Miles Runner

A Gift from Dad

2011-12-09T09:46:00.001-08:00

Something happened last evening that I can only explain as a gift. Let me set the scene.

Susan and I walked across the street to our default restaurant last evening. The place was packed and we ended up sitting at the only 2 remaining seats in the place at the end of the bar. Worst seats in the house. After a little while, a barbershop quartet came in and were standing behind us waiting to perform at a private party in an adjacent room. I couldn't resist kibitzing with them as they waited, got one of their cards, all the usual chit-chat. Nice guys. After a few minutes, they were called into their party and I assumed that was that.

When they finished their gig in the other room, they came back out and, unsolicited, gathered tight around Susan and me. They spoke briefly amongst themselves, hit a button on a little device to give them the right key, then sang a short version of My Wild Irish Rose. Then they were gone.

Susan and I were in tears - tears of joy. I may never really know the explaination of why what happened happened, but I do know that I will cherish and hold onto that moment for what it certainly felt like - a gift from Dad.

More Than a Year

2011-11-21T07:00:00.000-08:00

Mom visited Susan and me in Los Angeles a few weeks ago. She's doing fine and we had a great time while she was here.

I've thought a lot about reopening this blog to talk about how much I miss my Dad, but it seemed (seems) either maudlin or self-indulgent or both. Regardless, here I am.

Over the past year and a half, I have missed Dad every day. I know God has a plan and that He works it out in ways that are beyond my understanding.

INTERNAL MUSING - I wonder why it is that we humans find it so hard to admit, acknowledge or accept that there is a power beyond our understanding. In other words, why can't we be comfortable with the fact that we can't understand everything? We have no difficulty understanding and living with limitations in other aspects of life.

We accept physical limitations without any apparent angst. Same with emotional limitations. It seems only when we run up against our intellectual shortcomings that we flinch and rationalize our way to the false comfort that "maybe we don't know now, but it's only a matter of time." Really? We don't rationalize that "maybe no one has run a 30 second mile, but it's only a matter of time," so why are we do feel the need to rationalize intellectual shortcomings? End internal musing.

It is so easy to flail about (mentally) and say that it's not fair that Dad's been taken away. But, when I stop and really think about it, it's arguably even less fair ("fair" in this sense as getting what we think we have coming to us) that we got to have him around in the first place. Think of the impact that he had on your life and and answer the question - Did you get what you deserved? When I answer that question honestly, I have to admit I got much more than I had coming from my relationship with Miles Runner. Much, much more.

So, I've been trying to focus on the blessing of having been graced with Dad in my life (grace being the means by which we get what we don't deserve). By doing so, that he is gone from this world is made more bearable. And, I have grateful heart that enables me to make an effort - pitifully limited though it is - to reach others the way Dad did.

Blessings,
Woody

Talbott Website Obituary

2010-05-25T04:49:00.000-07:00

Brother Terry Shorr passes this along:

"After the wonderful party Saturday to celebrate the life of Miles Runner, I have smiled again tonight upon finding among tributes on the web site for Talbott Funeral Home the following. In nearly 70 years I do not recall a comment from a separate funeral establishment two counties away. Miles truly will be with us, always."

The Staff of Bartlett Funeral Home, Grafton, WV [2010-04-27 10:24:21]
We did not know Miles, however, after reading his obituary this morning, we wish we had. We are frequent writers of obituaries and thought that his was a true tribute to a life well lived. When else can you read an obituary that makes you laugh? Our condolences to his family, friends and the bartenders, it sounds like he was someone who savored life and will certainly be missed.

Click here to see more comments from the Talbott Funeral Home website.

Thank You, Thank You, Thank You!!!

2010-05-23T13:18:00.000-07:00

Thanks to all who attended the party on May 22nd in Elkins! The celebration of Dad's life was a rousing success (in my unbiased opinion, of course). It was a genuine treat to have so many family members and friends around.

If you have pictures from the party that you would like to share, please email them to Elkins.Runner at gmail.com and I'll post them on this site.

Thanks again for all of your love, prayers and support for Mom and the rest of the family over these past months.

May 22 - Party is On

2010-05-06T16:03:00.001-07:00

W. Miles Runner

1933-2010
invites his friends-neighbors
classmates, et al, to join his family
for a celebration of his life.

Saturday, May 22, 3:00 ~ 6:00 PM

Halliehurst
Davis & Elkins College
Elkins, WV
Questions, call 304-637-1031

Thank You

2010-04-30T09:28:00.000-07:00

For Mom and the rest of the family, thank you so much for your support over these past four months. Your prayers and warm wishes have bolstered us in ways too numerous to count.

Then maidens will dance and be glad,
young men and old as well.
I will turn their mourning into gladness;
I will give them comfort and joy instead of sorrow.
~Jeremiah 31:13 (NIV)

Praise be to the God and Father of our Lord Jesus Christ, the Father of compassion and the God of all comfort, who comforts us in all our troubles, so that we can comfort those in any trouble with the comfort we ourselves have received from God. For just as the sufferings of Christ flow over into our lives, so also through Christ our comfort overflows.
~ 2 Corinthians 1:3-5 (NIV)

Save the Date - May 22nd

2010-04-30T09:26:00.000-07:00

Save the Date - May 22, 2010

We're planning a party to celebrate Miles Runner's life. The party will be May 22nd at Halliehurst on the Davis & Elkins College campus. The exact time remains to be worked out, but we're thinking about an early afternoon start.

Please check back at this site for details.

From a Friend

2010-04-25T06:52:00.000-07:00

Friend Peter Roberts sent a favorite by Robert Frost, along with his own very special poem and the photo that inspired it.

Stopping By Woods on a Snowy Evening
Whose woods these are I think I know. 
His house is in the village though;
 He will not see me stopping here
 To watch his woods fill up with snow.

  My little horse must think it queer 
To stop without a farmhouse near 
Between the woods and frozen lake 
The darkest evening of the year.

  He gives his harness bells a shake
 To ask if there is some mistake. 
The only other sound's the sweep 
Of easy wind and downy flake.  

The woods are lovely, dark and deep.
 But I have promises to keep, 
And miles to go before I sleep,
 And miles to go before I sleep.

– Robert Frost

Miles by Home’s Wood
These woods did watch that wintry night
Whose heart was rent begin his fight
With loved ones’ strength to see the spring
Yet finally, there comes the flight.

So rising up on downy wing
To end the ache and comfort bring
Some painful miles were past this way,
Yet even then, love’s heart did sing.

For in the light of this spring day,
Among these trees the voices say
“We filled with love before we wept,
S’miles of joy, now let us pray.”

These woods aren’t lonely in their depth,
Miles’ fine promises he kept.
Oh, Miles did run before he slept.
How Miles will fly when he has leapt.

– Peter Roberts

W. Miles Runner - October 28, 1933-April 23, 2010

2010-04-24T01:40:00.000-07:00

Dad wrote his obituary and (with a few friendly edits) this is what he had to say.

Miles Runner, son of William E. (“Bill”) Runner and Helen E. Miles, began his life 28 October 1933 at Clarksburg, spending his younger years in Elkins and Clarksburg, and later Bridgeport, before retiring in Elkins. His school years at St. Mary’s High School in Clarksburg and Davis & Elkins College were happy times for him. Basketball was one of his passions and played from sixth grade through college (with a couple years service in the U.S. Army sandwiched in at that time). His last competitive game was at the Senior Games in 1997 at Tucson, Arizona.

Miles often said that he was not going to leave this world, but an apparent glitch in those plans occurred April 23, 2010, when he passed away. He leaves his lovely bride of nearly 55 years, Ruth “Noodie” Ritter Runner, and four sons: Wm. Harwood “Woody” Runner and his wife Susan of Fort Worth, Texas; John Miles Runner and his wife Charlene of Newport News, Virginia; Erik W. Runner and his partner Glenn Chandler of Mamaroneck, New York; and Michael “Mike” Runner of Bridgeport, West Virginia. Also surviving are six grandchildren: Kristen Runner of Fort Worth, Texas; Elizabeth and her husband Drew Parker of Houston, Texas; John Miles Runner II and his wife Kyoko of Newport News, Virginia; Christopher "Chris" Runner, a Clarksburg fireman; Jake and Molly Runner and their mom Trina, of Bridgeport; and a great grandson, Ichiro Miles Runner of Newport News, Virginia. He is also survived by his brother Terry Shorr of Charleston West Virginia, his sister Becky Runner Hunt of Manahawkin New Jersey and several nieces and nephews.

Miles was generally a pleasant person who loved his family very much. He was opinionated, readily expressing a point of view on most anything and everything. He enjoyed being politically incorrect and was amused frequently by the reactions of those unsure of his intentions.

Miles had a successful career with Mead Johnson Laboratories from 1961 through his retirement in 1990. He was active in the community, having served at one time or another through the years as volunteer coach for Pop Warner football and Jerry West basketball, participated in the Bridgeport Stagecrafters, and was a member of the Jaycees. Most recently, Miles was active with the Tygarts Valley Lions Club, Davis Health System Foundation Board, Davis & Elkins College Alumni Council and other organizations. He was one of the founders of the Central West Virginia Scientific Association, an organization formed to advance and expand the professional and social skills of its members.

An avid hat collector, his collection included a wide variety of hats from all over the world-Paraguay, England, Germany, Italy, Ireland, Barbados, and who knows where else. He even wore them on occasion and could usually "pull it off."

His two favorite holidays ( not necessarily in this order ) were St. Patrick's Day and Halloween, and he was known to don a dress if it would elicit a laugh. Robert W. Service was a favorite poet, especially his Cremation of Sam McGee. Miles dabbled in etymology, and just this past December declared himself a wag. As a member of the Brooks Bird Club he sometimes assisted with the fall banding and hawk counts. He diligently researched in preparation for his debates with grandson Miles, taking the opposition in whatever the subject.

Miles will be remembered for his sense of humor and for being a good friend. He will be greatly missed by family, friends and at least two bartenders in Elkins.

He had a very fulfilling and enjoyable life, often saying that he felt it was much better than he deserved. To quote him, "La vita e bella", life is good.

It was Miles' wish to be cremated, with no visitation and no service - just a party. The family invites friends to join them in the celebration of Miles' life, as per his wishes, at a date in the near future.

Expressions of sympathy may be made by way of contributions to the Harrison County Catholic Schools System, 127 East Pike Street, Clarksburg, WV 26301 or Davis & Elkins College Athletic Department, 100 Campus Drive, Elkins, WV 26241.

Dad's Favorite Poem

2010-04-24T00:34:00.000-07:00

This was Dad's favorite poem...

