Mandi and Deborah are with Jimm today, and he had dialysis so he's very tired.. but is doing pretty good. Mandi was putting lotion on his hands when I spoke to Deborah, who has had a stinky cold but is feeling a bit better. She has to wear a mask in the room as well as the usual gown and gloves.
Jimm was on the trach collar (speaking valve in.. the vent unhooked) for a very short while today. Dr. Lissauer says what they will try this week is Mon-Wed-Fri dialysis.. and Tues-Thurs getting out of bed and sitting up in the chair as much as feasible.
Tube feeding has been cautiously resumed at a very slow rate, and a central line in the left side of his neck has been removed for testing since an infection is suspected at that site.
Nursing care seems good.. better than it was at times back in late July on the same 7th floor.
aw
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. . . . James Russell Revelle . . . . June 5, 1947 - February 18, 2008
12/3/2006
Notes on Jimm's hospital ordeal which began on May 29, 2007
. . . . James Russell Revelle . . . . June 5, 1947 - February 18, 2008
Please visit our companion blogs and related links.. click below
The 4 Jimm Blog Pages
The Blogs-
http://jimmupdates.blogspot.com/
Jimm loved racquetball.. and his friends in
Blogger Note: The blog below is not kept up to date.. but feel free to visit and use it as a reference for things that have taken place in past years. Thanks.
And the funding blog will give you info on helping Jimm and his family financially. Now, this is as important as ever. The bills are not going to go away.
Also, don’t forget that we have a blog featuring various pictures of Jimm, family and friends. Please visit and feel free to contribute.
Quick Link for Greetings Page
Summary of the situation:
Jimm was brought to University of Maryland Medical Center on June 1st 2007 after having been cared for at Upper Chesapeake Medical Center in Bel Air, MD for three days.
He was diagnosed with pancreatitis, an inflammation of the pancreas caused by a stone lodged in his bile duct. Throughout the upcoming months other systems and organs became involved and Jimm was further weakened by constant nosocomial, or hospital originated infections. He was on a constant roller coaster getting better then back-sliding.. never making the desired amount of progress.
Prior to, and during the 2007 year-end holidays he had improved enough to be off the ventilator and was consistently using his tracheal speaking valve to communicate.
On Jan 7th 2008 he was doing well enough to be moved to his first non-intensive care room on the 5th floor. After only hours in this room he had an attack in the early morning of Jan 8th. He was found not breathing and they blamed it on aspiration of foreign matter into the windpipe or lungs. How long he had been in distress was not stated. He was immediately moved back to SICU(surgical intensive care)on the fourth floor.
By Fri Jan11th they determined that he had suffered a stroke.
On Thurs Jan17th, tests showed evidence of a severe bilateral stroke caused by anoxia(oxygen starvation), and on Jan 18th doctors estimated that there was an 85 to 90 percent chance that Jimm would need long term care. Pretty much the worst case scenario had occurred. Almost all parts of his brain had been damaged, with the exception of the brain stem, which continued to control his breathing and heartbeat.
Since then Jimm had had his eyes open much of the time and was often following action with them, and had been breathing for himself with no assistance from the ventilator. Unfortunately, little else had been happening.. no talking, movement or reaction to questions or commands.
In the early morning of Feb 18th, Jimm began to encounter trouble breathing and eventually was unable to breathe for himself at all. He was hooked back up to the ventilator in full assist mode.
Later in the day Deborah and all members of the family came to the hospital, and after speaking at length with medical teams lead by Dr. Steven Johnson, made the decision to let Jimm's suffering end. He passed peacefully at 7:58 PM Feb 18th, and will be deeply missed by all who knew and loved him.
On Feb 22, 2008 Jimm's family and friends assembled at Schimunek Funeral Home in Bel Air.. ironically, right across the street from UCMC where he was first taken for treatment. His life was remembered and honored in a moving memorial service, and he will never be forgotten by even his most casual friends.
Rest in peace Jimm.. you will live in our hearts forever.
He was diagnosed with pancreatitis, an inflammation of the pancreas caused by a stone lodged in his bile duct. Throughout the upcoming months other systems and organs became involved and Jimm was further weakened by constant nosocomial, or hospital originated infections. He was on a constant roller coaster getting better then back-sliding.. never making the desired amount of progress.
Prior to, and during the 2007 year-end holidays he had improved enough to be off the ventilator and was consistently using his tracheal speaking valve to communicate.
