I had my check-up this morning with the trauma team doctor and he is very pleased with my respiratory progress and overall healing. He's making a few changes to my meds, but basically said he was going to focus his energies on sick people from this point forward. He mentioned something about never wanting to see me in there again, but I'm not quite sure how to take his comments.
The cardiologist has scheduled my stent clean-out for the week of July 4 and it will be done on an outpatient basis in Tyler. The recovery from this point forward will take another 6-8 weeks, but I'm gaining strength with every passing day.
We are bringing this blog to a close as it looks like my health problems are on the mend and one day not too far from now my bike will be fixed and I will off riding it again, trying to keep the rubber down. Rhonda and I would like to thank Tim for creating and maintaing this blog and thank all of you again who were following this blog. Your prayers, kind words of encouragement and support have been more appreciated than you will ever know.
We will be back in Carrollton this weekend and look forward to seeing everyone there soon!
Love & Appreciation,
Phil & Rhonda
Wednesday, June 15, 2011
Day 32 - Final Disbursement
I am very pleased to advise that we will be making a final disbursement to Rhonda and Phil in the amount of $480. With this disbursement, I will be closing the beneficiary account.
Thank you again for your support of this very special family.
Thank you again for your support of this very special family.
Sunday, June 12, 2011
Day 29 - Discharge +6
It could happen...
This morning, Phil woke early and made a pot of coffee. He went out to the garage for about an hour to tinker on a project he started a couple of months ago. Once that was done, he mowed the yard...using a push mower. Hot and sweaty, he then took a 30 minute swim across the cove and back, stopping only once to rest.
No, none of this happened, but in Phil's mind there is no doubt that he will regain that level of strength and endurance.
He has been religious about his hourly respiratory therapy and pushes himself to improve a little each day. With his clavicle mending, Phil can't do much to work out his upper body. But his leg strength is good, with the walks around the retail stores curtailed only when his ribs and clavicle begin to hurt. He's also returning to his chatty self and I understand he has spoken with many of you over the phone on occasion.
Accidents do happen...and sometimes, just sometimes, so do miracles.
This morning, Phil woke early and made a pot of coffee. He went out to the garage for about an hour to tinker on a project he started a couple of months ago. Once that was done, he mowed the yard...using a push mower. Hot and sweaty, he then took a 30 minute swim across the cove and back, stopping only once to rest.
No, none of this happened, but in Phil's mind there is no doubt that he will regain that level of strength and endurance.
He has been religious about his hourly respiratory therapy and pushes himself to improve a little each day. With his clavicle mending, Phil can't do much to work out his upper body. But his leg strength is good, with the walks around the retail stores curtailed only when his ribs and clavicle begin to hurt. He's also returning to his chatty self and I understand he has spoken with many of you over the phone on occasion.
Accidents do happen...and sometimes, just sometimes, so do miracles.
Saturday, June 11, 2011
Day 28 - Discharge +5
Rhonda and Phil seen terrorizing Tyler retail outlets...
A couple of days ago, I mentioned that Phil and Rhonda were planning an excursion to Wal-Mart for indoor walking. When I heard of this outing, I had visions of the joke about all the pranks the (bored) retired gentlemen pulled in a Wal-Mart while shopping with his wife. On Thursday, they stopped at the local Brookshires grocery store for a bar of soap. After pushing a grocery cart up and down each and every isle, they arrived at the check-out counter with....a bar of soap. Local police reports indicate a couple fitting their description also loitered in CVS Pharmacy on Friday. Local residents and business owners have been warned to be on alert and report suspicious activity immediately.
On Friday, Phil met with the cardiologist for a progress check. His EKG and vitals were all fine, but they did make a few adjustments to his meds. No immediate rush on the stent clean-out, but he will probably have that done in 8-10 weeks. The next doctor visit (with the trauma team doctors) is scheduled forTuesday Wednesday.
Best of all, both Phil and Rhonda are in great spirits...thanks to your encouragement.
A couple of days ago, I mentioned that Phil and Rhonda were planning an excursion to Wal-Mart for indoor walking. When I heard of this outing, I had visions of the joke about all the pranks the (bored) retired gentlemen pulled in a Wal-Mart while shopping with his wife. On Thursday, they stopped at the local Brookshires grocery store for a bar of soap. After pushing a grocery cart up and down each and every isle, they arrived at the check-out counter with....a bar of soap. Local police reports indicate a couple fitting their description also loitered in CVS Pharmacy on Friday. Local residents and business owners have been warned to be on alert and report suspicious activity immediately.
On Friday, Phil met with the cardiologist for a progress check. His EKG and vitals were all fine, but they did make a few adjustments to his meds. No immediate rush on the stent clean-out, but he will probably have that done in 8-10 weeks. The next doctor visit (with the trauma team doctors) is scheduled for
Best of all, both Phil and Rhonda are in great spirits...thanks to your encouragement.
Friday, June 10, 2011
Thank you from Phil
I just recently realized that for the past few weeks I had a problem. Although I really don’t remember much about what I was going through, nor why I was where I was, I do remember seeing Rhonda’s eyes staring at me and hearing her tell me how much she loved me and that she was there with me to keep me with her. Well, I thought I knew that, so why was she repeating it so often. Maybe she knew something I didn’t.
Well as it turns out I was where I was, in the condition I was in, because I apparently had tried to perform a few “stupid pet tricks” while also trying to ride my bike. Trust me when I tell you that the two don’t mix well together. That’s what had gotten me to where I was and Rhonda staring at me.Fast forward a few days to today and although I still don’t remember much about what has been going on the past few weeks I have come to realize the severity of the situation. But I’m feeling much better today and every day seems to show improvement. So now I wanted to know what’s been going on during my hibernation period. And what I’ve learned about my family and friends has touched me deeper than I ever thought possible. I’ve had a chance to read this blog that Tim put together. Thank you Tim. Posting the updates allowed my family and friends to stay up to date when no one was allowed in to see me. The kind words, the positive attitudes and simply the time spent by all to write the words of care and encouragement has made me stop and remember how special you all are to me. Thank you for the money you sent us to help cover the medical expenses. It is very much appreciated and needed. I don’t know how else to thank you and to tell you how much all this means to me. I can’t wait for the day that we can all get together for a group hug. In the words of the great John Wayne “Life is hard. It’s even harder when you’re stupid.” Well I’m going to try not to do the stupid things in the future, like riding my bike upside down, and hopefully make my life a little less hard. Phil
Well as it turns out I was where I was, in the condition I was in, because I apparently had tried to perform a few “stupid pet tricks” while also trying to ride my bike. Trust me when I tell you that the two don’t mix well together. That’s what had gotten me to where I was and Rhonda staring at me.Fast forward a few days to today and although I still don’t remember much about what has been going on the past few weeks I have come to realize the severity of the situation. But I’m feeling much better today and every day seems to show improvement. So now I wanted to know what’s been going on during my hibernation period. And what I’ve learned about my family and friends has touched me deeper than I ever thought possible. I’ve had a chance to read this blog that Tim put together. Thank you Tim. Posting the updates allowed my family and friends to stay up to date when no one was allowed in to see me. The kind words, the positive attitudes and simply the time spent by all to write the words of care and encouragement has made me stop and remember how special you all are to me. Thank you for the money you sent us to help cover the medical expenses. It is very much appreciated and needed. I don’t know how else to thank you and to tell you how much all this means to me. I can’t wait for the day that we can all get together for a group hug. In the words of the great John Wayne “Life is hard. It’s even harder when you’re stupid.” Well I’m going to try not to do the stupid things in the future, like riding my bike upside down, and hopefully make my life a little less hard. Phil
Thursday, June 9, 2011
Day 26 - Discharge +3
Progress continues. Phil's appetite for solid food is starting to pick-up, with a turkey sandwich being the splurge dejour. He's getting stronger with each passing day and working on building his stamina. Perhaps most remarkable is he is minding Rhonda!
Wednesday, June 8, 2011
Day 25 - Discharge +2
"Momma, let's go to Wal-Mart!"
After just one day, Phil has "worn-out" his little walking path inside the house, "I've seen all the interesting sights!". Rhonda keeps a close eye on him and, somehow, he talked her into letting him go outside and into the garage just for some new scenery. At last report, they were planning a trip to Wal-Mart later today or tomorrow so that he could walk more in an cooled environment.
The bed adjustments worked great - he slept soundly and uninterrupted. And his tube wounds are healing well, even the trach hole, which was one of the last to be removed. We haven't weighed him yet (can't get him to stand still long enough), but my guess is he's lost 25-30 lbs on the "crash" diet.
Pardon the pun.
After just one day, Phil has "worn-out" his little walking path inside the house, "I've seen all the interesting sights!". Rhonda keeps a close eye on him and, somehow, he talked her into letting him go outside and into the garage just for some new scenery. At last report, they were planning a trip to Wal-Mart later today or tomorrow so that he could walk more in an cooled environment.
The bed adjustments worked great - he slept soundly and uninterrupted. And his tube wounds are healing well, even the trach hole, which was one of the last to be removed. We haven't weighed him yet (can't get him to stand still long enough), but my guess is he's lost 25-30 lbs on the "crash" diet.
Pardon the pun.
Tuesday, June 7, 2011
Day 24 - Discharge +1
Did you hear the one about...
Phil 's first full day home was spent making the little adjustments that will help the recovery along. We moved a recliner over so that he'd have a few more seating options, adjusted the bed mattress to slightly elevate his head which helps his breathing, and he memorized the daytime TV schedule so that he can time his naps around Oprah and American Chopper - The Series. He's mapped out an indoor walking trail complete with random moguls (the dogs) where he can practice his "old man shuffle". Actually, his stride is pretty strong - slower than normal, but strong.
