Thursday JAN 17

Today Bill was discharged from the hospital following his defibrillator surgery.I met Ruth at the hospital at 12:30 ,had to wait quite a bit for a parking spot ,before finally parking in patient pick up parking,dah that is what i was doing.I figured that the discharge was going to take hours ,as Jeans did several months ago. On the way home we stopped to get free gallons of water given out by the water company due to the contaminated water in the area. Got bill and jean settled in , Ruth took care of the pills and made follow up appointments for Bill. I was told that bills levaquin(antibiotic), as well as his lovenox were to be delivered shortly.soon after Ruth and corey left bill called me into his room and told me that he was having a spasm of sorts in his lower abdomen.Then he showed me, it was on his lower left side of his abdomen, and it looked as though he was pregnant with a large baby that had the worse Case of hiccups ever.I was able so see it from across the room with his shirt on.I asked him a few more questions to gauge how he was feeling then i immediately called the arizonia arythmea office.they had a nurse call us back with in minutes.They said that what he was experiencing happens often, that it is NOT dangerous , it is happening because the setting on his defibrillator are to high.and asked if we could come in then, so they could fix it.I got jean out of her nightie and into a running suit and bill went in his lounge wear.When we arrived they took us right back.The entire staff was very nice .They performed a bunch of tests to get his defibrillator working a a comfortable pace.In a nut shell this is what was going on. The new lead that they put on the other side of the defibrillator sits very close to his diaphragm, they voltage was too high(4 volts) and it was causing spasms in the diaphragm,similar to hiccups,but lower and only on the left, like hiccups on steroids. when he moves in certain positions it would start they lowered the voltage down to 2.1,and upped the duration of time that the volt is delivered. I asked many questions concerning the severity of the situation ,as well as what to do if it starts happening in the middle of the night. They said as i mentioned before it is not in anyway dangerous to him and that it is not painful it is just annoying.If it does happen in the middle of the night bill can shift positions so the the lead is not as close to his diaphragm as it would be if he were slouched to his left side.
When we got home i made bill and jean breakfast and at 630 when one point patient care still had not delivered his meds i called them and they told me that they had no med order for bill .I called dr . Doss's answering service to inquire as to why our delivery pharmacy does not have the prescription. dr Khaled called me back i explained the situation to him. he told me that his partner dr doss gave the prescription to the nurse in the AM at the hospital and that the counselor was supposed to arrange giving the paper prescription to us and that what he believed happened he was VERY rude to me as he began yelling out that he wants bill back on koumidin and a bunch of other meds that were all written down on his discharge sheet.he did call in the prescription for us to one point pc. At 830 they delivered it i gave bill his lovenox shot in his lower right quadrant of his admin. i also gave him his first levaquin pill the rest i put in the night portion of his pills for the following 4 day.One more thing bill complined of UTI symptoms which were slight to day, as well as yesterday in the hospital(as i was told)Ruth told the nurse but i do not think that they tested him for a UTI because we told the physician assistant today at the heart clinic when we went for his adjustment and she looked at his lab sheet from the hospital and said that they did not test for that. She also said that if he does have UTI the levequin will kill it.If he has any symptoms on Monday we should call dr Faruoqui.Bill has not cmplained of his thumping chest/stomach/side since they adjusted his defib.