Thursday, May 20, 2010

Morning Doctors,
Now I'm really stumped, We just got the results of Dar's blood work up. Everything is normal, WBC is 5.8, no anemia, thyroid is good everything looks fine. I am glad we have nothing brewing, but why is Dar so lethargic.
We have discoverd in recent months that Dar does retain CO2, three times at the hospital they have over oxygenated her to where she has had to have her trach replaced and put on positive pressure in the ICU, each time her ABG showed very high levels of CO2 retention and she would do a whole lot of sleeping. Just like she is now, is it possible that she might be "naturally" retaining CO2 on her own.
We do have Dar on 2 litrers of O2 @ 24% at night when she sleeps so we can keep her O2 sats around 89-93, this is typically where she is during the day when she is awake, I discoverd at night when her sleep apnia kicks in she would constantly set of her O2 monitor. With the little extra help from her ""low flow" concentrator she does not set off her monitor and she and I both sleep.
From about 8:00 am till 10:00pm she is without assistance from the concentrator, and she does periodically set off her monitor, and will drop O2 sats to 85 occasionally when she takes a deep breath or is sound asleep and we have to remind her to breathe. We also always check her cannula for obstruction when this happens.
Could she be naturally be retaining on her own and not getting rid of her CO2, do we take her to have an ABG done and see where it is.
Her resperations seem to be normal for her, her O2 sats seem to be normal for her in the 90 to 94 range.
She is not in apparent distress or discomfort.
Can this all be related back to emotions, awareness of her circumstances? Can she be way depressed, she just does not have the spark she has always had.
Do we need to look into somthing different for "mood".
I miss my girl that was always so happy and perky, always willing to respond with happy facial expressions, she is soooo very quiet and sleeps so much at the present time. I remember you said sleep was a very good thing, is it still??????
Am I overreacting, should I just relax and ride out this period of apparent "mood change".
Danny

6 comments:

Anonymous said...

Hello my friend,

Mike Walsh here. Just wanted to share a thought with you. Are you overreacting? Well there is scientific proof that the first place you think about something is in your gut. After that you think about it in your heart. Then it finally makes its way to the brain. Sounds to me like you're thinking with your gut or your heart. Can't say that I blame you. Personally I think you need to do more thinking with your heart. Besides, why stop now. You're a good man Danny Mardilla. Love you and hope to see you soon.

Mike

Anonymous said...

Please update the blog. We are getting inquires on what is happening, with the people assuming the worst. You may not have a huge following, but you do have a faithful following.
Thank you - Oregon

Anonymous said...

I was going to say the same thing. In need of an update. Love you Bro.
Shary

Anonymous said...

I just want an update on Darlene's condition. I put her and family on our prayer list at church when I hear about what is happening. I am asked about her every week. We will keep praying for both of you.
Florida

Anonymous said...

How is Darlene doing? I have checked the blog but noticed no change for quite a while and am becoming a little concerned.
Idaho

Anonymous said...

We're stumped too. What's happening? We are in suspense.
Concerned