He's able to laugh now without the excrutiating rib pain and is starting to joke around and tell jokes. And trust me, he could use some new material (hint, time to kick-up the joke emails and comments again). All-in-all, he's off to a great start on a 6-8 week recovery...and determined to do all the right things to make it shorter.
Phil 's first full day home was spent making the little adjustments that will help the recovery along. We moved a recliner over so that he'd have a few more seating options, adjusted the bed mattress to slightly elevate his head which helps his breathing, and he memorized the daytime TV schedule so that he can time his naps around Oprah and American Chopper - The Series. He's mapped out an indoor walking trail complete with random moguls (the dogs) where he can practice his "old man shuffle". Actually, his stride is pretty strong - slower than normal, but strong.
He's able to laugh now without the excrutiating rib pain and is starting to joke around and tell jokes. And trust me, he could use some new material (hint, time to kick-up the joke emails and comments again). All-in-all, he's off to a great start on a 6-8 week recovery...and determined to do all the right things to make it shorter.
Monday, June 6, 2011
Day 23 - 6pm Update
Well, it was fun while it lasted.
One of Phil's wounds began bleeding in the shower this morning and continued to bleed through the gauze pads this afternoon. Rather than guess what was happening, the doctor asked Phil to come back in for further inspection. Appears that when he received one of his shots in the abdomen this morning, they nicked an artery. After receiving a couple of stitches, he was back out the door and on his way home.
He's now resting comfortably and enjoying the quiet of home with Rhonda and the dogs close by his side. No more being awoken to be poked, prodded, and monitored with every move. Then again, no more morphine either!
As promised, we issued the first disbursement check from the benefit fund today to coincide with Phil's release from the hospital. Thanks to your generosity, the certified check was in the amount of $7,000. Here is the card that accompanied the disbursement to Rhonda and Phil on behalf of Phil's Village.
Thank you VERY much for your generous donations and continued support. You have touched this family in ways that cannot be imagined. I'll keep the account open another week or so to catch any donations en-route, then issue a final check and post the update on the blog.
BTW, Phil is beginning to read the blog a little at a time, so let's ramp-up the comments and give him something to chuckle about!!
One of Phil's wounds began bleeding in the shower this morning and continued to bleed through the gauze pads this afternoon. Rather than guess what was happening, the doctor asked Phil to come back in for further inspection. Appears that when he received one of his shots in the abdomen this morning, they nicked an artery. After receiving a couple of stitches, he was back out the door and on his way home.
He's now resting comfortably and enjoying the quiet of home with Rhonda and the dogs close by his side. No more being awoken to be poked, prodded, and monitored with every move. Then again, no more morphine either!
As promised, we issued the first disbursement check from the benefit fund today to coincide with Phil's release from the hospital. Thanks to your generosity, the certified check was in the amount of $7,000. Here is the card that accompanied the disbursement to Rhonda and Phil on behalf of Phil's Village.
Thank you VERY much for your generous donations and continued support. You have touched this family in ways that cannot be imagined. I'll keep the account open another week or so to catch any donations en-route, then issue a final check and post the update on the blog.
BTW, Phil is beginning to read the blog a little at a time, so let's ramp-up the comments and give him something to chuckle about!!
Day 23 - Special Bulletin
Phil has been asked to leave the hospital.
OK, perhaps a little too dramatic, but he was released this morning at 10:43am. The immediate plans are to stay in Tyler for the next week so that he has easy access to the trauma team of doctors who are familiar with his case in the event if he has any problems. He is scheduled for a check-up next Tuesday at which time they will determine when he can return to the DFW area.
Welcome home, my friend. Let the full recovery begin...
OK, perhaps a little too dramatic, but he was released this morning at 10:43am. The immediate plans are to stay in Tyler for the next week so that he has easy access to the trauma team of doctors who are familiar with his case in the event if he has any problems. He is scheduled for a check-up next Tuesday at which time they will determine when he can return to the DFW area.
Welcome home, my friend. Let the full recovery begin...
Sunday, June 5, 2011
Day 22 - 6pm Update
To rehab or not to rehab. That seems to be the question.
Phil has continued to work on his respiratory therapy with vigor. He takes short walks around the hospital wing floor, flirting with the nurses (that's how he scores extra popsicles), and being the social butterfly that is Phil. For the last few days, he's been complaining about the pain in his left shoulder area. They took more X-Rays yesterday and confirmed the clavicle was broken in the accident. No apparent damage to the shoulder. Because of the nature of the break, the recommended treatment is to simply allow the bone to heal on its own.
He's definitely getting closer to being released. This morning, the doctor indicated that if he continues the respiratory progress, he could be released within the next few days. Released as in going home, not going to rehab.
You'd think someone just told a six year-old that he's going to Six Flags over Texas.
Phil has continued to work on his respiratory therapy with vigor. He takes short walks around the hospital wing floor, flirting with the nurses (that's how he scores extra popsicles), and being the social butterfly that is Phil. For the last few days, he's been complaining about the pain in his left shoulder area. They took more X-Rays yesterday and confirmed the clavicle was broken in the accident. No apparent damage to the shoulder. Because of the nature of the break, the recommended treatment is to simply allow the bone to heal on its own.
He's definitely getting closer to being released. This morning, the doctor indicated that if he continues the respiratory progress, he could be released within the next few days. Released as in going home, not going to rehab.
You'd think someone just told a six year-old that he's going to Six Flags over Texas.
Saturday, June 4, 2011
A message from the ICU staff
Phil,
Happy three week anniversary. We're so glad you're out of here!
Signed,
The Nurses in ICU
Happy three week anniversary. We're so glad you're out of here!
Signed,
The Nurses in ICU
Day 21 - 3pm Update
I guess they are planning to let the guy out sometime soon, because they removed the trach this morning!
The chest X-Ray still shows fluids at the bottom of one of his lungs, so the respiratory therapist has Phil doing double duty on several breathing exercises. And he was very clear, "either follow my direction or expect to be back in ICU and on the ventilator." I think he got Phil's attention because his eyes got as big as half dollars and he shook his head side-to-side (like a little kid willing to do ANYTHING not to go to that scary place again). He's been following the instructions and breathing deep ever since!!
The chest X-Ray still shows fluids at the bottom of one of his lungs, so the respiratory therapist has Phil doing double duty on several breathing exercises. And he was very clear, "either follow my direction or expect to be back in ICU and on the ventilator." I think he got Phil's attention because his eyes got as big as half dollars and he shook his head side-to-side (like a little kid willing to do ANYTHING not to go to that scary place again). He's been following the instructions and breathing deep ever since!!
Friday, June 3, 2011
Day 20 - 6pm Update
Feeding tube is out. And Phil is out of ICU!!
Another banner day for Mr. Phillip. He held off taking the pain med last night so that he could see the end of the Mavs game and, boy, was he glad he did! The nurse removed the feeding tube around midnight and after a couple of restless hours, he finally got to sleep. He's handling the clear liquids fine and awoke this morning knowing it was his last in ICU. They transferred him out just after Noon and he's now resting comfortably in a regular hospital room.
Given his ongoing risk of infection with the trach still in place, Rhonda has asked that no visitors come out at this time. After consulting with the doctors, Rhonda and Phil will be deciding the next step in his recovery over the next 3-4 days, including where he goes for any required rehabilitation and physical therapy. The options are Tyler or DFW.
Thank you all for your continued support. Your comments, cards, letters and prayers have made a HUGE difference for this family.
Another banner day for Mr. Phillip. He held off taking the pain med last night so that he could see the end of the Mavs game and, boy, was he glad he did! The nurse removed the feeding tube around midnight and after a couple of restless hours, he finally got to sleep. He's handling the clear liquids fine and awoke this morning knowing it was his last in ICU. They transferred him out just after Noon and he's now resting comfortably in a regular hospital room.
Given his ongoing risk of infection with the trach still in place, Rhonda has asked that no visitors come out at this time. After consulting with the doctors, Rhonda and Phil will be deciding the next step in his recovery over the next 3-4 days, including where he goes for any required rehabilitation and physical therapy. The options are Tyler or DFW.
Thank you all for your continued support. Your comments, cards, letters and prayers have made a HUGE difference for this family.
Thursday, June 2, 2011
Day 19 - 6pm Update
It's hard to believe he's been in ICU for 19 DAYS!
Great progress to report today.
Phil is now breathing completely on his own and weaned off the ventilator!!! The catheter is out. The staples are out (both in his head and his stomach). They will be downsizing the trach tube tonight and begin feeding clear liquids. If he can swallow OK, then they will be able to remove the last remaining tube - the feeding tube.
Awesome!!
Great progress to report today.
Phil is now breathing completely on his own and weaned off the ventilator!!! The catheter is out. The staples are out (both in his head and his stomach). They will be downsizing the trach tube tonight and begin feeding clear liquids. If he can swallow OK, then they will be able to remove the last remaining tube - the feeding tube.
Awesome!!
Wednesday, June 1, 2011
Words of Celebration & Appreciation
Tonight I celebrate what I consider to be a major milestone in Phil's recovery...completely breathing on his own. Who could ever imagine that taking a breath on your own be such a miracle? But that is exactly what it is.
Words can't express my gratitude to all of you for your support throughout this ordeal. First of all, I praise God for Phil's healing. I truly believe that the power of all of your prayers and Phil's will to live is what has pulled him through this. I know that I could not have been able to perservere without the support of our family and friends. He has a long road of recovery but he is cognizant of that fact and ready to work for his wellness.
