The last couple of weeks have not been great ones for our family. Some of you may already know, and some may not, but my mom has been in the hospital for awhile now.
She has always had heart problems, and has always been limited somewhat by it. I believe that we, as a family, may have been taking advantage of her "health" and it may be catching up to her, and us, now.
My dad has been keeping a journal like record of what has been going on, so I am going to post his entries. It is easier to understand what has happened that way, rather than if I tried to explain.
Date: Thu, 4 Aug 2011 23:44:43 -0600
Here's a rundown of what's happening with Debbie. She's been in UCLA Medical Center for all but two of the past eight days with atrial flutter - a complication of her heart condition - along with a lung infection (early stage pneumonia). Three separate times she's undergone a cardioversion, basically an electric shock "reset" of her heart to more normal bpm levels as it has been above 160 for a combined 70+ hours. As you can imagine she's incredibly fatigued as a result. Today she underwent a cardiac catheter ablation - a procedure that pinpoints and cauterizes tissue where atrial flutter originates. Three different catheters are threaded through three different arteries and into her heart. They then stimulate a heightened heart rate and identify the areas to burn through to eliminate the problem. Sounds simple enough and apparently is quite routine but with Debbie nothing is ever that. Partway through the procedure they had to pull out as her heart anatomy proved too complex to continue. The drugs they gave her also made it difficult to replicate the accelerated heart rate needed. She is now recovering with three very sore incision sites - both sides of her groin and right side of her neck - and a continuation of the problem. Tomorrow an MRI is scheduled and then we'll regroup on strategy and timing for a second attempt. The procedure comes with some risk but we feel we have no choice as she cannot live with either the racing heart rate or the resulting expectation of blood clots forming in her pulmonary system. It's been another very long day for all of us but especially Debbie. Her spirits are lagging but she doesn't give in easily. For the moment they've given her morphine, anti-arrythmia drugs and anti-anxiety medication so hopefully she'll sleep peacefully through the night. Please keep her in your thoughts and prayers.
Date: Tue, 9 Aug 2011 22:42:46 -0600
Today Debbie underwent a second catheter ablation procedure. With a comprehensive MRI of her heart at hand and the use of five catheters the doctors were able to fully 'map' out the areas contributing to atrial flutter this time. After seven and a half hours they feel 99% certain they resolved the problem however during the procedure they had to shock her heart twice as she went into atrial fibrillation. Unfortunately that type of arrythmia cannot be resolved through ablation as it's too chaotic and random. It appears we'll have to rely on medication to help her deal with it. There's hope that the fibrillation may have been triggered by the atrial flutter which has now been resolved so we'll have to wait and see. A couple hours after the procedure two of the catheters were removed, one a large venous and the other an arterial, which resulted in significant loss of blood so a transfusion is a possibility overnight. She was weakened even further by today's ordeal and has been sedated sufficiently to allow her to rest comfortably though the night. I almost requested the same medication as I don't think I've ever been more exhausted and I'm only a bystander. In the face of everything Debbie is in good spirits and we feel we're one big step closer to full recovery. The next 24-hours will tell us how quickly that may happen. Thanks again for your interest in her welfare.
Date: Wed, 10 Aug 2011 13:38:01 -0600
One of the major risks that Debbie lives with every day is that of blood clots. The lack of a properly functioning pulmonary system means a clot should it materialize would make its way unimpeded to her brain. Several years ago that happened resulting in a brain abscess and bacterial meningitis. The ordeal she's been through the past 2 weeks has increased that risk and unfortunately early this morning a clot lodged in the back of her brain resulting in a stroke. The full extent of the damage won't be evident for a few days but she has some paralysis on the left side of her face, has lost the perception of where she is relative to her arms and legs and has trouble seeing clearly particularly if she looks up, down or to the side. The next 24 hours are a concern in that damage could spread to surrounding tissue and we could see other clots arise. There's also a slight chance of regression, meaning the affected area could actually improve. Although still very fatigued Debbie is in no significant pain and we have been talking through this latest setback. She continues to amaze me and her caregivers. We have some additional challenges now and I'm sure we'll be able to meet them.
Date: Thu, 11 Aug 2011 22:59:34 -0600
Some good news today. Debbie's pneumonia is all but gone now. And we saw some regression (as it relates to strokes that's a good thing) as her sight improved and the left side of her face is less droopy. Hearing in her left ear is still compromised as is her balance, equilibrium and perception. And a little bad news as her heart raced above 120 bpm for more than 20-hours. It's going to take a few more days to control and manage that. All in all a better day than most and we're hopeful she's on a continual climb upward. The thinking is she may be able to come home as early as Monday if the progress made today continues.
I've been writing these updates as a kind of therapy for me and thought to share them knowing you'd be concerned for Debbie and I. Your notes of support are appreciated. We have some adjustments to make in our day-to-day life going forward and your kind thoughts will help buoy us up. Thanks.
Date: Fri, 13 Aug 2011
Two good days of measured improvement. The appropriate combination of medications and their dosages to control heart rate, heart rhythm and 'thickness' of Debbie's blood seems to have been found as all three have been stable for more than 48-hours. All traces of infection in her system are gone. The major hurdle remaining now is to regain enough strength and energy to get up and walk. Twenty to thirty minutes sitting in a chair is about all she can muster at any one time now. Today she was able to do that three different times. We expect Monday she'll start intensive in-patient physical therapy which may last a week or more before she can come home. Balance, equilibrium and depth perception have all been compromised and will take some work for her to adapt to those changes. Debbie has a bit of a crooked smile but I can't begin to tell you how great it looks to me now that she's laughing and smiling again.
My mother is a very special and extremely important person to me. I know that many of you feel similarly and so I ask for your continued thoughts and prayers in her behalf. I have had many lonely and terrible hours by myself where I have allowed myself to go where I don't want to go. I feel very strongly that without the gospel of Jesus Christ and all of our combined faith, my mom would no longer be here and I would be swallowed up in despair.
Thank you to all who have been around to offer my family your support and love in so many different ways.