Saturday, June 12, 2010
Still here in the hospital.
This morning we had a new doctor. He said Dave could go home tomorrow (Sunday) and they would contact CCAC to arrange for a bed to be delivered. He also suggested Dave be put on a Pain Pump instead of the patch + pills at home. The patch maintains a steady dose, and the pills would be for breakthrough pain. The problem is that the pills are not fast acting and might be a problem at home if Dave needs instant relief. The pump would do the some thing - maintain a steady dose, and then you can self medicate for immediate relief if necessary - but you can't overdose because of it's programming. I think this makes more sense. Dave prefers to be in control and if he knows he can get almost instant relief, he won't overmedicate because he thinks he 'might' be in pain in half an hour.
I went home this afternoon to clear out our bedroom to make room for the hospital bed. Friends were doing gardening in the back yard (which looks awesome!) and they came in to move out some furniture for me. Cale stuck around and CCAC apparently delivered the bed at 7pm. So, we're set there.
It was almost 5pm before they hooked Dave up to the pain pump and removed the pain patch at the same time. By 7pm I was concerned, because Dave was non-responsive and I couldn't wake him up for more than 10 seconds. After discussing it with a few nurses, they agreed that he didn't seem right. (Part of the problem is that he's in the cardiac unit, because there are no beds available in the oncology unit. So they're unfamiliar with the pump and cancer patients in general.) After contacting the on-call doctor that prescribed it this morning, he told her to take him off the pump entirely, and to just give meds as needed. Dave is still heavily sedated - too sedated. I believe they should have removed the patch 12 hours before starting him on the pump. He is stoned and now needs to come down. I am staying in his room overnight as I'm worried about him waking up totally confused and in pain and not knowing what to do. The nurses have let me use a staff computer in the hall right outside his room so that's where I'm posting this blog. I'm hoping that this doesn't affect him coming home tomorrow, but as it stands right now, in the state he is in at this moment, there is no way I could take him home.
Pray that the rest of Dave's evening goes well.
at 11:33 PM