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Accident July 7, 2018. Prayers needed

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Thoughts and prayers Doc. The Lord will do his part but if you can get the two nutritionists to talk it will help. Any change for her is huge in a fragile state, all changes should be small. The more background the new folks have from the prior hospital will only help. I’m not a Dr so take it with a grain of salt but I simply know that when people talk they tend to discover things they didn’t know.

🙏
 
Thoughts and prayers Doc. The Lord will do his part but if you can get the two nutritionists to talk it will help. Any change for her is huge in a fragile state, all changes should be small. The more background the new folks have from the prior hospital will only help. I’m not a Dr so take it with a grain of salt but I simply know that when people talk they tend to discover things they didn’t know.

��

Doc,

Where I work is a PM&R unit. There is one dr. in charge of what goes on in the unit; he's the go to person. I think you said Kathy is in what is called Aftercare. I've got to believe there is one dr. in charge of that unit. Talk to that dr. about your concerns regarding the nutritionist or anyone else involved with Kathy's care. You have every right to talk to what would be called the head dr. for Aftercare. He/she is the one you need to get to, not the underlings like a nutritionist.
 
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Just wondering....does god rate requests by the quantity, the quality or the number of prayer emojis?

Here is God's heart toward our prayers, our requests, and our heart. Please read the verses listed.

James 5:16

John 14:13

Acts 3:6, 4:10

God looks for faith. Faith brings continual prayers. Since we can't be there, emojis are a way of expressing concern, love, and emotion (hence the name emoji).

Hope this answers your question.
 
Here is God's heart toward our prayers, our requests, and our heart. Please read the verses listed.

James 5:16

John 14:13

Acts 3:6, 4:10

God looks for faith. Faith brings continual prayers. Since we can't be there, emojis are a way of expressing concern, love, and emotion (hence the name emoji).

Hope this answers your question.

Thank you for your kind response. No kidding.
 
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Here is God's heart toward our prayers, our requests, and our heart. Please read the verses listed.

James 5:16

John 14:13

Acts 3:6, 4:10

God looks for faith. Faith brings continual prayers. Since we can't be there, emojis are a way of expressing concern, love, and emotion (hence the name emoji).

Hope this answers your question.

Well said, Mark.

Also, everything prayed for must work into His grand plan. There are reasons we go through the things we do, and it is hard for us to see a reason at the time. Having Christian on line Fellowship and Encouragement increases our faith, let's us know we are not alone in this wilderness of a world we live in. It edifies and lifts us up, and gives us comfort in our hour of need. I can attest to that firsthand. The only prayer that doesn't get answered is the one not prayed.
 
Update on Kathy

Praise Report for Kathy - 8/31 - Kathy is getting better now. Her daughter, Tiff was with her part of the day. We have finally figured out what appears to have happened to get her in ICU this time. Evidently, Kindred North started her right back on the same type of feeding solution that she was getting at the U of L and at the same rate. Couple of factors then came into play. I believe that there were several days (over the weekend) that U of L stopped her feeds. So, it was at least 3 days before they were restarted. We were told that it is "policy" to just blindly start feeding a transfer the exact same setting without any verification that the patient is correctly absorbing the nutrition. That is a very bad policy and with a trach patient a very dangerous one. Overfeeding (like in Kathy's case) can cause a person with a trach to throw up and then aspirate (suck in) the solution directly into their lungs. The procedure for checking meal solution is not complicated or time consuming. You use a measured container and a large syringe and draw out the contents of the stomach at 4 hour intervals, measuring how much is there. Then it is a quick calculation of feed units per hour minus what you measured. The result is a pretty accurate estimate of how much meal solution the patient is absorbing. You can then adjust it up or down as the case need be. This test takes about 5 minutes to do. That is 6 times a day. A total of 30 minutes in a 24 hour period. I think their policy needs changed. They also said Kathy has GERD, which may have contributed. I think they are just trying to find reasons other than the obvious. Kathy wants Tiff to make 110 cupcakes for the staff at Community North they have been so nice to her. We will have to make a decision in a few days whether she is going back to Kindred North. Every day she gets stronger. Keep the prayers coming. She is back on the mend.
Praise Report for Kathy - 8/31 - Kathy is getting better now. Her daughter, Tiff was with her part of the day. We have finally figured out what appears to have happened to get her in ICU this time. Evidently, Kindred North started her right back on the same type of feeding solution that she was getting at the U of L and at the same rate. Couple of factors then came into play. I believe that there were several day (over the weekend) that U of L stopped her feeds. So, it was at least 3 days before they were restarted. We were told that it is "policy" to just blindly start feeding a transfer the exact same setting without any verification that the patient is correctly absorbing the nutrition. That is a very bad policy and with a trach patient a very dangerous one. Overfeeding (like in Kathy's case) can cause a person with a trach to throw up and then aspirate (suck in) the solution directly into their lungs. The procedure for checking meal solution is not complicated or time consuming. You use a measured container and a large syringe and draw out the contents of the stomach at 4 hour intervals, measuring how much is there. Then it is a quick calculation of feed units per hour minus what you measured. The result is a pretty accurate estimate of how much meal solution the patient is absorbing. You can then adjust it up or down as the case need be. This test takes about 5 minutes to do. That is 6 times a day. A total of 30 minutes in a 24 hour period. I think their policy needs changed. They also said Kathy has GERD, which may have contributed. I think they are just trying to find reasons other than the obvious. Kathy wants Tiff to make 110 cupcakes for the staff at Community North they have been so nice to her. We will have to make a decision in a few days whether she is going back to Kindred North. Every day she gets stronger. Keep the prayers coming. She is back on the mend.
 
