Today started with a new roommate for Dorothea, Dorothy. Working ok but seems like a smaller room now. Dorothea was awake and aware and smiling most of the day. Bob came in this morning and as he was leaving I put her cap on and she was able to tell him Good-By. Bob was thrilled. We are still training about her incision, must be kept dry so as not to separate. She got a visit from Dr Mackay again who says still no infection that he can find. The kidney Dr stopped by and said carry on. PT-OT came in and sat her up on the edge of the bed and worked with her on arm and leg exercises. They then had her stand up at the edge of the bed, with help, which she did not like at all. They left with threats of even more to come tomorrow. This was followed by the voice path. who fed her some ice chips and evaluated her swallowing. She did fine and then worked on speaking with the speaking cap for her tracheotomy tube. More swallowing tomorrow. She had a blood sugar of 238 at 4pm but they did not give her any insulin. I spoke to the nurse about this and she says they only give her a shot at 5pm. I asked her to check again and at 5pm she had 198. This of course affected the amount of insulin. I asked her to dose at the same time they check. She will check with the Dr. I think this is part of why we have been chasing high sugars. The PT Dr came in at 5pm to evaluate her strength (little) and range of movement (better).
More Tomorrow.
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