swimming

Brain Gain. Janet smartening up. #TSJ

Garrett had Janet in the gym when I arrived at Connect this morning and they were just finishing a session on the Shuttle when I snuck up behind Janet. Garrett saw me and started asking Janet where she was going today and who with. She knew about swimming and she knew she was going with me, her “boyfriend”. I managed to stay out of her line of sight until she sat up on the Shuttle and I did the cover her eyes, guess who? trick. She knew it was me right away and had a good laugh saying “we were just talking about you”. Garrett said Janet’s legs were quite stiff this morning so we were hoping for some help from the nice warm pool to loosen things up.

During the drive to KGH Janet said she was sort of excited about swimming and sort of not. Once in the water I’d say she was quite happy to be there. We had a good session today although different from the previous visits. Janet seems to have widely varying conditions of flexibility and control over her legs. Today her kicking while on her back was not that strong but kicking while on her tummy was quite impressive. The standing exercises went well and I was able to try quite a few reps without holding onto her at all. I just kept her from falling backwards, something which she tended to do today a lot, but not so much on Monday. Tez will join us at the pool Monday morning and give us some pointers on how to get the best value out of our time there.

After getting dressed we stopped by the OT department and had a nice chat with Jess, Janet’s former OT. Janet spoke nice and loud and clear to Jess who was impressed with how good Janet looks and sounds. On the rehab unit we said hi to nurse Amy and head nurse Erica who had an encouraging chat with Janet. Dr. McCann was there too and I “warned” him about our appointment on Tuesday. He’s ready.

On our way home Janet helped me with a little grocery shopping at Save On where we also picked up some lunch that we enjoyed in the sunshine at home. I didn’t press Janet to have a nap today as by the time we were done lunch it was three o’clock and she was actually doing pretty good so we decided to have a little Skype chat with Heather before making our way back to Connect. We had some stops to make along the way and I explained all of them to Janet before we left the driveway. Surprisingly she got a couple of them right as we made our way to each one but once we hit the “open” road she closed her eyes for a little siesta.

Back at Connect there was only time for a quick bio break before a salmon dinner. Janet said she didn’t like the salmon and I thought it might be because she had lunch so late but I tried it and it was very salty and fishy so I gave her my lasagna which she ate a little of along with her vegetables and lots of cantaloupe for dessert. I convinced her to go to the gym with Sousanne after dinner for a little leg stretch as it would be good for her and good for Sousanne who hasn’t worked with Janet much. Both were pleased with the results and Janet and I read some Slow Dance before getting an early start towards bed tonight as the lack of a nap caught up to Janet. She actually remained very bright right through saying goodnight even though she was tired. Her cognitive abilities have increased dramatically this week and I pray it continues. One good example from today is her reading an invitation she received to the Connect Spring Fling Brunch. Janet read me the card in its entirety except for the times listed on it, then chose to attend the event. You are supposed to rsvp through Christi who has a desk in the main lobby. I wrote “Janet will attend” on the card and sent Janet off to place it on Christi’s desk. I followed way behind Janet so she didn’t know I was there and I smiled the whole time as she wheeled confidently to the lobby, carefully put the card on top of Christi’s answering machine, spun around and came all the way back to her room. She only hit one wall and that was the last door she went through before her room. High five!

Praying for rest and healing tonight and a strong day tomorrow.

Poker Queen. Janet cleans up at Poker Night. #TSJ

With the idea of trying to figure out why Janet complained of a sore throat the last two nights after taking her Dilantin, I stopped by for a chat with her doctor before going out to Connect today. Without seeing Janet and being able to examine her throat it’s hard to say for sure what’s going on but based on the fact Janet seems fine the rest of the time and is not bothered by trying to swallow any food or drink her doctor suggested trying to flush the capsules down with a good portion of water. When I reminded her how hard it is to get Janet to drink anything she suggested yogurt or something like that. Depending on what the capsules are coated with it is possible they would cause some irritation if not completely swallowed. The doctor was surprised to hear that the neurologist has not contacted me yet and will follow up on that as she feels it’s important Janet sees him soon.

