Wednesday Morning

Reenie arrived as planned and we had a nice visit with Mary.

Mary is clearly being affected by the pain medications. She is not as "with it" as she was Monday night--in fact, she acts like she is stoned (not drunk)--not really engaged. As a contrast, on Monday evening Mary and I had a very long and engaging conversation about what had transpired since the surgery to Monday night. She even helped me figure out what she was feeling and aware of at various times. Last night, she was simply not engaged. Floaty is probably a good term.

They are watching very carefully and they are picking painkillers as if some narcotics and opiates are the plague which makes it really difficult to treat her pain. I gather from this behavior that there is some suspicion that the SIADH was triggered by the dilaudid last Wednesday. Ya think?

Mary's appetite has been suppressed by the pain meds. She ate breakfast and a big chunk of the taco lunch provided but didn't touch the dinner tray at all.

They have an IV feed into her right arm but it is not used all the time. Yesterday they did plug an IV into it for a while to get potassium into her system. Her pill regimen includes sodium tablets to make sure her salt levels stays where it belongs. Her BP is very nice in the 110-120s over 50 to 60s. She does have one abdominal drain still in place and they are watching that closely as well. It started to leak (the tube is smaller than the opening, basically) so they have glued a capture bag to it and that is keeping her dry.