Monday, April 19, 2010

Michael transported to PSL

Michael was transported to Select-North (in PSL) this afternoon. They seem competent and caring. Michael's medical records didn't follow him to the new facility and they had to send someone to pick up the missing info. Michael's trip in the ambulance was uneventful. They did have emergency equipment in case it was needed, but Baruch HaShem, Michael's O2 was fine the whole trip.
I was at the new location to greet him. I drove there, parked and went up to the floor before Michael arrived. When he arrived they switched him to their monitors. Immediately his O2 saturation decreased radically (66). I told the CNA if your monitor is accurate; please get someone in here immediately to take care of him.
Michael didn't seem to be in distress, so the reading must have been wrong. Respiratory Therapy came right in and helped the nurses adjust his airflow. His sats stayed low so they replaced the Trach collar with the respirator. He immediately went to the low 90s. The RT said the monitor was incorrect; he wasn't in the 60's. (You will often see false readings if someone's finger is cold, etc.) Michael was allowed to rest awhile and when he was ready he was put back on the Trach collar. He will go back on C-PAP later this evening.
The wound care team saw him upon arrival to access his skin care. They noticed that Michael's feeding tube was super taped on. They said this should never be taped. They removed the tape, ouch, watch the hair! They cleaned the wound thoroughly.
The speech therapist will evaluate his ability to swallow and access his ability to down size his Trach, so he can talk!
I requested that the doctors will do a number of lab tests including Thyroid function. The blood tests will be done tomorrow. They will also x-ray him tomorrow to look to see how his lungs have progressed. They will also do some swallow tests.
The doctors and nurses desks are right outside Michael's room! I will always know where to find them. They cannot hide.
Michael continues to progress.
I do not know Michael's schedule for OT, PT, ST or when lab tests and x-rays will be preformed. If people do want to visit:
1. They must be healthy.
2. They must wash their hands.
3. They can only stay for a few minutes.
4. Children should not visit.

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