Janet had just finished her sing along session with John and was having a bio break when I arrived. She smiled then started crying complaining that “I don’t belong here, there’s no way I’m going to go”. Realizing she was talking about going to the bathroom I told her it’s a good thing to try before nap time and I walked over to her desk and back. By the time I got back she was peeing and laughing about it. She was having a good day so far. Jess said she showered well and toileted well this morning then had a really good workout in the gym. Janet said it was fun singing with John, even singing the Titanic song. Glad I wasn’t there for that one. I had to lay down with her for a few minutes until she fell asleep then I went to talk to nurse Jen and Tez.

I filled Jen in on the sore throat thing and she agreed the water and yogurt would be good things to try. Tez was pleased with my report on Janet’s pool experiences and will come with us next Thursday to see for himself and give me some pointers on how to improve the routine. He says it’s important to work on the big things like kicking and floating and standing as opposed to little things like range of motion stuff. Just prior to speaking with Tez I got a surprise call from Dr. McCann’s office. There is a spot open next week where he could Botox Janet’s legs! I am still in the process of trying to reduce our Pharmacare premiums so I was worried that if we did the Botox now we might be paying too much if Pharmacare changes in our favor. I asked Tez for his opinion and he feels that although there is no guarantee Botox will work for Janet the window of opportunity for having success with it is closing so the sooner the better. Her actual appointment is July 10th and that is too long to wait by passing up next week’s chance. I called Pharmacare and they said they would reimburse any difference after the review of my application is complete. So Janet will go next Tuesday for another round of Botox in her legs and then the focus of her PT routines will be on stretching them as much as possible.

After her nap I told her the good news about the Botox and she immediately started to cry. Seems she remembers all the needles that treatment requires and does not want to go through that again. It took about a half hour to get her calmed down enough to have the scheduled Skype chat with her mom. Mary/Gaga was a big help in giving Janet a sense of relief about the Botox and as the evening wore on I had Janet share the positive news with everyone she saw so as to build it up as a good thing. By dinner time she could talk about it without crying.

Setting the table and helping to make mushroom gravy built Janet’s confidence tonight and her and Garrett seasoned a chicken for roasting tomorrow as well. That kept her focused for half an hour and feeling useful. Maybe she was too confident as both Garrett and I failed to convince her to go to the gym tonight. She caught on to the fact that if she agreed to play poker she wouldn’t have to go to the gym so that’s what she chose to do. And a good call it was. Janet has no clue how to play the game and with all the chatter going on around the table and a new dealer who didn’t really know what she was doing it was not the night to try and learn. But it was fun as I helped her along. Each time she won a hand she got a massive smile on her face and by the end of the night it was down to her and Brandon left in the game with Janet holding at least twice as many chips as him. Because of the time we agreed to play one hand all in and Brandon won so he got to chose from the prize box but Janet couldn’t have cared less as she was still playing with the colorful chips. She helped me put them away and I think she enjoyed stacking them in separate colors as much as she did playing the game. That was a fun and different experience for her.

With water and yogurt ready I gave Janet her Dilantin before she started her nightime routine thinking the longer before she lays down the better too. There were no problems tonight at all. She took the capsules first try each time and drank a good amount of water along with a few spoons full of yogurt. No complaints or coughing or anything.

Praying for a restful night and an active day tomorrow.

Madness Monday. Nice comeback by Janet. #TSJ

For the first time in a while we had to use an alarm to wake up this morning. I wanted to make sure we had lots of time to get to the KGH pool and wasn’t sure how Janet would be feeling today. I showered and got dressed then woke her up. She was not totally pleased with me but gathered herself and got on with it. I didn’t even have to nag her about drinking her water as she was sipping regularly as soon as I served it. Janet took her morning meds well and we were out the door on time.

In the nice warm water, Janet loosened up quickly and after a while got some decent leg kicking action going while I held her afloat. Her best skill in the pool today was standing by far. She was able to go up and down, using her left leg mostly, the farthest I’ve seen yet. I’m still not convinced we are doing things right but we make the best of it. Janet also excelled at floating on her back today. She’s either gaining more confidence in the water or more trust in me and allowing herself to relax more. At one point her head was back almost covering her ears with water and her eyes were closed and I barely had to support her. Not sure if there’s any physical therapy to be gained there but it was nice to see her so relaxed. She didn’t list to the right as much as last time either. No idea why.

