Not a lot to report today. Her general condition is changing slowly now so just ‘when’ I visit may mask anything else. Maybe she has just had a short nap or maybe she has been awake and just had several pricks, prods, or questioning staff of one sort or another.
Yesterday afternoon was the ‘handoff’ of the day shift from doctor to doctor. So Dr. X was around to hear from Dr. Y about the patients – Dr. Y having been involved for 4 or 5 days. Thus, this morning Nancy essentially was being seen by an unfamiliar doctor and attended to by an unfamiliar nurse. When this happened ten days ago the newly arriving doctor told me he had just spent 1 ½ hours reviewing Nancy’s file and he, in fact, already knew her and her background. I have no doubt that these folks know what they are dealing with. The nurses are smart, well trained, and experienced also – they wouldn’t be in an intensive care unit otherwise.
Still, this morning, Nancy felt a little miffed at the new team. I figure if you are feeling well enough to notice the difference you might be recovering. Just a thought.
The implantation of the pacemaker is tentatively scheduled for Wednesday morning. Again, this is dependent on the clotting time to fall to a safe number. The modern measure is standardized so that regardless of the particulars of the testing a number is reported that can be compared to other test results. This is called the INR or International Normalized Ratio.
The appropriate range for a non-ill person is an INR between 0.8 to 1.2. Nancy’s number has been much higher in recent days and was still at 2.7 on the latest test. They are hoping for about 1.5 tomorrow morning. From yesterday in a chat with the doctor I got the impression they would wait for it to adjust on its own rather than add platelets filtered from donated whole blood. Note the word ‘impression’ in that line. I could have misunderstood and/or they may change their minds.
Today Nancy showed me how to find an e-mail address book on her laptop within Mozilla’s Thunderbird mail application. I’ll start going through that list and sending news of this site out to folks – so, if you found your way here via someone else, you may get an e-mail from me soon. I’ll put a Christmas/New Year’s greeting on the top and you can ignore the rest.