Old Time Remedy for Upset Stomach

Things were simpler when I was growing up. Whenever a member of our family had a stomach ache, we depended on a remedy out of our medicine cabinet.

Back then there were fewer choices for medical remedies. If we had an upset stomach or diarrhea, Mom would treat us with an over-the-counter product from the general store. 

There are countless products now, claiming to relieve minor indigestion with catchy jingles about heartburn, stomach ache, and diarrhea. But I still turn to the old family favorite when it's needed. Whether it's the carbonation or the actual formula, this product still works for me when I'm feeling queasy.

Our family medicine cabinet held only a few items like aspirin, Vick's VapoRub, Noxema, Mercurochrome and Merthiolate, a child's worst nightmare. For minor burns and insect bites, we had Unguentine or Bactine. But the most frequently used product for minor stomach aches was a brown elixir purchased from the local pharmacist. We would head to the corner store to fetch a refill if our supply ran low.

Mom would send my brother and I to the corner store on our bicycles where we'd park in the bike racks and head to the pharmacy at the back. 

We'd waiting patiently at the glass wall while the druggist clanked out a prescription label on an old manual typewriter. The pharmacy was raised above the rest of the store which allowed a glimpse of his white coat when he moved around. Racks of glass bottles and blank labels littered his work counter.

The store had a variety of household items from bread and canned goods to toys and fishing gear. There was also a rack of comic books like Super Man, Donald Duck, Tom and Jerry or Tweedy and Sylvester that sold for ten cents.

The store was the neighborhood hangout with its soda fountain where they served the best hamburgers around. That was where we ate before fast food places made their way to Key West.

We'd sit on the vinyl stools and sip our five-cent Cokes from a real glass while our fifty-cent hamburgers sizzled on a flat grill. Many summer days were spent sitting near orange and grape drink dispensers, basking in the aroma of hot dogs grilling on the rotisserie.

From our place on the stools, we listened for the pharmacist to call our names to fetch the white bag with the precious remedy; a concentrated solution of Coke syrup in a small bottle.

We’d pay the cashier while eyeballing the nickel candy bars and penny bubble gum, then, hop back on our bikes clutching the package like a bag of gold.

Postal services were available and we mailed parcels wrapped in brown paper cut from grocery store bags. Packages had to be tied securely with cotton string. Regular postage stamps were four cents, with air mail stamps costing seven cents. Letters could be dropped off at the mail slot next to the pharmacy.

We kept our antics in the store to a minimum, knowing better than to cause trouble. If our parents got a call from the druggist that would mean big trouble when we got home.

Once we got home with the remedy, Mom would send us to fetch a tablespoon from the silverware drawer. Armed with the bottle of coke syrup, she would climb the stairs to the bedroom of the ailing family member.

If Dad was the one with the stomach ache, we would sneak up the stairs behind her and wait quietly on the landing while she gave him a dose. If one of the children was ill, the rest of us would march boldly behind her into the bedroom of the afflicted. We'd surround the bed and watch as she opened the glass bottle and poured out a measure of the sticky syrup. The patient, sitting in bed, lips puckered, would swallow the brown liquid, leaving us to lick our lips vicariously at the sickeningly sweet taste.

Coca-Cola was originally intended as a patent medicine. Invented by John Pemberton in the late nineteenth century, it became a popular carbonated soft drink. Two of its original ingredients were kola nuts and coca leaves. The Coca-Cola Company, headquartered in Atlanta, Georgia, produces concentrate of the revised formula, which is sold to licensed bottlers and distributors in over 200 countries throughout the world.

The current formula still remains a trade secret.

Gift Ideas for Seniors and Nursing Home Residents

Choosing a gift for a nursing home resident can seem difficult, but these ideas are sure to please your loved one.

If you ask your senior what they want for a birthday or holiday, they'll likely tell you they have everything they need. But do they? 

What your loved one wants most is you spending time with them. Whether you're sharing a meal or clipping their nails, your presence reassures them that they are valued.

If you're not able to visit for whatever reason, consider these gifts that my family members appreciated when they lived in a skilled nursing home. 