On Jan 7th 2008 he was doing well enough to be moved to his first non-intensive care room on the 5th floor. After only hours in this room he had an attack in the early morning of Jan 8th. He was found not breathing and they blamed it on aspiration of foreign matter into the windpipe or lungs. How long he had been in distress was not stated. He was immediately moved back to SICU(surgical intensive care)on the fourth floor.
By Fri Jan11th they determined that he had suffered a stroke.
On Thurs Jan17th, tests showed evidence of a severe bilateral stroke caused by anoxia(oxygen starvation), and on Jan 18th doctors estimated that there was an 85 to 90 percent chance that Jimm would need long term care. Pretty much the worst case scenario had occurred. Almost all parts of his brain had been damaged, with the exception of the brain stem, which continued to control his breathing and heartbeat.
Since then Jimm had had his eyes open much of the time and was often following action with them, and had been breathing for himself with no assistance from the ventilator. Unfortunately, little else had been happening.. no talking, movement or reaction to questions or commands.
In the early morning of Feb 18th, Jimm began to encounter trouble breathing and eventually was unable to breathe for himself at all. He was hooked back up to the ventilator in full assist mode.
Later in the day Deborah and all members of the family came to the hospital, and after speaking at length with medical teams lead by Dr. Steven Johnson, made the decision to let Jimm's suffering end. He passed peacefully at 7:58 PM Feb 18th, and will be deeply missed by all who knew and loved him.
On Feb 22, 2008 Jimm's family and friends assembled at Schimunek Funeral Home in Bel Air.. ironically, right across the street from UCMC where he was first taken for treatment. His life was remembered and honored in a moving memorial service, and he will never be forgotten by even his most casual friends.
Rest in peace Jimm.. you will live in our hearts forever.
Deborah & Jimm
12/3/2006
Blogger's Email- adwebb05@gmail.com
Questions and comments welcome.
Questions and comments welcome.
Articles For Additional Study
Stroke:
http://en.wikipedia.org/wiki/Stroke
Areas of Jimm's Brain Affected by Stroke:
Cerebellum pic, http://en.wikipedia.org/wiki/Cerebellum
Occipital Lobe http://en.wikipedia.org/wiki/Occipital_lobe
Caudate nucleus pic pic http://en.wikipedia.org/wiki/Caudate_nucleus
Temporal Lobe pic function http://en.wikipedia.org/wiki/Temporal_lobe
Hippocampus http://en.wikipedia.org/wiki/Hippocampus
Frontal Cortex(prefrontal) http://en.wikipedia.org/wiki/Prefrontal_cortex
Frontal Lobe http://en.wikipedia.org/wiki/Frontal_lobe
Parietal lobe[cortex] http://en.wikipedia.org/wiki/Parietal_lobe
Not Affected in Jimm's Brain:
Brain stem (pic), (pic), function chart
Brain Scan Types:
CT
Cranial CT
MRI
fMRI
MRA
Super Bugs:
http://en.wikipedia.org/wiki/Antibiotic_resistance
CBS News/60 Minutes
CBS News Story
ABC Story
MSNBC Story
Plaguing UMMC Jan 4th 2008:
Acinetobacter baumannii
- also known as A. baumannii or MDRAB(multidrug-resistant A. baumannii)
CDC Article
http://en.wikipedia.org/wiki/Stroke
Areas of Jimm's Brain Affected by Stroke:
Cerebellum pic, http://en.wikipedia.org/wiki/Cerebellum
Occipital Lobe http://en.wikipedia.org/wiki/Occipital_lobe
Caudate nucleus pic pic http://en.wikipedia.org/wiki/Caudate_nucleus
Temporal Lobe pic function http://en.wikipedia.org/wiki/Temporal_lobe
Hippocampus http://en.wikipedia.org/wiki/Hippocampus
Frontal Cortex(prefrontal) http://en.wikipedia.org/wiki/Prefrontal_cortex
Frontal Lobe http://en.wikipedia.org/wiki/Frontal_lobe
Parietal lobe[cortex] http://en.wikipedia.org/wiki/Parietal_lobe
Not Affected in Jimm's Brain:
Brain stem (pic), (pic), function chart
Brain Scan Types:
CT
Cranial CT
MRI
fMRI
MRA
Super Bugs:
http://en.wikipedia.org/wiki/Antibiotic_resistance
CBS News/60 Minutes
CBS News Story
ABC Story
MSNBC Story
Plaguing UMMC Jan 4th 2008:
Acinetobacter baumannii
- also known as A. baumannii or MDRAB(multidrug-resistant A. baumannii)
CDC Article