A Work In Progress

A Work In Progress

Thursday, August 9, 2018

August 8th and 9th Updates Scott is Out of ICU but Still has Many Challenges Ahead of Him

Thank You for Your Thoughts and Prayers! ~Jen


Journal entry by Debbie Heiman — Aug 8, 2018

I go back and forth between posting on Facebook and Caring Bridge. I’m sorry if you’re not on Facebook, and didn’t see that we were out of ICU. I’m trying my best to keep up with everything.

We got out of ICU yesterday afternoon. It’s wonderful to be back on 8NT, much to the surprise of our nurses from the July 20th surgery. They all feel terrible that we’re back again, but they are happy to have Scott as a patient. He really is the BEST patient you could ask for. So sweet and laid back, even when he’s in rough shape. What a fighter! I’m blessed to call him my husband and best friend!

Scott is still on TPN (nutrition through his port). Unfortunately, he’s not ready to get rid of his NG tube yet. After multiple surgeries so close together, his tummy is going to take longer to wake back up. I’m sure his body is so confused as to what is going on. He was 2 weeks into the healing process and then opened back up. It’s shocking to the system.

We got our walker today and he did an excellent job walking in the hall for about 5 minutes. That’s the first he has taken more than 5 steps since Saturday night when I brought him to Froedtert.

Thanks to amazing friends and family, our kids get to go to Redemption Church Camp. We go when we can, but knew this year wasn’t possible with Scott’s surgery. It’s even more impossible with a second surgery.

The kids haven’t seen much of Scott in the past 3 weeks. With them leaving tomorrow and Friday (2 each day), they want to see Scott before they leave. My Mom is hoping to bring them up today for a short visit. Lexi is babysitting, so hopefully we can get her up here tomorrow night.

Scott is still on 3 very strong antibiotics, along with a lot of fluids to keep him hydrated. He’s getting a bunch of other things too... potassium for sure, but I’m not sure what else. He didn’t need a second blood transfusion, which is good.

Walking really tired him out, and he’s sleeping well right now, even with the nurses taking vitals and doing stuff with all of his IV’s. He is worn out!!! Sleep is always beneficial for the healing process.

That’s the update for now. Thank you so much to EVERYONE for EVERYTHING that you are doing to make our life a bit easier. The saying goes, “It takes a village!” I’m so thankful for the village of friends and family that we have on our side. Blessed beyond belief doesn’t even begin to describe how we feel!

I worry so much about not getting thank you notes out to everyone who has helped us in one way or another, but I hope this public thank you can be enough for right now. I can’t even keep it all straight, since people are helping while I’m here with Scott, and I may not even realize it.

A friend loves at all times.
Proverbs 17:17


Journal entry by Debbie Heiman — 4 hours ago

This whole recovery from yet another surgery so close to the last, is definitely a roller coaster ride.

I like to step out and get something to eat, walk, or do a puzzle while he’s sleeping. Last night, that wasn’t possible. He really needed me every 15-20 minutes. He is still very weak, and has so many tubes everywhere. He needs help with every move he makes. The silly machine beeps every time he moves, which had him at his boiling point. There’s only so much a person can take!

Around 2 or 3 AM (I’m not sure) I heard him calling “Deborah”. That means he really needs me! He said, “I think I pulled out my NG tube.” I walk over to him, and sure enough, he had somehow accidentally pulled it out in his sleep. He said he woke up and could actually breathe well and knew something wasn’t right. I was praying that they wouldn’t insist on putting it back in. They said as long as he didn’t vomit or have a lot of nausea, he could keep it out. He is doing well without it.

Last night he spiked a fever and it was over 101 again this morning. It is a concern to the nurses and surgical team, especially since he’s already on 3 strong antibiotics. If the fever comes back tonight, they will run some more blood cultures. Please pray for a fever free night!

His blood sugar was high last night and again this morning. He had to get insulin both times. He’s never had that happen before. I’m learning even more about medical things during this hospital stay, as if I don’t already know enough.

He was a little bit more awake for a bit of the morning. Yesterday he couldn’t stay awake for long at all.

He did a lot from 9AM-1PM and then he was exhausted and slept hard! He walked the halls twice, watched the Price is Right, got bathed, and has spent most of the morning in the recliner. It’s good to get him out of bed for a large part of the day!

An infectious disease Dr. just stopped in to see us. He wanted to talk about antibiotics and explain C-diff to us. We told him that Scott had C-diff in New York. Scott does not have it currently and we hope it is avoided. He is going to take Scott off of 2 antibiotics and only keep him on Zosyn for 4 weeks. It will be great to get him down to only 1 antibiotic.

His potassium is constantly low, and when they give it to him in his arm, it makes his arm burn like it’s on fire. He is currently getting 2 hours of potassium. He’s still getting 24/7 TPN nutrition. It’s been almost a week since he’s eaten any food. Saturday was the last time he drank anything. I feel horrible for him.

He is still getting an overload of fluids. What goes in must come out. I feel bad that he has to go so often. It’s a huge annoyance, and like I said before, it’s so hard to maneuver with all of the tubes and wires.