Several of you have asked if you can come visit Phil yet. My answer is still no since he is still in ICU and still recovering from pneumonia. We don't expect to be in the Tyler area all that much longer, so when he is home and ready to receive your love, I will certainly let you know. In the meantime, the cards and posts to this blog are great support for him.
Thank you again for your love, concern and support. Phil and I look forward to visiting with all of you soon. After all, his voice is back!
Group hug,
Rhonda
Words can't express my gratitude to all of you for your support throughout this ordeal. First of all, I praise God for Phil's healing. I truly believe that the power of all of your prayers and Phil's will to live is what has pulled him through this. I know that I could not have been able to perservere without the support of our family and friends. He has a long road of recovery but he is cognizant of that fact and ready to work for his wellness.
Several of you have asked if you can come visit Phil yet. My answer is still no since he is still in ICU and still recovering from pneumonia. We don't expect to be in the Tyler area all that much longer, so when he is home and ready to receive your love, I will certainly let you know. In the meantime, the cards and posts to this blog are great support for him.
Thank you again for your love, concern and support. Phil and I look forward to visiting with all of you soon. After all, his voice is back!
Group hug,
Rhonda
Day 18 - 6pm Update
He speaks!
When Rhonda walked into the room for the 1pm visitation, she heard a voice in the corner say, "Hello." When she looked up, it was Phil talking! Needless to say, it brought tears (of joy) to her eyes to be able to hear his voice again.
As part of his weaning off the ventilator, they plugged the trach tube which allowed him use of his vocal cords. He continues to walk the hall and was able to do so without the aid of a walker today. As a reward for his progress, they will remove his catheter tomorrow. And if he continues this pace of progress, the doctor indicated Phil could be out of ICU in a couple of days!
On side note, thank you to those who have contributed to the beneficiary fund. The number of contributions continues at a trickle, but those who have done so have been generous. Bless You. If you need the address, click the link above or go the the Need Your Help!! post in the archives. The plan is still to present the check about the time Phil is released from ICU, as the medical bills are starting to arrive. If any donations come in afterwards, we'll cut a supplemental check in a couple of weeks.
When Rhonda walked into the room for the 1pm visitation, she heard a voice in the corner say, "Hello." When she looked up, it was Phil talking! Needless to say, it brought tears (of joy) to her eyes to be able to hear his voice again.
As part of his weaning off the ventilator, they plugged the trach tube which allowed him use of his vocal cords. He continues to walk the hall and was able to do so without the aid of a walker today. As a reward for his progress, they will remove his catheter tomorrow. And if he continues this pace of progress, the doctor indicated Phil could be out of ICU in a couple of days!
On side note, thank you to those who have contributed to the beneficiary fund. The number of contributions continues at a trickle, but those who have done so have been generous. Bless You. If you need the address, click the link above or go the the Need Your Help!! post in the archives. The plan is still to present the check about the time Phil is released from ICU, as the medical bills are starting to arrive. If any donations come in afterwards, we'll cut a supplemental check in a couple of weeks.
Tuesday, May 31, 2011
Day 17 - 6pm Update
Three in a row!
Our patient continues to improve daily. He stayed sitting up and breathing on his own until midnight last night. And was back in the recliner and breathing on his own by 8am this morning. In honor of the Indianapolis 500 race on Memorial Day, Phil also made four victory laps around the ICU nurses station today. Vitals are holding strong, pneumonia appears to have subsided, and his spirits are up.
The plan for exiting ICU continues to flex. Rhonda isn't certain whether he will go into a regular room before the rehab facility, or whether rehab is even still necessary. Those decisions are still 2-4 days away and dependent on his progress.
Keep those comments and letters coming!
Our patient continues to improve daily. He stayed sitting up and breathing on his own until midnight last night. And was back in the recliner and breathing on his own by 8am this morning. In honor of the Indianapolis 500 race on Memorial Day, Phil also made four victory laps around the ICU nurses station today. Vitals are holding strong, pneumonia appears to have subsided, and his spirits are up.
The plan for exiting ICU continues to flex. Rhonda isn't certain whether he will go into a regular room before the rehab facility, or whether rehab is even still necessary. Those decisions are still 2-4 days away and dependent on his progress.
Keep those comments and letters coming!
Monday, May 30, 2011
Day 16 - 6pm Update
Two in a row!!
Progress is measured in baby steps and Phil took a couple of them over the last couple of days.
He's starting to put all the memory clips together and while he doesn't remember the accident, he now understands the severity of the injuries and the recovery path ahead.
"When I first woke up, I thought I was in here because I was sick. I had no idea!"
Now that he sees the magnitude of the situation, he's completely focused on making progress daily. He's been sitting in the recliner and breathing on his own (with support of the T-Bar) all day. The "T-Bar" is technically a disconnect from the ventilation machine, but provides a humidifier supplement to his breathing to keep his throat from drying out. He goes back on the ventilator at night to build strength for the next day.
He's also connected the need to pace his breathing, taking deep breaths to help the healing. He's down to one IV pump, indicating they have been able to reduce the meds and seems to be making good progress against the pneumonia. Sitting-up definitely helps, "but my butt gets sore!" And he also has learned when to ask for suction to minimize the coughing.
"Give me four more days and I'll be off the ventilator."
The man is on a mission and WANTS his walking shoes. That's the Phil we know and love!
Progress is measured in baby steps and Phil took a couple of them over the last couple of days.
He's starting to put all the memory clips together and while he doesn't remember the accident, he now understands the severity of the injuries and the recovery path ahead.
"When I first woke up, I thought I was in here because I was sick. I had no idea!"
Now that he sees the magnitude of the situation, he's completely focused on making progress daily. He's been sitting in the recliner and breathing on his own (with support of the T-Bar) all day. The "T-Bar" is technically a disconnect from the ventilation machine, but provides a humidifier supplement to his breathing to keep his throat from drying out. He goes back on the ventilator at night to build strength for the next day.
He's also connected the need to pace his breathing, taking deep breaths to help the healing. He's down to one IV pump, indicating they have been able to reduce the meds and seems to be making good progress against the pneumonia. Sitting-up definitely helps, "but my butt gets sore!" And he also has learned when to ask for suction to minimize the coughing.
"Give me four more days and I'll be off the ventilator."
The man is on a mission and WANTS his walking shoes. That's the Phil we know and love!
Sunday, May 29, 2011
Day 15 - 6pm Update
Today was the high side of the roller coaster.
The lungs are responding well to the meds and treatments. Phil has been on the T-Bar setting (basically breathing completely on his own) most of the day and the doctors will continue to wean him from the ventilator over the next couple of days. He was also able to stand-up and transfer to a recliner, where he sat for a couple of hours.
Crazy. Good...but crazy.
The lungs are responding well to the meds and treatments. Phil has been on the T-Bar setting (basically breathing completely on his own) most of the day and the doctors will continue to wean him from the ventilator over the next couple of days. He was also able to stand-up and transfer to a recliner, where he sat for a couple of hours.
Crazy. Good...but crazy.
Saturday, May 28, 2011
Day 14 - 6pm Update
The wicked roller-coaster ride continues...
The culture results are back and the news is not good. The infection has developed into pneumonia. He's been on antibiotics since Thursday and will be for another five days. The associated coughing spells are causing great pain to the point where he has bloodshot eyes and very sore ribs.
Being injured is one thing. Being sick just plain sucks.
The culture results are back and the news is not good. The infection has developed into pneumonia. He's been on antibiotics since Thursday and will be for another five days. The associated coughing spells are causing great pain to the point where he has bloodshot eyes and very sore ribs.
Being injured is one thing. Being sick just plain sucks.
Two Weeks Ago
It is amazing how life can change in an instant.
It was two weeks ago, at 6:12pm, that Rhonda and Phil's life changed. That unfortunate series of events would bring us all together and remind us, once again, what really matters in life.
Thank you again for being there for the Carr family. The struggle continues, but your caring comments and prayers continue to give them strength and hope.
It was two weeks ago, at 6:12pm, that Rhonda and Phil's life changed. That unfortunate series of events would bring us all together and remind us, once again, what really matters in life.
Thank you again for being there for the Carr family. The struggle continues, but your caring comments and prayers continue to give them strength and hope.
Day 14 - 1pm Update
The news of the day is that Rhonda spoke with the rehabilitation nurse about post-ICU care. The current thinking is Phil will require 2-4 weeks of physical and respiratory therapy when he is released from ICU. It will involve a move to a rehabilitation hospital and Rhonda/Phil have the choice to do it here in Tyler or in the Dallas/Fort Worth area. While the decision is still several days away, the nurse wanted Rhonda to have time to consider the options. Needless to say, planning for the future is a welcome change!
Just a heads-up that I will likely move to a once a day status update going forward. The reason is two-fold:
First, for the last few days, Phil has asked Rhonda not to come-up for the 9pm and 5:30am visitations because he wants to sleep. That leaves us with the 1pm and 5pm visitations, which is what I have traditionally used as the 6pm update material.
Second, Phil is entering the slow phase of the recovery process, where the healing is more inside than out. And let's face it, now that he's not on as many meds, it's not as easy to make fun of/with him.
As the Memorial Day activities get into full swing, please say a prayer for Rhonda and Phil, and be safe.
Just a heads-up that I will likely move to a once a day status update going forward. The reason is two-fold:
First, for the last few days, Phil has asked Rhonda not to come-up for the 9pm and 5:30am visitations because he wants to sleep. That leaves us with the 1pm and 5pm visitations, which is what I have traditionally used as the 6pm update material.
Second, Phil is entering the slow phase of the recovery process, where the healing is more inside than out. And let's face it, now that he's not on as many meds, it's not as easy to make fun of/with him.
As the Memorial Day activities get into full swing, please say a prayer for Rhonda and Phil, and be safe.