The Cremation of Sam McGee
by Robert Service

There are strange things done in the midnight sun
By the men who moil for gold;
The Arctic trails have their secret tales
That would make your blood run cold;
The Northern Lights have seen queer sights,
But the queerest they ever did see
Was that night on the marge of Lake Lebarge
I cremated Sam McGee.

Now Sam McGee was from Tennessee, where the cotton blooms and blows.
Why he left his home in the South to roam 'round the Pole, God only knows.
He was always cold, but the land of gold seemed to hold him like a spell;
Though he'd often say in his homely way that "he'd sooner live in hell."

On a Christmas Day we were mushing our way over the Dawson trail.
Talk of your cold! through the parka's fold it stabbed like a driven nail.
If our eyes we'd close, then the lashes froze till sometimes we couldn't see;
It wasn't much fun, but the only one to whimper was Sam McGee.

And that very night, as we lay packed tight in our robes beneath the snow,
And the dogs were fed, and the stars o'erhead were dancing heel and toe,
He turned to me, and "Cap," says he, "I'll cash in this trip, I guess;
And if I do, I'm asking that you won't refuse my last request."

Well, he seemed so low that I couldn't say no; then he says with a sort of moan:
"It's the cursèd cold, and it's got right hold, till I'm chilled clean through to the bone.
Yet 'tain't being dead — it's my awful dread of the icy grave that pains;
So I want you to swear that, foul or fair, you'll cremate my last remains."

A pal's last need is a thing to heed, so I swore I would not fail;
And we started on at the streak of dawn; but God! he looked ghastly pale.
He crouched on the sleigh, and he raved all day of his home in Tennessee;
And before nightfall a corpse was all that was left of Sam McGee.

There wasn't a breath in that land of death, and I hurried, horror-driven,
With a corpse half hid that I couldn't get rid, because of a promise given;
It was lashed to the sleigh, and it seemed to say: "You may tax your brawn and brains,
But you promised true, and it's up to you, to cremate those last remains."

Now a promise made is a debt unpaid, and the trail has its own stern code.
In the days to come, though my lips were dumb, in my heart how I cursed that load.
In the long, long night, by the lone firelight, while the huskies, round in a ring,
Howled out their woes to the homeless snows — Oh God! how I loathed the thing.

And every day that quiet clay seemed to heavy and heavier grow;
And on I went, though the dogs were spent and the grub was getting low;
The trail was bad, and I felt half mad, but I swore I would not give in;
And I'd often sing to the hateful thing, and it hearkened with a grin.

Till I came to the marge of Lake Lebarge, and a derelict there lay;
It was jammed in the ice, but I saw in a trice it was called the "Alice May."
And I looked at it, and I thought a bit, and I looked at my frozen chum;
Then "Here," said I, with a sudden cry, "is my cre-ma-tor-eum."

Some planks I tore from the cabin floor, and I lit the boiler fire;
Some coal I found that was lying around, and I heaped the fuel higher;
The flames just soared, and the furnace roared — such a blaze you seldom see;
And I burrowed a hole in the glowing coal, and I stuffed in Sam McGee.

Then I made a hike, for I didn't like to hear him sizzle so;
And the heavens scowled, and the huskies howled, and the wind began to blow.
It was icy cold, but the hot sweat rolled down my cheeks, and I don't know why;
And the greasy smoke in an inky cloak went streaking down the sky.

I do not know how long in the snow I wrestled with grisly fear;
But the stars came out and they danced about ere again I ventured near;
I was sick with dread, but I bravely said: "I'll just take a peep inside.
I guess he's cooked, and it's time I looked"; ... then the door I opened wide.

And there sat Sam, looking cool and calm, in the heart of the furnace roar;
And he wore a smile you could see a mile, and said: "Please close that door.
It's fine in here, but I greatly fear, you'll let in the cold and storm —
Since I left Plumtree, down in Tennessee, it's the first time I've been warm."

There are strange things done in the midnight sun
By the men who moil for gold;
The Arctic trails have their secret tales
That would make your blood run cold;
The Northern Lights have seen queer sights,
But the queerest they ever did see
Was that night on the marge of Lake Lebarge
I cremated Sam McGee.

April 23, 2010

2010-04-23T09:57:00.000-07:00

Dad passed away this morning at 9:30 AM EDT at the Hospice Care facility in Elkins.

Mom and other family members were by his side.
Mom seems to be coping well.
He went peacefully.

Dad's specific wishes were for there to be no memorial service. Rather, he wanted us to throw a party. We will honor that wish. Plans for a celebration of Dad's life will be posted on this site.

I can't begin to thank you enough for your many prayers, warm thoughts and loving support that you have shown Mom, Dad and the rest of us over these past months. We will be forever grateful.

April 21, 2010 - Elkins

2010-04-21T20:40:00.000-07:00

Dad is generally settled in at Hospice Care of Randolph County, located in on Diamond Street in Elkins.

After a false start early in the day, Dad arrived in Elkins at about 6:00 PM, Wednesday.
The first transportation service didn't have the right ventilator equipment for the trip, but that problem was pretty quickly resolved by the good folks at Select Specialty Hospital - Montefiore.
The trip from Pittsburgh to Elkins went well, particularly in that it was uneventful. Mom rode in the ambulance (front seat) and allowed that it was a very smooth ride.
Hospice Care is located in a comfortable, new facility. Our first impressions are positive.
Friend Dave was kind to visit shortly after Dad's arrival.
Visiting hours at Hospice Care are not restricted - feel free to pop in anytime.

Thanks to all for your prayers, support and encouragement. Please continue to lift Dad up in prayer for a miraculous healing, as well as for him to have peace of mind in his circumstances. Also, please remember Mom and Dad that they should each have strength and peace as they face this trial.

Delayed and Rerouted

2010-04-20T18:45:00.000-07:00

Dad's transfer to Elkins was stalled by bureaucratic wrangling. As a result, he is scheduled to be transferred to Hospice Care of Randolph County in Elkins on Wednesday.

The hospice will be able to carry on with the ventilator and IV medications needed to stabilize Dad's heart (Dobutamine) and other conditions.
Visiting hours and directions will be posted on this site once we get Dad settled.
One of the blessings of moving to Hospice Care is that it should be more visitor friendly than the hospital. We look forward to seeing many of you there.

Thanks, as always, for your prayers and petitions on Dad's behalf. Please pray for a safe transfer and a miraculous healing.

Sweet Thought

2010-04-18T18:35:00.000-07:00

Daughter Elizabeth (Kristen's sister), saw this in the Pittsburgh airport Sunday on her way back to Houston. She thought it was sweet. I agree.

"They left me with your shadow, saying things like life is not fair & I believed them for a long time.

But today, I remembered the way you laughed & the heat of your hand in mine & I knew that life is more fair than we can ever imagine if we are there to live it." Artist/author unknown

Coming Home - A Hard Reality

2010-04-16T23:07:00.000-07:00

Earlier this week, the latest testing revealed that the problems with Dad's heart are more extensive than previously understood. Sadly, there is no long-term fix.

Dad will be returning to Elkins to spend his final days. A transfer to Davis Memorial Hospital is planned for Tuesday.
Words like disappointed and dismayed fail to register the impending sense of loss.
We haven't given up and continue to hope and pray that he will get well. However, the hard truth is that absent a true miracle he won't. This is a depressing and sobering reality.
Dad has fought hard over these past 4 months. He has fought on many fronts. He is a very strong man who has been saddled with overwhelming medical burdens.
His heart valves are malfunctioning and the heart muscle itself is only operating at 20% of capacity. While his heart can be stabilized somewhat in the short-term using IV medication, there's no heroic medical solution at hand.
A CT scan of Dad's brain confirmed a watershed infarction (stroke) he probably suffered during or near the original surgery has resulted in irreparable damage.
In the last few days, there has been a decline in Dad's kidney function, which is a serious and unfortunate development.
On Friday, a chest x-ray indicated a new infection in Dad's right lung. A bronchoscope was used to identify the nature of the infection to help select the right antibiotic.
The long-term prognosis is that Dad will remain dependent on the ventilator for breathing. The much hoped for weaning and independence from the ventilator is highly unlikely.
That leaves him with "comfort measures" in lieu of healing.

I never thought about my Dad not being around. Even now, I'm reluctant to think about it. Sure, I've known people - Susan (my dear wife) for one - who have experienced the difficulty of losing their father, but the application has been lost on me. I guess I thought my Dad would live forever. I've never known life without him and it never occurred to me that I'd have to. The prospect of not picking up the phone to call him to check in to share a story or anecdote saddens me in a way that defies description. Dad has been - and continues to be - an inspiration and model for me. I love him dearly.

Thank you for your prayers and support. Please continue to pray for Dad's complete healing - which we now understand will require a miracle - and particularly for him to have peace with his circumstances. Please lift Mom and Dad up in prayer to give them strength and peace throughout this trial.

About Visiting - Dad will be at Select Specialty Hosptial in Pittsburgh until his transfer to Davis Memorial. In the meantime, please feel free to visit Dad at Select - you are welcome. I will make a new post to this site when the transfer happens, and will include the new contact information in Elkins.

April 13 & 14, 2010 - An Uncertain Path

2010-04-14T21:42:00.000-07:00

Tuesday and Wednesday left us with uncertainty as to what comes next.

Dad remained stable and is still on the ventilator full-time to assist him with breathing.
His vital signs were in acceptable ranges and there was no fever reported.
We were told that the transesophageal echocardiogram did not show bacteria on the valve installed during the original December surgery. Actually, that was disappointing news, since finding bacteria would have indicated a clear treatment path using antibiotics and other medicine.
Instead, we learned that the test led the doctors to determine that the poor ejection rate of Dad's heart (his is about 20%, whereas normal would be 60-65%) is being caused by his thickened heart walls.
Dad continues to get attention from the physical and occupational therapists. He has been up in a stretcher/robo-chair for a few hours during the day and the therapists report that Dad is making an effort to participate and cooperate during the therapy sessions.
His mood is about the same - generally quiet and withdrawn, although he is responsive when needed.

Thank you all for your prayers and support. Please continue to pray for Dad's complete recovery and for him to have peace of mind with his circumstances. Also, please ask God to give Mom and Dad strength and peace throughout this ordeal.

April 11-12, 2010 - Searching for the Bug

2010-04-12T22:38:00.000-07:00

Sunday the 11th was a quiet day, with Dad's spirits a little improved.

Dad remained on the ventilator throughout the day. The idea is to let him rest in whilst his heart rate is erratic.
He had a slight fever which is apparently related to the infection in his chest.
The highlight of the day was a call from friend Mac, which cheered Dad noticeably even though he couldn't talk back.
All-in-all, a long quiet day.

Monday was an OK day. Dad's mood being a little better, with some smiles and interaction.

