Day 57

Hello All,

• JaNell had a good day today, with no speed bumps. She worked with two therapist, concentrating primarily on walking. She also did arm and shoulder exercises with an elastic band.

• Sue came by today and brought some cooked ground beef, chicken and strawberries.
JaNell's favorite: strawberries and ground beef.

• We moved to a new room today. One with Wi-Fi.

• JaNell’s sister and brother-in-law, Nelda and Royce, are coming to Phoenix tomorrow. Kelly and Krystal are coming also.

More Later,

terry

From: terry <ttphotoinc@comcast.net>
Subject: Re: JaNell Surgery Report 2012.01.26
Date: February 2, 2012 9:55:31 PM MST

Jim, Tambra and Cabi,

Good to hear from you, hope you survived the long drive home. We have been thinking about you, and we are hoping and praying that your surgery will be successful and recovery will be fast. The casita hasn't been the same since you left - there are some new faces around here.

Warm Regards,

terry

Subject: Re: JaNell Surgery Report 2012.02.02
Date: February 3, 2012 12:58:19 PM MST

Terry, I need the address of the facility that Janell is in presently. I think she is ready for an 'edible bouquet'. There is a shop in Scotsdale, but don't know if this facility is even in Scotsdale. Thanks.
Sheila

Subject: Re: JaNell Surgery Report 2012.02.02
Date: February 3, 2012 1:01:58 PM MST

The Wi-Fi works good, now that we moved to a new room. There is some good sunlight in the morning that JaNell likes.
The only problem in this location is, there is a lot noise caused by visiting in the hall. My job: keep the door closed.

Everything seems to be looking up which is good news and of great relief for all.
This has been a long, hard, road to travel for JaNell so very thankful she has made
a good trip through it all.
Are you still residing at the casita or were you able to move over to the rehab place?
Great news about Wi-Fi as well!! Our lives have really changed since the penny post
card & the 3 cent postage stamp haven't they???
Adrienne

Terry

Subject: JaNell Surgery Report 2012.02.04
Date: February 4, 2012 11:30:35 PM MST

Day 59

Hello All,

• Only one speed bump, caused by drinking a protein drink, marked an otherwise good day for JaNell.

• She enjoyed visiting with her sister, brother-in-law, Kelly and Krystal. Her sister, Nelda, gave her a manicure and pedicure.

• Good News: Her white blood cell count is lower today (13.1) than yesterday (15.3)

• Not so good news: Her hemoglobin level is low (1.8) it should be (4.0) She will need to eat more protein (and keep it down.) A doctor prescribed Megace, to help her appetite.

• JaNell’s vital signs were good today. She had normal temperature and blood pressure.

Thank you for your prayers and concern.

terry

Subject: Re: JaNell Surgery Report 2012.02.04
Date: February 5, 2012 8:30:36 AM MST

Yes it is healing, The nurse gave the stats yesterday.
Thanks for the edible bouquet, I have pictures I gonna' send.

Yum,

terry

On Feb 5, 2012, at 7:58 AM, dpippen@comcast.net wrote:

Hi Terry,

Has the incision healed any better? We really enjoy hearing the good news.

Hang tough guys,

David

Day 60

Hello All,

• JaNell had a good day today, with only one nauseous relapse, experienced while taking a pill.

• She enjoyed watching the super bowl, her team won. She wasn’t really looking forward to seeing Madonna’s half-time performance, but was impressed how reserved her show was.

• Her favorite food and drink today: Pot roast, yogurt, peanut butter, grape juice and Dr Pepper.

• She enjoyed the visit of her sister and brother-in-law, Kelly and Krystal.

• JaNell exercised today, on her own, with an elastic band.

• White blood cell count was elevated today; no fever or high blood pressure.

More later,

terry

Subject: JaNell Surgery Report 2012.02.06
Date: February 6, 2012 10:42:02 PM MST

Day 61

Hello All,

• JaNell made it through the day, and took all of her pills, without any nausea or throwing up.

• JaNell’s doctor here at Kindred Hospital ordered a blood culture, because she had a low-grade fever (100.4) and her white blood cell count was 15.5

• She has an appointment, which has been scheduled for a week, with Dr. Wasif at Mayo tomorrow.

• Exercise today, consisted of walking with a physical therapist, walking in place at her bedside, and working with an elastic band.

To be continued,

terry

Subject: JaNell Surgery Report 2012.02.07
Date: February 7, 2012 10:42:02 PM MST

Day 62

Hello All,

• Today was another good day, without nausea, for JaNell. Her temperature and blood pressure were normal.

• She was transported to Mayo, by ambulance, for an appointment with her surgeon, Dr. Wasif. He was pleased by the way her wound was healing, and approved of the removing of the wound vac by the Kindred doctor.

• JaNell’s wound nurse, Julie, uses alginate dressings on her wound. The wound is dressed every day.

• JaNell missed her session with the physical therapist, but worked with the occupational therapist, and worked out individually with an elastic band.

Thank you for your prayers,

terry

From: terry <ttphotoinc@comcast.net>
Date: February 9, 2012 1:27:53 PM MST
To: Kelly
Subject: Hospital meeting.

1) Will do CT scan. Because of white blood cell level, and low grade fever. May not need contrast.
2) Wound is healing ok, but tissue should be red not pink. Wound nurse, Julie A. Ho, wants to observe when dressing is being changed.
3) Need to use CPAP. Do breathing exercises.
4) Will check about including fresh fruit and vegetables.
5) Medicare or insurance will probably not pay for transportation to LC, because local facilities are available.
6) Results of blood culture still pending. Urine analysis ok.

** Additional info.
1) Good PT session. Worked out sitting in a chair, with weights on ankles. Used elastic band.
2) Walked 330 ft. with three pit-stops.
3) PT technician told JaNell she wasn't ready to walk alone holding on to her IV pole, as she requested.

Sent from my iPad

From: terry <ttphotoinc@comcast.net>
Subject: Fistula drain 2
Date: February 13, 2012 12:41:49 PM MST
To: Kelly

Julie A. ~ 2012.02.13 @ 11:30 A.M.

• "Fistula looks way smaller," says Julie A.
• "Wound looks pretty good," says Julie A.
• Dr Shaw will look at wound tomorrow.
• Fistula drain not putting out much. Will not put on another pouch. Out-put looks similar to what is produced by JP drains.
• JP drain # 1 is 3/4 of the way out. Probably the reason it is not draining. Julie removed it and tried to reinsert it, but was not going in easy, so she left it out.
• Temp 99.5 (99.5 or or 99.8 classified as "low grade fever.")
• Morphine shot, for cramping and muscle spasms, caused nausea - gagging.
• Getting Fentanly patch now, for pain, ( only minutes after Morphine shot) which is slow release, releases over the next three days.
• Julie talked to Dr Wasif (12:30 PM) He wants wound vac. back on and start eating liquid diet. Feb. 21st appointment is OK with him. Dr. Shaw will look at wound tomorrow and put on vac. no soda pop.