Good Afternoon Everyone. So much has happened I don’t know where to begin.
Let’s start with the shoes. As I stated in the last post, Charlie was being fitted for his shoes and inserts. We did go to that appointment and he did get fitted for his shoes and the new molds were done for the inserts. We should be hearing from them by the end of the month.
After that we called to make the appointment to have the steri-strips removed. Set that for Wednesday after wound care. All was well.
Wednesday came and we went to wound care. After being seen we were waiting for our ride. After an hours wait Charlie started feeling bad. He said he had a fullness in his chest and didn’t feel right. I carry a blood pressure meter and glucometer with me so I put it on him. It gave a blood pressure reading of 95/67. The pulse was only 34. I felt his pulse manually and then his graft and it was extremely slow. I took him right back in to wound care and asked the nurse if they could check it for me. She took the pulse via his graft and got 40, then she put the pulse ox meter on him and got 37. Needless to say I immediately took him to the ER. They put him on monitors and hooked him up to the defibrillator. That’s the first time they had ever done that. The doctors came in and they said that his EKG was abnormal. They contacted his cardiologist and then they admitted him. The Cardiologist came in and talked with him and said they were going to do a heart catheterization on Thursday morning at 8, if it was clear they were going to have him see another doctor about the heart’s electrical system. He then remembered that Charlie had something similar to this (except it was just low bp and heart was skipping beats) after his open heart surgery in 2011. He stated that there may be a need for a pacemaker. Shortly after that Charlie’s nephrologist came in and talked with him. He felt that the problem was probably his heart meds, but also said that there was a possibility that he may need a pacemaker. As we were taken up to Charlie’s room the electrophysiologist followed us. Once in the room he stood at the end of Charlie’s bed and asked him what happened. Charlie described everything and the Doctor said it’s your medication, you don’t need a pacemaker. No tests, didn’t even listen to the heart or anything and he already had the diagnosis made. Amazing huh? That was the last we saw or heard from him. So we stayed the night watching the BP and heart rate. Charlie got a bad case of shakes that night which blankets didn’t help. I asked if they could check his dilantin levels and the nurse put in the order. They gave him his night meds (which included Dilantin) and he slept well.
Thursday morning they did the heart catheterization and all was clear. So the next step was supposed to be the electrophysiologist, but he never came. Charlie went and did dialysis and then we anticipated we would go home. Well, the house doctor came in and said that his dilantin levels were back down to 3.2 which was what they were at 4 weeks ago when he had the seizures. They put him on IV meds to bring it up and kept him one more night. No explanation as to why the levels dropped, except dialysis.
Friday afternoon they finally discharged Charlie. As we waited outside for the ride home he told me his chest was feeling funny again. I immediately took him into the ER so they could check and make sure we weren’t having a repeat of Wednesday. They did EKGs (two of them because the original had a slight variation from the one Thursday) and bloodwork. They couldn’t explain what happened so they let us go home. At that point we were going home to a reduced amount of blood pressure meds that were called in to our pharmacy. We would get them on Saturday.
When we arrived home on Friday we found the phone/internet/tv were off. At this point we just went to bed and would deal with everything on Saturday. On Saturday I called the pharmacy to get the blood pressure meds delivered and was told that the person who called it in had not given a doctors name so they were unable to fill it. I told them I would contact the cardiologist in the morning and if they wanted him to go back on it I would ask them to call it in. (I guess it was a good thing we didn’t spend the money on it in the first place.)
Saturday was a dialysis day. Charlie did well, he was a little dizzy but it wasn’t anything unusual. He came home, napped, and we did Bible Study and watched a couple of movies.
Sunday morning we woke up. Got ready for church and Charlie said he was feeling a little funny but then it passed. As we went to go out the door he went to the floor, didn’t pass out. He waited a minute and then said he was fine. He got up, we went to the car and off to church. When we got there he got in his wheel chair and all of a sudden felt like he was going to pass out again. His pressure was a little low so we got him some coffee (so he could have the caffine to help raise it.) He felt a bit better so we went to Sunday School. We made it through class and then I took him to the front doors so he could greet people. Someone else took him in to the sanctuary as I was working in the food pantry. Next thing I know they are yelling to me that Charlie passed out. Sure enough, he did, right in the center aisle. He was out cold for about 5 minutes. They called the ambulance and we were off again to the ER. Wish they would give frequent flyer miles for hospital visits!
This time they did EKGs again, then more bloodwork. Nothing again. The doctor never consulted the cardiologist about anything. He consulted with an associate of Charlie’s nephrologist who said it was probably circulatory. They gave him compression stockings and sent him home.
Monday morning I was very frustrated. I began calling all of the doctors for follow-up appointments. I started with the cardiologist because I also wanted him to know what had transpired over the weekend. He was on vacation. I explained what was going on to the nurse and she said someone would be calling back. I then called the neurologist/PCP. They took my number and would page him. He called back and I explained to him what we had been through. He then said it sounded like Charlie needs a pacemaker. He said he would contact the Cardiologist’s office and consult with them. After this I contacted the Electrophysiologist’s office, they had no record of Charlie because the doctor never SAW him. Later that day I got a call from the cardiologists office and was told that they had contacted the elecrophysiologist’s office and they would be calling me. The Nephrologist also called and said he had consulted with the on call Cardiologist and he would be calling me. So now we waited………………
(To Be Continued)
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