Hebrews 12:1-2a

"Let us lay aside every weight,
and the sin which so easily ensnares us,
and let us run with Endurance
the race that is set before us,
looking unto Jesus,
the author and finisher of our faith."
Hebrews 12:1-2a
Showing posts with label Dr. Stephen Bailin. Show all posts
Showing posts with label Dr. Stephen Bailin. Show all posts

Monday, December 21, 2015

Updates - Day 220

It was Thanksgiving and now it is nearly Christmas. It has been a busy month for us as it has for many of you.

Today, Dec. 21, Jim and I both had appointments. I know some of you have said you prefer to know what is going on with Jim than with me, but we are a couple, so our life is about us, not just him and not just me. You can always skip those parts that dwell on me.
          I had an epidural in my back this morning at St. Luke's Pain Clinic. Some of the muscle and joint pain of recent months that I thought was related to my left hip and leg was actually in my low back.
          Jim had a one-week follow-up with his primary care physician, Dr. Todd Butler. Last week on Dec. 15, his visit with Dr. Butler revealed his blood pressure to be 70/42 and weight 132 pounds. He increased Jim's dosage of midodrine from 5 mg three times a day to 7 1/2 mg three times a day and suggested a MRA (angiogram) of chest muscles might be in order. Today, after the increase in medicine, Jim's blood pressure was 80/50 and weight 130 pounds. His waist, which had dropped from 33 inches to 31, now measures 29 inches.  The doctor was concerned about the lower BP readings, but decided not to do anything about the MRA at this time. He would wait to see what Jim's cardiologist, Dr. Stephen Bailin, has to say. We see him on Jan. 15. Jim has not had any signs of dizziness or lightheadedness; his lungs are clear, heart and kidneys fine. Lab work was scheduled this past week, and results were normal. Jim is to return to Dr. Butler in 8 weeks.
          We also received a phone call from the office of Jim's rheumatologist, Dr. Michael Brooks. We had to return to MedLabs mid-afternoon so Jim could have an INI of calcium. Jim is scheduled to have a Reclast, an annual IV injection for osteoporosis, on Wednesday morning, Dec. 23, but that procedure may be delayed a week  if calcium results are not received by early Wednesday. He was low on calcium, and earlier this week, was told he also was low on Vitamin D. Both of these supplements were stopped from May to July, when he was having various procedures at UIHC.

Jim still is tired, probably because of the ischemic stroke and arthritis, but the Lord enables him to accomplish many things.
          On Nov. 29, he decorated the lamp post in front of our house and set up the vintage sleigh, reindeer and Santa my parents made many long years ago. He also set up lights so passersby could see it and the nativity in the evening hours. Most of the decorating indoors was done by Dec. 1, and on Dec. 5, Jim started baking for our open house. I  helped with decorating sugar cookies, writing and printing the Christmas newsletter, setting up the food display, etc. We had 35 people come to our Open House Dec. 12, including four members from Wilton Baptist.
          We have over 50 nativities (as well as multiple Christmas trees, angels and Santas) and 10 of them were obtained just this month. Among them: a silver nativity from Ron and Carla Dunnahoo at Wilton, a glass nativity with Merry Christmas across the top from church members at Wilton and one from a hospice client Jim visits in Central City.
          Various Christmas programs we attended were Cedar Rapids Washington Madrigal Singers during evening services Dec. 13 at Immanuel, Austin's preschool musical Dec. 15 at Taylor School, and Immanuel's youth choir during evening services Dec. 20, also at Immanuel.
     
We continue to serve at Wilton Baptist Church and love our time there. We are in no hurry to have it end, but that is all in God's timing, so we will enjoy whatever He gives us. Jim and I drive to Wilton every Sunday and sometimes Jim or both of us (if it works out) go there mid-week to visit members or lead a service. He also visits members who have had procedures in the hospital.  A Christmas Eve candlelight service will be Thursday, Dec. 24, from 6:30 to 7:30 p.m.


Saturday, October 24, 2015

Second opinion informative - Day 164

Today is Saturday, the 164th day after Jim's esophageal cancer surgery. It has been a mostly quiet day, except for the occasional beep of the heart monitor he is to wear for the next 29 days.