Music Therapy with Stephani was next and Janet seemed pleased to see her and didn’t hesitate to get started. The best task I’ve seen so far from Stephani is when she has Janet play some sort of instrument. There are drums and shakers etc. and Janet really enjoys all of those and keeps a pretty strong beat going.

I took Janet home for lunch since we were so close and decided to let her nap there as well. She gave the usual mad battle against the nap with the usual two hour sleep to follow. I actually had to wake her so we could get to Connect in time for dinner. Janet seemed perfectly happy to be back there and was warmly greeted by everyone. Dinner was timed really well as Janet finished just as the basketball game was about to tip. What a great game it was! Janet missed halftime and the first twelve minutes of the second half as Curtis took her to the gym. We talked about going during the first half of the game and Janet laughed sometimes and got mad about it sometimes. Then when it came time to go she completely gave in and “happily” went. I suggested only a fifteen minute stretch but Curtis put her through a full workout and Janet never complained about it. She did say afterwards that it was “terrible” but she said it with a smile.

We watched the end of the game with Janet asking to stay and watch the trophy presentations afterwards so bedtime was later than usual. Her nightime routine went well until minutes after taking her Dilantin she once again tearfully complained of a sore tongue/throat. The pain subsided ten minutes later and she was relaxed and sleepy as I said goodnight. I will talk to nurse Jen and Janet’s doctor about this tomorrow as I have no idea what’s causing the discomfort.

Praying for a night of rest and healing, to know why Janet’s throat was sore and for an energetic day tomorrow.

Endurance. Janet gets through a busy day. #TSJ

Jess had Janet all set to go this morning and Janet seemed quite enthusiastic about the day ahead. We arrived at the KGH pool in plenty of time, in fact while we were waiting after getting changed Janet complained that we were “doing nothing”. She agreed it was better to be early than scrambling around at the last minute and I reminded her the pool won’t wait for us. Right on time, Jim arrived and into the water we went.

The sensation of floating still brings a smile to Janet’s face and a calm feeling to her in general. She’s happy to try all the exercises I’ve been given for her although I think she’d be OK with just floating around in the warm water for as long as she wanted. We started on her back trying to get the legs kicking with me supporting her instead of the inner tube. Janet started slow but got it going alright after a few minutes. With the inner tube she really got her left leg going crazy. The most range and fastest movement I’ve seen from it ever. Unfortunately the right leg was nowhere close to keeping up but I could see and feel her trying. We tried a couple variations of standing exercises and Janet did well intermittently with both. I need more coaching on those for sure. For something new, I had Janet try floating on her tummy. She didn’t mind being in that position but I found it hard to keep her face out of the water while keeping her legs in a place where she could try kicking or straightening them. Again, more coaching needed or at least a pool noodle. Overall today’s session was better than last week but the thirty minutes seemed like five. Very glad we are going twice a week starting Monday.

On our way out of KGH we did our now usual lap through rehab saying hi to a couple of familiar nurses and having a nice chat with Connie. Janet is trying really hard to have meaningful conversations with people but still echoes and has trouble remembering short term things. The effort to converse is way better though and that played well into being ready for Music Therapy with Stephani. Conveniently she lives only a few blocks from the hospital so we arrived there in plenty of time as well and Janet and her got started right away. I sat out of the room they were working in but I could hear everything and could tell Janet was enjoying it. There is a little more purpose to Stephani’s session than with John and I think today was a good first go at it. I was concerned Janet would be tired or hungry but she was just fine and sounded pretty good at times.

First day music therapy

First day music therapy


Next up was a much needed haircut with Chelsea after a quick stop at the dentist to make an appointment for Janet. She had not been to that office since the day of her aneurysm and thankfully does not remember the place at all. She was warmly welcomed by Collette and Colin, both of whom make it as much fun as possible to go to the dentist. By the time we arrived at the salon Chelsea was ready for Janet who gave her a nice big smile after I carried her into the shop. Apparently Janet has a history of falling asleep during haircuts and today was no exception. About ten minutes in with Chelsea working on the back of Janet’s head, I noticed her eyes closed, only for a minute or so until the blow drier came out, but she was nodding off. Janet powered through and allowed Chelsea to set her up for a pretty nice look in the future as her hair grows in just a little more. Janet was pleased with the results and we headed home for a late lunch.