Many facilities offer a guest meal for visitors. Sitting and sharing over a meal is true quality time. If guest meals aren't available where your relative lives, you can always bring a bag lunch or a takeout meal. Ask your senior what they might like from their favorite place.

These are some of the top 10 requested gifts:

1. Cotton socks, slippers, sweat suits, and clothing that's easy to get on and off. Avoid zippers and buttons that might be hard to unfasten.
2. Homemade cakes, cookies, candy, individual puddings, Ensure or Boost, sugar-free food items or fast-food favorites like milkshakes.
3. Gift certificates for the hair salon at the facility. Clean hair lifts the spirit.
4. Audio and video recordings of their favorite songs, movies, and TV shows.
5. Large print books, adult coloring books, or audio books.
6. Colored pencils, paint-by-number kits, yarn and craft supplies.
7. Office supplies like small tablets and ballpoint pens.
8. Board games like Scrabble, dominoes, jigsaw puzzles and crossword puzzle books.
9. Nail clippers and emery boards.
10. Bird feeders and seed to refill them.

Limited funds? Here are some cost free activities that you can do.

• Offer to comb or style your senior's hair.
• Give a hand or foot massage.
• Trim your senior's fingernails.
• Write a letter on their behalf. Stamp, address, and mail the letter.
• Read them a story.
• Sing their favorite song.
• Play a game together like Dominoes or card games. Work a puzzle together.
• Attend an activities session with the group.
• Join in on the stretching exercises.

Edible gifts like homemade cookies, cakes, candy, and pies are things that most residents enjoy getting. If your senior is on a restricted diet, you can customize your holiday baking to include sugar-free gifts.

If you're not a seasoned baker, choose other edible gifts like individual pudding cups, packages of peaches or pears, crackers with peanut butter or cheese, juice boxes, or wrapped candies that are easy to open.

Another welcome activity at any skilled nursing facility is the music from volunteers who perform for the residents. Sometimes they like to sing along, wave their arms, clap to the music,  nod their heads, or even get up and dance.

Personal care Items are often requested. Keep in mind that some people have allergies, so choose softly scented cologne, air fresheners, moisturizers, hand lotion, and disposable hand wipes.

Remember that caps and lids may be difficult to open. As my mother grot older, packaging became more difficult for her to manage. Items with pump dispensers or easy to open containers are a good choice.

You might need to open the box of tissues and start the first one out of the box. Tasks that are simple to youthful hands can become a nightmare for a senior who struggles with arthritis.

Hair Salon Gift Certificates

Most nursing home residents would enjoy a little pampering. A beauty salon certificate for services by the on-site cosmetologist is a blessing. Or, you can ask to use the beauty shop and give your senior a nice shampoo and gentle scalp massage. If neither of those options is available, arrange to take your loved one to a salon nearby.

Something to Keep their Mind Active

What do seniors do with their time? Many seniors enjoy looking outside. My 95-year-old aunt likes watching the birds that come and go outside her window. A bird identification book helps her know which kind of birds land on the feeder. Volunteers will usually refill the bird feeder as long as we provide the seed. 

Visiting Pets Associations

One of the best ways to provide comfort and a touch of home is to invite the Visiting Dog's Association to visit your family members. It is amazing to watch the expressions of joy when seniors make contact with a well-trained, friendly canine. Some groups bring horses to meet the residents.

Make sure to find out which residents are allergic to animals and make arrangements for medication or for them to be in another area of the building.

Volunteer to Serve As A Patient Advocate

Most facilities allow and encourage family members to attend resident wellness conferences. At these meetings, family members and patients discuss medication issues and the care your loved one is receiving. It can also bring out issues that may need attention either from the staff or from family members.

Your presence helps your loved one advocate for themselves and gives them confidence to speak out that otherwise might be lacking.

Gifts For All Occasions

It doesn't have to be a special occasion to bring a gift to your favorite senior. Whether it is a purchased present or a gift of your time and effort, your loved one will treasure these small tokens of your affection.

People Watching in the Waiting Room

One thing that ties people together is time spent in a doctor's waiting room. The setting is familiar no matter what kind of doctor. There are the stiff, upright chairs, bright overhead lights, people behind glass panes, and often, an elevator that dings in the background.

