We met with Dr. Tim Monday night. Jeff is not taking in nearly enough calories at home to even maintain his weight. Jeff decided Tuesday morning that he was okay with being admitted into the hospital again for IV nutrients. Jeff wants to go to
Stormont-Vail in Topeka this time. Dr. Tim has to find a hospitalist to take Jeff's case on for admissions. If he has trouble finding a hospitalist Jeff wants to find some way to get into the hospital for nutrition.
Jeff's physical being has declined somewhat. He is coherent in the fact that he will look at you when you are talking and respond on occasion, but he is sleeping most of the time. He looks extremely thin. We put some oxygen on him last for a little while.
Some things will be different in the hospital this time in hopes that his pain will not be as bad as last time. A catheter will be put in from the start and he will be mostly sedated during his stay. We are expecting to be in the hospital for about a month.
The end goal of getting Jeff's nutrition better is to get him in a place where he can have surgery (if a surgeon will do it), participate in the trial at home or both. If we go into the hospital and Jeff's pain becomes out of control like last time and there is no relief then we might come home early.
I think that is all for now. Everyone take care and keep all the positive thought coming.
-Abby