It was well past nap time and we were just eating lunch but Janet was doing fine. She even had a reasonable Skype chat with her mom afterwards, talking fairly loud at times. Before we knew it it was time to get back to Connect and when we arrived Janet elected to put away laundry and make her bed instead of eat like everyone else was. She did a good job helping make the bed but needed a fair amount of cuing to find the right drawers for her clothes. I’ll put that down to the long day without a nap. She managed a good dinner and a little chat with Bob and Dwight then at 7:30 said she was ready for bed. Her nighttime routine went better than this morning as she knew not to brush her hair with the toothbrush and got the toothpaste open herself and did a really good job rinsing her mouth and taking her meds.

Lights out came early after a busy but fun day. Janet seemed pleased with her day, questioning how well she did but acknowledging she did a lot. Praying for a good rest tonight and a strong workout in the gym tomorrow and fun at Fred’s going away party.

Green Lights. Janet moving forward. #TSJ

According to Janet I “got here just in time” today. She said it with such a big smile on her face I thought I was in for some big news but it was just her way of saying she was glad I was there. Jess said they’d had a busy day so far. Shower, breakfast, gym, clean room, laundry, label drawers and cupboards, lunch. I know that pace is good for Janet and she was happy to hear all those things listed off and recanted her comment that she was having “a weird day”.

Brian met us in her room and we had Janet transferring from wheelchair to bed and back a number of different ways as well as laying down then getting back up again. Tez even dropped by and offered a few pointers. Janet worked really hard and did a great job with everything. We even tried a transfer disc that she stands on then you spin her to line up with wherever she’s going and plunk her down. She’s not ready to do that routinely but Brian will procure some better discs then have that incorporated into Janet’s gym workouts. The standing transfer I’ve been using is not very good for my back and has no therapeutic value for Janet so I will use it only for toileting. Janet does really well with the sliding board and the focus is on that now as its something she’s close to doing completely on her own.

Nurse Jen stopped by as we finished with the transfers to have a look at Janet’s former peg site and without hesitation gave Janet the green light to go “swimming”! I think I’m more excited about this than Janet is but am confident she’ll enjoy it and it also means she can have a bath instead of the showers she’s complained about.

After a lot of ups and downs and rolling around it was time for a nap. Janet welcomed that opportunity and was snoring within minutes. I used that time to call Jim the KGH pool guy. He was very open to times that Janet could go there and suggested Thursdays at noon as that is a fairly quiet session which is probably good for Janet to start with. He mentioned a routine that made it clear to me he didn’t know any details about Janet’s condition so I filled him in and we agreed that the first session would be just floating and familiarizing with future sessions leading towards leg and arm exercises. Tez agreed and suggested trying to get Janet to float on her back and kick her legs. We’ll see how it goes next Thursday and Tez will try and drop by.

In a further conversation with nurse Jen I told her Janet’s Dilantin levels still seem high and her next blood test isn’t until Wednesday. She looked at the requisition for that test and noted there is no date on it so I’m taking Janet tomorrow. Hopefully her doctor will have the results Monday and we can chat about the situation. I will also ask for a referral to the neurologist as there are too many unknowns out there for me to keep going like this. Janet has lost learning opportunities because of the overdose and its time to get this straight.

Janet’s across the hall neighbor, Clint, is moving out tomorrow so I had Janet present him with a happy face lollipop. She started giving it to Karl first then clued in and said some nice words to Clint. Good to see her talking to others. Curtis took a brave Janet to the gym after dinner and had a good workout with her after I assured her it would not be a big one as she’d already worked hard today. She came back pleased with herself and seemingly realizing some benefits to all this. We sat on the couch in the living room watching TV while she munched on an apple before bed.

The afternoon nap was Janet’s last sleep in a hospital bed, he writes with confidence. Brian found a regular bed and frame for Janet and with some modifications from Ray she is sleeping tonight in a real bed which she says is very comfy. It is also the perfect height for transferring her to and from her wheelchair. Another step forward.

Today was a good one and I think Janet gained some confidence through all the activity. Praying for a good rest in her new bed and a fun day tomorrow.