He spent another day on the ventilator.
His heart rate showed some improvement, by fluctuating in a narrower range.
No fever was reported during the day.
In the afternoon, Dad had a transesophageal echocardiogram to get a view of his heart from behind. Among other things, the object of the test is to ascertain if bacteria are present on the valve that was installed in the original December surgery.
We are hopeful that finding and identifying the bug will show a way toward effective treatment of Dad's heart and lungs.

Thank you for your continued prayers and support. So many have been so kind in so many ways, we can't thank you enough. Please pray for Dad's complete recovery and peace with his circumstances. Pray that these latest test will guide the doctors to the right answers to help Dad heal. Also, please pray for Mom and Dad to have strength and peace in this trying time.

April 7-10, 2010 - Mixed Bag

2010-04-10T22:06:00.000-07:00

The past few days have been a mixed bag.

Wednesday and Thursday, Dad was off the ventilator during the day and into the evening. His breathing seemed labored, but his O2 saturation and other indicators were in the acceptable range.
That turned the wrong way Friday and Saturday, as Dad was required to go back to full support on the ventilator all day. When the vent was withdrawn, his breathing was rapid and shallow, plus his heart rate jumped up. Discouraging.
In general, Dad has been fairly withdrawn. At times, he has been more responsive to attempts at talking with him, but being on the ventilator prevents him from using the speaking valve. Frustrating for all.
On Thursday, he started a new medicine intended to strengthen his heart's performance. His ejection rate is about 20% (normal would be 60-65%), which is very concerning.

On Saturday, Dad started a new run of antibiotics aimed at the respiratory infection, after finishing the regimen started last week, and he had a fever of 101.
The physical therapy and occupational therapy people have been on the case over the last week. He has been up in the stretcher-chair/robo-chair daily for 2-3 hours.
We are encouraged that Dad has shown interest in participating in the therapy and, with encouragement, following up on his own with limited activity.
Dad's fighting on multiple major fronts - heart, lungs, musculoskeletal, mental - and it's draining.
He needs a win.

Thank you, thank you, thank you for your prayers and support. So many of you have been so kind to Mom and Dad during this traumatic time. It's greatly appreciated.

God is Sovereign and I pray for His grace and mercy to be poured out on Dad and Mom. Please continue to join me in praying for Dad's complete recovery and for him to be at peace with his circumstances. Pray also for Mom and Dad to have strength and peace throughout this ordeal.

April 3-6, 2010 - Catching Up

2010-04-06T23:31:00.000-07:00

Sorry for the lag between updates...

Saturday and Sunday, the 3rd and 4th, were relatively busy days, with several visitors and more tests.

Dad was on the ventilator over the weekend. He's doing most of the breathing work, but the assist is very helpful at the margins.
He continues to be withdrawn. Being on the vent meant no speaking valve, so no real opportunity to draw him into conversation.
He is being treated aggressively with antibiotics and other medicine to combat the fluid that has collected in his chest. Otherwise, his condition is stable.
Weekend visitors included great-grandchildren Jake and Molly, grandson Chris, Trina, friends Dale and Sherry, as well as friends T.R. and Ryan.
Mom enjoyed a wonderful Easter day with T.R. and family at Ryan and Natalia's.
Thanks to all.

Monday and Tuesday saw Dad in better spirits and more open to communication. Unfortunately, he wasn't able to use his speaking valve since he was still on the ventilator, so Mom and Mike had to work on their lip reading. Still, there was a fair amount of smiling and laughing, which is great to see.

Dad remained on the ventilator at the start of the week. The breathing support he receives is minimal for the most part, but he does get a full rest from time-to-time.
Dad continues to be stable and his improved mood is encouraging. Still, he is fighting hard on many fronts.
Among the issues he is working on, Dad is not clearing fluids like he should and is taking medication to support those functions.
Pseudomonas pneumonia is a primary focus of the fight for the medical team. The cause can be traced to Dad's weakened physical condition and the time he's spent on the ventilator over these past months.
We are encouraged by the attention that Dad's is getting across the spectrum - medically, physical and occupational therapy, and so forth.
It's been a long fight and, realistically, it's going to go on for a long, long time. Still, we remain optimistic.

Thank you for your prayers and other support. I mentioned in an early posting that I was awed and humbled by the breadth and depth of Dad's friendships. The outpouring of support and encouragement over the last 3 months has really driven that point home again and again. Thank you.

Please continue to pray for Dad's complete recovery. In particular, please pray that his pneumonia will abate and that his spirits continue to improve. Also, please continue to pray that Mom and Dad will have strength and peace throughout this ordeal.

April 2, 2010 - Busy Day

2010-04-02T22:39:00.000-07:00

Friday the 2nd was Dad's first full day at Select - Montefiore. As we've learned, the first full day means a battery of tests, poking, prodding and other evaluations meant to level-set the understanding of his status for the medical staff taking over his care. On the whole it makes for a busy and trying day for Dad.

He went back on the ventilator mid-morning to let him rest from a labored breathing run.
Otherwise, his vitals were holding steady.
No fever was evident, but the doctor decided to ramp up the antibiotic regimen to deal with the bacteria in his lungs that's been mentioned in earlier posts.
His beard-in-progress fell prey to a lack of communication in the transfer from Presby. The offending staff were very apologetic, which apology we quickly accepted on Dad's behalf. He's got plenty of time to grow hair, so no harm done.

Dad had an echo-cardiogram in the afternoon. We will get results after the cardiologist reviews the images.
After reviewing Dad's recent health history and other fact gathering with his case manager in a morning meeting, we pressed the message that "He needs a win."

Thanks to all for your prayers and support. Please continue to pray for Dad's complete healing, including his peace of mind with his circumstances. Also, please pray for Dad and Mom to have strength and peace throughout this ordeal.

April 1, 2010 - A Bridge to Montefiore

2010-04-01T21:35:00.000-07:00

Dad moved to Select Specialty Hospital at UPMC Montefiore this afternoon. We are hopeful that this a big step for Dad and brings him closer to coming home. Please join me in praying that Dad gets exactly the care and attention he needs.

His vital signs are good and there is no fever.
Visit from cousins Sam, Sue and Joe brightened his day.
For the most part, though, Dad's still not saying much to Mom or me.
He needs a win.
Other than getting Dad settled into the new digs, little happened for the rest of the day.

Thank you for your continuing prayers and support.

March 29 & 30, 2010 - Stable

2010-03-30T23:08:00.000-07:00

Dad sends best wishes to friend Ed for a speedy recovery from his recent heart procedure.

Monday the 29th was an uneventful day.

It was Dad's first full day in the 12th floor step-down unit. No roommate in this step-down experience - a good thing for all.
He was tight-lipped all day, without much to say to anyone.
Son Mike called and brightened Dad, but he still stayed quiet.
Vital signs are stable, with no fever reported.
His attending physician in this step-down unit seems resistant to getting Dad out of bed and into a chair. We explained that he was up in the ICU, which surprised him.
Sometimes, it feels like we're in the underground railroad these past 3 months - moving from one well-meaning caretaker to the next. One downside of the process is that it makes a consistent game plan hard to pin down...much less execute.

Tuesday was a better day in that Dad was more animated and willing to talk. A problem, however, was that he had a rough time making himself clear, since his voice was weak.

A slight fever presented itself on Tuesday, but otherwise Dad's vital signs were good.
They are going to start him on piperacillin to deal with the infection in his lungs. They seem to be ahead of the infection since Dad's white cell count is still normal.
Even though he had a hard time making himself understood, he was clearly in a better mood, with lots of grins and smiles.
Not to mention the adoring gazes for Mom.

Thanks, as always, for your prayers, warm wishes, cards, emails, calls and other support. Please continue to pray for Dad's full recovery and, in particular, for his peace of mind with his circumstance. Also, please pray for Dad and Mom to have strength and peace throughout this ordeal.

March 27 & 28, 2010 - Improvement and a Move Up

2010-03-28T21:36:00.000-07:00

Saturday, March 27th, was a better day. In addition to the Mountaineer win over Kentucky - good on 'em - Dad came back off the ventilator early Saturday morning.

After about 48 hours on the ventilator, this was a good sign
Dad's vital signs were all in good shape, including the abatement of the fever that was reported the previous day.
We were told that he's on the list to move to Select Specialty Hospital at Montefiore, which could happen Monday.
This is good news in that he has been deemed well enough to leave the TICU.
We enjoyed watching the second half WVU-UK game with Dad. He wasn't too plugged in to the game, but it was still a real treat - very cool win.
The speaking valve was on most of the day, but Dad did not have much to say.

Sunday was a better day, still. Dad was up in a chair when we arrived and stayed up until his move out of TICU late in the afternoon.

Dad's been off the vent for 36+ hours and is breathing well on his own (with oxygen assist via the trach mask).
Vital signs are strong and steady, with no sign of fever.
The results of the bronchoscope showed signs of bacteria in his lungs, but there is no sign any related infection - white counts normal, no fever, etc. The doctors did clean up a congested area in Dad's upper respiratory system.
His speaking valve - PMV - was on all day. Very little to say and not in good humor.
Late in the afternoon, Dad was moved out of TICU to the 12th floor of Presby, Room 1229, which is one of three trauma/surgical step down units in the hospital.
We were told that he's in line to move to Select, but that we wouldn't know anything definitive until Monday morning. As soon as he makes the next move, I will post an update.

Thank you, all of you, for your prayers, expressions of support and encouragement, and warm thoughts. They are a source of comfort for all. Please continue to pray for Dad's complete recovery, along with his peace of mind with his situation. Pray for Mom and Dad to have strength and peace throughout their current trials.

March 25 & 26, 2010 - Bumpy, but Stable

2010-03-26T23:56:00.000-07:00

March 25th, Thursday, was something of a rough day. Dad went back on the ventilator mid-morning in response to his labored breathing.

Dad's vital signs remained in the normal range, although his heart and respiration rates were higher than I've seen in the recent past.
He slept through much of the middle part of the day, with the ventilator resting him.
Dad was uncomfortable and had pain medication a couple of times.
There was not much in the way of communication, so it was a quiet day in that respect.

Friday was an improvement, but Dad stayed on the ventilator through the day.

The doctors did a bronchoscope in the afternoon. They suctioned a small amount from his right lung and collected a sample for culture. No word yet on what the culture showed.
He had a slight fever, which the TICU team is monitoring.
Other than the fever, Dad's vital signs continued in the normal range and were less volatile, but still tending to the high side.
Son John arrived late Thursday night from Newport News. His Friday visit cheered Dad noticeably, with lots of smiles and clear appreciation.
Otherwise, another quiet day.

Thank you for your continued prayers and support for Dad and Mom. Please continue to pray for Dad's complete recovery and, particularly, his peace of mind with his situation. Also, please pray for strength and peace for Mom and Dad throughout this ordeal.

