Wednesday, September 17, 2008

Nondescript

The last few days have brought more interesting conversation and memorable Rose-isms. Mom hasn't been this animated and happy in months.

During TV commercial-

Mom: I told her to call me Caroline (long "i" sound)

Evan: Why?

Mom: Because it's a nondescript name.


Another TV Commercial: Instead of eight Tylenol you can take two Aleve (paraphrased).

Mom: I took two Aleve.

Evan: Why?Mom: Because they, too, are nondescript.

Mom's potassium is a little low, so she gets a little more in her sodium chloride now. She's getting more pain killers, which are helping immensely with her movement. She has gradually done more and more with her arms, and Sunday she touched her face for the first time in many weeks. She no longer has to rely on us to scratch her nose for her.

Mom and I finished The Shack on Friday night. I asked her if she enjoyed the story, and she said she enjoyed it immensely. Next, we plan to read Strong Poison by Dorothy Sayers - a gripping mystery with a dashing leading man and an undeserving heroine. I have strong feelings on the subject.

Sunday evening Jaime read to Mom from The Oxford Book of English Verse. She was unimpressed with half of them, and one of those she liked was a sonnet by Sir Philip Sidney entitled Desire. She liked it so well she wanted to hear it read again, so we called in Evan. He recited it with a loud faux-Brit accent. We all laughed until we cried, and Mom laughed so hard that she covered her face with her newly available hands.


Wednesday, September 10, 2008

Good Company

Sunday morning was quiet at 10:30 when Suzy's family had all made it out the door to church. I read to Mom from chapter 17 of The Shack, and we talked afterward about God's faithfulness and poetry. I told her I hadn't prayed for her yet, and asked if she would like for us to pray together. Of course, the answer was yes. I offered to let her begin, and she replied, "No, you start. You're the starter."

So I prayed for a while, and then asked Mom if she would like to.

"Are you finished?"

"Yes, you go ahead Mom."

"Dear heavenly father, in the name of Jesus...we are so grateful for...you understand our failings, even though..."

I couldn't understand the rest of what she prayed. Her words were soft and indistinguishable but sincere. I opened my eyes and watched as her lips spoke to Jesus and looked for him under her closed eyelids. She prayed until she fell asleep.


Below are some pictures from Saturday.

Tina and Mom. Again, I had asked Mom to smile, and she gave me a wink.
Devon giving Grandma Rose some good by love.
Evan explaining the mysteries of fossilized rock to Devon. Charlevoix county has lots and lots of interesting rocks.
Evan showing Grandma her latest glamour shot. Again, Mom improvises with the request for a smile by throwing air kisses at the camera, here with Bill and Pattie.Suzy told me yesterday that Mom has been more alert and lucid each day this week. As always, thanks for your prayers.

Sunday, September 7, 2008

Changes

When I left for Grand Rapids last Monday Mom had slept most of the day. Suzy told me Tuesday evening that Mom was still very tired and that there were changes in her demeanor and appearance.

Mom can be snappy, but she's always been just one word away from kindness. Last week, Mom was irritated and not very nice to Suzy. This is very unusual behavior for her. (Suzy might jokingly tell you it's status quo.) Her speech became quiet and a bit nasal. She had a difficult time finishing sentences and sometimes repeated the same word over and over. Most of what she said did not make sense, although it seemed she knew what she was trying to say. Much like she was a few weeks ago, but moreso.

When Corey and I arrived late Thursday night, I could see the change in Mom's face. Everything in her face seemed to have fallen a little, and seeing us after three days did not bring the usual smile to her face. She was interacting with the TV characters she was watching, occasionally acknowledging that we were there. The abrupt change was disconcerting. However, at bedtime she kept tradition with a sincere "I love you Patty" and kisses.

Dr. Karkosak thought it was one of two things: the effects of morphine or swelling of the brain from a tumor. We pretty much ruled out the morphine because she had been on the same dose for several days and this change was quick. Dr. Karkosak prescribed prednisone to bring down swelling if it existed. So we stopped the liquid ibuprofen and started prednisone on Thursday.

Friday, Mom slept until 2:40 p.m. When she awoke, she greeted me with a smile, told me she was feeling pretty good, and said scrambled eggs sounded wonderful. By the time Suzy and Corey returned from their trip to Petoskey in the late afternoon she was much more herself. Not to the extent that she was last weekend, but much different from Thursday. Everything that had fallen in her face was back in its sunny place.