Well said, Mark.

Also, everything prayed for must work into His grand plan. There are reasons we go through the things we do, and it is hard for us to see a reason at the time. Having Christian on line Fellowship and Encouragement increases our faith, let's us know we are not alone in this wilderness of a world we live in. It edifies and lifts us up, and gives us comfort in our hour of need. I can attest to that firsthand. The only prayer that doesn't get answered is the one not prayed.

That's my understanding of faith and prayer also. It just gets a little confusing when there's a setback and folks start blaming the care providers. Aren't setbacks part of His grand plan also? Wasn't the accident itself part of the plan?

Please note I am asking these questions in all sincerity and don't intend them as criticism of beliefs or believers.
 
Update on Kathy

Praise Report for Kathy - 9/1 - Little early today, but they are working on her right now. She is the most alert and animated that she has been since the accident. They have her feeds done correctly and are monitoring them like it should have been done. She was at 31 units at Kindred North, where the issue occurred. They now have got her up to 55 units in 24 hours. By monitoring her absorption every 4 hours, they have made her goal of 55 units in 24 hours. Her urine output and color are great and she still has not needed dialysis. Her breathing is again in C pap mode where she initiates all her breathing on her own. They have her at the lowest setting for the vent. Should not be long before they start her on straight O2. The nurse mentioned that she is doing so well that they will start on discharge papers next week. Next we have to decide about placement. Kindred North will take her back, but Kathy is not really wanting to go there. She has lost her confidence with them. The case worker will give us a list of the facilities that will meet the guidelines that Kathy needs. Once the trach is out, she will be able to rehab just about anywhere. We need to pray for continued healing, protection, and favorable outcome in placement. It has been 7 weeks today since the accident. Thanks for your prayers yet again.
 
Doc, My wife who was very involved in large scale healthcare issues mentioned to me that Kindred does not have a particularly good reputation as a healthcare company. You might want to ask your wife's current healthcare providers who they would recommend other than Kindred.
 
Doc, My wife who was very involved in large scale healthcare issues mentioned to me that Kindred does not have a particularly good reputation as a healthcare company. You might want to ask your wife's current healthcare providers who they would recommend other than Kindred.

We have assessed all the other LTAC facilities in the area, and Kindred is sadly rated the highest of them all. She will be going back there Tuesday and either me or someone from the family will be there 24/7 until she is out.

Fool me once......
 
That's my understanding of faith and prayer also. It just gets a little confusing when there's a setback and folks start blaming the care providers. Aren't setbacks part of His grand plan also? Wasn't the accident itself part of the plan?

Please note I am asking these questions in all sincerity and don't intend them as criticism of beliefs or believers.

UtahPete,
It is impossible for us to know the mind and will of God. He is too big and we are too small. What a Christian is to do, and this is not always easy, is to look for ways to glorify God and share our faith in Jesus Christ, in whatever situation we find ourselves. Life will always have its ups and downs, even in healing. I do not believe that God controls everyone's actions 24/7 like we are puppets and He is the puppeteer. God can, however, choose to intervene. I posted a while back regarding Kathy. Why didn't He intervene so that Kathy did not have this accident? Based on what I've seen, it has been to cause people to come together in prayer to Him. For people who have never met to bond together spiritually in prayer. I have seen the strengthening of faith. And, it has brought you to this place asking sincere questions wanting to know.

Each setback has brought new people into Kathy's life, new people to hear about faith in Jesus Christ. Each setback has caused us to prayer more fervently. The challenge we face with setbacks is looking beyond the physical, that we can see and touch, and look for the spiritual, how God is moving in hearts that we cannot see. Also, how we can be used to touch those hearts.

Is it possible that God's main purpose for allowing this to happened to Kathy was to bring you to the point of asking these questions? I can't say, but this is where you are.
 
We have assessed all the other LTAC facilities in the area, and Kindred is sadly rated the highest of them all. She will be going back there Tuesday and either me or someone from the family will be there 24/7 until she is out.

Fool me once......

