Tuesday 10 am April 21, 2020

Ok.  I just talked to Larry and his Dr and APRN,
his creatinine is dropping slowly... going to let him come home after he gets back on warfarin....
dont have this mornings numbers....
they do want him to get a fistula after the elective surgery ban lifts....
Dr Raj knows our pcp....  Dr Thomas
Larry can go to Quest after release on for labs...  telemedicine visit after that
Dr Raj wants him on a strict low potassium diet

Putting sink in today, so yes it is safe for him to come home....  lol

INR 1.4 yesterday, dont know todays....

BREATHE is what I tell myself...

Tuesday 7pm, April 21

Back on warfarin....  amazingly there has been no heart problems....  one day at a time...

He almost had an emotional meltdown this afternoon...  kidney doctor had been in, WE talked, then a couple of hours later, another doctor from surgery came in saying he HAD to get the fistula surgery this week..... He lost it with her, because he had just been told by kidney doctor that they would wait.

Anyway, his lvad coordinator walked in at the end, she got upset thinking he was refusing treatment, called me...  so I called him, got him calmed down, called her back...  then his cardiologist’s partner came over and got it all straightened out,    Part of that whole problem is his glucose has been over 200, they weren’t hiving him his at home insulin dosage...  any time it is over 160, he gets horrible headache...  well Maria got that fixed, the gave him more insulin, and this morning it was down to 163,  headache gone....

So Larry knows he will need to have the fistula, within 3 months...  scans and ultrasounds are done....... In prep for that...
he was even ok IF they had done the port....

  but right now, they have restarted his warfarin tonight...  thinking to let him come home for a bit, with lab work done up here, and telemedicine visits and a strict renal diet....  kidney doctor said his kidneys are in recovery...

Minor problems here, tomorrow I get to install my new sink faucet, because the one Larry bought it just too big, and it is defective....  he bought it a year ago.... Tonight I just installed the disposal button,   wow.. I am learning so many new skills...  in my old age...

So that was today....    love you all...

Tomorrow plans are to rest up and clean house, and bathe pups...  had to cancel their grooming appointment, because LitaBit didnt make it to the vet for her rabies.....   it’s on my list...