--Apple-Mail-5CF7C3BE-FB92-43F4-93CE-9618A56B136A Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: quoted-printable Maria Licoudis, Registered Nurse, C.N.C.C, N.M.C Care Manager Home Care Assistance mlicoudis@homecareassistance.com www.homecareassitancemontreal.ca Office: 514-907-5065 Begin forwarded message: > From: Kenneth and Diana Spencer > Date: August 25, 2015 at 6:27:03 PM GMT-4 > To: mlicoudis@homecareassistance.com, Tim Thomas > Subject: Rudy Vinet >=20 > Hello,=20 >=20 > Dad has been transferred to the 5th floor Room 5136, an isolation room (me= aning gowns, masks and gloves). Melinda wanted Lorna to know this, for when s= he comes in tonight. >=20 > Dad's congestion is quite bad - they've suctioned out the mucus twice. The= y postponed the scope of the stomach because of the congestion. He's on anti= biotics and a med to stop the bleeding. He's on IV, no solid food. The sucti= oning sounds very unpleasant for him. The second time they did it, it was le= ss - so, maybe he's responding to the antibiotics. Or maybe they want to be a= ble to do the scope of his stomach. He didn't sleep at all last night, and a= ppeared to be hallucinating. This has happened before - when he's sick. The P= D med (levodopa/sinemet) becomes too strong. They have reduced it before, wh= en this happens. He's only on Seraquil at night. >=20 > I'm thinking I should come back - it's upsetting - he was so well when I w= as there last week. Seemed to start midweek, and progress from there, so qui= ckly. >=20 > One thing I might mention: Sharon was there on sat and sun, and did take h= im out walking. Perhaps he shouldn't have gone out, and perhaps the nurses s= hould have been made more aware, if she noticed anything. If Cheryl noticed t= hat he was tired for 3 days - maybe she could have left a cautionary note in= the journal, to give Sharon a heads up. If all Sharon saw in the journal wa= s that he was tired - it's not enough information. I could tell talking to h= im on the phone that his voice wasn't right. >=20 > On wed, when Dr Lysys came to see Dad - Dad tried to tell him how tired he= felt. Dr Lysy listened to his lungs and said they sounded the same. Dad was= feeling tired because his hemoglobin was dropping down to 59, his INR was t= oo high, and he was bleeding internally. I've spoken to the Nurse Coordinato= r at the Chateau - to suggest that they need to listen to what Dad is trying= to tell them and look into it. His hemoglobin and INR should be monitored m= ore frequently than every 2 weeks.=20 >=20 > These are adjustments we need to make as Dad's illness progresses - he jus= t needs more close monitoring and quick action. It always seems to happen th= at he goes downhill very quickly, at some point - at which point the Chateau= put him on oxygen, then the next day send him to the hospital. It could be n= ipped in the bud sooner, before he starts to fail. They are better than they= were. But, it seems that it has to be stepped up