Thursday, December 20, 2012

Mom Update, Christmas Message, December 20, 2012, Thursday

I hope this message finds you and yours well. As you may know, Mom came home a year ago on December 2. Since then, we have had an amazing year with her, one that families seldom get the chance to share together. We all went to parks, the beach, upstate for 2 different weekends in her trailer and to see Jean in a show in Cohoes. We had a tea party—hats and all—in her back yard last spring. We have been to movies, restaurants, malls, diners, shopping, bowling, and visiting… What a glorious year it has been!
However, as many of you know, Mom had another major stroke the Sunday after Thanksgiving. She became very disoriented and confused that Sunday morning when she first woke---didn't know any of our names or where she was. Terry and dad found her this way and called Claudia. Claudia and John called the ambulance and mom was brought to the hospital.
We all arrived there together to be with her. Once we arrived there, she was starting to improve a bit...spoke in understandable words (but slurred) maybe 15-20% of the time, began to move her right arm and leg...but then regressed back to jumbled speech and no movement and then progressed back to moving and talking somewhat understandably again. She was even able to read! She spent a week and a half in the hospital and was then moved to a rehabilitation facility. At first, we had decided to take her home directly from the hospital, but when a really top-notch rehab facility offered to work with her, dad decided to give it a try there first.
She was only at the facility 24 hours when she was rushed to the hospital with respiratory distress and congestive heart failure. It was the longest life of our lives sitting there in the hospital with her; we really thought we would lose her that night because things were so touch and go. Yet, the next day, when I saw her, she was awake and alert!
She spent the next week in the new hospital and was then ready to be discharged. Since she had been through so much and really seemed to be much worse than before (and the hospital wrote her off as “not eligible for rehabilitation”), we thought she would best be cared for in a facility close to home that is run by the sisters/ nuns of the college Claudia and I work at. It is a serene place…a quiet, peaceful place, full of love. We resigned to this situation and prepared to work with her there ourselves once she arrived. However….at the ninth hour, her paperwork was changed to say (quite miraculously) that she WAS eligible for rehabilitation, so the wonderful rehabilitation facility she had been at took her back!!
She works VERY hard at this new facility…about 1 ½ to 2 hours of therapy (speech and physical therapy) per day. They work diligently and really hard with her to help her rehabilitate!! They even bring her to the gym every day and work with her there!! We try to work on speech with her using the IPAD and several apps and programs that can help her to learn the English language again whenever she is not too tired to do so. She is still building her strength – both physically AND mentally. We notice that, when she is overtired, she becomes very much like a small child in that she gets overstimulated and it is as though her brain goes into, what I call, “TILT” mode. She begins to get agitated easily and also to just recite random chains of letters (not words). She cries a lot at these times and wants dad badly (we send him home when we arrive later in the day since he spends the day with her every day). She moans and cries and recites random letters and sleeps for 5-6 seconds at a time before she finally truly konks out and sleeps soundly for 20-30 minutes or for the night.
Here is her current status: She used to be weak on the left side only but now is weak on both sides. She can now use her left side better than the right. She is starting to be able to lift her right arm and leg on command (this is important for therapy to continue). We continue to help her try to make connections between the mind and the body by telling her to think and say things like, “Move my right arm/leg…” as she does it independently or as we do it for her. She used to be able to speak and be conversational but now her speech is predominantly jarbled (but phonetic sounds or random recitations of letters), or clear especially at times of emotion and passion. She is eating pureed food for now because she is working on swallowing better.

She is largely frustrated when we, the kids and grandkids, visit with her---missing her time with dad. She fights us when we try to get her to eat---brings back memories of our kids when they were toddlers. She enjoys having Jean sing to her---show tunes and hymns…and even tries to sing with him. But she is most content when she is with the love of her life, dad, holding hands and watching TV or napping or talking (he to her—she listens).
As Claudia wrote in our blog: “Who is the first person I meet at the rehabilitation center but the head nurse who came to check mom in. She started to ask questions and I told her the story...the whole story. She looked at me and said, "I did the same thing with my mother." I couldn't believe it. She took out her phone to show me a picture of her mom in a hospital bed on a vent with her head bandaged. She told me her family also rehabilitated her mom from a brain tumor...four times! She had four brain surgeries and each time brought her back. She then showed me a picture of her mom in a party dress with her three daughters. They taught her to walk and talk again never leaving her side. Sometimes we think we know what is best for us, or our loved ones and it isn't what is best. God knows what is best and he will put the people in your life to help make all things possible.

