how to type what has happened in the last month. words seem brittle. fragile. false. i promised myself i was going to type only total truth. i promised myself this to help me, and to help others that trip across this page. bear with me...
quiet time after i brought virgil home from the back surgery. he continued to heal, and seemed to be doing so well. only problem we had was that he wanted to lift heavy things, like the pug, all the time. he did continue to take long naps, and not move much. the energy just was not there. the last week-end of february, i had to work on saturday. came home at the normal time, and noted that he was panting a little more than normal to just walk a short distance. being the week-end, i just passed it off as he spent more time playing with the handicapped son, and was tired. sleeping, or rather laying in bed next to him that night... i watched as he panted in his sleep. his wrist told me a story of a heart that was getting into trouble again. i quietly waited for morning. i did not sleep much. sunday arrived with a beautiful sunrise. virgil flat out refused to go to the emergency room on a sunday. you cannot make a man move that flat out states no. i don't care what you try. he did agree to go to doc on monday.
ok, so monday... i call the cardio office, and am told that the heart doc we normally see is on vacation. nurse is trying to see if another in the office has a slot to see him. waiting for the return call. at this point, the heart is racing along at 140+ just sitting in a chair, and the oxygen level in his blood with oxygen on is at 87. i call the office back, and let them know i am just going to drive him to the emergency room. arrive at the er... and we don't have to wait. tell them rapid heart rate and extreme difficulty breathing, with o2 sat at 87, and they stick you in a room right away. techs crawling over him to do breathing treatments, just like at home, and draw blood... (no, i didn't do that)... doc saying... "well... we have a room for you upstairs." tell us they are going to admit us under "lung problems". something did not feel right, but who am i to argue with the doc.
find out that our lung doc is using a contract doc to see hospital patients, cause they are short one doc due to death, and another retired. sub lung doc says he is dehydrated, and wants to dump fluids in him. start fluids at a rapid rate, and breathing treatments every 4 hours. takes me second day to "light bulb moment" when i realize we have not seen a heart doc. ask a few questions of the nurses, and find out the lung guy did not listen when we requested one be called. sat in wait for the lung doc, and made my request very, very clear. we wanted a heart doc in, cause they are both so intra-related, and nothing is showing improvement at this point... to say the least, this doc was not happy. i think i am totally beyond caring if a doc is happy.
virg's heart doc came in that afternoon, and about had a cow. fluids were stopped immediately. fluid pills given, and meds to bring down blood pressure. the sub lung doc wanted him walked, so physical therapy showed up to take him down the hall. the techs watching the monitors came running. apparently, they get a upset when heart rates hit 190+ when you are on the cardiac floor. wheel chair back to bed, and heart doc's order of "complete bed rest". so doc ups the blood pressure medicine. says we are looking for "good enough". no more looking for better. talks of a wheelchair for home. talks of adjustments. just "good enough". my mind screams a primal angst. my love is nodding agreement with the doc. does he understand what he is agreeing too? i think he does. talks latter will confirm if so. i will support his decision, for in reality, it is his, not mine to make.
doc closes out his conversation to state we will be going home shortly. says probably weekend. time get pushed out every time we talk with a doc. more time, and more time. virgil gets all sweaty for just a moment while eating supper. passes it off as nothing. says it happens frequently. within 2 hours, the cold sweat is covering all of him. he is cold and gray. he is not making sense when i are talking to him. i don't have tools here... except to call for the nurses... but they are already on their way... the techs watching the heart monitor get here first. the nurses almost immediately after. i explain what had occurred at supper that he convinced me was nothing. and that literally nothing brought this on... we were just watching tv quietly together. they inform me they are getting him to the intensive care unit as rapidly as possible, and that if the kids would want to be here, i should call them immediately. i cannot hear these words... my mind will not focus. it cannot mean what i know it means. i have said those words myself. i know, but i am refusing to know. i text everyone... i call his brother, rick. i say it as simply as i can. i have not spoke with his other brother in ages. family riff. i do my best to stay out of it. i decide that he has the right to know. i call and leave a message on the voice mail. i can't think. i am praying with every breath...