Friday, May 27, 2011
Day 13 - 6pm Update
Being a Friday and Day 13, I'm almost afraid of posting! But then I remembered that Phil is the superstitious one, so here we go...
There is nothing like having close family around you in times of tragedy. Rhonda has enjoyed the comfort of her sister, Katherine, all week. This weekend, her other sister, Jana, arrives and will take the family support baton. Ashley and Sean will be here too. Nothing like family to make you strong.
The weaning process resumed today, with Phil on CPAP all day. No news on the fluid in the lungs, but the chest cavity tube was removed (not necessarily related to the fluid "in" the lungs). He's been sitting upright in his bed and they were planning to let him sit in a special chair today. No, Bruce, not the throne.
Boredom is starting to creep into Phil's waking hours. Fortunately, he has some respite when his "Energizer" batteries run down after a couple of hours. His mind is ready to be released, but they body just isn't quite cooperating yet. When Rhonda asked if there was anything she could bring up their to make him more comfortable, he replied, "My shoes."
He no longer allows guests to tell funny stories or jokes - the pain (from the broken ribs) is too fresh. Instead, he covers his ears when he hears a punch line coming. Apparently, not even he laughs at his jokes now.
There is nothing like having close family around you in times of tragedy. Rhonda has enjoyed the comfort of her sister, Katherine, all week. This weekend, her other sister, Jana, arrives and will take the family support baton. Ashley and Sean will be here too. Nothing like family to make you strong.
The weaning process resumed today, with Phil on CPAP all day. No news on the fluid in the lungs, but the chest cavity tube was removed (not necessarily related to the fluid "in" the lungs). He's been sitting upright in his bed and they were planning to let him sit in a special chair today. No, Bruce, not the throne.
Boredom is starting to creep into Phil's waking hours. Fortunately, he has some respite when his "Energizer" batteries run down after a couple of hours. His mind is ready to be released, but they body just isn't quite cooperating yet. When Rhonda asked if there was anything she could bring up their to make him more comfortable, he replied, "My shoes."
He no longer allows guests to tell funny stories or jokes - the pain (from the broken ribs) is too fresh. Instead, he covers his ears when he hears a punch line coming. Apparently, not even he laughs at his jokes now.
Thursday, May 26, 2011
Day 12 - 6pm Update
A day off...sort of.
Due to the bronchoscopy procedure this morning, Phil took a respite from the weaning program today. Hopefully, he will feel strong enough to resume tomorrow. The preliminary findings from the procedure was swelling in the lungs and thick fluids. As before, it will take a few days for the cultures to grow and provide more insights.
This is one wicked roller-coaster.
Due to the bronchoscopy procedure this morning, Phil took a respite from the weaning program today. Hopefully, he will feel strong enough to resume tomorrow. The preliminary findings from the procedure was swelling in the lungs and thick fluids. As before, it will take a few days for the cultures to grow and provide more insights.
This is one wicked roller-coaster.
Day 12 - 8am Update
Recovery is fragile.
Last night, Rhonda noticed some signs of blood in the trach tubes and discussed it with the nurse. The initial thought was that his deeper breathing was knocking loose some evidence of wounds in the lungs (caused by the broken ribs), causing some light bleeding. The bleeding did not subsided overnight, so they did chest x-rays this morning and noted some areas of concern. To get to the bottom of it, they are going to perform another bronchoscopy.
Phil and Rhonda could use an extra prayer this morning.
Last night, Rhonda noticed some signs of blood in the trach tubes and discussed it with the nurse. The initial thought was that his deeper breathing was knocking loose some evidence of wounds in the lungs (caused by the broken ribs), causing some light bleeding. The bleeding did not subsided overnight, so they did chest x-rays this morning and noted some areas of concern. To get to the bottom of it, they are going to perform another bronchoscopy.
Phil and Rhonda could use an extra prayer this morning.
Wednesday, May 25, 2011
Day 11 - 9pm Update
The ice man commeth...
The better balance between meds and breathing continues to pay dividends. Rather than risk another setback, they kept Phil on CPAP all day to help build endurance. Phil's reward? A cup of ice. It's amazing how the littlest things can make a difference.
I haven't mentioned it much, but he also had a tube draining the abdominal cavity. It minimized the risk of infection and allowed them to monitor possible adverse affects from the spleen removal. That tube was removed yesterday. And the drainage from the chest tube is slowing to a point where it may be removed in the next couple of days.
For each tube out, he's a step closer to the door.
The better balance between meds and breathing continues to pay dividends. Rather than risk another setback, they kept Phil on CPAP all day to help build endurance. Phil's reward? A cup of ice. It's amazing how the littlest things can make a difference.
I haven't mentioned it much, but he also had a tube draining the abdominal cavity. It minimized the risk of infection and allowed them to monitor possible adverse affects from the spleen removal. That tube was removed yesterday. And the drainage from the chest tube is slowing to a point where it may be removed in the next couple of days.
For each tube out, he's a step closer to the door.
Day 11 - 8am Update
Not much to report overnight.
As expected, Phil slept through the 9pm and 5:30am visitations. The nurse reported that he slept well overnight and no problems with him removing the feeding tubes, so freedom reigns.
As expected, Phil slept through the 9pm and 5:30am visitations. The nurse reported that he slept well overnight and no problems with him removing the feeding tubes, so freedom reigns.
Tuesday, May 24, 2011
Day 10 - 6pm Update
Good day - good day!
Phil was in much better spirits today. He received a shave this morning, the first since he was admitted 10 days ago. The mustache and goatee are gone! I suspect the itching stubble, coupled with the sedation, was the culprit to the accidental removal of the feeding tube, though he still swears HE'S not the one who pulled it out...three times. Nonetheless, he convinced the nurse to remove the restraints and was a much happier camper as a result.
He continues to be much more alert. He's been confused as to the perceived randomness of the ventilator settings and asked to conference with the respiratory therapist and the doctor, together. From his perspective, the pain sedation was too low to allow him to attempt deep breathing (feeling the broken ribs). The outcome was a better balance between the meds and respiratory settings. You know he's feeling better when he's telling the doctors what to do...and they listen.
If he can put 3-4 of these days together, he'll be well on his way to coming off the ventilator. Let's hope he gets a great night's sleep!
Phil was in much better spirits today. He received a shave this morning, the first since he was admitted 10 days ago. The mustache and goatee are gone! I suspect the itching stubble, coupled with the sedation, was the culprit to the accidental removal of the feeding tube, though he still swears HE'S not the one who pulled it out...three times. Nonetheless, he convinced the nurse to remove the restraints and was a much happier camper as a result.
He continues to be much more alert. He's been confused as to the perceived randomness of the ventilator settings and asked to conference with the respiratory therapist and the doctor, together. From his perspective, the pain sedation was too low to allow him to attempt deep breathing (feeling the broken ribs). The outcome was a better balance between the meds and respiratory settings. You know he's feeling better when he's telling the doctors what to do...and they listen.
If he can put 3-4 of these days together, he'll be well on his way to coming off the ventilator. Let's hope he gets a great night's sleep!
Day 10 - 6am Update
Mama said there'd be days like this...
Our favorite patient had a busy morning on Monday. In addition to the normal AM ritual of getting a bath, changing the sheets, etc. Phil was the lucky recipient of two additional Barbarino's (see Day 9 - 6am post) and a couple more cleanings because he kept pulling the feeding tube out in his sleep. So....he's back in the shackles (wrist restraints) again.
With all that excitement, he slept through most of the 1pm visitation. He did breathe completely on his own for a couple hours - a first. Rhonda took mercy on him during the 5pm visitation and untied one of the restraints so that he could "talk" better. Apparently, he's also been negotiating for ice cubes, but settled for a little sponge on the end of a candy stick dipped in water since he's not allowed to have ice yet. He was thankful to moisten his mouth for the first time in nine days and would suck the water out of it about as fast as Rhonda would refill and hand it to him.
The cardiologist stopped by and is pleased with the progress. He had been out of town for a couple of days, so it was the first time that Phil has been coherent enough to shake his hand. The doc recommended that they wait to do the stent repair until Phil is up and around, so it sounds like that will be a follow-up visit a month or so after his release.
When it was time to leave, it was back to the shackles. Poor guy.
Our favorite patient had a busy morning on Monday. In addition to the normal AM ritual of getting a bath, changing the sheets, etc. Phil was the lucky recipient of two additional Barbarino's (see Day 9 - 6am post) and a couple more cleanings because he kept pulling the feeding tube out in his sleep. So....he's back in the shackles (wrist restraints) again.
With all that excitement, he slept through most of the 1pm visitation. He did breathe completely on his own for a couple hours - a first. Rhonda took mercy on him during the 5pm visitation and untied one of the restraints so that he could "talk" better. Apparently, he's also been negotiating for ice cubes, but settled for a little sponge on the end of a candy stick dipped in water since he's not allowed to have ice yet. He was thankful to moisten his mouth for the first time in nine days and would suck the water out of it about as fast as Rhonda would refill and hand it to him.
The cardiologist stopped by and is pleased with the progress. He had been out of town for a couple of days, so it was the first time that Phil has been coherent enough to shake his hand. The doc recommended that they wait to do the stent repair until Phil is up and around, so it sounds like that will be a follow-up visit a month or so after his release.
When it was time to leave, it was back to the shackles. Poor guy.
Monday, May 23, 2011
Need Your Help!!
It's hard to believe that it's been a week since Phil's motorcycle accident.
The daily posts show just how slow and difficult the path to recovery will be from a physical and mental perspective. He is in great hands with the medical team and is taking all the right baby steps. Once he comes off the ventilator, the physical and respiratory therapy will begin. The doctors have not speculated how long he might be in the hospital - it's almost impossible to do so at this stage - but they have prepared Rhonda that it could be another 1-2 weeks. And the actual recovery will take a couple of months more.