Many of you have kindly shared your personal stories of dealing with family health issues, some of which are ongoing today. Among my prayers is that each of you in those situations will know the same abundance of love and support that I have witnessed for Dad.

March 24, 2010 - Still in TICU

2010-03-24T23:21:00.000-07:00

Wednesday, the 24th, was a reasonably quiet day. Dad was dealing with post-op pain and discomfort, and the pain medications kept him pretty groggy.

He was taken off the ventilator around midnight (about 13-14 hours after his surgery) and was back to oxygen support through the trach mask. He had a productive cough much of the day, although it improved as the day went on. The doctors said that his chest x-ray did not reveal anything of concern.
Vital signs were OK. Heart rate and respiration rate (breaths per minute) were within normal ranges, but higher than I have observed previously. In general, his breathing seemed to be somewhat of a struggle.
Dad had his PMV (speaking valve) on during our afternoon, but had little to say and was not in good humor.
Late in the afternoon, the medical staff determined that he it was best to keep the PMV off to allow him to breath easier. The plan was to keep him off the ventilator all night.
Dad's doctor is having the nutrition staff look at his dietary regimen. The doctors are seeking an increase in Dad's protein level. This was an issue addressed shortly after arrival at Presby and while Dad has not been losing ground, neither has he gained ground.
We're still not sure how long he will be in the TICU.

Thanks, as always, for your prayers, kindness and loving support. We are truly grateful. Please continue to pray for Dad's complete recovery. In particular, pray that he will have peace of mind about his circumstances. Also, pray for strength and peace for Mom and Dad throughout this ordeal.

March 23, 2010 - He's Doing OK

2010-03-23T23:23:00.000-07:00

Dad's surgery on Tuesday went as the doctors anticipated.

He's back in ICU for what's expected to be a short stay. We had been told that he might return to ICU after the surgery depending on how he was able to come off the ventilator post-op, so this was not a surprise.
The surgeon spoke to Mom directly after the operation and said that things went well. Among other things, he noted that the calf muscle was healthy and should provide a good platform for healing the surgical wound.
The amputation is about 6 inches below the knee.
Dad's vital signs are good. Although his blood pressure was low post-op (another reason for the return to ICU), it was coming up nicely through the evening.
As you might imagine, he is in pain from the surgery and is taking medication for relief. So far that seems to be working, with the beneficial side effect of letting him sleep.
Dad wanted to talk last evening, but through the cloud of pain-killers and without the PMV (speaking valve) we were unable to decipher what he wanted. Frustrating for all.
He was more withdrawn in advance of the surgery. Notwithstanding the clinical necessity for the amputation, the reality of the surgical result is sobering. My heart aches for him and I pray that he finds peace.

Thanks for all of your expressions of support, your prayers and your warm wishes. Please continue to pray for Dad's complete healing. Pray for him to have peace of mind with the situation, and pray the same for Mom. They will both need significant strength going forward.

March 22, 2010 - More Surgery

2010-03-22T08:45:00.000-07:00

We received the bad news over the weekend that the vascular surgery team has concluded that Dad's left foot is not healing adequately and that additional amputation is required. So, on Tuesday Dad is scheduled to go back to the OR for a below the knee amputation.

The benefit of this surgery is that the wound can be covered using a flap of skin from the posterior side of the leg, which should result in about a 2-week recovery.
After a month or two he will be able to get fitted for a prosthesis.
The doctors (and the rest of us) were hopeful that the forefoot amputation that he had 3 weeks ago would be successful. The risks of infection and of stalling his recovery otherwise are considered too great.

Please pray for Dad's safety through the surgery. Also, pray for Dad to have peace of mind with this development. He is depressed and, having already been through so much, is fighting hard to cope. I can't imagine - my heart aches for him. Please pray for Mom and Dad to both have strength.

Thank you so much for your prayers and support. All of you are a great comfort.

March 17-18, 2010 - Off the Vent

2010-03-19T05:42:00.000-07:00

Dad spent a fairly uneventful day Wednesday in the Trauma step down unit at Presby. I don't get the impression that his attitude about having a roommate is any better. In itself, that's a good thing.

One development sneaked (snuck, if you prefer) past us in the move from TICU. Dad's off the ventilator completely.
He still gets an oxygen assist through the trach mask, but getting off the ventilator is a big deal, I think.
Vital signs remain strong and steady.
Mom reports that he is polite and talkative with most folks - especially visitors - but, didn't have much to say to Mom through the day. He asked for help getting up so he could get to the car. He is frustrated and put out that that's not possible yet. I've had a few of those moments with him - it's heartbreaking.
The nurse reported to Mom that Dad's left foot looked better than the previous day. That's encouraging.
We have gotten some mixed signals over the last 10 days. My impression is that every resident has an opinion, and they're all over the place. My attitude is to soak in the good, let go of the bad and look to the senior docs for actual guidance. One of the downsides of being in a teaching facility, I guess.

Thursday was an OK day. More of the same and still waiting on a bed to open up at Select.

Dad's roommate moved out - off to a nursing home, I'm told. So that's a short term relief.
Vitals continue to be solid.

Thanks for your continuing prayers, warm wishes and support. Please pray for Dad's complete recovery, along with strength and peace for Mom and Dad.

March 16, 2010 - Moved

2010-03-16T16:30:00.000-07:00

I received a call at 6:30 AM CDT today from the ICU nurse at Presby telling me that Dad was being moved to the trauma step down unit on the 9th floor - I'll have to be more careful with my cell phone number. This is a temporary stop on the way to Select Specialty Hospital - Montefiore.

Mom reported that Dad has a roommate. This is a first and hasn't gone over well, according to Mom's report.
Apparently, hard of hearing 89 year old roommates are not all they're cracked up to be. Who'd-a-thunk it?
However, the good news is that Dad was his most lucid in quite a few days. He was quite talkative - not all of it complementary of his roomie - for most of the day.

To make it more interesting, Mom reports that the new digs are pretty cramped - especially compared to the relative splendor of the ICU.
Good news, I suppose, that he's no longer deemed ICU material, but sorry to leave the higher-level of care and attention that ICU offers.
Visits from friends Sherry and Sue were a bright spot. Lots of laughs and good cheer. Thanks to all.
Vital signs and other indicators remain strong.

Thank you for your diligent prayers and support. Please continue to lift Dad up for his complete recovery, as well as lifting up Mom and Dad for strength and peace through this ordeal.

March 13-15, 2010 - Progressively Better Days

2010-03-15T22:15:00.000-07:00

Saturday, the 13th through Monday the 15th were progressively better days. Dad's level of engagement improved a little each day.

His vital signs remain steady and strong.
The wound on his left foot continues to painful for Dad, especially with dressing changes.
Still, Dad's improved level of engagement is a plus.
Son John's visit ran through mid-day Sunday.
That visit dovetailed with a long visit from son Mike on Sunday.
Trina, Jake and Molly made a Sunday trip to Pittsburgh to give Mom happy birthday greetings (actual birthday Monday). The whole crowd enjoyed brunch together.

The TICU nurses revealed that the plan is in to move Dad to a step-down unit elsewhere in Presby, pending the move to Select.

As always, thank you so much for your prayers, thoughts, correspondence and support. Please continue to pray for Dad's complete recovery and for strength and peace for Mom and Dad through this process.

I returned to Fort Worth on the 10th. For some reason, I find myself challenged by the distance. My apologies for any lapse in reporting frequency. Best, Woody

March 11-12, 2010 - Visit from John

2010-03-12T22:47:00.000-08:00

Thursday, the 11th, was an odd day for Dad. Physically, he is doing OK and making slow progress.

Vital signs are good and his foot is free of infection. So, the physical part is going OK. He still spends 7-8 hours at night on the ventilator and he's still bedridden as a practical matter.
Getting Dad on his feet will tell us a lot, plus it should be catalytic in speeding the healing process.
One bird at time, buddy, one bird at a time.
On the bright side, one of the nurses told Mom how funny Dad is. It's good to know that he's being himself with the care team and not just putting on a show for us.
The wait resumes for a bed to open up at Select Specialty Hospital. The transfer process was reset with Dad's trip to the OR for the debridement procedure on the 10th.

Friday. March 12, was quiet. Dad slept most of the day due to dosages of pain medication.

He's getting the pain meds to help with the discomfort from wound care. The doctors changed the process to be more aggressive about keeping infections at bay.
Son John and his wife Charlene are visiting for a few days from Newport News.
Dad was alert enough (through the medication fog) to interact with John and enjoy his company.
John reports that he sees a lot of progress since his last visit, which was about a month ago. That's good to hear.
Dad's vital signs and other indicators all remain positive.
No word yet on a bed opening up at Select.

Thank you for your prayers, warm thoughts and support. Please continue to pray for Dad's complete recovery, as well as for strength and peace for Dad and Mom throughout this ordeal.

March 9 & 10, 2010 - Successful Procedure

2010-03-10T23:54:00.000-08:00

Tuesday, March 9th, was a quiet day. Dad rested comfortably - an improvement from yesterday.

As is the pattern lately, Dad spent most of the day with his speaking valve on, but his voice off. He sat up in a robo-chair for a couple hours.
He talked by phone to son Mike in the afternoon. Dad was really perked up when they spoke.
As noted in an earlier post, we were told that he would be going back to surgery on Wednesday for the debridement of tissue on his left foot. More on how the procedure went below.
Otherwise, vital signs and other indicators were positive through an uneventful day.
The care at Presby continues to impress.

Wednesday the 10th was an altogether good day . The vascular doctors successfully debrided (pronounced de-breeded) the tissue around the surgical wound on Dad's left foot - an answered prayer.

The outcome of the debridement was as anticipated by the surgeons, so that's good news - no surprises when they did the procedure.
Otherwise, it was a quiet day.
Dad was asleep or sleepy from the medications he gets for pain, along with the effect of the general anesthesia.
Vital signs remained steady.
The timing of the move to Select Specialty Hospital is still up in the air, but still prepared that it could happen any time.

Thanks, so much, for your prayers and support. Please remember to keep Dad in your prayers, and ask for strength and peace for Mom and Dad through this ordeal.

Back to the OR on the 10th

2010-03-09T13:24:00.000-08:00

Dad is scheduled to return to the operating room on Wednesday, March 10th, for a debridement on his left foot. The procedure is scheduled for 4 PM EST.

The doctor said that Dad's foot looks pretty good, but that they need to clean up the wound and remove some peripheral tissue to help healing.
He said that very often the procedure can be done in the ICU. However, in Dad's case, he has a fair amount of pain during the regular dressing changes, so the doctors decided to return to the OR and put Dad under general anesthesia for the procedure.

Please pray for Dad's safety and for a successful procedure.

Thanks, as always, for your prayers and support.

