around 3 pm and stayed here while I and had multiple x-rays and was examined by Thomas Heyne. Turned out he had spent a year at Oxford at St. Cross. Since they did not have a bed available to admit me I was  moved to a different section, the Flex area, room 75 – a tiny cubicle with a curtain to divide me from the main area. No window of course. I got two IVs, one in the thumb side of left wrist, for the cephalic vein, and the other in the hollow area inside the right elbow, for the cubital vein. They started giving me two broad spectrum antibiotics: vancomycin and cefepime. I was still in the ER at 9:30 pm, and it seemed unlikely that I would get a bed that evening.

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