I am confident Phil has the right mental stamina to do what it takes to recover. For those who witnessed his support of Rhonda during her recent battle with cancer, Phil is one of the most goal-driven, determined men you will ever meet. He thrives on challenges and will do whatever it takes to excel in any rehabilitation therapy.
On an emotional level, the prayers, love, and support that each of you have provided has wrapped this family in a blanket of compassion that is nothing short of a miracle in itself. The messages gave them comfort when the extent of the injuries became known. They gave them strength as complications developed. And they give them hope as they anticipate the long road to recovery that lies ahead.
It truly does take a village to overcome some of life's setbacks.
Phil's village is generating an average of 201 visits per day with a peak of over 400 at the beginning of last week when the news was spreading. You have generated over 3,100 page views and spend over 5 minutes per visit sharing your love.
In this world of instant access to news, a week is a long time to stay top of mind. It's true of political scandals. It's true of natural disasters. And it will be true with this very personal accident. Many of you have offered to help "in any way", so before you get distracted by "life", I have a favor to ask.
With the medical and emotional aspects of the recovery covered, my thoughts now turn to the financial implications. Between the ambulance, Athens ER, Care Flight, Tyler ER, emergency surgery, cardiology, and 2+ week stay in ICU, I can only imagine the tab that is being run-up. Rhonda and Phil are blessed with medical coverage provided through Rhonda's work, but anyone who has suffered a major medical event knows that there are deductibles, co-pays, and many expenses that fall outside of the coverage. I've not yet been able to confirm, but Care Flight is frequently not covered. That trip alone will be approximately $20,000. Not to mention the loss of income.
To help reduce the financial burden of this tragedy, I have established a beneficiary account that will accept donations on the Carr's behalf. The choice to give, and how much, is at your personal discretion. But if Phil has ever helped you with a project or made you laugh at one of his lame jokes, I ask that you give generously. If Rhonda has ever touched your life in a positive way, I ask that you to give generously. If you have hope that your village would be there for you in such an emergency, I ask that you give generously.
I challenge Phil's village to build this fund to $50,000 over the next week and pray that will be enough. To give, simply make a check payable to Bank of Tyler and note "For the Benefit of Phillip J. Carr" in the memo section. Checks should be mailed to:
Benefit of Phillip J. Carr
c/o Bank of Tyler
3921 Old Jacksonville Highway
Tyler, Texas 75701
All donations will be treated as gifts for tax purposes and will be posted to the account anonymously.
I don't intend to turn this blog into a fund raising campaign, that is not its purpose. And besides, friends don't need to be reminded. In 7-10 days (once the donations have slowed), I will post a copy of the check that we'll present to Rhonda and Phil with a card signed on behalf of Phil's Village. My hope is that we can make that presentation the day Phil is released from the hospital so that they can focus 100% of their energy on his recovery.
Thank you for your love, your hope, and your spiritual support.
The daily posts show just how slow and difficult the path to recovery will be from a physical and mental perspective. He is in great hands with the medical team and is taking all the right baby steps. Once he comes off the ventilator, the physical and respiratory therapy will begin. The doctors have not speculated how long he might be in the hospital - it's almost impossible to do so at this stage - but they have prepared Rhonda that it could be another 1-2 weeks. And the actual recovery will take a couple of months more.
I am confident Phil has the right mental stamina to do what it takes to recover. For those who witnessed his support of Rhonda during her recent battle with cancer, Phil is one of the most goal-driven, determined men you will ever meet. He thrives on challenges and will do whatever it takes to excel in any rehabilitation therapy.
On an emotional level, the prayers, love, and support that each of you have provided has wrapped this family in a blanket of compassion that is nothing short of a miracle in itself. The messages gave them comfort when the extent of the injuries became known. They gave them strength as complications developed. And they give them hope as they anticipate the long road to recovery that lies ahead.
It truly does take a village to overcome some of life's setbacks.
Phil's village is generating an average of 201 visits per day with a peak of over 400 at the beginning of last week when the news was spreading. You have generated over 3,100 page views and spend over 5 minutes per visit sharing your love.
In this world of instant access to news, a week is a long time to stay top of mind. It's true of political scandals. It's true of natural disasters. And it will be true with this very personal accident. Many of you have offered to help "in any way", so before you get distracted by "life", I have a favor to ask.
With the medical and emotional aspects of the recovery covered, my thoughts now turn to the financial implications. Between the ambulance, Athens ER, Care Flight, Tyler ER, emergency surgery, cardiology, and 2+ week stay in ICU, I can only imagine the tab that is being run-up. Rhonda and Phil are blessed with medical coverage provided through Rhonda's work, but anyone who has suffered a major medical event knows that there are deductibles, co-pays, and many expenses that fall outside of the coverage. I've not yet been able to confirm, but Care Flight is frequently not covered. That trip alone will be approximately $20,000. Not to mention the loss of income.
To help reduce the financial burden of this tragedy, I have established a beneficiary account that will accept donations on the Carr's behalf. The choice to give, and how much, is at your personal discretion. But if Phil has ever helped you with a project or made you laugh at one of his lame jokes, I ask that you give generously. If Rhonda has ever touched your life in a positive way, I ask that you to give generously. If you have hope that your village would be there for you in such an emergency, I ask that you give generously.
I challenge Phil's village to build this fund to $50,000 over the next week and pray that will be enough. To give, simply make a check payable to Bank of Tyler and note "For the Benefit of Phillip J. Carr" in the memo section. Checks should be mailed to:
Benefit of Phillip J. Carr
c/o Bank of Tyler
3921 Old Jacksonville Highway
Tyler, Texas 75701
All donations will be treated as gifts for tax purposes and will be posted to the account anonymously.
I don't intend to turn this blog into a fund raising campaign, that is not its purpose. And besides, friends don't need to be reminded. In 7-10 days (once the donations have slowed), I will post a copy of the check that we'll present to Rhonda and Phil with a card signed on behalf of Phil's Village. My hope is that we can make that presentation the day Phil is released from the hospital so that they can focus 100% of their energy on his recovery.
Thank you for your love, your hope, and your spiritual support.
Day 9 - 6am Update
Recovery is a fickle thing...
You may recall from the Sunday evening update that Phil struggled a little with breathing on his own in the morning, requiring him to go back on the ventilator. They switched him back to CPAP at 3pm and he decided to follow that up with a 13-hour stretch of breathing with the support of CPAP. Awesome progress!
Just to show that no good deed goes unpunished, he then had a coughing fit that resulted in him coughing-up his feeding tube. After receiving a "Vinny Barbarino", he was able to return to sleep. For those of you too young to remember the TV show Welcome Back, Kotter, Barbarino (played by John Travolta) was famous for saying "up your nose with a rubber hose" which is basically what a feeding tube is, isn't it?
OK, perhaps TMI. But Phil is known for his command of TV trivia and perverted sense of humor, so I couldn't resist.
You may recall from the Sunday evening update that Phil struggled a little with breathing on his own in the morning, requiring him to go back on the ventilator. They switched him back to CPAP at 3pm and he decided to follow that up with a 13-hour stretch of breathing with the support of CPAP. Awesome progress!
Just to show that no good deed goes unpunished, he then had a coughing fit that resulted in him coughing-up his feeding tube. After receiving a "Vinny Barbarino", he was able to return to sleep. For those of you too young to remember the TV show Welcome Back, Kotter, Barbarino (played by John Travolta) was famous for saying "up your nose with a rubber hose" which is basically what a feeding tube is, isn't it?
OK, perhaps TMI. But Phil is known for his command of TV trivia and perverted sense of humor, so I couldn't resist.
Sunday, May 22, 2011
Day 8 - 6pm Update
Freedom continues.
Saturday was a good day for Rhonda too. Between Phil gaining his freedom, Sean returning for the weekend, and the arrival of her sister, Katherine, Rhonda was able to relax and got her first full night's rest since the accident.
Phil slept well last night - so well that he slept through both the 9pm and 5:30am visitations. Once he awoke this morning, they switched him to CPAP mode, but switched him back to the ventilator mode after about an hour because it was a little too difficult to breathe on his own. He was switched back to CPAP around 3pm and was doing well through the 5pm visitation. The doctor is pleased with the progress and reminded Rhonda that he will improve at his own pace.
While he tires quickly, Phil is...well, returning to Phil. He's asking a lot of questions - from wanting more information about the accident to "when are you going to go back to work?" And his quick wit is only a roll-of-the-eyes away. He's also starting to ask about what's happening out in the world, especially when it comes to the Mavericks. With the trach in place, the Pictionary rules have been altered to allow "lipping" of words. The only problem is Rhonda is lousy at reading lips!
But if the room is quiet, Phil can talk in a soft whisper....and it just melts Rhonda's heart to hear his voice again.
Saturday was a good day for Rhonda too. Between Phil gaining his freedom, Sean returning for the weekend, and the arrival of her sister, Katherine, Rhonda was able to relax and got her first full night's rest since the accident.
Phil slept well last night - so well that he slept through both the 9pm and 5:30am visitations. Once he awoke this morning, they switched him to CPAP mode, but switched him back to the ventilator mode after about an hour because it was a little too difficult to breathe on his own. He was switched back to CPAP around 3pm and was doing well through the 5pm visitation. The doctor is pleased with the progress and reminded Rhonda that he will improve at his own pace.
