Archive for the ‘Mom’s Diabetes’ Category

Today’s Business: 2010-07-10

Saturday, July 10th, 2010

Today’s Activities

  • Shower.  DONE.
  • Cat duty.  DONE.
  • Pay all pending bills (12). DONE.

Log

07:45 AM: I’m up.  Looks like a cooler but hazy day coming up today, with high temperatures forecast to be in the low to  mid 80s.   

08:00 AM: One week from today, our friends will be going to camp.  As you know [Emmy], [Mentat], myself, and several others opted not to attend this year.  I’ll likely miss it a little; as it’s a perennial summer activity that I’ve enjoyed most every year since 1995.  But we’ll find other ways to keep busy this summer, without assaulting our diet routines to the extremes that we did when attending. 

10:40 AM: Finished paying all pending bills (12 in total this month).  Many obligations a diabetic (Mom) has. 

10:50 AM: Took the   weekly system backups.

11:00 AM: Posted the   weekly site stats   report.

11:30 AM: Finished writing checks and stuffing envelopes for all 12 pending bills. 

12:25 PM: Posted the   Bitter Sweet Attention   piece to the   Tom’s Love Quest   blog.

04:30 PM: Spent an hour plus at the pavilion with [Emmy], listening to our iPods.  Lately I haven’t been listening to Internet radio down there as much as the music that’s stored on the iPod Touch itself.  But I’m still glad that moving my WAP to the attic (getting it closer to the pavilion) and applying all the software updates enhanced WiFi reliability.  Still though, I’d love to have an outdoor WAP at the pavilion.  That would probably cover the whole yard with strong reception. 

05:45 PM: Cooked a pound of top sirloin beef steak and split it with [Emmy].  We also enjoyed some fried onions, mushrooms, and green peppers along with cherries and ginger ale.  Yum. 

09:30 PM: Downloaded Fefe Dobson’s  Fefe Dobson  album from Amazon and added it to my music library. 

12:00 AM: Sister Christine called to chat.  We talked for forty minutes. 

01:30 AM: Watched the 2010-07-05 episode of   Dr. Phil; titled  Teens Obsessed With Love   on the DVR.  Good show.  We skipped the 2010-06-29 and 2010-06-30 episodes of Dr. phil however, as these were reruns. 

01:40 AM: Time for bed now.  Good night, take care, and hopefully we’ll have another nice day tomorrow.

Tom Hesley

Received Mail and Shipments

  • Receipt for Mom’s specialized diabetic footwear, purchased this past April.
  • Kohl’s $10 gift card.
  • Life insurance offer from AARP.  Not at this time.  But thanks.
  • Mom’s latest dental bill.

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Today’s Business: 2010-07-09

Friday, July 9th, 2010

Today’s Activities

  • Shower.  DONE.
  • Cat duty.  DONE.
  • Pay all pending bills.  IN PROGRESS.

Log

08:30 AM: I’m up.  Looks like a much cooler day today, with high temperatures forecast to be in the 80s.   

09:00 AM: Heard from   [Mentat].  He was wondering if I’ve sent in my paperwork yet for the WPSBC Alumni Association convention in August.  I have not yet; shame on me.  But I’ll do that today when I pay the bills. 

11:15 AM: Sent out checks for three of the most immediately due bills just now.  I’ll get to the rest tomorrow, as we have to prepare to leave for another day of shopping in a little bit. 

11:30 AM: Leaving now for another   shopping trip,   to get the stuff that we could not fit in the car yesterday.  We’ll be back later.

04:00 PM: We’re back home once again from today’s   shopping trip.  I’ve put away all groceries and packed the meat we purchased into freezer bags and organized it in the freezer.  I so enjoy having a freezer full of food, and I’m forever thankful for being able to afford this treasure. 

06:00 PM: [Mentat] just sent me email.  He and his girlfriend are having problems, and it appears that at the moment, he will   not   be moving to Ohio to live with her this fall as originally planned this past winter.  He’s visiting here next week; at which time he’ll likely supply more details.  I hope they can work it out, as this relationship is probably the longest and most successful one he’s had, and thus, a breakup would be painful for them both.  But they may have to make too many deep compromises to continue however; perhaps too deep.   

