Rhonda’s notes

John's wave injury. - Atlantis Beach ( Cabbage Beach)

Approx 1:30 pm Wed. March 27 wave hit John - He was Transported by PMH ambulance to Doctor's Hospital in Nassau Bahamas

John's wave injury. - Atlantis Beach ( Cabbage Beach)
ER -ICU- OR at 12:43 am Thursday. March 28 Dr. Magnus neurosurgeon - Dr. McDonald - anesthesiologist ACDF surgery at 12:43 am

Out of surgery and I talked to Dr. Magnus Ekedede at 4:30. He said there is a fracture and he removed two discs.

One of the most difficult surgeries he had performed out of about 7000,

Dr. Magnus Ekedede said to call his secretary in am to give info for insurance. He stated that he knows we could not pay his bill ( private surgeon). But would work on trying to fight with our insurance company.

Brought back to ICU at 5:07 am. Dr said John's BP was all over the place during surgery. Discs are up high under the mandible and his neck is short so they were hard to get to. I got to see John about 7:00 am.

Spent day March 28th, in the Doctor's Hospital in ICU drinking sips of water through a straw. John was given two sips of apple juice.
Given IV antibiotics this morning. Given steroid this eve about 8:30 pm.

Dopamine for pain thru IV. Complaints of choking with phlegm - given suction tube for me to suction out his mouth like a dentist office.

Received a call from an air ambulance at about 6:55 pm. Stating they will be picking John up for transport to Cleveland Clinic about 10:15 pm
Flyreva.com

Cynthia

Hector

Zachary

Charlie

Arrived Cleveland 3:04 am

Needed suction and pain meds during flight

Arrived Cleveland Clinic at 4:08 am put in G20 A neurological ICU ( Intensive Care Unit)

Nurse Jessica

Password for being patient's spokesperson -_-_-_

Neurological ICU. G 20

216.444.4001

180.CCF.CARE

By 12:30 pm phlegm making him feel like he was drowning given Ativan and?

Nurses Rolled John over on his side at 8:30 pm. Then wipe off the sand and put on lotion.
Dr. Came in about 9:30 am and tonight about 6:50 pm.

Fri night Saturday am, they inserted an IVC filter. Because they found 2 blood clots in his legs.

Dr. Patel came to talk about anesthesia for am surgery

Called Dr. MacCallum and Dr. Rubin's office.

Found out EF ( EEjection Fraction from echo is 55!

8:15 am took him back for more surgery on his neck on March 30th

Dr. Bell - talked to me about 8:40 am said that this surgery should help release more of the compression. Also said they have to get him all hooked up and positioned for surgery probably won't be ready for the first incision until 10:00 am and surgery should take about three or so hours. After that, he will talk to me in the early afternoon. Will then send him to the rehab hospital.

Told, who knows how much John will regain but it won't be overnight.

Surgery started at 10:37 am

Dr. Bell - stated, at 1:10 pm that surgery went well and his spinal cord is as loose as he can get it. Fused C3,4,5,6 in the posterior. The rest is up to God.

Saw him at 4:00 pm tube still in. He’s blinking, coloring and BP looks good.

The ventilator was taken out on April 1 in the evening Moved to H 60 6th floor bed 21

Tuesday, April 2nd, Red left forearm front and back. - nurse Jeanine removed and iv from the front and back put an ice pack on it. It Helped

4:00 am Wednesday, April 3rd, stomach distended, nauseous. - abdomen x-ray taken. No sleep all night

Dr. Vernon Lin spinal cord specialist. Said, John is by the American spinal cord association standards, John is a quad incomplete level B C5

April 4, 2013

Ann Marie social worker - case manager

8:15 am April 3, Dr. Gordon Bell, his thoughts are to move John to MetroHealth today or tomorrow.

Fri Apr 5 plan is to move to MetroHealth at 1:00 pm

MetroHealth Hospital acute rehab

4229 Pearl Rd

Cleveland OH. 44109

He will be on 6 North 216-957-3605

Room 607 - C3 AIS C
Kristen OT. Mon 11 & 2 Megan. Job share

Sun April 7th, Not much - lie around taken off liquids due to choking

Mon Apr 8 started therapy, measured for a wheelchair, and sent to the main hospital for swallow tests and Doppler on legs for blood clots

Failed swallow test / tried to get feeding tube 3 times gave up until am. Many IV attempts, I left the room after 7 with 2 nurses trying - came back to 3 other nurses in the room. Finally got it in (he was dehydrated ). Awful day

Apri;l 9th, 3 or 4 attempts at feeding tube -bad day. Therapy went fine. Small twitch in the right pointer finger

Apr 10. Good day - no crisis - getting food from a feeding tube - evening time pain management issues. John used leg skateboard in PT successfully, tried bean bags push in It, not successfully. Speech therapy spoons of juice- memory practice.

Apr 15 passed swallow test today but choked on his dinner so tomorrow going to take NG-tube and give him breakfast if it doesn't work then going to reinsert the tube

They could use memory games for speech therapy, occupational therapy

July 4 Last day at MetroHealth

July 5 Moved to Altercare post-acute rehab facility.

July 7-9 spoke to Mrs. Fromwiller and Amy in admission stated 45 mins of both OT & PT should be given - tap light going to be overnighted

7-10 no call button

7-11 no call button

Called Connie at MM they told her the wrong one came in - got a tap pad 1 week after admission

At Cleveland Clinic 3/29/13 - 4/5/13

At MetroHealth 4/5/13 - 7/5/13

At Altercare post-acute rehab 7/5/13 - 2/10/14