While he tires quickly, Phil is...well, returning to Phil. He's asking a lot of questions - from wanting more information about the accident to "when are you going to go back to work?" And his quick wit is only a roll-of-the-eyes away. He's also starting to ask about what's happening out in the world, especially when it comes to the Mavericks. With the trach in place, the Pictionary rules have been altered to allow "lipping" of words. The only problem is Rhonda is lousy at reading lips!
But if the room is quiet, Phil can talk in a soft whisper....and it just melts Rhonda's heart to hear his voice again.
Saturday, May 21, 2011
Day 7 - 4pm Update
Phil has negotiated his freedom...well sort of.
He is responding well enough to the reduction in sedatives that he's now more consistently coherant, yet still not in too much pain. He convinced his doctor that he hasn't suffered a neck injury, so they removed the neck brace. In addition, he has PROMISED his nurse that he won't jack with the trach tube (or his/her butt), so they have removed the wrist restraints. Between the two, he feels like a free man.
The doctor advised that the infection is not pneumonia. It has responded well to the antibiotics and is now almost gone. So, from a trauma perspective, he is progressing very well. Making the final repair to the heart (replacing the stent) will come once he gets a little further along. The next major milestone is to get completely off the ventilator. And if he continues at the rate he's worked over the last couple of days, achieving that goal is within sight.
Today was a very good day.
He is responding well enough to the reduction in sedatives that he's now more consistently coherant, yet still not in too much pain. He convinced his doctor that he hasn't suffered a neck injury, so they removed the neck brace. In addition, he has PROMISED his nurse that he won't jack with the trach tube (or his/her butt), so they have removed the wrist restraints. Between the two, he feels like a free man.
The doctor advised that the infection is not pneumonia. It has responded well to the antibiotics and is now almost gone. So, from a trauma perspective, he is progressing very well. Making the final repair to the heart (replacing the stent) will come once he gets a little further along. The next major milestone is to get completely off the ventilator. And if he continues at the rate he's worked over the last couple of days, achieving that goal is within sight.
Today was a very good day.
Day 7 - 6am Update
Not much "new" news in the last 24 hours.
Sedated from the procedure on Friday morning, Phil slept most of the day. He was alert for the 5pm visitation, but sleepy at the 9pm. The nurse said he slept well the first half of the night, but was restless the second half. The new trach and smaller neck brace gives him a little more freedom and, ultimately, comfort. He indicated his throat is a little sore, a combination of healing from the tube and just getting used to the trach.
They will resume the weaning process today and we should get updates on infection, etc. at the 1pm visitation.
Sedated from the procedure on Friday morning, Phil slept most of the day. He was alert for the 5pm visitation, but sleepy at the 9pm. The nurse said he slept well the first half of the night, but was restless the second half. The new trach and smaller neck brace gives him a little more freedom and, ultimately, comfort. He indicated his throat is a little sore, a combination of healing from the tube and just getting used to the trach.
They will resume the weaning process today and we should get updates on infection, etc. at the 1pm visitation.
Friday, May 20, 2011
Day 6 - 10am Update
After almost a half-day of breathing with CPAP support, Phil rested comfortably last night.
They performed the tracheostomy procedure this morning and all went smoothly. He will experience discomfort in his throat for the next couple of days while it heals from the intubation and adjusts to the trach. He'll sleep most of the day and they will resume trying to wean him off the ventilator tomorrow.
Nothwithstanding the procedure this morning, he's still relatively immobile from the sedation, plus he has a neck brace and wrist restraints which keeps him from accidentally (or knowing Phil, purposefully) pulling the breathing tube out. They are performing passive physical therapy to keep him flexible and help provide muscle comfort.
When he's alert, Phil sometimes gets frustrated with communication. He thinks pretty clearly (acknowledges understanding), but is basically limited to facial features, nodding his head, and slight movement of his wrists and fingers - so it's like playing charades, flat on your back, with your hands tied to your side. Ever the teacher, Rhonda is great at anticipating questions and bought an 8x10 marker board and pen to allow him to draw or write. So I guess one could say they're now playing Pictionary. His wrists and fingers are still stiff, so it usually comes down to Rhonda posing 5-10 questions before she guesses the one he's really asking.
He remembers some conversations between visitations, but not all. The meds are inhibiting his memory, but can't completely mask the pain peaks. After a coughing spell this morning, he asked what happened to his stomach, not recalling that his spleen had been removed. He also comes up with some off the wall stuff - like asking Rhonda to bring him some underwear.
How Rhonda got that one out of him, I'll never know.
They performed the tracheostomy procedure this morning and all went smoothly. He will experience discomfort in his throat for the next couple of days while it heals from the intubation and adjusts to the trach. He'll sleep most of the day and they will resume trying to wean him off the ventilator tomorrow.
Nothwithstanding the procedure this morning, he's still relatively immobile from the sedation, plus he has a neck brace and wrist restraints which keeps him from accidentally (or knowing Phil, purposefully) pulling the breathing tube out. They are performing passive physical therapy to keep him flexible and help provide muscle comfort.
When he's alert, Phil sometimes gets frustrated with communication. He thinks pretty clearly (acknowledges understanding), but is basically limited to facial features, nodding his head, and slight movement of his wrists and fingers - so it's like playing charades, flat on your back, with your hands tied to your side. Ever the teacher, Rhonda is great at anticipating questions and bought an 8x10 marker board and pen to allow him to draw or write. So I guess one could say they're now playing Pictionary. His wrists and fingers are still stiff, so it usually comes down to Rhonda posing 5-10 questions before she guesses the one he's really asking.
He remembers some conversations between visitations, but not all. The meds are inhibiting his memory, but can't completely mask the pain peaks. After a coughing spell this morning, he asked what happened to his stomach, not recalling that his spleen had been removed. He also comes up with some off the wall stuff - like asking Rhonda to bring him some underwear.
How Rhonda got that one out of him, I'll never know.
Thursday, May 19, 2011
Thursday - 6pm Update
Guess he was a quart low.
The cardiologist ordered a unit of blood this morning. Not due to blood loss, but to provide a boost in Phil's hemoglobin count. His levels were deemed within range for a trauma patient, but a little lower than the cardiologist wanted given his heart condition. Yet more proof that the needs of the heart trumps all.
Phil was fairly alert for both the 1pm and 5pm visitations, a result of the continued reduction in sedation that helps him breathe more on his own. His fever seems to have subsided, but is not gone, indicating some infection remains. Still no official word on the cultures taken yesterday. He was on the CPAP mode for over 11 hours today, which is a good improvement. But he's going to require ventilation support for several more days, so they will be performing the tracheostomy tomorrow morning. Healing is a slow process.
As the weekend approaches, several of you have asked if it would be OK to come visit in person. While the family deeply appreciates the thought, the reality is Phil is still in critical condition and still in ICU. The best possible protection against infection (which is his greatest enemy at this point) is to limit his exposure to the public. And with ICU visitation limited, it's important to minimize the family's exposure as well.
Rhonda reads your comments and messages in-between visitation times (her and that darn iPhone!) and they definitely lift her spirits. So, for now, we respectfully ask that you keep sharing the love here and not in person. As soon as it is safe (and practical) to begin receiving visitors, I'll post the invite here.
We're all anxious to celebrate that day!
The cardiologist ordered a unit of blood this morning. Not due to blood loss, but to provide a boost in Phil's hemoglobin count. His levels were deemed within range for a trauma patient, but a little lower than the cardiologist wanted given his heart condition. Yet more proof that the needs of the heart trumps all.
Phil was fairly alert for both the 1pm and 5pm visitations, a result of the continued reduction in sedation that helps him breathe more on his own. His fever seems to have subsided, but is not gone, indicating some infection remains. Still no official word on the cultures taken yesterday. He was on the CPAP mode for over 11 hours today, which is a good improvement. But he's going to require ventilation support for several more days, so they will be performing the tracheostomy tomorrow morning. Healing is a slow process.
As the weekend approaches, several of you have asked if it would be OK to come visit in person. While the family deeply appreciates the thought, the reality is Phil is still in critical condition and still in ICU. The best possible protection against infection (which is his greatest enemy at this point) is to limit his exposure to the public. And with ICU visitation limited, it's important to minimize the family's exposure as well.
Rhonda reads your comments and messages in-between visitation times (her and that darn iPhone!) and they definitely lift her spirits. So, for now, we respectfully ask that you keep sharing the love here and not in person. As soon as it is safe (and practical) to begin receiving visitors, I'll post the invite here.
We're all anxious to celebrate that day!
Overheard in the Cardiology Lab
On Monday afternoon, Rhonda and Liz accompanied Phil and the team down to the cardiology lab for the angiogram procedure.
As they entered the waiting room, they noticed an elderly woman and gentleman. Rhonda thought to herself, that's probably going to be me in 20 years. After they were in their seats for a few minutes, they struck up a conversation with the pair, with each explaining what brought them to the hospital. After hearing Rhonda's story and providing comforting words, the woman shared her story.
The patient was her husband and they were from Mount Vernon, about 70 miles north of Tyler. The gentleman sitting next to her was her brother. Her husband has had six bypass surgeries over the years. He's also had other related surgery and now wears a pacemaker. He had come in today for some routine tests as a follow-up to his cardio care and apparantly flat-lined during the office visit. "They had to use the paddles on him twice!", she exclaimed.
Just then, her cell phone rings.
"Hellooo. Oh, hey Melba! [pause] Well, we're still at the hospital in Tyler. [pause] No, we're both in our wheel chairs, so Elmer (the brother) drove us down. He pulled right up to the door, we didn't even have to park in the lot! [pause] What's that? [pause] Well, he flat-lined today. [pause] Yea-yea, they had to use the paddles. [pause] Oh no, I think we'll be out of here in about an hour. [pause] Yes, he's coming home and wants to stop by the Cracker Barrel on the way. And who's gonna die first? ME! Yes, uh huh. Uh-huh. Well, OK. Love you too, honey. Byyye."
