<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=us-ascii">
<META NAME="Generator" CONTENT="MS Exchange Server version 08.00.0681.000">
<TITLE>Pat Update - Wednesday Evening</TITLE>
</HEAD>
<BODY>
<!-- Converted from text/rtf format -->
<P DIR=LTR><SPAN LANG="en-us"><FONT FACE="Calibri">Today Pat had surgery to do a tracheotomy. The surgery took about 45 minutes and</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">she was returned directly to her room. At this point she is stable and still completely on the ventilator, heavily sedated. </FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">Her vital signs were good before and after the surgery, but she is still on full life support. She started having some difficulty tolerating the higher levels of nutrition yesterday, so they</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">had to back those levels down to 30 (goal of 55). She also had one blood transfusion prior to surgery (her hemoglobin level was</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">8.6) and when I left an hour ago, they were waiting for a second unit of blood to come up from the blood bank. They will be testing for GI blee</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">ding and other sources of internal bleeding. This evening they will keep her fully sedated to allow her body to rest after the surgery and flush the an</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">esthesia from her system (they used fent</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">a</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">n</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">o</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">l,</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">versed</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">, and gas</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">–</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri"> I think isoflourane during surgery).</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri"> I am in process for seeking Emergency Guardianship for her</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">…</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri"> have to meet with the doctor again in the morning to get the f</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">orm completed and then take it to the lawyer across town. </FONT></SPAN></P>
<P DIR=LTR><SPAN LANG="en-us"><FONT FACE="Calibri">I didn</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">’</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">t sleep much last night</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">…</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri"> dread kind of inhibits sleep. </FONT></SPAN></P>
<P DIR=LTR><SPAN LANG="en-us"><FONT FACE="Calibri">Also, on a side note, a little bit of drool</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">would be appreciated</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">for my 8 year old grandson, Caleb, who fell last evening at my house while playing with the dogs and broke his arm. He will be seeing a pediatri</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">c orthopod tomorrow for a distal ulna fracture of/near the growth plate (the growth plate is</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">displaced slightly). </FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">He is really upset that he probably won</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">’</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">t be able to play on his baseball team or swim on the swim team this summer. </FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">He would love to get</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">“</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">basset</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri">”</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri"> get well cards: Caleb Wittenberg,</FONT></SPAN><SPAN LANG="en-us"> <FONT FACE="Calibri">7843 Kensington, Lambertville MI 48144.</FONT></SPAN></P>
<P DIR=LTR><SPAN LANG="en-us"><FONT FACE="Calibri">Sandi Wittenberg</FONT></SPAN></P>
<P DIR=LTR><SPAN LANG="en-us"><FONT FACE="Calibri">Red Bay Bassets</FONT></SPAN><SPAN LANG="en-us"><FONT FACE="Calibri"> </FONT></SPAN><SPAN LANG="en-us"> </SPAN></P>
<P DIR=LTR><SPAN LANG="en-us"></SPAN></P>
</BODY>
</HTML>