07:30 PM: Watched   KDKA TV’s Local News   at 5:00 and 6:00 as well as   The CBS Evening News   at 7:00 PM. 

09:00 PM: [Emmy], while washing dishes in the kitchen sink found one of Mom’s used lancets.   Luckily, she did not jab herself with it.  Sometimes, I find them around the kitchen and occasionally on the floor.  I’ve implored Mom to be extra careful with them; particularly since [Emmy] has no vision and thus, could easily prick herself with one that has not been properly disposed of.  In fact, I scolded Mom tonight.  Her response: “Well it’s not like I meant to do it.”  Well, whether she meant to leave the lancet around or not doesn’t matter.   The fact is that these should NOT be left where others might injure themselves.  Aaaarrrrgggghhh!   I tell you, Mom’s carelessness in regards to this stuff is really getting irksome.  But I don’t know what we can do to get her to be more cautious with her testing supplies. 

11:00 PM: Watched today’s episode of   The Young and the Restless   on the DVR.

11:35 PM: Watched   KDKA TV’s Local News   at 11:00 PM.

01:15 AM: Watched Larry King’s 2010-06 interview with Dr. Jack Kevorkian on assisted suicides.  I believe that the law should support these acts of mercy. 

01:40 AM: Heading to bed.  So I’ll be back here tomorrow for more of this daily saga, called my life.  :-)   Take care.

Tom Hesley

Received Mail and Shipments

  • Misc. banking papers.
  • Notice of CPNI (Customer Proprietary Network Information) from Verizon Wireless.
  • Notice from Mom’s medical insurance company of possibly upcoming co-payment bills from service providers. 
  • Wheelchair rental bill.
  • Electricity bill, which was $188.33 this month.  Yep, the heat is costing us.  :-)

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Today’s Business: 2010-07-07

Wednesday, July 7th, 2010

Today’s Activities

  • Shower.  DONE.
  • Cat duty.  DONE.
  • Do all pending laundry.  IN PROGRESS.

Log

10:00 AM: I’m up.  Another hot one today.  So again, we’ll probably stay indoors until this evening.

10:15 AM: Today’s [Tad's] 50th birthday.  I wished him well on Facebook through [Morra].

10:30 AM: Getting the laundry going again today.  There’s a lot, that I hope to finish by this evening.

12:30 PM: Watched   KDKA TV’s Local News at Noon.

01:15 PM: Facebooked a while.  I now have 247 friends and my Facebook page has 32 fans.

02:45 PM: Watched today’s episode of    The Young and the Restless   on the DVR.

03:15 PM: There’s news from Philadelphia that a barge ran into a duck boat on the Delaware river, capsizing the duck boat.  No reports of injuries or deaths so far.  But thirty people are reported to have been thrown into the water from the smaller vessel.

06:00 PM: iPodded on the south porch.  It’s not quite as hot today as yesterday, but still, the air out there was quite warm nonetheless.

08:00 PM: Watched   KDKA TV’s Local News at 6:00 PM   and   The CBS Evening News   at 7:00 PM:  Then, I walked over to Sheetz to grab a little supper.

08:05 PM: This headache I got on the 4th is finally subsiding.  It felt like another caffeine headache.  Perhaps all that chocolate candy I had triggered it.  Boy, it seems that I can’t screw up at all without paying dearly.  That little bit of flavorful enjoyment cost me three days of nauseating pains in the head.  Grrrrrr. Yet though less frequently these days, I keep going back for more.  So to a degree, I can relate to Mom’s struggle with avoiding the wrong foods.  She knows that they’re bad for her but keeps eating them.  Sometimes, I judge her for this; though I try hard not to.  Why?  Because after all, I’m as guilty of this destructive behavior as she; though I believe I have cut way back on habitual eating of bad foods as compared to how I used to eat in the eighties.  She on the other hand has made few if any healthful and permanent dietary adjustments to her regimen.  So I think I’m doing better at this than she, but not as well as I’d like.  I’ll keep at it however.