MARCH 7 & 8, 2010 - Waiting

2010-03-08T23:43:00.000-08:00

Sunday the 7th was another quiet day. No word yet on a bed being available at Select Specialty Hospital.

Vital signs continue to be stable. Dad has been off the ventilator far more these past few days, which is an encouraging sign.
As with the past few days, Dad spent most of the day with his speaking valve on, but didn't have a lot to say (Dad, I mean, not the valve).
I've mentioned the speaking valve in a number of posts. The technical name is a Passy-Muir Tracheostomy & Ventilator Swallowing and Speaking Valve, or PMV for short. If you are inclined, here's a link to the Passy-Muir Speaking Valve and Donut Emporium website (inside joke), which has a number of videos that demonstrate how they work. Sort of interesting if you like that sort of thing.
Dad enjoyed a call from friend Sherry in the afternoon, putting said PMV to work.
He perked up when friends Bob and Ann visited from Elkins late in the day. They talked for a good while.

Monday was a rough day. We're still waiting on a bed at Select. No worry though, as I've said before, the TICU at Presby is a good place to wait it out. The care and attention Dad receives is exceptional.

Dad failed a swallow test early in the day. That set the tone for a generally down day.
Passing the swallow test is the gateway to being allowed food and drink by mouth. He will try again in a day or two.
As is the pattern these past few days, he spent most of the day with the speaking valve on, but didn't say much. Even though he hasn't had much to say, Dad says he likes having the PMV on, so he knows that he can say something if he needs to. Always the pragmatist.
A positive is that what he does have to say shows his sense of humor to be fully intact, even though he's down in the dumps.
Vital signs and other indicators continue to be positive and the major systems are working fine.

Thank you, thank you, thank you for your prayers, warm wishes and support. You are a source of comfort beyond what I could ever explain. Please continue to pray for Dad's recovery, specifically that his left foot remains free of infection. Also, please pray for strength and peace for Dad and Mom during this process.

March 5 & 6, 2010 - Quiet Days

2010-03-07T10:05:00.000-08:00

March 5th and 6th were quiet days. For the most part, Dad rested comfortably both days.

He was off the ventilator 16+ hours each day.
Vital signs, labs and other indicators all continue to be positive.
The vascular team continues to closely monitor Dad's left foot. Please pray specifically for Dad's foot to remain free of infection.
With everything being reasonably quiet, we're just waiting on a bed to open up "across the hall" at Select Specialty Hospital. "Across the hall" is the euphemism used by the UPMC staff since the buildings are connected by enclosed walkways, but it's actually over a block away.

On Saturday, friends Gladys and Steve visited from West Virginia. They were impressed by Dad's progress since they visited him in Morgantown. As I've noted before, this kind of feedback is an encouragement to us, since it is not always easy to discern the small steps.
Also on Saturday, friends Bob and Helen made the trip from Ohio to visit. Dad's right, Bob is very funny.
Thanks to all.

Thanks to all for the prayers, visits, cards, letters, eCards, calls and other forms of encouragement and support. We appreciate it greatly and make sure that all of your messages are heard by Dad.

Please continue to lift Dad up in your prayers for his complete healing. Also, continue to lift up Dad and Mom up in prayer for strength and peace throughout this ordeal.

A Sweet Story

2010-03-05T07:53:00.000-08:00

On Thursday morning I noticed that Dad's stats on the monitor were aligned nicely, so I snapped a picture. Not sure what I had in mind at the time, but here it is...

His vital signs kind of hang in this range when he's off the ventilator and wired for sound (speaking valve on). So, later in the day I spoke to Mom while she was enroute to Pittsburgh. After we hung up, I told Dad that Mom would be here in about 30 minutes. He smiled and wondered out loud if he looked presentable. After telling him that I was sure he'd pass muster, I looked up and saw this...

His heart rate had gone up by 10-12 BPM and his breathing had picked up. I told him that it was one of the cutest things I've ever seen. He just stared, waiting for me to go on, but I pressed him by telling him that the correct response would be "What's that?" or ""What's so cute?" or something along those lines. After all, that's how a conversation works, right? So he grinned and played along. When I told him what was so cute, he smiled and simply said, "Really?"

I said, "Yeah Dad, she still makes your heart beat fast." He just kept smiling.

Maybe, just maybe, one of the sweetest things I've ever seen.

March 3 & 4, 2010 - Happy Birthday, John

2010-03-04T23:19:00.000-08:00

Dad had a restful, quiet day Wednesday - son John's birthday. Happy Birthday, John!

Vital signs and stats were steady and strong. He was off the ventilator for about 14 hours total on Wednesday.
We are waiting for a bed to open up at Select Specialty Hospital at UPMC Montefiore.
This is very encouraging since it means that the vascular team has concluded that Dad won't need further surgery, and he can be discharged from the ICU.
Friend Ryan visited and they enjoyed a chat about the Lonesome Polecats and other stuff.
He spoke to son John on the phone. A birthday present to be sure.
Dad's caloric intake was increased, with a change to a different product. As he might say, "We've upped our calories, so up yours!"

Thursday got off to a quiet start and stayed that way. The highlight was Mom's return to the scene after a week-long break in Elkins.

Dad had a little pain med when the bandage on his left foot was changed. That kept him drowsy all morning and into the afternoon.
It looks like he will stay in the ICU at Presby over the weekend, since we're still waiting for a bed to open up at Select Specialty Hospital at UPMC Montefiore. If he has to wait, this is the best place to do it. Hopefully, a bed will become available in the next couple of days and we won't get forced in another direction. Please lift up that little matter in your prayers.
Dad enjoyed a visit from friends Alice and Joe from Elkins. Thanks again to them for taking the time to provide Mom's ride to Pittsburgh.
Medically, things look good, with vital signs and other indicators performing well. He spent about 16 hours off the ventilator.
Dad made the decision to grow out his beard. I know he's serious because he said it 2 days in a row.
Small problem, though, I failed to tell anyone that might need to know - like, maybe a nurse. So, he got a shave last night (he said it was more like a scraping). My bad, but nothing a few days won't fix - it's not like he has anything else to do but lay around and grow hair. Right?

As always, thank you for your prayers, warm thoughts, cards, letters, calls and other support and encouragement. Please continue to pray for Dad's complete recovery, as well as for strength and peace for Dad and Mom throughout this ordeal.

March 2, 2010 - Resting Comfortably

2010-03-02T20:43:00.000-08:00

Tuesday the 2nd got off to a slow start. Dad's oxygen saturation dropped when he was taken off the ventilator, so he went back on right away for an assist. After about 4-5 hours, he was off the vent and breathing well.

His vital signs held up well through the day.
Friends Bob and John visited from Bridgeport and step-brother Terry visited from Charleston. Their visits were very much appreciated by Dad and brightened his day.
Otherwise, Dad was comfortable and free of pain from yesterday's surgery.

Thank you for you prayers and warm wishes. Please pray for Dad to be free of any infection in his left foot and for his overall recovery. Also, please lift up Dad and Mom for strength and peace throughout this ordeal.

March 1, 2010 - Surgery Update

2010-03-01T08:00:00.000-08:00

Update - 10:00 PM - Dad was awake when I arrived this evening. The respiratory team had taken his speaking valve off to give him a small rest, but he asked for it again. He didn't have a great deal to say, but the sense of humor is clearly intact. We kibitzed for a little while, including a recap of the Mountaineer's win over Georgetown. Late in the visit, he asked for pain medication - only his second dose since the surgery. He dozed off pretty quickly and was resting comfortably. Vital signs were good.

Update - 6:00 PM - Dad was awake and alert. Among other things, we talked about WVU basketball and was impressed that they're ranked 10th in the country. His nurse reported that he hadn't asked for any more pain medicine and he didn't mention any pain. Vital signs are all doing very well.

Update - 2:30 PM - When I got back to his room, Dad surprised me by asking for a pain killer - didn't realize they would be getting him off the ventilator so fast - good sign. Got the pain management request handled, but not quickly enough for his taste (elapsed time from request to injection 3 minutes). I labeled him the "impatient patient" and he said that "fits me to a T." He is resting comfortably. Heart rate, oxygenation and respiration all very good.

Update - 1:00 PM - Visited Dad. He is awake and has no apparent pain. He is anxious to talk, but we have to wait until the ventilator is removed, hopefully later today. His vital signs looked good.

Update - Noon - Spoke to one of the doctors. The surgery went well and as expected. There is an area of tissue on the bottom of Dad's foot that will have to be monitored closely for any sign of infection (it was under some of the dead tissue).

Update - 11:35 AM - Dad's back in his room (process is to bring patients straight back to ICU after surgery). Waiting to see him.

Dad went to surgery earlier than expected. They took him to the OR at 9:45 AM EST.

Surgery at UPMC on Monday

2010-02-28T23:03:00.000-08:00

Dad is scheduled for surgery at UPMC Presbyterian on Monday, March 1st, most likely in the afternoon. Assuming that the surgeon finds what is expected, Dad's left forefoot will be amputated. The technical term for the procedure is a transmetatarsal amputation. The surgery is necessary to remove a significant area of dead tissue that resulted from tiny blood clots (a/k/a shower emboli) that were a known risk from the original surgery to repair his aorta.

While I alluded to the problem briefly in an earlier post, I haven't written about it due to the sensitive nature and, frankly, considerable uncertainty about the treatment plan. I preferred not to speculate on such an important point.

Dad and I talked at some length about what was going to happen and why. He understood the situation and is on-board with the surgery option (not that there is an option). Clearly, though, he is depressed and concerned. I can't imagine.

Dr. Rabih Chaer (pronounced SHAR) the senior vascular specialist who will be doing the surgery, concluded that the amputation is needed due to the significant risk of infection in some areas of damaged but not dead tissue immediately adjacent to the dead tissue.
The right foot sustained the same type of damage, but to a much smaller extent and without the apparent risk of infection. The plan is to let nature take it's course and allow the tissue to slough off on its own.
Obviously, an amputation is disappointing, to say the least. However, this prognosis is much better than other options that were presented to us.
One piece of good news is that resolving the problems with Dad's feet should allow his recovery to move at a faster pace. Due to the damage to his feet and the efforts to avoid infection, he has been bed-ridden since the original surgery.
Also good news is that Dad will be able to walk on his own.

Otherwise, Saturday the 27th was a good day (I know, some of you must be thinking, "Other than that Mrs. Lincoln, how did you like the play?").

He was alert and responsive throughout the day.
The weaning process was resumed and Dad breathed well on his own and was able to speak clearly (actually staying off the vent until Sunday afternoon).
His vital signs remain strong and steady.
The fine people at UMPC ICU are taking good care of him.

Sunday continued to be relatively uneventful. As noted above, Dad was off the ventilator for a total of about 26-27 hours.