Some have said this is such an usual, tragedy and one that can’t be explained. People question God and His intentions and wonder why this would happen to mom after the year of recovery she had and all the work we put into that recovery. But in reality, we all have a life to live and time to leave this earth. No one knows the day or the time of that personal departure. All that counts in life is that we make the most of every MOMENT and that we make sure we are in covenant with God so that we know where we are going when it IS our time to leave here. God is just and kind. He has been to our mom and us, that’s for sure, because we have been so blessed to be with each other in such a deep and special way for this past year…maybe even these past 2 ½ years. Mom has had the blessing of being in the midst of soooo much support and love from family and friends these last 2 ½ years---something that not too many of us get the chance to experience while here on earth. And we, her family, have had the blessing of enjoying her so much these last 2 ½ years!!!! Sooooo much!!! She could have died suddenly 2 ½ years ago, but she didn’t. God gave us the best 2 ½ years. The very best. He is in control and He is good. I thank Him each day that He is in my life and there for us.
We thank you all from the bottom of our hearts for the prayer you offer up for us each day. We keep you all in our prayers each day as well. We all wish all of you and your families the best, (and as we learned to pray each day as children) most “happy, healthy, and holy” season of joy.

Wednesday, December 12, 2012

Mom Update, December 12, 2012, Wednesday

Hi,
Just had to share a story... Mom was in the hospital as of this evening and she was being discharged. My husband and I looked at two facilities yesterday, a place in Commack and a place in Brentwood. The place in Brentwood was our first pick because we weren't thinking we could truly rehab her twice in a lifetime. We looked at Maria Regina and it was very peaceful and prayerful and thinking she would be there for long term care that's what we wanted, for her to be peaceful BUT God had another idea and the hospital released her as a rehab patient (Which is crazy! due to the fact that she wasn't truly responding to therapy the way we had hoped or the way the PT thought or could justify - just a day earlier we were told that Rehab wasn't an option) Gurwin took her as a rehab patient! And who is the first person I meet at the rehab facility but the head nurse who came to check mom in. She started to ask questions and I told her the story...the whole story. She looked at me and said, "I did the same thing with my mother." I couldn't believe it. She took out her phone to show me a picture of her mom in a hospital bed on a vent with her head bandaged. She told me her family also rehabilitated her mom from a brain tumor...four times! She had four brain surgeries and each time brought her back.She then showed me a picture of her mom in a party dress with her three daughters. They taught her to walk and talk again never leaving her side. Sometimes we think we know what is best for us, or our loved ones and it isn't what is best. God knows what is best and he will put the people in your life to help make all things possible.
BELIEVE AND HAVE FAITH!!!

We are going to try again. If you want to be part of the miracle and have time to spare let us know and you can work with her. Spread the word.

~Claudia

Thursday, December 6, 2012

Mom Update, December 6, 2012, Thursday evening

Quick update. When we left mom last night at the hospital, I truly thought I would never see her again this side of heaven. Really. But...when I walked into her room today, I found her sitting in bed, awake, trying to talk to dad. Granted, she didn't look great, her speech was still a bit distorted, but her blood pressure was in the normal range for a while and she was trying to tell us (Dad, Anthony and me) that she wanted some water because her throat was sore (it took a while to figure out what she was saying). She can't drink or eat by mouth yet because this hospital doesn't know her well enough yet to determine if it is safe for her to eat or not---she has to have a swallow test first. Anthony made her laugh a few times and she listened intently to stories he told her for a while.