Yesterday - Friday, he had a second opinion appointment with Dr. Stephen Bailin, a cardiologist at UIHC. We like Dr. Bailin - he explains things so you understand what's going on and what isn't and he doesn't give you the impression whatever he says is what you should do. He listens to the patient and the family. He's going to be Jim's new cardiologist going forward. Good-bye Dr. Li.

We arrived 30 minutes early for our appointment. Weight and blood pressure were taken right away - 129 pounds fully clothed and BP was low.... 78/43. The EKG was normal.

We discussed not resuming the Coumadin - he has been off it since Oct. 1, when he was diagnosed with a bleeding ulcer that resulted in another 5-day stay in the hospital. The multiple periods of dizziness and lightheadedness in a given day have been absent. He was feeling better. There have been two brief moments of dizziness, however, in recent days - one was Oct. 18, the other Oct. 19. If there were others, Jim hasn't said.

It was determined even though he had one episode of a stroke (ischemic), he has not been in AFib since his June surgery for the bowel obstruction. It was decided he didn't need to be on Coumadin, just a baby aspirin.

We discussed an alternative medicine to the Flomax taken for the prostate. Flomax can cause low blood pressure / dizziness too. Even though he has been on the medicine for a long time, it may possibly be causing problems in his body now.  So the medicine Alfuzoin was considered as one less likely to cause hypotension. But we didn't end up going that route, at least not right now.

Another potential medicine is Midodrine which can raise blood pressure. Dr. Bailin asked if Jim had had an ultrasound. He did have an endoscopic ultrasound March 31. Apparently Jim has a congenital defect, with a flap-like opening in the wall of the heart. Usually this flap closes at birth, but there are some cases where it stays open. It appears Jim is one of those "cases."

Jim had his blood pressure taken laying down (84/49), sitting up (76/43) and standing (80/45). Then he had blood drawn for a cortisol stimulation test, which shows an excess or deficient amount of cortisol and how the adrenal glands are functioning. I'm not sure what his results mean. The preliminary numbers were 8.4. On Monday, Oct. 26, we found the final numbers to be 22.0 - elevated from the standard range.  By Friday, Oct. 30, we learned the numbers were not abnormal, so I'm guessing the adrenal glands are functioning just fine.

The doctor wants to try him on the Midodrine, the smallest dose of 2 1/2 mg 2 to 3 times a day - morning, noon and supper time. The round pills are very hard to cut in half, even with a pill splitter.

Also, Jim is to be on a heart monitor for 30 days to see how he is doing. Records will automatically transmit to UIHC. Whenever he has an episode (dizziness, lightheadedness, shortness of breath), he is is push the button on the monitor.

Interim Pastorate
Jim began serving as interim pastor at Wilton (Iowa) Baptist Church in October. We started traveling to the Wilton area Tuesday, Oct. 13, to visit church members. The next time was Wednesday, Oct. 21, and Jim went by himself. He did just fine driving to and from.

Sunday, Oct. 18, was Pastor Appreciation Day. All pastors who have ever served at Wilton Baptist were invited to a luncheon after worship. On this day, besides Jim and me, there was Mike and Ginny Roberts. Mike used to serve in the Cedar Rapids area, but now is in southeast Iowa as director of missions. Craig Horning, a former Cedar Rapidian and Immanuel member, who now lives in Deming, N.M., came with us. I had the afternoon off from work, so was able to enjoy more of the festivities.

Sunday, Oct. 25, Jim will preach from 1 Peter: 2:11-25 on "The Nitty-Gritty of Every Day."

Awana and Canning
Wednesdays are special - we take our grandson to Awana - Austin, who will be 4 in a few short weeks, is in Cubbies. He seems to enjoy the time there and is learning about Jesus.

Jim often is tired. I can't imagine why sometimes - he has taken up the art of canning and has come to be pretty good at it, via instructions from the internet. On Oct. 14, he canned 4 pints of tomatoes and 2 pints of applesauce. On Tuesday, Oct. 20, while I did Gazette work at home for six hours, Jim made homemade vegetable beef soup and homemade bread. We delivered the homemade goodies, including applesauce, to Cathy's adopted mommy, Miss Anna, and had a nice visit.

Follow-up visit Nov. 11
Jim's 3-month follow-up visit with Dr. Parekh, his cancer surgeon, has been scheduled for Nov. 11. It may be his 3-month visit, but it's 6 months after surgery.

His next appointment with Dr. Bailin, his new cardiologist, is Jan. 15, 2016.