Having family there 24/7 is a great idea as Kathy could benefit from having constant advocates for the best healthcare possible. Good communication between your family members will help to convey to care staff the continuity of services that you are all looking for. A lot of forum members are sending positive energy Kathy's way as well as strength for the whole family in these challenging times.
 
UtahPete, It is impossible for us to know the mind and will of God. He is too big and we are too small. What a Christian is to do, and this is not always easy, is to look for ways to glorify God and share our faith in Jesus Christ, in whatever situation we find ourselves. Life will always have its ups and downs, even in healing. I do not believe that God controls everyone's actions 24/7 like we are puppets and He is the puppeteer. God can, however, choose to intervene. I posted a while back regarding Kathy. Why didn't He intervene so that Kathy did not have this accident? Based on what I've seen, it has been to cause people to come together in prayer to Him. For people who have never met to bond together spiritually in prayer. I have seen the strengthening of faith. And, it has brought you to this place asking sincere questions wanting to know.

Each setback has brought new people into Kathy's life, new people to hear about faith in Jesus Christ. Each setback has caused us to prayer more fervently. The challenge we face with setbacks is looking beyond the physical, that we can see and touch, and look for the spiritual, how God is moving in hearts that we cannot see. Also, how we can be used to touch those hearts.

Is it possible that God's main purpose for allowing this to happened to Kathy was to bring you to the point of asking these questions? I can't say, but this is where you are.

Again, thank you for your thoughtful and kind response. You live your faith and I respect that.
 
Update on Kathy

Praise Report for Kathy 9/2 - This will be a little short today. One of those rinse and repeat type days. Kathy had had a great day today; several good friends and her son visited. Her vitals are very good and she is getting ready for the move Tuesday. She did have a little confusion and anxiety this evening and they are giving her something to calm her down. It has got to be hard sleeping with a trach. I could not even imagine doing it. They are also going to give her something to sleep tonight. The Placement Coordinator and I went over the stats of all of the LTAC facilities in the area and sadly Kindred North was the best they had to offer so Kathy will be going back to there. We have made plans to have a family member with her 24/7 until she gets out. This is the only way to make sure that she will have the care she needs. I have been preparing myself for the last 7 weeks to begin to take a more active role in her care. Some of you know about this, but I did a 45 day water only fast that I just came off of last Monday when she left U of L. In that time I was able to not only lose 65 lbs (and falling), but to strength train and do cardio twice a day. I am now a much leaner, much more fit person than I was when this first happened. Not saying any of this to brag; I give God all the glory in allowing me to do what I have done (and will continue to do). There is a Planet Fitness 15 minutes away from the facility where I can catch a workout and a shower afterwards, so that I can continue to tone and strengthen. If you want to experience what this change to me is like, grab two 25 lb weights and carry them around for a few minutes. I have a spring in my step that hasn't been there in years. We need everyone's' prayers now more than ever. Pray for my strength and resolve to see this last stretch through. Pray for Kathy's anxiety and for her continued improvements. And pray for the facility for the discernment to know ahead just how much rain a PO'd Marine can make if they screw up Kathy's care again! Thanks for the Prayers and support. I have a few things in the works (not going into details yet), that may make some changes that are needed. We will need your help and many others when that happens also.
 
:pray: :pray:, healing thoughts, & the best of wishes still heading your way for the both of you from Down Under! :thumbup:
 
Hey Doc, guess what? God is happy to share the results of the weight loss and effort with you. At the end of the day you had to put in the effort and discipline. That was all you and you should feel proud of it.

Again just my .02c worth!
 
Hey Doc, guess what? God is happy to share the results of the weight loss and effort with you. At the end of the day you had to put in the effort and discipline. That was all you and you should feel proud of it.

Again just my .02c worth!

Understand what you are saying, but I still give Him all the credit. I could have never done it without His help. I did the work, but where my will fell short, His filled the gap. And the neat thing is that now that I have broken through the "food barrier" several times it is much easier to do. In fact, I am on day 2 of a 5 day water fast again.
The advantages are enormous! I am off all blood pressure meds. I no longer take any cholesterol meds either. And the biggest change I no longer take diabetes medicine or insulin. I was taking a combination of 165 units daily of short and long term. My A1C back in Feb. was 7.4. This past Monday it was 6.0 and I am sure that next time it will be even lower. My blood work was excellent with the VA then and my MD said that whatever I'm doing, keep it up. My blood pressure usually is around 115/65 with a pulse of about 70. Haven't had those numbers in decades. I sleep less, workout more, am more alert and have more energy.
And as a side comment, my Daytona has gotten much faster. It is like I have put a turbo on it. If 65lbs can make that much difference, I can't wait until I hit my goal loss of 130 lbs. That byke will scream then.
 
OUTSTANDING, DEVIL DOG!!!

Fantastic, Doc! You've taken a HUGE step to better health. BRAVO ZULU!
Semper Fi!
 
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