Attendants in scrubs call out patient names while each new arrival is questioned about birthdate, insurance and changes since the last visit. They're told to take a seat and wait.

Last week's journey took me to the Eye Institute Surgical Center where folks of a certain age gathered, hopeful for improvement in their eyesight. Arrival time was nine am with instructions to be upstairs by that time after a night of fasting and no coffee or liquids of any kind. Most sat stiffly, bringing along a solid case of anxiety. To have someone cut on your eyes is scary. A couple of dozen other people and I waited to hear our names with little to do besides fidget and observe.

My driver and I chose seats in a tight corner across from a trio of women, two staring at their phones while a third sat, stony-faced, waiting her turn. Once she'd been called to the back, her companions left in search of food. They were replaced by a man who sought a chair to fit his linebacker girth. The tiny chairs were no match and as he lowered himself into it, the chair emitted a painful squeal.

It was a good time to study traffic patterns from the 4th story view of Central Expressway, busy any time, day or night. Cars sped by, coming and going to important places, their occupants unaware of our room full of tense, clean-scrubbed, lotion-less patients praying for a miracle.

Names were called to come to the room where forms were to be signed absolving the facility of responsibility for injury or death at their hand. A photo was taken to confirm our identity and add to our permanent record. Time ticked by at a snail's pace.

We maintained social distances, adorned with itchy face masks enhancing our discomfort. It was impossible not to stare as one frail woman dozed off in her wheelchair, bent forward, head down, those nearby praying she didn't nose-dive off onto the spotless tile floor. She woke with a start, and in near-blindness, demanded to know her whereabouts. Her son had "dropped me off here without a word." His booming voice, like a beacon in the cold silence echoed from the tiny registration room where her wheelchair wouldn't fit.

Finally, around 11:00 am, my name was called and I trudged back to the frigid pre-op room, changed into a gown and hair net, was hooked up to an IV and oxygen and drifted off into the land of the oblivious. Thirty minutes later I was in the post-op area drinking apple juice and waiting for my ride home; home sweet home. The cataract surgery was a success and now I await scheduling for the other eye.

5 Things to Make a Trip to the Emergency Room Easier

When the phone rang at ten pm one Sunday night, a quavery voice said, "We've had a little accident over here."

These few words can send my adrenaline pumping. The first time we got that call, we rushed over to check on Mom who said she'd fallen. She'd crawled from her living room to the bedroom to use the only working phone. The other one broke with her fall. We wondered if we should call an ambulance or just drive her to the hospital to get checked out. We made the wrong decision.

We learned the hard way that it's dangerous to move or transport an injured person. Worse, when we arrived at the emergency room there was a long wait behind others who either looked worse or had arrived by medical transport. She spent a couple of uncomfortable hours on a hard Xray table before the doctor arrived at the small town hospital. Mom was admitted with a broken hip.

Another call came before seven am the morning of New Year's Eve. Mom asked for help getting a shower explaining that she had fallen during the night. She lay on the bathroom floor until morning. The tone of her voice indicated something was very wrong. I should have called an ambulance immediately. Instead, we bundled her up against the January cold and drove her to the emergency room. Again, bad move. The hospital was operating with a skeleton crew due to the holiday. We waited in the ER eight long hours surrounded by patients who were coughing, sneezing or vomiting.

During that time, the staff would not allow Mom to have even an ice chip until the doctor examined her. When her name was finally called, the doctor launched into a lecture about the patient being seriously dehydrated and running a fever. Imagine our response.

When the time comes to go to the hospital, the arriving paramedics will ask about the patient's  medications, their allergies, and medical history before the current emergency. 

Emergency Go Bag

Ambulance drivers want to take the patient's insurance and identification cards with them on the way to the hospital. Giving them a photocopy can avoid the loss of the patient's original cards. Gathering copies of all this info in one place ahead of time can help reduce some of the stress. 