Since we are surrounded by such a great cloud of witnesses, let us throw off everything that hinders and the sin that so easily entangles, and let us run with perseverance the race marked out for us. Let us fix our eyes on Jesus, the author and perfector of our faith, who for the joy set before him endured the cross, scorning its shame, and sat down at the right hand of the throne of God. Consider him who endured such opposition from sinful man, so that you will not grow weary and lose heart.
Hebrews 12:1-3

August 6th Caring Bridge Updates Re: Scott

Journal entry by Debbie Heiman — Aug 6, 2018
Scott remained stable all night. His blood pressure is “a little soft” as they keep saying. It has been hanging around 88/50. His heart rate is perfect around 78, and his oxygen level is 99 or 100. These are all good signs.

Some early blood cultures are coming back that showed infection, possibly sepsis, that was in the hemotoma. He has remained fever free since that was all removed. 

The surgical team came around at 5:50AM and told us that his hemoglobin is low. He’ll be getting a blood transfusion later today. His potassium is low again and he’s receiving IV potassium. 

We are praying for NG tube removal and getting out of ICU to go back to 8NT where we were just a little over 2 weeks ago. Hopefully those 2 things will happen today or tomorrow. I’ll update when we know more.
Journal entry by Debbie Heiman — Aug 6, 2018
Today has been a pretty quiet day in the ICU, which is a very good thing! Scott has remained fever free. His blood pressure is great at 111/66 currently. 

The nurse and physical therapist helped him get to a chair to sit for a couple hours today. He hasn’t walked yet, but that will come soon.

His hemoglobin was low this morning, so he got a blood transfusion today. He is on 3 very strong antibiotics to make sure all infection is gone and stays away. They started TPN tonight which is 24/7 nutrition. They wanted to place a PICC line to give him the TPA. I asked nicely if there was ANY other way to give it to him. They said they didn’t want to give it through his port due to risk of infection. They are thinking that he will only need it for a couple of days, so it was approved to go through his port. I am so thankful that I asked and that they didn’t need to place a PICC line. His PICC line 3 years ago was a living nightmare. He was extremely relieved to not go through that horrible ordeal again, and I told him that I’ve got his back. I will always be his advocate, and that is why I never want to leave his side. I’m his voice.

Our prayer is to get out of the ICU tomorrow. He will be moved to another room, hopefully on 8NT where he was 2 1/2 weeks ago. The nurses are great on 8NT. They will probably be surprised to see us back. I’m surprised too.

Show me your ways, O Lord, 
teach me your paths;
guide me in your truth and teach me,
for you are God my Savior,
and my hope is in you all day long. 
Psalm 25:4-5

Sunday, August 5, 2018

ICU. More Surgery. Back in ICU. Please Pray for Scott, Debbie and my Nieces & Nephews!

I posted the oldest update first.  Most recent update is below.  ~Jen

Journal entry by Debbie Heiman — 11 hours ago
Scott had that great follow up appointment on Wednesday. Things were the same on Thursday, Friday and Saturday morning. By early Saturday afternoon, Scott wasn’t feeling well and started to feel warm around 5PM. He never said anything to me, but I noticed something wasn’t right.

Hannah was at Camp Bird all week, and came home Saturday around 4. Scott would normally be asking her questions about camp and joking around with her. He barely said hi to her. When I felt him, he was burning up. His temperature was 101.5 at 8:15. He took Tylenol and it was 102 at 10:15. When I called the nurse line at 8:20, they said to go in immediately if the Tylenol didn’t take the fever down under 101.5. 

We got to Froedtert around 11:45PM. His white blood was elevated, his Phosphorus and Magnesium were really low. They started him on fluids and supplements for those 2 things. 

They were going to take him for a CT scan and his blood pressure dropped to 79/50. His heart rate was up to 138. They took him into the trauma area to be monitored much more closely. A gun shot victim was rushed in while we were in there. It was absolute chaos and a lot to handle all at once. Yikes! 

Around 4AM, they took him to the CT scan. After that, he was heading straight to ICU. I finally got word in the family center at 6:15AM that I could go see him in ICU. 

I’ve been here for about an hour. He has slept the whole time, but squeezed my hand and opened his eyes for yes and no answers for his nurse.

His temperature at 7:05 was 102.9. The scan showed fluid in his abdomen. He will need a drain or surgery. We are waiting on word from the surgical team.

PLEASE PRAY for my love!!!

Do not be anxious about anything, but in everything, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus. 
Philippians 4:6-7

Journal entry by Debbie Heiman — 2 hours ago
We were told around 8AM that he would have to be taken in for surgery again. This news was very disheartening, to say the least. 

The surgeon was afraid that there was a leak where the colon was reattached after surgery 2 weeks ago. The CT scan showed something in the pelvis. After going back into his peritoneum, Dr. Mogal discovered that it was a hematoma (blood clot). He was able to remove it.

The surgery took approximately 2 hours. When Dr. Mogal talked to me about the surgery, he said that he isn’t sure what made him so sick. All signs lead him to believe that there was sepsis somewhere. He’s unsure at this point where it occurred. 

I’m having a very hard time staying awake to write this post. Scott is in the ICU for at least 24 hours. He’s under close observation to make sure his fevers don’t return. Scott could be hospitalized longer than he was for his surgery 2 week ago. We’ll just have to see how it goes.

Currently, his fever is gone, so that’s something to be thankful for. I’m going to go home for a quick nap and shower soon before I come back here. 

Thank you for your prayers, love, and support. They are greatly appreciated and very much needed for a long road to recovery that lies ahead for us.