10:00 PM: [Emmy] and I hung out here in the office, talking about nothing and everything else too.  :-)   Now, we’re watching   CNN’s AC 360   to learn more about today’s earthquake in southern California.

11:00 PM: That earthquake apparently was minimally severe; as it received less than a minute of coverage.  Now, we’re watching   KDKA TV’s Local News at 11:00 PM.

11:35 PM: Okay, we’re turning in. Just one more day of this really hot weather; then, some relief over the weekend.  *loud applause*  So good night, and I’ll catch you back out here tomorrow.  Take care now.

Tom Hesley

Received Mail and Shipments

  • Weekly coupon mailer.
  • Bill for co-payment to Mom’s foot doctor.
  • Netflix membership offer.  Not at this time, thanks.  I already have more movies and books to watch than I’ll probably ever complete in my life time.  :-)

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Mom’s Status: 2010-05-14

Friday, May 14th, 2010

08:00 AM: Sister Jojo discovered what appears to be an ulcer on the bottom of Mom’s foot.  Looks like it’s been there a while — dried blood under the skin. So it’s not likely that her new fitted shoes caused it.  But to be safe, an appointment has been scheduled for this morning at a local podiatrist, and one this afternoon at the shoe person to see what the trouble might be.  More later, as information comes in.

11:00 AM: Blood sugar: 232, and Mom grew agitated and upset; insisting that she hasn’t eaten a thing since yesterday.  I’m resigned to the notion that she’ll simple never get this; how to properly control her sugar. 

12:00 PM: Left message for Mom’s PCP.  She needs more of the fast-acting insulin over this weekend.  But her insurance company will not cover another vial until May 21st, 2010.  Hopefully, Mom’s doctor can authorize an additional vial early. 

12:15 PM: Ordered more diabetic testing supplies for Mom.  We’re getting low on the strips. 

01:40 PM: Mom just got back home.  They want her to go back to wearing the boot while they construct a more supportive pair of shoes for her.  She’s none too happy at the moment.  But Debbie just called.  She’s taking Mom to the movies, and hopefully, that will get her spirits back up. 

03:00 PM: Just spoke with Mom’s PCP about getting her more insulin.  They’re calling our pharmacy to arrange it.  If that does not work, they’ll give us a sample vial, which we’ll need to drive down there to get. 

05:30 PM: The insulin issue has been worked out.  More is awaiting pickup at the pharmacy.  Hopefully, we’ll get there tomorrow. 

06:45 PM: Ran into sister Jojo at Sheetz, and she’ll pick up the insulin sometime tomorrow.  Great!   :-)

Tom Hesley

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Mom’s Status: 2010-04-14

Wednesday, April 14th, 2010

Mom visited her orthopedic surgeon today about her charcot feet. He feels that she’s recovered enough that he’s authorized her now to drive a car once again.  She just told me this upon returning home.  She’s thrilled!

Tom Hesley

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Mom’s Status: 2010-04-10

Saturday, April 10th, 2010

Pending Appointments And Issues

  1. 2010-03-12 @ 1:15 PM: Friday: PCP appointment to see if the edema has gone down. DONE.  The swelling has deflated somewhat.  However, she still must take an extra 40 MG of lasix daily. 
  2. 2010-04-09 @ 8:30 AM: Friday: PCP appointment.  Nothing noteworthy to report except that Mom’s condition appears to be improving; she’s walking more with her special boot, and so does not rely on the wheelchair as much.
  3. 2010-04-14 @ 11:10 AM: Wednesday: Appointment with orthopedist for the next quarterly checkup on the progress of healing of her charcot foot. 
  4. 2010-06-18 @ 11:00 AM: Friday: Checkup appointment with eye doctor.

 

Log

I’m not as-closely monitoring Mom’s sugar and insulin values.  Nor am I dispensing her daily meds because, she expressed discomfort with our continuing to track her diabetes as meticulously as we had been. She’s currently managing her daily dosing of insulin on her own; although I’m still ordering the medications when needed and writing the checks for them.  I’m also keeping track of her appointments.  On the whole, she’s done pretty well.  But since she’s managing more of her care now, you’ll not see these status reports every day; I’ll only post them if something major changes, like her health status or additions or modifications to her appointment calendar. 