1. Make a copy of the patient's Medical Insurance Card, front and back. It has the phone number, policy and member's identification number. Put the copy into a Go Bag dedicated for emergencies.
2. While at the doctor before an emergency grab two of their business cards; one for your wallet and one for the Go Bag.
3. Create a list of other important phone numbers in case your cell phone battery dies during the wait. You'll want the numbers for their doctors, their minister, out-of-town relatives, friends and neighbors who might be concerned.
4. Make a list of prescription medications showing the exact dosages and the frequency taken. 
5. Add a list of known allergies or reactions to medication taken in the past and a list of over-the-counter medicines taken routinely.

When my husband went to the hospital for surgery, he was taking a lot of prescription medications. Rather than try to remember them, we made a list of each medication, its exact strength and dosage frequency. Several printed copies of this list went into the Go Bag. The admissions staff, nurses and doctors were grateful not to have to write it all down by hand. For example:

It's often necessary to provide info about previous hospital stays and the outcome, and whether the patient was admitted, along with a list of all surgeries the patient has undergone.

• Prepare a List of previous surgeries, the types and the dates, such as,  Appendectomy - 1975; Left Hip, Replacement Surgery - 1991

It's a good idea to ask the patient for this information ahead of time. If they're confused or possibly unconscious you'll have the list available.

Most of the following items are optional for the Go Bag, but they're handy and easy to pick up at the dollar store.

1. A small tablet for notes and instructions once the doctor arrives.
2. A good book for long waits at the hospital and to avoid the germ laden, out-of-date magazines in the waiting room.
3. Bottled water and packaged crackers or cookies. When your wait is long you'll be glad you have this. It never fails, if you leave the room for a minute to go to the cafeteria, that's when a medical person comes in with an update.
4. Cup of instant soup or protein bars.
5. Wet wipes and travel size hand sanitizer.
6. Tissues for tears or runny noses.
7. A new toothbrush and travel size toothpaste. This is for you.
8. Packets of sugar or artificial sweetener, salt, pepper, and plastic spoons. Sometimes a vending machine has food but there are no utensils or condiments available.
9. A clean pair of cotton socks to wear in those cold waiting rooms at the hospital.

If you drive your friend to the hospital, bring along any medical equipment they use. When Dad became critically ill after chemo, he refused to go in the ambulance. We drove him to the emergency room and in our haste, left his portable oxygen at home. The ER was overflowing and he had a dreadfully long wait before they finally admitted him to intensive care. Every gasping breath without his oxygen was a nightmare.

If your friend is admitted and you want to talk with the attending doctor,  sometimes they make their rounds near midnight so you could be waiting a while. Once you've invested hours waiting for X-rays, blood work and other stuff, you'll want to know what's going on.

In the hopeful possibility that your senior is not admitted, you'll want to bring their walker or wheelchair when you follow the ambulance to the hospital. They'll need these when they're released. One final tip just in case you lose the ambulance you're following. Ask the paramedics where they're taking the patient so you'll arrive at the right hospital.

Taking a few moments to assemble a few items into a Go Bag can reduce some of the anxiety that goes with any trip to the hospital. The best hope is that you won't ever need to use it.

The Skinny on Weight Loss and Diets

Aunt Inez and friend, 1925

Dropping a few pounds is tough, even for skinny girls.

Recently I discovered, to my dismay, that fifteen pounds found their way onto my normally thin frame. In terms of weight gain, I couldn't believe I put on over ten percent of my body weight.

Anyone who has lost a substantial amount of weight, like my BFF who has taken off nearly one hundred pounds, can tell you it is no easy task. However, I had no idea just how hard it was to shed even a few pounds of unwanted weight.

Since April of this year I've been trying a variety of ways to get rid of the baggage: cutting out sweets, ice cream and desserts; eating two rather than three meals; eliminating the sugar from my one cup of coffee in the morning. This didn't solve the issue.

So, I tried eating mostly salads. What could be better for me than a hearty, healthy diet of vegetables?

Well, I may be healthier, but I still have those extra pounds of muffin top blubber. Gasp! I haven't carried this much weight since I was in Flight Attendant Training and there was a free buffet for breakfast, lunch and dinner.

My classmates and me right before graduation.

Three days before we were to graduate when we were called in for a weight check, the impossible numbers on the scale told me the bad news: If I didn't lose three pounds in the next two days, I would fail to complete the course.

Naturally, that was unacceptable after six weeks of intense training and studying. Besides, it had been my life's ambition to fly the friendly skies.