While off the ventilator, he maintained good oxygenation and heart rate. By around noon, he was getting tired and he went back on the vent for an assist that would let him rest.
He was alert and responsive.
Vital signs and other tests continue to be good.

Please pray for a successful surgical outcome and for Dad to recover quickly. Also, please pray for peace and strength for Dad as he deals with this traumatic event.

Thank you, as always, for your support.

February 25-26, 2010 - Moving On

2010-02-27T11:54:00.000-08:00

An anonymous reader posted the following in the comments on Thursday. Thought I'd share since many may not check on comments. With best regards and thanks to the anonymous poster.

HOPE

HOPE is the thing with feathers
That perches in the soul,
And sings the tune without the words,
And never stops at all,

And sweetest in the gale is heard;
and sore must be the storm
That could abash the little bird
That kept so many warm.

I've heard it in the chillest land,
And on the strangest sea;
Yet, never, in extremity,
It asked a crumb of me.

Emily Dickinson

A lot has changed in these last 3 days. Dad was transferred to UMPC Presbyterian on Friday and things started happening quickly. Here's a synopsis of what's been happening.

Thursday the 25th was a down day. Dad was lethargic and unresponsive throughout the day.

After the same kind of shaky start he had on Tuesday, Dad spent about 14 hours off the ventilator Thursday. His heart rate and oxygen saturation numbers were good, but he seemed to be locked in a struggle to breath.
Back on the vent in the early evening and he quickly relaxed.
We learned today that plans were unfolding to get Dad admitted to UMPC Presbyterian in Pittsburgh.
Vital signs and other metrics remain solid.

Friday started off a lot better. When he woke up, he greeted me with a smile and a thumbs-up.

We learned early in the day that UPMC had agreed to admit Dad and it happened Friday afternoon.
Dad stayed on the ventilator all day in order to rest him for the transfer to Presby.
He tolerated the ambulance ride well and rested comfortably after his arrival in Pittsburgh.
His vital signs were good and he remains stable.
The ICU medical staff and the vascular team started working up their evaluations.
So far, the UPMC team and approach are impressive.

Thank you for your prayers, kind wishes and support. Please continue to pray for great outcomes.

The Joads Are On the Move -- UPDATED

2010-02-26T20:25:00.000-08:00

FLASH - DAD MOVED TODAY

Dad was admitted to the Medical ICU at UPMC Presbyterian this afternoon (Friday, February 26th). The new mailing address will be posted as soon as it's known.

He tolerated the ambulance ride well and is resting comfortably. His vital signs are good and he is stable.
The medical staff has started on his evaluation and the vascular team has visited. No definitive word yet on what they will recommend.
They will resume the weaning process Saturday morning after a good long rest on the ventilator after his transfer.
So far, I'm impressed with the UPMC team and approach.

Thanks for your prayers and support. Please continue to pray for great outcomes.

Thanks!

MOVING!

2010-02-25T09:03:00.000-08:00

FLASH - MOVE LIKELY TODAY

Please note that we hope to be moving Dad to Pittsburgh today (Thursday, the 25th) or tomorrow. The move will facilitate a second opinion from a vascular surgeon regarding treatment options for Dad's feet.

His new location will be posted to this site, along with an update, when the details are known.

Please pray for safe transport to the hospital in Pittsburgh, as well as positive outcomes from the medical assessments there. Thank you.

February 23 & 24, 2010 - Pretty Good Days

2010-02-24T23:03:00.000-08:00

Tuesday, February 23rd, got off to a rocky start, but ended well.

Immediately after he came off the ventilator in the morning, Dad's breathing was labored and paradoxical.
He returned to the ventilator for about an hour. When he came off the vent this time, his breathing was fine. All-in, he was off the ventilator for 15 hours!
After a chest x-ray, the doctors drained fluid from around (not in!) his left lung. They recovered about 1100 cc of fluid (37.2 ounces) and Dad tolerated the procedure well. He rested comfortably afterward. The initial test on the fluid showed no sign of infection.
The rest of the day was uneventful. Dad slept off and on, and was not talkative.
His vital signs, blood work and other indicators remain positive.
Still lots of issues to work through - one bird at a time.

Wednesday was a good day. Dad did very well with his breathing, staying off the ventilator for 16 hours.

The process to see a vascular surgeon in Pittsburgh is underway. The purpose is to get a second opinion (and, we hope and pray, a more positive treatment approach) for Dad's feet.
His buddies Dave and Ed made the trip from Elkins. Dad reported that they visited for about an hour. Dave said that he and Ed were very encouraged by the visit, noting that Dad was alert and engaged. Among other things, Dad told his friends that he recognized that he wasn't very good company. Dave disagreed, saying that it was great to see Dad's progress.
This sort of feedback is encouraging to us, since it's not always easy to see progress as vividly on a daily basis.
Mom returned to Elkins on Wednesday for rest and recharge. Her friend Sue is staying with Mom at the house.
During the evening hours, he talked some. Among the highlights...he pressed the call button for the nurse and quickly got exasperated when they didn't immediately understand his request and said, "Well, somebody better do something"- pretty funny...he told me that my "breath is atrocious, too much Italian food" (is there such a thing?).
Otherwise, he is maintaining good, solid vital signs and other indicators.

Thanks to all for your diligent prayers, good wishes and support. Please keep lifting Dad up for his complete recovery, along with lifting up Mom and Dad for strength and peace throughout.

February 21 & 22, 2010 - Bird by Bird

2010-02-22T23:35:00.000-08:00

Some of you have heard me repeat a story told by writer Anne Lamott (see the box to the right). In addition to being sweet, I find it to be an extraordinary and heartwarming illustration of a father's love - that is, being there and being supportive, but not actually taking on the task for his son. I am reminded also of Abraham Lincoln's observation that the worst thing that you can do for those you love is something that they could and should do for themselves. Dad's parenting (and Mom's, for that matter) was very much in sync with this philosophy, and I am more grateful every day for the experience.

All this is to say that the recovery and healing process that Dad faces is and will be a "bird by bird" struggle. Successfully facing "the hugeness of the task ahead" will be something that challenges Dad (and the rest of us). The importance and tremendous impact that the love and support of family and friends will have can't be overstated. Thank you for all that you have done and thank you for all that I know that you will do in the future.

Sunday the 21st was a reasonably good day. Dad was fairly alert and did a small amount of talking.

During his 11 hours off the ventilator, his breathing wasn't nearly as labored and he rested comfortably most of the day.
His vital signs, blood work and other indicators all remain steady and strong.
Even though Dad didn't have much to say through the day, we did enjoy a couple laughs.
He voiced annoyance with Mom's efforts at a manicure, noting "I'm sure it's good therapy for you"
He asked, "Are you here [meaning the hospital] 24/7?" When I replied that we were not, he seemed relieved. I assured him that Mom was getting sufficient rest.
Otherwise, he dozed off and on during the day.

Monday got off to a very good start. He remained alert for much of the day.

Shortly after we arrived, we enjoyed his session with his speech pathologist, Amy.
While Dad was sitting up in his robo-chair, Amy tested his swallow with applesauce with blue food coloring. Follow-up by the respiratory therapist showed that he coughed up trace amounts of the dye, so he will have to try again.
All the same, he really enjoyed the applesauce and perked up quite a bit with the experience.
Among other things, he noted that he needed to work on his repartee. Given that he has a new audience here in Latrobe, he can dust off a lot of his old material.
He was very vocal about being uncomfortable in his robo-chair. A fix is in the works, but not until later in the week.
While off the ventilator, his breathing was good and he was comfortable through the day.
Otherwise, he remains steady vis-a-vis vital signs and so forth.

Thanks, as always, for your prayers, warm thoughts and support. Please continue to lift Dad up in prayer for his complete healing, along with both Mom and Dad for strength and peace throughout this ordeal.

February 19 & 20, 2010 - One of Each

2010-02-20T23:48:00.000-08:00

Friday the 19th was a pretty good day. Dad was alert and engaged. Once he got started, he was pretty talkative in the early afternoon.

He did a good job while working through his exercises with his speech therapist, Amy.
Conversational highlights...after his speech therapy session he told me "don't be such a smart ass" - responded that I can't help myself since the fruit doesn't fall far from the tree...we shared a good belly-laugh over one of the stories his friend Ed told me - has to do with lying down in the middle of the cow pasture, it's a long story...he later offered up that it was a good time for a nap...during said nap, Mom was giving him a little manicure that yielded "give me a break"
The doctors decided that they were not going to try to drain the fluid from around his right lung. Upon closer inspection of the CT images, they determined that the fluid is contained in multiple small pockets, no one of which would yield much fluid (maybe 100-200 cc at most). The good news is that the fluid does not indicate an infection. Rather, it is likely a byproduct of the original surgery.
From late-afternoon on, the day was quiet, as Dad slept most of the time.
Vitals and labs all continue to be good and he was off the ventilator for about 13 hours.

Saturday was a little rough. Dad had to return to the ventilator after about an hour since his breathing was labored. Another attempt off the ventilator was relatively short.

As a result of the extra effort, he was washed out and slept most of the day.
Otherwise, his vital signs and other metrics remain steady and positive.
The afternoon featured a visit from Jim and Scottie, who made the trip from Elkins...calls from "brother" Larry and friend Jim...and a visit from Terry, from Charleston, via the Mountaineer win. Thanks to all. Your friendship and support is encouraging and heartwarming.

As always, thank you for your prayers and warm wishes. Please continue to pray for Dad's complete recovery, as well as for strength and peace for Dad and Mom throughout this process. Your prayers are a comfort to all.

February 17 & 18, 2010 - Quiet Days

2010-02-18T23:24:00.000-08:00

Wednesday was a sleepy day. Very different from the great day Tuesday, but otherwise not much new.

Vital signs remain stable and strong. Blood work and other lab results are all good indicators that Dad is fighting the good fight.
A CT scan on Monday confirmed the presence of fluid outside his right lung. Because he's been taking Coumadin, his blood is a too thin for the draining procedure, so the medication has been discontinued until they feel comfortable moving ahead, which ought happen in a couple days time. Among other things, removing the fluid should make breathing a little easier by giving the lung more room to expand.
Dad was off the ventilator for 14-1/2 hours on Wednesday, after 15 hours off on Tuesday.
A quiet day all the way around.

Ain't modern health care grand!?! This clip contains one of Dad's favorite lines, "You're not qual-e-fied!"

Thursday was not quite as quiet as Wednesday, but still pretty laid back.

Dad was more alert than Wednesday and more responsive, but still not talkative.
He spent a few hours sitting up in the robo-chair.
A visit from friend Ryan and calls from friend Dave and son Erik were highlights of the day.
Vital signs and other diagnostic indicators held positive. He was off the ventilator for about 12 hours on Thursday.
Just after going back on the ventilator in the early evening, he perked up and was much more engaged. He was particularly keen on Mom's kisses.

