Sunday, February 14, 2010

Taking a "break"

Paul's potassium looks good, holding at normal.  His CK, indicating the muscle deterioration is down quite a bit to 78,000, indicating that the rhabdo is slowing down.  His creatinine is still high, but holding steady.  The nephrologist is giving Paul a break on dialysis today because his numbers look good.  Last night, his hemoglobin numbers were low, so there was slight concern about bleeding from his first dialysis port in his leg.  They did a CT scan late last night and it came back clear so that's good.  This morning his hemoglobin numbers are holding steady.  His LFT numbers (liver function indicators) were a little elevated so they've called a GI doc in to analyze that and have also ordered a liver ultrasound to make sure everythings good there.  They expect it to be fine, thinking the numbers are just high because of everything else going on, but they're checking it all to be on the safe side.  They'll also continue to monitor those numbers daily.

While he gets a break with dialysis, we've been given homework.  He needs to make a good effort at eating today.  He's on a liquid diet, but can so far only take a sip every 5-10 min because his tummy is still waking up, but he's chugging away at it. 

Our other bit of homework is to get him moving.  The ortho guy came by again this morning and is pleased with things and said there isn't much more for him to do and that his muscles will regenerate themselves and he'll recover from that damage.  He ordered PT to come by to move him around a little and teach me what I can do to help.  We're also weaning him off the levophed that's keeping his bp up.  He's reacting ok.  The nurse wants to get him out of bed, but not until after he's weaned so he doesn't pass out on us.

Paul is recovering well from the surgical wounds.  I got a look at Paul's incision and it's healing nicely and he said his cheek is not hurting.

I'll be sticking around for awhile, waiting for the PT folks and for the GI doc.  But then I'll probably go spend some time with my other valentine.  :)

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