I literally starved myself while walking practically non-stop during every free minute during those two days. Someone suggested I take a laxative, which I did, and try spitting rather than swallowing. These methods, although crude, seemed to do the trick and I barely squeezed past the guidelines of weight restrictions.

These four decades later, I discovered the real key to taking off a couple of pounds. If you've struggled with this at all, you know that those last few pounds are the toughest to lose.

I began scrutinizing every little thing that passed between my lips, from a glass of juice, to a fast-food meal. Everything has more calories than you can imagine. I reduced my caloric intake in the most obvious ways:

• Eating only from a plate
• Carefully measuring the portions
• Limiting condiments
• Drinking lots of water
• Writing down everything I ate

I was shocked to find out that the Ranch dressing that I loved to glop on my healthy salad had one hundred and thirty calories per two tablespoons! (130 calories per two TBSP). That may not seem like a lot unless you drown your salad in it like I do.

The beauty of a salad is the low caloric count on the greens. Looking at the bag of prepared Iceberg salad mix, I discovered that one and a half cups of greens were only about fifteen calories! (1.5 cups of lettuce mix equals 15 calories). A huge salad of three cups was only thirty calories until I added half a cup of Ranch dressing which added about six hundred calories.

With 6 TBSP of low fat ranch dressing 240 calories plus salad (without ham) 30 calories.

My solution was switching to Fat Free Italian dressing which is only fifteen calories per two tablespoons. (15 calories per 2 TBSP) and cutting out all the added olives, ham, turkey, boiled eggs and extras I was putting on it. "I only had a SALAD!" I used to say...Slowly, over the past two weeks I've taken off two, then three, now five pounds. HOORAY!

With 6 TBSP of fat free Italian dressing 45 calories plus salad 30 calories.

Patient Advocate Journal

Patient Advocates monitor the care of a loved one, who may be hospitalized or in a facility. It's an ongoing process requiring constant vigilance.

When you’re ninety-five years old who will watch over your best interests? The duty falls heavy on my heart ensuring that my mother and her sister are well cared for at the skilled nursing home where they now live.

For the previous ten years, the ladies shared a small home in the rural area of North Dallas. They had private bedrooms, separate bathrooms, a fully equipped kitchen and dining room where they shared meals. They watched their favorite shows on their big screen television and spent quality time together.

In 2014, a nasty fall while taking care of her cat sent Louise to the hospital. She needed physical therapy, rehabilitation and rest. A month later, there was an opening for a bed and Mom joined her at the skilled nursing facility. At eighty-nine, she found it hard to remember her address or dial the phone. That made it unsafe for her to remain alone.

The potential for disaster became clear to me after a grease fire in the kitchen nearly took its toll. When it came to taking prescription medication, meal preparation, kitchen cleanup, shopping for groceries, or performing household chores, things were no longer simple for these two home-bound ladies. They tried to manage for a time with a home health aide and maid service. Ultimately, it was clear the best solution was to take a room at a skilled nursing facility where they would have a full time staff of nurses, dieticians and aides.

It's been fourteen months since they moved in. This week at the quarterly family conference to discuss how things are going with residency, satisfaction on food service, meals, their treatment by the nursing staff and their medication issues, I had a list of concerns to bring to the table.

Last Wednesday, I arrived at 8:00am for breakfast with the ladies. Mom had already finished eating, yet, Louise was still not at the table an hour after her usual time. Heading down the hall to find her, an aide yelled that Louise was "on the way". I found the door to their room open and the bathroom door open. My thoughts went to the privacy, dignity and respect this lacked. Louise was on the toilet crying saying she needed help to get up and back into her wheelchair. She had been sitting there for an indeterminate time, long enough to become agitated and distressed. She told me she had a bad headache and her eyes were runny. Standard procedure is to get the residents up and on the toilet where they hand them a warm washcloth to clean up before getting dressed. She was already dressed but had not washed.

The problem touched me on several levels. No, she had not pushed the nurse call button. She is afraid of technology and doesn't want to bother anyone. Whoever put her on the toilet already knows she's there and knows she needs help. Wouldn’t they check on a patient after a while? Some training on compassion might help matters.