You just gotta love East Texas folk. Another blessing - a little comedic relief in an otherwise very stressful day.
As they entered the waiting room, they noticed an elderly woman and gentleman. Rhonda thought to herself, that's probably going to be me in 20 years. After they were in their seats for a few minutes, they struck up a conversation with the pair, with each explaining what brought them to the hospital. After hearing Rhonda's story and providing comforting words, the woman shared her story.
The patient was her husband and they were from Mount Vernon, about 70 miles north of Tyler. The gentleman sitting next to her was her brother. Her husband has had six bypass surgeries over the years. He's also had other related surgery and now wears a pacemaker. He had come in today for some routine tests as a follow-up to his cardio care and apparantly flat-lined during the office visit. "They had to use the paddles on him twice!", she exclaimed.
Just then, her cell phone rings.
"Hellooo. Oh, hey Melba! [pause] Well, we're still at the hospital in Tyler. [pause] No, we're both in our wheel chairs, so Elmer (the brother) drove us down. He pulled right up to the door, we didn't even have to park in the lot! [pause] What's that? [pause] Well, he flat-lined today. [pause] Yea-yea, they had to use the paddles. [pause] Oh no, I think we'll be out of here in about an hour. [pause] Yes, he's coming home and wants to stop by the Cracker Barrel on the way. And who's gonna die first? ME! Yes, uh huh. Uh-huh. Well, OK. Love you too, honey. Byyye."
You just gotta love East Texas folk. Another blessing - a little comedic relief in an otherwise very stressful day.
Thursday - 6am Update
Phil did well through the night. The Motrin brought the fever down and, combined with the antibiotics, hopefully it will stay there.
The ventilator has several modes, all the way from breathing for you to assisting when needed. He stayed on CPAP mode (generally breathing on his own with forced-air support, but no supplemental oxygen) until about 10:30 and then they switched him back over so he could rest through the night. That's good progress on the weaning front.
He acknowledged Rhonda this morning, but stayed asleep for the most part. After all...it is very early and she didn't bring him coffee!
The ventilator has several modes, all the way from breathing for you to assisting when needed. He stayed on CPAP mode (generally breathing on his own with forced-air support, but no supplemental oxygen) until about 10:30 and then they switched him back over so he could rest through the night. That's good progress on the weaning front.
He acknowledged Rhonda this morning, but stayed asleep for the most part. After all...it is very early and she didn't bring him coffee!
Wednesday, May 18, 2011
Wednesday - 10pm
Phil was pretty alert this evening. He lights-up at the sound of Rhonda's voice and was very happy to hear his favorite Mavs won...and that Dirk had a 48 point game (great big eyes!).
This evening was a marked improvement over the mid-day visit, where he was still pretty groggy from the bronchoscopy. His color continues to improve and he breathed on his own from 3pm - 9:30pm. That's the kind of work it's going to take to get off the ventilator and he knows it. And when Phil knows it, he does it. For him to have the intubation removed, he must demonstrate both lung capacity and stamina. So the next 36 hours will be the big test. If he can clear those hurdles and kick the infection, he'll be off the ventilator.
And I would be remiss if I didn't include a word about the care. You couldn't ask more from the entire ICU team. And the night nurse, Matt, is just wonderful with Phil and Rhonda. He takes the time to answer and explain everything. They are both in great hands.
This evening was a marked improvement over the mid-day visit, where he was still pretty groggy from the bronchoscopy. His color continues to improve and he breathed on his own from 3pm - 9:30pm. That's the kind of work it's going to take to get off the ventilator and he knows it. And when Phil knows it, he does it. For him to have the intubation removed, he must demonstrate both lung capacity and stamina. So the next 36 hours will be the big test. If he can clear those hurdles and kick the infection, he'll be off the ventilator.
And I would be remiss if I didn't include a word about the care. You couldn't ask more from the entire ICU team. And the night nurse, Matt, is just wonderful with Phil and Rhonda. He takes the time to answer and explain everything. They are both in great hands.
Rhonda's Reflections
It's Wednesday night about 11:00 pm. Tim and Liz dropped me off after my visit to see Phil and although he couldn't speak, he told me so much through his eyes.
He told me he loves me.
He told me he loves our children.
He told me he is fighting hard.
He told me he knows when I am in the room.
It's hard to describe the fear and difficulty of these past few days so I won't... but rather reflect on the blessings received.
The blessing of His love and favor.
The blessing of the angels on the scene.
The blessing of the team of doctors and nurses.
The blessing that the heart attack happened at a hospital.
And as Phil would probably say..the blessing that his bike is still intact. :)
I have been reading the posts on this blog, the facebook messages, texts, and e-mails. They bring me great comfort and I am saving them all and reading them to Phil. If I don't answer right away it's only because every ounce of my being right now is focused on Phil because he truly is the love of my life.
It's starting to rain and so I will close...Phil and I love to cuddle up and listen to it rain.
He told me he loves me.
He told me he loves our children.
He told me he is fighting hard.
He told me he knows when I am in the room.
It's hard to describe the fear and difficulty of these past few days so I won't... but rather reflect on the blessings received.
The blessing of His love and favor.
The blessing of the angels on the scene.
The blessing of the team of doctors and nurses.
The blessing that the heart attack happened at a hospital.
And as Phil would probably say..the blessing that his bike is still intact. :)
I have been reading the posts on this blog, the facebook messages, texts, and e-mails. They bring me great comfort and I am saving them all and reading them to Phil. If I don't answer right away it's only because every ounce of my being right now is focused on Phil because he truly is the love of my life.
It's starting to rain and so I will close...Phil and I love to cuddle up and listen to it rain.
Wednesday - 1pm Update
The doctor performed a bronchoscopy this morning in an effort to determine the origin of the fever. The lungs looked a little "fuzzy", leading him to believe Phil may be developing pneumonia, which is not uncommon for someone who has been intubated this long. But any sort of infection is the enemy, so they began treating him with antibiotics until the culture can give them a more detailed diagnostic (1-2 days for it to grow). If it looks like he will need the ventilator much longer, they will likely perform a tracheostomy to reduce the risk of infection while the ventilator is required.
They continue to use sedation to keep him comfortable. A couple of notches down and he wakes up to show his handsome blue eyes (that give Rhonda great comfort) and now famous facial expressions, while still enjoying his happy place. A couple notches back up and he's back asleep in his VERY happy place. If it were only so easy to control his jabber level under normal conditions.
All other vital signs and healing appears to be progressing as expected. The drainage from his chest cavity is slowing and once it stops they will be ready to remove that tube. Perhaps the greatest comfort is he's never going to remember any of it.
They continue to use sedation to keep him comfortable. A couple of notches down and he wakes up to show his handsome blue eyes (that give Rhonda great comfort) and now famous facial expressions, while still enjoying his happy place. A couple notches back up and he's back asleep in his VERY happy place. If it were only so easy to control his jabber level under normal conditions.
All other vital signs and healing appears to be progressing as expected. The drainage from his chest cavity is slowing and once it stops they will be ready to remove that tube. Perhaps the greatest comfort is he's never going to remember any of it.
Communications with Rhonda
Several have asked for a mailing address. Rhonda has asked that only cards or letters be sent (no flowers, fruit baskets, etc.) so that she can easily share them with Phil. Their address in Tyler is:
Rhonda and Phil Carr
16893 Rainbow Ridge Circle
Tyler, Texas 75707
Time to talk on the phone is very limited, so we're still encouraging the use of Comments, text or email. But if you need to call Rhonda, please do so using Phil's mobile number. She is trying to keep her phone line open for hospital calls. She keeps both phones with her at all times and has become quite proficient at typing text messages on both at the same time! To protect against spam, I'd rather not post the number in the blog, so send me an email at tim@thunderroadlodge.com if you need to reach her by phone.
Rhonda and Phil Carr
16893 Rainbow Ridge Circle
Tyler, Texas 75707
Time to talk on the phone is very limited, so we're still encouraging the use of Comments, text or email. But if you need to call Rhonda, please do so using Phil's mobile number. She is trying to keep her phone line open for hospital calls. She keeps both phones with her at all times and has become quite proficient at typing text messages on both at the same time! To protect against spam, I'd rather not post the number in the blog, so send me an email at tim@thunderroadlodge.com if you need to reach her by phone.
Wednesday - 6am Update
Phil slept through the night. They wake him every hour and he responds to commands.
He is still running a low grade temperature which comes down when they treat it. They will run tests today to find the source of the infection causing the fever. The likely suspect is the lungs due to intubation for so long. Hopefully, diagnosis and treatment will be underway by the 1pm visitation.
Tuesday, May 17, 2011
Tuesday - 10pm Update
He wasn't as chatty tonight, nurse believes he's tired from breathing on his own. They'll let the ventilator do its job this evening and start fluctuating the system support again tomorrow. This is normal practice for weaning him off.
Did not get to see the cardiologist today, but did learn that his ejection fraction is 55%. Healthy individuals normally fall in the 50%-75% range and heart attack survivors typically fall in the 40%-60% range. We've always known Phil has a big heart, now we know it's a pretty strong one too.
Rhonda and the kids are doing great - getting to see him awake was an awesome delight and a HUGE morale boost. Thank you so much for all your prayers and good wishes.
And Bruce, no pizza this time!
Did not get to see the cardiologist today, but did learn that his ejection fraction is 55%. Healthy individuals normally fall in the 50%-75% range and heart attack survivors typically fall in the 40%-60% range. We've always known Phil has a big heart, now we know it's a pretty strong one too.