The doctor (pulmonologist) said that mom had very high blood pressure and congestive heart failure (pulmonary edema I believe he said). But the doctor didn't know "which came first, the chicken or the egg?" I asked what the plan was and he said that they would try to regulate her blood pressure via medication and that she'd be in the hospital maybe 5 days and then back to the rehab facility.

The nuerosurgeon saw her too and said that nothing was wrong with her head as far as he was concerned and that mom presents as a cardio patient. He wanted mom to start stronger blood thinners and felt that was safe.

The doctor (general MD) said he didn't feel comfortable giving mom a stronger blood thinner because of the prior aneurysm. Will keep her on aspirin for now. He ordered an MRI to see more of her brain, which she said still looked swollen from the stroke a week and a half ago. This swollen trauma can attribute for some of the slurred, distorted speech perhaps. We aren't seeing the full picture of mom or her injury yet.

I leaned over to kiss mom and told her I was going to refer to her as my mom the cat because she has 9 lives. She was pretty miserable while I visited today which is sad though. I do know one thing in my heart, she isn't ready to go anywhere yet---she has some unfinished business or so it seems. She keeps saying, "Take me outta here" and the like. Whatever is going on is between mom and God right now. We just get blessed to be with her longer in the process. Unlike last time all this happened, she is here with us....present. Her cognitive abilities are ok this time. She has some physical problems, granted, and her speech is distorted a bit. She speaks clearer when she is passionate and emotional about what she is saying or when she is part of a conversation being lead by someone else (to a degree). She gets distorted when she is the initiator and has an agenda to say. But she is cognitively still present.

By the time I left, she was miserable and crying and frustrated and thirsty and her blood pressure was 98/56.

Claudia, Con and Anthony sang to her this afternoon and tonight. She seemed to enjoy that. Sometimes she tried to sing along (as per Claudia) but mostly she just listened. Jean spent the night with dad last night. It is so awesome to see the "kids" take their places in caring for their 'poppy' and 'nonny.'

I am tired. Thanks for all the prayers....we all can feel the love.

"I wait for the LORD, my soul waits, and in his word I put my hope." Psalm 130:5

Mom Update, December 6, 2012, Thursday morning early

Mom was admitted to the I.C.U. at the Hospital last night at about 1:30 a.m. On Tuesday, mom was transferred from one Hospital to a Skilled Nursing Facility where she was supposed to get rehab. She began rehab yesterday (1/2 hour of PT). Last night, at 9:30 p.m., dad called to say that the facility had rushed mom to the hospital because she was having difficulty breathing and extremely high blood pressure.

When we all arrived at the hospital (except Ava who is away at College), mom's blood pressure was still high. By the time we left the hospital at 1:30 a.m., mom's blood pressure had been dangerously low and still was (107/39) and her breathing was still labored. The doctors checked her for congestive heart failure, pneumonia, and other cardic problems because she presented as a person with cardic symptoms, however, all tests came back fine. Blood gases a little high---borderline range almost---but otherwise all tests came back OK. CAT Scan of head showed no stroke too. Today, she gets a CAT Scan of her chest to rule out a blood clot---they were leaning more toward an abdominal or lung blood clot when we left and were treating her accordingly. She was on oxygen the whole time there. They hope she doesn't need a vent to breathe.

We all were able to see her and before we left, she looked at or tried to speak to many of us. Sammy, my brave, brave girl, and baby of the family, went into the emergency room alone (only could go one at a time) to see Nonny...Sammy said she told Nonny, "Hi Gorgeous" which is a phrase between them both and that mom tried to talk to her. Mom told Claudia, "Take me out of here" before falling out asleep again.

Please pray for God's Will and for strength and peace during this time...especially for dad, who is an absolute mess....thanks.

"May the peace of God that surpasses all understanding, guard your heart and mind..." Philippians 4:7



Mom Update, December 5, 2012, Wednesday

We are at the hospital now. Mom was moved to a rehab facility yesterday but the facility called tonight to say that mom was rushed to the hospital tonight with extremely high blood pressure and labored breathing. Please pray. Thanks.

"We wait for the blessed hope..." Titus 2:13