Directed at the food service manager was the issue that her apple juice had been poured an hour earlier and set out at the table next to my mother. There were two flies sitting on the glass. Had I not been there, she would have consumed that tainted juice and never known. I suggested they serve the resident after they arrive or at least put a protective cover like cellophane wrap on the glass. Also requested was that Mom’s daily food menu have a notation about black pepper allergy and no onions and remove the note that says, “No bananas.” She likes bananas. This is the second request to change her food preferences.

Mashed potatoes with black pepper

A week before this meeting, Mom asked if there was a chance they could move back to the other wing where they spent the first months before moving to long-term resident’s wing. Her belief was they received better service and treatment in the other location. When questioned at the meeting, she meekly said, “No, they're treating us better now that they are getting used to us.” In one week, I was doubtful that things had improved much; rather, she didn't want to make a fuss and have people angry with her.

The last topic was on concerns over the added medications in the past year of residency. When admitted to the facility in April 2014, Mom was taking only three prescription drugs and two over the counter pills (for acid reflux and a laxative). 

Med List March 2014

A three page report received from the insurance company listed more than a dozen prescriptions in the past month. The staff printed out a list of her current medications and we reviewed these medications line by line. 

For a fact, she currently has nineteen medications on the list, some taken daily, others, on an as needed basis.

My primary concern is about drug interactions and side effects of the added drugs which include:

 

 Increased risk for heart attack or stroke 

Increased blood pressure 

Increased heart rate and heart palpitations 

Breathing problems, upper respiratory tract infection (which she had when taking this Rx in the past) 

Cough (the issue for which the product was prescribed) 

Muscle pain 

Shakiness, nervousness, dizziness

Results: Six medications that were duplicates have now been eliminated (or DC, discontinued) including one for Hydrocodone (Tier 2 Narcotic Drug for pain) which I have asked twice to be removed due to ongoing issues with dizziness. Once I spoke to the Doctor directly and he said he would mark this as an allergy so it would not be ordered again. At a later time by phone I requested the same thing with the physician’s assistant. The medication appeared on the list of current prescriptions today. I was assured the order would be discontinued.

Overall, I was pleased that they took time to address each of my concerns and (hopefully) will take action to remedy these issues.

We’ll have to wait and see if any of the changes actually take place.

Eldercare Blessings

Like the main character in the novel, The Good Earth, I've been afraid to praise the DADS Home Healthcare program. I didn't want to jinx getting approved for the program.

Luckily, the Department of Aging and Disability has finally authorized a home health care attendant for my mother and her sister.

After completing a ream of paperwork, the ladies in my care are finally getting the help they need to remain living independently at home.

Being homebound, according to Medicare, is that leaving home is a major effort. That definitely describes the ladies across the street, who at 88 and 93, still maintain their own daily activities but neither own a  car nor drive. Thankfully.

With that independence comes other disadvantages like trying to cook meals. That has become a dangerous activity to someone in a wheelchair who is legally blind from macular degeneration. And to her younger sister, it is a matter of concentration, along with sense of smell and hearing, which seems to be lagging at times. Recently, a grease fire in the kitchen nearly sent the pair to well, we'll just say they were both fortunate that in a moment of clarity the flaming pan was moved to the nearby sink without harm. It was a real eye-opener for me.

Truly, I'm in denial about my Mother, who for the last twenty or so years, has remained so vibrantly active and able, not retiring until she turned eighty. Now as her skills diminish, I'm grateful that they have qualified for Home Health Services Care. With the two ladies living together, their combined allotted hours gives them a Community Attendant who comes five days a week, eight hours per day.

The real difficulty has been the inconsistency of schedule for the attendant since the middle of November when the program started. First, we had the Thanksgiving holiday, then she had a flat tire and couldn't make it to their house. Then came Christmas, the New Year's holiday. Then she called out sick for eight days with the stomach flu. We're grateful she didn't bring that over to the ladies. After that came days of freezing ice with road conditions making travel too dangerous. If things ever settle down, it will be a lot better for the ladies who prefer a predictable routine at their house.