Rhonda and the kids are doing great - getting to see him awake was an awesome delight and a HUGE morale boost. Thank you so much for all your prayers and good wishes.
And Bruce, no pizza this time!
Tuesday - 6pm Update
Well, now that the sedation is lifting, Phil has quickly become a chatty Kathy, albeit one with a beathing tube still down his throat.
The nurse said he'd been beathing on his own for a couple of hours before they arrived and he talked (using hand signals and facial expressions) with Rhonda and the kids for about an hour before puckering out. He had the kids in stitches on a few occasions. That's Phil, ever the life of the party.
He has no recollection of what happened, so Rhonda let him lead in the questioning so as not to overwhelm him with too much information. And it was like playing charades with them trying to guess what he was asking. He wanted to know where he was (one eyebrow raised), what day it was (both eyebrows raised), what happened (a shrug and slight nod of the head), and the extent of the injuries. He had "dissappointed eyes" upon learning he had broken ribs (knows the pain he will be in) and "great big eyes" when he learned of the emergency surgery to remove the spleen followed by the angioplasty. And once he learned he'd been in an accident, he wanted to know the condition of his beloved motorcycle. Took them forever to figure out he was asking to see pics.
He's responding well to being weaned off the ventilator, but not all the way there yet. They've also turned the chest drain pump off, letting it drain through natural pressure and gravity before it can be removed completely. All other vitals and blood work are coming in as expected.
Let the healing begin.
The nurse said he'd been beathing on his own for a couple of hours before they arrived and he talked (using hand signals and facial expressions) with Rhonda and the kids for about an hour before puckering out. He had the kids in stitches on a few occasions. That's Phil, ever the life of the party.
He has no recollection of what happened, so Rhonda let him lead in the questioning so as not to overwhelm him with too much information. And it was like playing charades with them trying to guess what he was asking. He wanted to know where he was (one eyebrow raised), what day it was (both eyebrows raised), what happened (a shrug and slight nod of the head), and the extent of the injuries. He had "dissappointed eyes" upon learning he had broken ribs (knows the pain he will be in) and "great big eyes" when he learned of the emergency surgery to remove the spleen followed by the angioplasty. And once he learned he'd been in an accident, he wanted to know the condition of his beloved motorcycle. Took them forever to figure out he was asking to see pics.
He's responding well to being weaned off the ventilator, but not all the way there yet. They've also turned the chest drain pump off, letting it drain through natural pressure and gravity before it can be removed completely. All other vitals and blood work are coming in as expected.
Let the healing begin.
Tuesday - 1pm Update
He's awake!
They have begun to bring Phil out from under the sedation and he is now awake. He's still intubated, but is able to "communicate" with Rhonda and the kids. What a reunion that must be!
More later once I get a detailed debrief.
They have begun to bring Phil out from under the sedation and he is now awake. He's still intubated, but is able to "communicate" with Rhonda and the kids. What a reunion that must be!
More later once I get a detailed debrief.
Tuesday - 6am Update
He rested well last night. Heart rate is up and he is running a slight temperature. I'm sure they will work on both this morning and we'll have a more complete assessment when Rhonda meets with the Dr. at the 1pm visitation.
Monday, May 16, 2011
6pm Update
The angiogram revealed two blockages. One artery was 100% blocked, but had already developed new connections to self-bypass, so no repair was deemed necessary. Credit is being given to Phil's nightly glass of Scotch to cheer the self-bypass along.
The other blockage was 99%, so they roto-rooter'd it and implanted a stent. The test also revealed the left side stent (from a previous heart attack) has begun to narrow. The Dr. recommends it be replaced, but didn't want to put Phil through the added procedure today. No report on extent of damage to the heart muscle.
He's out of surgery and back to ICU. Looks like our patient will be on a new diet and exercise regimen upon departure from the resort.
The other blockage was 99%, so they roto-rooter'd it and implanted a stent. The test also revealed the left side stent (from a previous heart attack) has begun to narrow. The Dr. recommends it be replaced, but didn't want to put Phil through the added procedure today. No report on extent of damage to the heart muscle.
He's out of surgery and back to ICU. Looks like our patient will be on a new diet and exercise regimen upon departure from the resort.
1pm Update
Rhonda talked with the cardiologist at the beginning of the 1pm visitation. He is recommending they perform the angiogram this afternoon so that they can determine the specific heart damage and, if appropriate, install the stent(s). The procedure is scheduled to start at 4pm and will take between 1-3 hours, dependent on what repairs are needed. With any surgery comes risk, so your thoughts and prayers are appreciated. I'll update again this evening once we know the outcome.
BTW, the family is reading your comments during their breaks and are VERY appreciative of your prayers and well wishes. We have had many inquiries about how people can help. Between the neighbors here in Tyler, we've got the pantry stocked with fruit, snacks, plenty of cold drinks, and hot meals daily.
However, for anyone who's ever experienced a catastrophic medical event such as this, you know that the financial impacts are far and wide. In an effort to help defray the cost of medical care (over and above what insurance will reimburse), I will be setting-up a fund at Chase Bank in the next day or so. I'll post the information as soon as it is available.
BTW, the family is reading your comments during their breaks and are VERY appreciative of your prayers and well wishes. We have had many inquiries about how people can help. Between the neighbors here in Tyler, we've got the pantry stocked with fruit, snacks, plenty of cold drinks, and hot meals daily.
However, for anyone who's ever experienced a catastrophic medical event such as this, you know that the financial impacts are far and wide. In an effort to help defray the cost of medical care (over and above what insurance will reimburse), I will be setting-up a fund at Chase Bank in the next day or so. I'll post the information as soon as it is available.
6am Update
Phil rested well last night.
His vitals continue to hold strong, so they are going to start weaning him off the breathing machine. The first step will be to reduce the frequency of the forced breathing which allows his natural reaction to take over. The head bandage is off. It was either that or Rhonda was going to draw a Harley-Davidson logo on the front of it. The laceration on the back of his head seems to be healing well, so I think the Dr. made the right choice.
They are keeping him sedated to help maintain the lower heart rate and blood pressure, giving the heart time to rest. One of Phil's favorite slogans is, "Better living through chemistry" and he is definately in his happy place. He is conscious enough to perform stupid human tricks like wiggling his fingers and toes on command....and provide sarcastic commentary. Yesterday, Rhonda was singing him a song and (bless her heart) couldn't quite hit the high note. Phil opened his eyes and raised his eyebrows as if to say, "Really?"
His vitals continue to hold strong, so they are going to start weaning him off the breathing machine. The first step will be to reduce the frequency of the forced breathing which allows his natural reaction to take over. The head bandage is off. It was either that or Rhonda was going to draw a Harley-Davidson logo on the front of it. The laceration on the back of his head seems to be healing well, so I think the Dr. made the right choice.
They are keeping him sedated to help maintain the lower heart rate and blood pressure, giving the heart time to rest. One of Phil's favorite slogans is, "Better living through chemistry" and he is definately in his happy place. He is conscious enough to perform stupid human tricks like wiggling his fingers and toes on command....and provide sarcastic commentary. Yesterday, Rhonda was singing him a song and (bless her heart) couldn't quite hit the high note. Phil opened his eyes and raised his eyebrows as if to say, "Really?"
Sunday, May 15, 2011
9pm Update
Phil continues to hold strong.
The night nurse assured Rhonda the increased enzyme count is to be expected and that Phil was fighting all the right battles. He also reminded her that Phil is in the right place to be having a heart attack, "...most people experience the beginning of the heart attack at work/home, and only go to the hospital when the major event occurs." They are hoping he only needs intubation (breathing tube) for another day or so, then they can start working the heart issues more aggressively.
Rhonda was comforted by his words and will rest easier tonight because of them. Let's hope Phil does the same.
Also, a reminder that you can pass along your well wishes by posting a comment. Just click on the Comment link below.
The night nurse assured Rhonda the increased enzyme count is to be expected and that Phil was fighting all the right battles. He also reminded her that Phil is in the right place to be having a heart attack, "...most people experience the beginning of the heart attack at work/home, and only go to the hospital when the major event occurs." They are hoping he only needs intubation (breathing tube) for another day or so, then they can start working the heart issues more aggressively.
Rhonda was comforted by his words and will rest easier tonight because of them. Let's hope Phil does the same.
Also, a reminder that you can pass along your well wishes by posting a comment. Just click on the Comment link below.
5pm Update
Phil's vital statistics continue to be stable, though medically induced. The intention is to keep him as still as possible.
His enzyme levels are up a bit, indicating that the heart continues to be in distress (the heart attack is still underway). The meds are keeping his BP and heart rate down. He was a more alert this evening, occasionally opening his eyes a little and lifting his legs up cracking his ankle joints the way only Phil does. He acknowledges Rhonda and the kids' voices, lifting his eyebrows a little or giving a forced smile.
So far, he's not fighting the breathing tube or pinching the nurse's butt. Then again, the male nurse probably wouldn't appreciate that anyway.
His enzyme levels are up a bit, indicating that the heart continues to be in distress (the heart attack is still underway). The meds are keeping his BP and heart rate down. He was a more alert this evening, occasionally opening his eyes a little and lifting his legs up cracking his ankle joints the way only Phil does. He acknowledges Rhonda and the kids' voices, lifting his eyebrows a little or giving a forced smile.
So far, he's not fighting the breathing tube or pinching the nurse's butt. Then again, the male nurse probably wouldn't appreciate that anyway.
What Happened
As some of you may know, I author a motorcycle blog entitled Thunder Road Motorcycle Lodge. I note this only because for simplicity and speed, I'm going to link you to my post for today, Rider Down!!, which details the accident to the best of my recollection.
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