Sue,

Sorry to hear about the problems with Ray. It sounds as if the appointments with medical personnel helped to shed some light.

Whatever you decide will be the right decision. Good luck. Your friends at The Stroke Network are thinking about you and sending positive energy in your direction.

Lin

Sue:

I am amazed by your strength & resilience with Ray's health problems this time around. you are strong woman. I know with that strength light at the end of tunnel is just around the bend. hang in there fot little longer. you both are in my thoughts & prayers.

Asha

Sue: just some quick questions I am sure you have already asked of the Acute Hospital. In the Doctor's opinion is Ray's blood level stable now for the AFib and AFlutter and has his Cardiologist agreed to the therapeutic level the warfarin is at? And if he is requiring Insulin overnight, when the body is not getting any more food in, perhaps his daytime scales should be adjusted. Hospitals know it is easier to just adjust Blood Sugars with Regular Insulin. Makes it easy on the Staff. However, maybe Doc should look at his oral medication dosing or his long acting insulin dosing so that overnight less adjust needs to be made. This is just to get him home to you all. You will have to have a blood testing machine for his Warfarin dosing-same procedure you do for his Insulin.

So basically my question for the Doctor, not the cute little Social Worker who actually thinks that she has pull at another facility (is she going to be checking in with them-and what is she prepared to do if they are not following her plan?) Ray's INR must be stable and a clear range for therapeutic INR must be established before he goes anywhere. Hopefully there is a Cardiologist overseeing this. And I would ask for a review of his Diabetes medicines and the record of his blood sugar testing. It souunds to me like Ray's Doctor is right on the case but the real question is "is he MEDICALLY stable, from a Cardiac and Diabetic standpoint, to risk sending him to a SubAcute facility." From what I gather there is little aggressive medical help there, you said they were a waiting point for further transfer. Consider keeping him right where he is until you are sure he is stable. You know you are both in my thoughts and prayers and I wait for your updates. Thank you and rest. So glad Edie was with you and quick recovery to Trev. Debbie

Sue,

That meeting is not what I thought it would be.

I agree with Debbie. The cardiologist consult and endocrinogology consult are very important.

They need to get his heart and diabetes stable so that you can do the rest of the stuff at home.

Yes, phiso needs to give you refresher courses on what to do in case of a fall. For me that is calling 911 and getting help.

See you next week.

I will keep you all in my prayers.

Ruth

Sue, you are a much stronger woman than I will ever be.