There is a small element of coincidence in the attendant's name. It has been strangely validating to be assigned a wonderful and enthusiastic twenty-one year old named Joe. Yes, a lady named Joe. I thought I was the only one with a name spelled like a boy other than a fictional character in the novel I'm writing - The Pub: A Murder Mystery by Peggy Cole. 

Joe is blonde and sweet. She's a young mother who takes pains in being creative with the meals she prepares for my mother and Aunt Louise. And what a major relief it is to have her help.

Good rice. It is good rice.

Kyphoplasty Surgery on the Horizon

Some days are bland while others have more energy stuffed in than most people can handle. Today has been a day packed full of activity.

We've hit another milestone in Mom's health. She's been suffering since early April after lifting a potted plant and injuring her spine, again. No surprise.

Dr. Stephen Neece told me after her previous Kyphoplasty procedure, "Her bones are like oatmeal."

"What does that mean?"

She suffers with advanced Osteoporosis, making her bones brittle enough to break with little or no reason. When he did the surgery in March 2009, he said he could push the needle into her bone with his fingers.

He let me know he thought she should be in an assisted facility. He wasn't being unkind. In fact, he said his own mother was in one and it was very nice with progressive levels of care.

This time, Mom injured the T-10 and T-11 vertebra on her back. She had prior injuries on T-12 and also on L-1. The next step is scheduling the "procedure". Since when do they call an operation a procedure? Anyway, there's a possibility that it could happen on Thursday, but with her insurance having to approve things, it could be delayed until next week.

Next is the issue of getting someone to stay with Aunt Louise while Mom is out of commission. Mom does most of the cooking.

It's not safe for Auntie to be alone these days. On her birthday last month, she turned 91. I'm reminded of how great she's doing taking care of Sugar, her cat, and Fritz, her dachshund-basset hound mix. He's finally passed her by in dog years.

Aunt Louise continues to amaze and inspire me. She chooses a matching outfit to wear, makes her bed, washes dishes, makes lunch for both of them, and takes showers without assistance. I'm wondering how will we handle these tasks we take for granted when we're in our 90s? We'll see.

For now, I'm off to fix dinner after a morning of shopping for groceries for Mom and Louise, then driving her to Frisco for an MRI. That task kept us out until 7pm.

But today is another day, Scarlett. We'll think about these things tomorrow..

Peace and may God Bless you today and always.

The Importance of Monitoring Blood Pressure

Yesterday was another example of the importance of monitoring Blood Pressure Readings for those folks taking blood pressure medication. I feel really lucky that Mom has only a couple of prescription medications to take regularly. For someone who is 85 plus years old, she's in an enviable position to most seniors whose daily pill regime is complex and confusing.

Mom takes 5 mg of Amlodipine (substituted for Norvasc) to help control her hypertension, or high blood pressure. It's only been in the past few years that she's needed this medication. But it comes with its own lengthy script on cautions, side effects and warnings. I've become to a small degree skilled in reading the "normal" ranges and what to worry about when the readings rise or fall.

http://hubpages.com/_PC2/hub/Measuring-Blood-Pressure-Between-Doctor-Visits

So when Mom called me at 8am last week and said she'd been monitoring her blood pressure since 5am and it was "high" my first question was "How high?" She told me it had been at 184/96 which is ALARMINGLY high when it's supposed to be controlled with the medication.  I went across the street and took my own wrist cuff monitor to be sure it wasn't a problem with the equipment or the batteries. A couple of hours later and about 10 repeated readings on all three of our monitors showed her readings to be nearly normal.

We went to our family doctor yesterday and the Nurse Assistant took the reading which I immediately repeated with Mom's wrist cuff device to compare the results. The nurse got 114/60 (which is good!) and I got 140/64 which is a tad bit high on the systolic (upper reading). Normal BP should fall in the 90-120 range. So I immediately thought that our machine was off. Not so.

When Doctor Hussey retook the reading moments later, the systolic was around 150 which is Not Good. He sent us home with some samples of a new prescription which combines Mom's previous Amlodipine with another added ingredient to help stabilize the pressure. In two weeks she needs to go back for a Potassium evaluation (draw blood) since this Rx sometimes affects Potassium negatively. Oh boy. So now, we wait and see how she does on the new meds.