Picked up Bill, he apparently had a hard time getting ready, Melissa was in the bedroom, dressing him after she had showered him. I called Khalids office and explained we would be about 10 min late and they said fine, as he was 45 minutes behind.
1115, arrived at Khalids, we waited, in the office for about 45 min, so much for being behind, then we waited in the exam room, which Bill accurately described as the "secondary waiting room" for about 30 min, Dr. Khalid came in, Cathy his assistant, took his INR, which is 1.7 perfect! I will give him 7.5 mg of coumadin tonight, and continue on the 5mg of coumadin. Bills weight is 224# he still needs to lose more weight, and keep down the salt and sugar. Dr. Khalid was extra chatty and spent about 30 minutes with Bill, he said his lungs are dry(a good thing) and that his CHF is inactive, which I personally never heard a MD say that. So that was also a good thing. Bill also has no edema on his legs, he said his heart sounds really great, and that he is impressed with the "Cadillac" Bill has in the bifurcated, ICD he has.
I did talk to him, regarding his small hemorrhages behind his eyes, this was pointed out and faxed to him, back when I took him to dr. Viareall, he said it wasn't the priority now, but he wants Bill, to get a Caratoid artery Scan, he was at 45% occlusion before, and thinks its about time to check again. I have an appt set for the 21st at 11:00 its at SMILE on 92nd and Shea, for the scan . Also they want Bill to go to Dr. Ruggio, for his pacer to be increased on both sides of the heart, in order to give maximum squeeze from the heart. He has an appt, on 4/25 I am going to ask that someone call and see if he can do it on the 25th of April, its called a V to V conversion. He wants him to be seen in 3 months as with Jean so they will send out blood work sheets together, and I asked if we could bang it out in two appts, back to back in one day.
Bill and I put gas in the car, has anyone smelled the gas smell in the car? especially when it is running, maybe that's why it eats up gas? or the 8cylinders. Bill and I earned a free car wash the drive through one, Bill actually enjoyed. I'm glad we re washed it, as Jean has bday girls and the car will be nice and clean for her.
Regarding Jeans bday, I got all the gifts for her that she had been picking out over the last few weeks, they are wrapped, bows and tagged, 3 of them, and the girls giant Easter baskets, which are filled with hours and hours of hyper sugary goodness. ( Sorry Amanda :)
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