Bill, Pattie, Tina and Devon came on Saturday and it was a good visit, replete with conversation and laughter. Tina brought a DVD from Mom's cousin, Eileen Milner, of Eileen's trip to the Czech Republic this year. Eileen and her daughters found the house in Andrejov where Mom's great-great-grandfather lived when he left for America. We watched it together.

This morning Mom woke up early. She is patiently waiting for me to post this update and return to the room with her breakfast. Suzy is making oven baked french toast for breakfast at the church, and Olivia is dutifully and desparately trying to wake her siblings to get ready. So, it's pretty much business as usual. What a blessing.

Mom's last labs came back good - a small rise in her hemoglobin, a small decrease in her white blood cells, no infection. She will continue with prednisone in gradually decreasing doses for a few more days, the Dr. Karkosak will reassess. I'll keep you posted.

Tuesday, September 2, 2008

The Best Medicine

Last week Mom's labs came back positive for a UTI. The first one in two months. This time instead of pills Mom is getting her cipro through her port. We just take her off the sodium chloride for the hour it takes the cipro to drip in, then hook it back up. Suzy's got it down. However, I messed up on the IV computer while changing bags. It didn't affect Mom at all, it just threw off the cc counter on the computer which helps us keep track of what she's received. I guess there's a good reason I'm not in the health care field.

Anyway, the cipro is doing its job, and so far we have not had to administer flagyl to prevent c. diff. infection. She has been getting yogurt every day with a special additive to encourage growth of good bacteria. Since it's been so long since her last UTI, Dr. Karkosak recommended witholding the flagyl until we knew we needed it. So far, so good - no flagyl.

Mom's appetite has improved. She is receiving her morphine through a 72 hour patch and receives liquid motrin four times a day. She is still taking her Toprol for blood pressure, and occasionally gets half an ambien to help her sleep at night. That's it. Such a change from a few short months ago when we were grinding 10-12 pills twice a day to mix into her yogurt. So much easier for her.

When the television is on, she sometimes has trouble distinguishing between people in the room and people on the program. She has thought at times that she was on TV herself. Last weekend, she was fascinated by several of the commercials. Her favorites were:
  • Hillshire Farms - Go Meat! (Patty - those guys are back!)
  • Silence Your Rooster (Isn't it cute!)
  • Smirnoff (Did you see that?)
The conversation has been lively - sometimes zaney, sometimes profound. We never know what she'll say next. Predictability is out the window. Laughter reigns. Mixed with her snappy sense of humor, her responses are sometimes enough to knock us off our feet. I know I could never really do our exchanges the justice they deserve in the telling, but I'll try sharing a few.

(Motioning to the flag waving in the breeze across her door)
I just hate that thing.

(Mom to Evan)
I keep telling myself I need to get a fly swatter.
We have a fly swatter.
Where is it?
It's right over there.
Well, the flies are down here.
(Pat to Mom, when a small crash sounds from Evan's direction while retrieving the swatter)
I hope he's okay.
(Mom laughs) Oh, he bounces.

(Mom to Evan)
The less you talk, the less tedious you are to me.

(Watching God TV Sunday morning, Mom to Pat)
Oh, there's a guy in the window.
He's a preacher.
I don't care WHO he is!

(Trying to swat a fly on her arm)
Oh...I almost said damn it.

(Mom to Pat, smiling)
I just pulled a pistol on your friend.
You just pulled a pistol on my friend?
Uh huh. (nodding, smiling)
Which friend?
(Pointing to the flag waving across the doorway) That one.

We finished chapter 15 of The Shack on Sunday. The chapter was about heaven, reconciliation, redemption, communion with Jesus - it was beautiful. She wanted me to read it again, so we re-read the end of the chapter on Monday.

Sunday was the Kratochvil family reunion in Traverse City. Most of her cousins were there. Mom has not been out of bed since June; attempting a trip an hour and a half away and sitting up for hours would have been too much for her. I didn't tell her Sunday that she was missing the reunion, but I talked to her about each of her cousins so she had them all in mind. Aunt Dorothy told me later that the family had a moment of silence to remember Mom in their prayers since she couldn't be with them. So, they were together from a distance.

Our I love yous are still heartfelt and plentiful with lots and lots of kisses.

Following are a few pictures from the last two weekends.

Tami, Devon and Mom.

Tina, Makayla and Mom.
Tami and Mom.
What? Not another pair of sunglasses?!Mom laughing on Sunday. Mike, Mom and Tina.
Thanks as always for your continued prayers. They're priceless to us.