mdlbear: (river)
mdlbear ([personal profile] mdlbear) wrote2021-04-12 10:24 pm
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River: State of the FlowerCat

It's been a crazy few days, complicated by some incomplete messaging. Briefly, when the hospitalist said Saturday that she was nearly ready to be discharged, he and just about everyone else made it sound like they expected her to be going home. And it's true that she made tremendous progress over the weekend. But she's in no physical shape to do car transfers and walk around the house.

So in short, the gastric outlet obstruction that the doctors at Whidbey General (okay, officially it's the WhidbeyHealth Medical Center, but most people use the old name) thought might require surgery turned out to be a peptic ulcer. Serious, but treatable with industrial-strength antacids, and by now she's able to eat solid food. Whatever was causing the blood in her urine (possibly a fistula) has stopped doing that.

They took her off TPN (IV nutrition) this afternoon. She's gotten very little PT, but has been out of bed a couple of times.

The fistula and the Crohn's are going to require attention from an IBD specialist, but that doesn't have to be done at the hospital; it's more of a long-term outpatient thing. Probably involving Humira or some other outrageously expensive drug, but still....

... so after consultation with the case manager and follow-up with the physical therapist, we all agreed that she needs a week or two of rehab. There are two possible places she could go -- Careage on Whidbey and Prestige in Edmonds. The case manager had only heard back from Careage as of this afternoon; we'd prefer Prestige if they have a bed open (better food and a better gym, according to Colleen) but either will work. Expect more news tomorrow. ETA: Prestige - we heard back from them. They also have inside visiting if both patient and visitor are vaccinated.

Fortunately she's in good enough shape to transfer in and out of a wheelchair, so she can take a wheelchair van rather than needing an ambulance this time.

gingicat: deep purple lilacs, some buds, some open (Default)

[personal profile] gingicat 2021-04-13 09:50 am (UTC)(link)
Going to rehab is a very good sign, hurray!
dialecticdreamer: My work (Default)

Wonderful news!

[personal profile] dialecticdreamer 2021-04-13 09:37 pm (UTC)(link)
I'm so glad that she's getting better, and the PT will make sure that she hasn't lost muscle tone during her time in bed.
mama_kestrel: (Default)

[personal profile] mama_kestrel 2021-04-14 04:03 am (UTC)(link)
So glad Colleen is doing better!