a long, and sleepless night... watching... waiting... praying... please... praying... they give him massive amounts of drugs to bring up the blood pressure. 32 over zero is no joke... and they did all that they could. they dumped fluids as if there was not a tomorrow... they brought him back from the edge. now, the search was on to figure out why the edge was here, and why we tiptoed on it. blood infection? waiting, and waiting on the tests... seemingly constant bags of iv antibiotics. i know all the names... they are not holding anything back... covering any possible as we wait... was it a drug interaction? he is on soooo many.... the list is scoured.... and everything that is not essential to life is removed. drugs are tested against every other drug... but there is not a test on earth that pairs up every possible combo of meds we do to humans today...
they keep him in icu for two days. the brother we rarely see did call, and came for the morning. they know they have him stable. they say we can go back to the telemetry unit. only there is no bed available in the telemetry unit. the hospital is full. literally. we had been told we had one of the last bed when he checked in on monday. no different today. another overnight in the icu. did have a touch of laughter in the morning. told virg he'd better be getting more rest... cause i had had much less than him, and still the day nurse's notes stated for virg "daughter slept at bedside"... and the only daughter was me... three days in a fishbowl is three too many.... literally... all glass to the room... right next to the nurse station... not a moment of quiet... machines screaming with the irregular heart rhythm and rates... what we call irregularly regular. meds and treatments being brought back on board, one at a time. trying to see if anything will make the crazy happen again... nothing...
so late in the afternoon, third day, they find a room. in the remodeled area of the telemetry unit... the hot water does not work in the room, but that matters little.... quieter place for babe to get rest... i keep the door closed... and shoo nurses away when he is sleeping. promise to call them the minute he wakes. now on day 10 in the hospital. still no answer on why the heart rate clicks along at 120-130. no answers on why blood pressure bottomed out. thinking, per docs, too much of one heart drug compared to what his body could tolerate. not sure, just best guess. "good enough" for now....
couple more days... have to finish adding drugs back under supervision. gotta make sure we don't do what happened all too recent. he can't walk beyond 2 to 3 steps. more than that, and the heart goes insane. enough to make transferring to a chair simple. doc tells us powered chair for home. says that a manual wheelchair will be too much work for heart. we talk with the wheelchair company that supplies them. we begin the paperwork. oh... the paperwork... until you ask for something expensive from an insurance company, you have no idea...
the days slip past... and sunday finally arrives. day 13... the day we are promised that we get to go home. it is sunday, and the docs do not do rounds early. as we have two, we need both to say ok. they do amble in after a time. it is nearly 2 before we see the last doc. the nurses have to paperwork done already for the most part. we are discharging with insulin due to blood sugars being really, really high with the steroids he has to have for his lungs. paperwork has to be prepped and cross checked... almost 4 before we finally get to leave... and i am more than a little scared. so much has happened over the last two weeks. i saw him literally at death's door. now he is mine only to watch over.
the drive home is quick. the dogs on leashes so they don't totally maul virg. they calm down, and seem content to have their master back. i have meds i have to get from pharmacy. he is in no shape to go there with me. i tuck him into a bed for rest, and run to walmart pharmacy. supper is a quick affair of soup, salad and a sandwich. he is so totally worn out, that we surrender to bed once done.
i call work to explain that i cannot leave him without a wheelchair at home. yes, he can stand to transfer. yes, he can walk a few steps. the real question is, should he? doc says no. doc says stand to transfer only. we have a desk chair with wheels, and a walker with wheels and a seat. between the two, i am getting good at moving him. he has fallen every day for the first week home. he kept trying to move himself, when i was in another room getting him a drink, etc. virg finally does understand that i will dive in, and give him the cushion of falling on me. i am a lot softer than the floor. his osteoporosis is going to be the total bruising of me. finally, he is calling for help, and waiting the moment that is takes me to get there.
thankful for a really great workplace. fmla means i get the time off that he needs, until i can get the chair here, so he can move himself. i don't get paid for it, but i am here, and that is what really counts in the end. i am here.... and so is he... and he understands...