Thanks, as always, for your prayers and warm wishes. Your support for Dad and Mom is genuinely appreciated and gives great comfort. Please continue to pray for Dad's complete recovery, along with strength and peace for him and Mom throughout this ordeal.

Side Note - I arrived back in Latrobe Wednesday afternoon. The flight from Dallas/Fort Worth to Pixburgh was on time and uneventful. Flight Attendant Rule #1 - Know how to pronounce the name of the destination city. Oy!

Also, when in Pixburgh, give Nadine's a try. I saw it Monday night on Diners, Drive-ins and Dives and thought I'd have try. Worth the short detour on the way from the airport. Not your mother's fried bologna sandwich.

February 15 & 16, 2010 - A Tale of Two Miles

2010-02-16T06:50:00.000-08:00

Monday and Tuesday were very different days.

The 15th was just an OK day. The snow started to fly again in Latrobe during the afternoon, cutting Mom's visit short. Son John left in the late morning to return to Virginia.

Dad's vital signs are holding up, along with good blood work and lab results.
He spent part of the day sitting up in his robo-chair.
Dad wasn't particularly talkative...quite pensive and his mood was glum. We're not completely sure what's on his mind, but I can't help but to think that the weight of his condition is pressing on him.
He genuinely brightens up when he has calls from friends and family.
Your telephoned encouragement directly to Dad are welcome. Be prepared to deliver a short monologue, since he may not be able to respond by voice.

An then there was Tuesday. All in, a very good day.

Mom arrived to find Dad sitting up in his chair, waiting with the speech therapist and ready to talk.
Mom reported that he was "more like his old self than I've seen him since the surgery."
Dad wanted chocolate ice cream, but was told that he needed to be able to swallow properly. So he practiced the drill the therapist gave him...and he made Mom practice too.
Forcing Mom to practice swallowing with him got a very amused reaction from Mom. She said he was very insistent.
After the speech therapist left, Mom reported, he got particularly chatty.
The conversation throughout the day included lots of joking and laughing, with some serious stuff thrown in. Based on his questions and observations, he is still absorbing the situation.
Dad had the speaking valve on for a very long stretch Tuesday - before noon to after 5 - probably the longest so far. His numbers held up very nicely throughout.
Calls from cousins Sam and Sue, as well as friend Tom, had him fully engaged. He was talking back, but we haven't gotten the report on how much was clearly understood.
Dad wished Mom and Becky a good evening as they were leaving, specifically advising them to behave themselves.
All in, a very good day for Dad, which made it a very good day for Mom. Bravo!

Thank to all for your continued prayers, warm wishes and support. They are a great comfort. Please continue to pray for Dad's complete healing, as well as strength and peace for both Mom and Dad throughout this process.

February 14, 2010 - Valentine

2010-02-14T18:32:00.000-08:00

Sunday saw Dad a bit more alert and engaged than the past couple days.

His vital signs and labs continue to be positive indicators that he is making headway toward recovery.
Dad was off the ventilator during the daylight hours on Sunday.
Although his breathing remains somewhat labored without the ventilator assistance, he was able to make some conversation with Mom, John, Charlene and Mike.
On top of the conversation, Mom got some smiles and a few puckers for kisses, which made it a good Valentine's Day. She was very pleased to see Dad's brighter spirits.

John and Mike got some smiles and chuckles, particularly when John presented Dad with a Valentine-themed "Pez" dispenser. It's an inside joke that always gets a rise out of Dad.

As always, thank you so much for your prayers, good wishes and offers of assistance. Please continue to pray for Dad's complete recovery, as well as for strength and a sense of peace for both Mom and Dad.

February 13, 2010 - Staying the Course

2010-02-13T19:48:00.000-08:00

Saturday was fairly quiet. Sons John and Mike are visiting, which brought good feelings to Mom and Dad.

His doctor continues to be encouraged with Dad's progress, slow though it is. This, in turn, provides encouragement to all of us.
Dad slept most of the day Saturday, but his vital signs remain strong and steady and he seems to be tolerating the smaller trach, but with somewhat labored breathing.

Son John delivered a surprise gift to Dad. It got a grin from Dad, a good laugh from Mom and shocked the nursing staff.

Thank you for your prayers and support. Please continue to pray for Dad's complete healing, and for strength and peace for Dad and Mom throughout these issues.

February 10-12, 2010 - Ups & Downs

2010-02-12T20:12:00.000-08:00

Wednesday and Thursday were reasonably good days. On Friday, Dad was not as engaged or responsive.

Dad's vital signs remain stable, and his blood work and other labs look good.
Mom and Becky were snowed in at their hotel on Wednesday and weren't able to visit. They used the time to rest, and Mom used some of the time to organize the many cards and letters that Dad has received - a scrap book of sorts. Your correspondence is uplifting and much appreciated by all.

The nurses reported that Dad was awake most of the day.
His mood seemed brighter on Thursday. Calls from friends and relatives really brightened him up and added to an already better day.
The therapist tested his swallow with some thickened liquid. At first, it looked like he passed the test, but later on it was determined that he hadn't. Still, I imagine having something by mouth must have been a welcome change for Dad.
He was asleep much of the day Friday, but was alert long enough for the respiratory therapist to put the speaking valve on for a short time. Dad didn't have much to say, but after the therapist left the room Mom asked Dad if he was awake. He replied, "I think so."
Later in the afternoon, they downsized Dad's trach from a size 8 to a size 6. The smaller passageway is supposed to make speech easier and is a step in the respiratory weaning process.
The smaller size resulted in some distressed breathing, especially while Dad was being turned. Once back on the ventilator, his breathing settled down and he rested more comfortably.
Sons John and Mike will be in Latrobe for visits this weekend.

Please continue to pray for Dad's complete recovery, as well as for strength and peace for Dad and Mom through this process. It can't be said enough - Thank you for your diligent prayers and warm wishes.

Be joyful in hope, patient in affliction, faithful in prayer.
Romans 12:12 (NIV)

February 8 & 9, 2010 - Still Stable

2010-02-10T13:06:00.000-08:00

Sorry for the little lapse in updates. I traveled home to Fort Worth Monday afternoon. Random Observation - If you are traveling from east to west, try to book a flight that leaves about an hour or so before sunset and get a window seat on the left side of the plane. The result is that you will have a beautiful view of an extended sunset as you chase it into the west. If you like sunsets, you'll dig the experience. If not, take the aisle seat.

Here's a shot of Monday's sunset from 30,000 feet.

Dad continued to be stable on Monday and Tuesday.

His vital signs are holding in there, along with good labs. Steady as it goes.
He is still on and off the ventilator, and we learned Tuesday that he has bronchitis. The bronchitis is not troubling at this point, as it is not accompanied by any fever or other signs of infection, but it is being treated aggressively.
Dad's level of awareness continues to improve. That's good news. The downside is that his increasing lucidity has lead to a visible sense of unhappiness and frustration, as he better understands his situation. He has a long, hard road ahead to full recovery and that seems to be sinking in.
A few calls from friends and family over the 2 days significantly brightened Dad's otherwise glum demeanor.

Please continue to pray for Dad's recovery, as well as peace for Mom and Dad throughout the process. Thank you for your prayers and warm wishes - they are deeply appreciated.

February 7, 2010 - Good Day

2010-02-07T15:10:00.000-08:00

Dad greeted us Sunday morning with a big smile!

Dad was bright-eyed and bushy-tailed (relatively, speaking).
He was quite talkative and was particularly interested in food. Ice cream was first on the list and progressed to asking "what's on the menu?"
While the answer was no, it was fortunate that his doctor was present during that time. He put orders in for the speech therapists to see how Dad would tolerate a small amount of thickened liquids on Monday. Success on that front would be a big step forward.
Among the conversational highlights...responded to the doctor's how are you feeling question with "Fine, how are you feeling?"...when Mom told him that he couldn't have a glass of water, he asked "Well, can I have half a glass?"...without prompting, he let us know that "Everyone's been very nice."
All-in-all this was the most lucid we've seen Dad since the surgery. It was great to see - what a blessing!
Things took a small step backwards in the afternoon, as he had some irregular heart activity, which led to going back on the ventilator for the balance of the day as a precaution and to let him rest. My unscientific guess is that he was "over-achieving" while he was up and just overtaxed himself a bit.

I'm sure Dad would insist that you take a look at Sunday's Newport News Daily Press for an article about grandson Miles' art show that opened a couple of weeks ago at Tidewater Community College's Visual Arts Center. Here's a link to see more of grandson Miles' art on the Daily Press website. As Dad is, we're all quite proud of Miles.

Keep praying for Dad's recovery and remember Mom in your prayers. We appreciate them more than words can express - thank you.

February 6, 2010 - Fairly Quiet

2010-02-07T14:39:00.000-08:00

Saturday the 6th was a fairly quiet day.

Dad slept most of the day. He had a dose of Ativan the night before. Our observation is that Dad has a hard time shaking the drowsiness-effect of these types of drugs.
A call from cousin Sam got only a bit of a reaction from Dad. Don't take it personally Sam - we got that treatment all day.
Health-wise, Dad's holding his own - vital signs are good, along with good lab results and so forth. We remain encouraged by his progress.

Many of you have asked how Mom (Noodie) is doing. All things considered, she's is holding up well. She is getting sufficient rest and continues to have a very positive outlook.

As always, thank you for your prayers and support. It is comforting to all of us to know that so many are lifting Dad up in prayer. Please remember Mom in your prayers, too.

February 5, 2010 - A Decent Day

2010-02-06T07:32:00.000-08:00

The snow started to fly late in the day, but otherwise Friday the 5th was a decent day. No big changes in status and his doctor continues to be impressed by Dad's progress. He went so far as to say that this could be the start of a turning point in Dad's recovery. The steps are small, to the point that they are difficult to discern when you see the daily process, so this was encouraging news.

Vital signs, blood counts and so forth are all holding up.
Dad's still on the ventilator overnight and continuing with the weaning process during the day. Getting to the point where he can get the trach out will be big.
He was up in the "robo-chair" for about 2-1/2 hours and was fairly alert most of that time. A call from friend Bob Damico cheered him considerably.

Thank you for your continued prayers and notes of support. We make sure that Dad hears all of the greetings from cards, letters, blog comments and calls.

Thanks for Your Prayers

2010-02-05T05:20:00.000-08:00

With so many people praying for Dad, I wanted to say thank you (can't say thank you enough) and share what James had to say on the subject. It's found in chapter 5 of James' letter "to the twelve tribes scattered among the nations" and my hope is that it's an encouragement to all to keep praying for Dad.

Are any of you suffering hardships? You should pray. Are any of you happy? You should sing praises. Are any of you sick? You should call for the elders of the church to come and pray over you, anointing you with oil in the name of the Lord. Such a prayer offered in faith will heal the sick, and the Lord will make you well. And if you have committed any sins, you will be forgiven.

Confess your sins to each other and pray for each other so that you may be healed. The earnest prayer of a righteous person has great power and produces wonderful results. Elijah was as human as we are, and yet when he prayed earnestly that no rain would fall, none fell for three and a half years! Then, when he prayed again, the sky sent down rain and the earth began to yield its crops. - James 5:13-18 (New Living Translation)

February 3 & 4, 2010 - Update

2010-02-04T22:11:00.000-08:00

Wednesday and Thursday were relatively quiet days. No material changes in Dad's condition.

His vital signs are stable, blood counts and blood sugars are well within acceptable ranges...all good things.
He has been on the ventilator overnight and off during the day (with a couple of short exceptions).
Dad's been up in the robo-chair for a few hours each day this week.
Another good sign was that he got cranky with the speech therapist, telling her "leave me alone." She is very nice and took it in stride, by the way.
There have been several visitors.
Ryan (TR's son-in-law) stopped in Wednesday.
Thursday was busy with neighbors Betty and Sue Ellen, and buddies Dave and Ed making the trip from Elkins. Terry was in from Charleston and Becky's back.

Thanks to all for the many calls, cards and letters. Your prayers are especially coveted - thank you. Please continue to pray for Dad's complete recovery and for our ability to effectively communicate with him.

Collage for a Wag

2010-02-04T09:21:00.000-08:00

Noodie's handiwork on the wall in Miles' room. A collage of photos titled - Miles, a Self-Proclaimed Wag. The two entries on the left are get well wishes from grandchildren Jake and Molly.

February 2, 2010 - Uneventful

2010-02-03T08:48:00.000-08:00

Tuesday was relatively uneventful, all-in-all a decent day. Searching for film clips that Miles enjoys and ran into this one, hope you like it.

Miles was on the ventilator overnight and came off at about 10 Tuesday morning.
He had a relatively quiet day, sleeping most of it. He had a dose of meds early in the morning that kept him groggy.
He brightened up late in the afternoon and into the evening. He was responsive to conversation and we even got a little chuckle, which was very nice to see. Would a chuckle through a trach be a truckle?
Vital signs remain good.
We are sharing greetings with Miles as they come in.

A birthday shout out to John Miles Runner II...Happy Birthday, Miles!

Thank you for your love and support. Your prayers and warm wishes are a great comfort.

Please continue to pray for Miles' complete recovery and for our ability to communicate with him.

The Problem

2010-02-02T10:38:00.000-08:00

Several people have asked, so a short history of how this unfolded might be helpful.

The problem was identified the evening of December 27th after Dad was admitted for observation at Davis Memorial Hospital.
Dad went to the ER earlier that evening with chest pains. He allowed himself to be admitted, despite the protest that he didn't need to stay. It's a blessing to all of us that he did.
The attending physician at Davis Memorial ordered a CT scan, which indicated what appeared to be an aortic aneurysm and the decision was made to transfer Dad to WVU Hospital immediately.
At about 5:30 AM on the 28th, Dad was transferred by ambulance to WVUH.
At about 8:30 AM, he went into surgery, with Dr. Jose L. Cruzzavala attending.
Originally anticipated to last about 4 hours, the surgery was about 7-1/2 or 8 hours due to damage beyond the aortic dissection. The additional work that was required included repair of the carotid artery and replacement of the aortic valve, among other things.
The surgery went well, all things considered.
Due to swelling, his chest remained open for about 48 hours after surgery before it was closed.
Significant risks of the surgery Dad had are stroke and blood clots, including small micro clots (sometimes referred to as shower emboli) that collect in the extremities. He is dealing with both issues.
He was in the CCU (Cardiac Care Unit) at WVUH for 4 weeks before the transfer to the long-term acute care facility in Latrobe, PA. More about the transfer experience can be found here.

Dad's been through a very, very difficult surgery and has a long road to recovery. Your prayers and support are an important part of the healing process. Dad needs encouragement from family and friends and he is blessed to have so many people in his corner. Thank you.

Quite the Dancer

2010-02-02T08:10:00.000-08:00

Thought I'd share this photo from Elizabeth's wedding reception. Our prayer is to see him back on the dance floor before too long...

February 1, 2010 - A Better Day

2010-02-02T07:29:00.000-08:00

This is a refreshed update to capture the full day...

Sunday the 31st was fairly uneventful - a mild rash and fever, which abated with Benedryl and Tylenol. Monday started with encouragement, as Dad came off the ventilator and was back to breathing on his own (with oxygen assistance). He had been back on the ventilator for 48 hours. He maintained his numbers very well.

Pretty good day. About 2-1/2 hours sitting up in a robo-chair (not as exotic as it sounds).
Today, he was his most alert since arriving in Latrobe.
Rash and fever have passed, so no more Benedryl or Tylenol.
Dad was visited by Dave and Kathy Fox. It was good to see them - one of the blessings that comes from this situation.
After an early dinner at our new favorite place in Latrobe - Sharky's - Mom and I headed back to the hospital to catch Dr. Dicroce on his rounds for a comprehensive update.
The doctor reported that he is generally encouraged by Dad's progress. The level of motor function on his right side at this stage of the game is a very good sign, his vital signs are solid, he is responsive to questions (shakes his head for yes/no) and commands (hand squeezes, moving feet, lifting arm), he is free of infection and fever (the C diff and blood cultures were negative), good bowel sounds, etc.
Dad went back on the ventilator at about 10:30 PM for a rest overnight, but he did pretty well all day.
So, the good news is that Dad remains stable.
We (Dad, Mom and I) are frustrated by our inability to communicate effectively. One effect of the communication problem is that he got a bit agitated (with the situation and not us I hope) late in the evening.

Please keep praying for Dad's complete recovery and healing. Also, pray for our ability to communicate with him. Thank you for your love and support.

January 30th - Back on Ventilator

2010-01-31T08:24:00.000-08:00

Dad rested well on Saturday, after returning to the ventilator for breathing assistance. As mentioned, he struggled a bit more over the past couple of days, so he was pretty shagged out. Also today, there was a more optimistic assessment of the stroke situation, along with some movement of the right arm.

Dad's blood gasses were all good, but the pulmonologist opted to put him back on the ventilator. As his blood gas results showed, he was getting the job done breathing on his own; however, he had to work very hard to do it.
He rested pretty comfortably all day, confirming that he had indeed been working very hard.
We were counseled that going back on the ventilator shouldn't be viewed as a step backward, rather as a natural and necessary part of the weaning process to return him to independent natural breathing without the tracheotomy.
The neurologist showed Mom the MRI results and explained that the area affected may not be as serious as we first thought. But, he cautioned that it will take time to know the true extent and implications of the injury.
On a very positive note, Dad moved his right arm across his body and has followed that with smaller movements from time to time. This is very encouraging.
Otherwise vital signs are good and stable.

Thank you for your continuing prayers and words of encouragement. It is a comfort to know that Dad is being lifted up in prayer.

January 29th - Evening News

2010-01-30T07:29:00.000-08:00

Night of the 29th - We discussed the MRI results with Dr. Joseph Dicroce, Miles' primary physician here in Latrobe. The MRI showed that Miles had a stroke in his left Occipital lobe that Dr. Dicroce described as moderate (about 4 on a scale of 1 to 10).

Stroke was one of the primary risks of the surgery Miles had and explains the limited movement on his right side.
The good news is that his stroke was not more severe and was ischemic and not the result of a hemorrhage.
The other good news is that it should not impede his recovery at this stage.
While we wish it hadn't happened, understanding the situation more fully is helpful.

"The improvement of understanding is for two ends: first, our own increase of knowledge; secondly, to enable us to deliver that knowledge to others."
John Locke

Cards & Letters

2010-01-29T09:46:00.000-08:00

Thanks to all for your continuing prayers and good wishes for Miles. If you would like to send a card or letter, they can be sent to:

Excela Health Latrobe Hospital
Miles Runner - Room 323
One Mellon Way
Latrobe, PA 15650

January 28, 2010 - Latrobe

2010-01-29T05:36:00.000-08:00

January 29, 2010 - Select Specialty Hospital, Latrobe, PA

Miles seems to be struggling a bit more the past couple of days.
He was started on an antibiotic Wednesday for a urinary tract infection and an overgrowth of a naturally occurring bacteria known as C Diff. The C Diff issue is probably a result of the barrage of antibiotics that were administered at WVUH to battle the post-surgery fever.
Vital signs remain stable.
A CT scan of his head yesterday was inconclusive searching for evidence of recent stroke, and an MRI is scheduled for this afternoon. Hopefully the MRI will give us a clear sense of where things stand on that front.
Noodie is holding up well. She took a trip to Clarksburg with Becky yesterday to see one of her docs, which was good for her.

Thank you for your continuing prayers and good wishes for Miles' complete recovery.

January 25, 2010 - Latrobe

2010-01-28T12:53:00.000-08:00

January 25, 2010 was a big day. Miles was transferred to the long-term acute care (LTAC) unit at Select Specialty Hospital in Latrobe, PA, an hour-and-a-half north of Morgantown.

With Miles' vital signs stable, the medical decision was made that he was ready for transfer to an LTAC, since there was not much more that the ICU could do.
The LTAC is supposed to allow for a more aggressive and coordinated therapeutic regimens - pulmonary/respiratory therapy, physical therapy, wound therapy, etc.
So, on balance, this is a good move for Miles.
Still, the transfer was announced to Noodie the morning of the 25th and Miles was transferred by ambulance late that afternoon. The speed at which the transfer took place had everyone reeling a bit, but we've got our legs back under us.
The important thing is that it should be a better place for Miles to recover. It's going to be a long, long process, so every advantage is important.

Thank you again for your prayers and good wishes. They are a comfort to all.

Getting Started

2010-01-28T11:57:00.000-08:00

Greetings. First, heartfelt thanks to all of the family and friends who have so graciously reached out to share their love and support. Words can't fully express how much your prayers, warm wishes and support mean to us, especially Noodie.

The idea behind this blog is manifold...

It allows us to make the latest news about Miles' condition available 24/7 for family and friends.
It may take some pressure off Noodie to feel that she's got to call ump-teen different people to give them an update.
It gives family and friends an easy way to share prayers, good wishes, wise cracks, a favorite story or whatever comes to mind. So, by all means, please let us hear from you using the comments section.
And, it may have some therapeutic value as a sort of journal.

Again, thanks to all for the outpouring of love and support that you have shown. It's been awesome.