Tom

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Mom’s Status: 2010-03-08

Monday, March 8th, 2010

Pending Appointments And Issues

  1. 2010-03-12 @ 1:15 PM: Friday: PCP appointment to see if the edema has gone down. 
  2. 2010-04-14 @ 11:10 AM: Wednesday: Appointment with orthopedist for the next quarterly checkup on the progress of healing of her charcot foot. 
  3. 2010-06-18 @ 11:00 AM: Friday: Checkup appointment with eye doctor.

 

Log

07:30 AM: She took her morning meds.

Tom

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Mom’s Status: 2010-03-07

Sunday, March 7th, 2010

Pending Appointments And Issues

  1. 2010-03-12 @ 1:15 PM: Friday: PCP appointment to see if the edema has gone down. 
  2. 2010-04-14 @ 11:10 AM: Wednesday: Appointment with orthopedist for the next quarterly checkup on the progress of healing of her charcot foot. 
  3. 2010-06-18 @ 11:00 AM: Friday: Checkup appointment with eye doctor.

 

Log

05:00 PM: Blood sugar: 104.  Great!

08:05 PM: Blood sugar: 112.  Great!

08:30 PM: She covered her light supper with 10 units of log insulin.

11:00 PM: Blood sugar: 138.  She covered this and a snack with 10 units of log insulin.

11:05 PM: She took her night time meds.

Tom

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Today’s Business: 2010-03-04

Thursday, March 4th, 2010

Today’s Activities

  • Shower.  DONE.
  • Schedule appointment for Mom with the retina specialists in Johnstown for sometime in April, 2010. 
  • Still fighting my   current cold.

 

Log

07:00 AM: I’m up. My weight is unchanged from yesterday.  It’s still  177.0 Lbs.    

08:05 AM:  Read   my current book   a little more. 

08:40 AM: Installed the   ZD Header Tags   plugin on all blogs.  This allows the rewriting of title tags for specific posts without changing their displayed titles. In this way, title tags can be optimized for search engines without changing how they appear on the screen.  User-friendly items like punctuation marks that impact search engine optimization (SEO), can be omitted from the title tag itself, but left in the display form of the title.  This keeps both readers and search engines happy. The plugin also supports customization of keyword and description tags for each post. 

10:00 AM: Watched today’s episode of   Pittsburgh Today Live   on KDKA TV.

12:00 PM: Read my   current book.

12:30 PM: Watched KDKA TV’s    Local News at Noon   show.

01:30 PM: Watched today’s episode of   The Young and the Restless.

02:15 PM: Went   shopping   to grab some candy and pop.  We’re celebrating Easter early!  :-)

04:00 PM: Watched today’s episode of   Dr. Phil.

04:45 PM: Upgraded the UltraEdit software on my computer at home to version 16.00.  Also upgraded the UltraCompare software on said computer to version 7.00.

04:50 PM: Removed stop words from the titles of a hundred posts on the   Tom’s Love Quest   blog, per the SEO effort.  There are now 108 posts left to process for this phase of the project for said blog.

07:40 PM: Removed stop words from all 108 remaining posts that had them in their titles, on the   Tom’s Love Quest   blog.  Running the report again to see how many SEO errors are left. 

09:30 PM: The SEO report software run identified a few more duplicate title tags, which I’ve fixed, and there’s a couple unexpected behaviors in the   ZD Header Tags   software that I’ll investigate later.  These will have to be resolved in order to eliminate all duplicate titles.  But we got the number down from 89 to 3.  Not bad.  The report however, also noted that most of my documents have no description tags.  So I’ll start writing those, piece meal, though this part of the SEO effort will take several months to complete I estimate, given everything else that’s going on. 

10:00 PM: We listened to the Penguins Vs. The Rangers hockey game on the IRIS Internet WebRadio.  It worked very well tonight despite several dropped connections during this past Tuesday’s game.  That trouble may have been caused by a congested Internet.  But the network worked much better this evening. 

10:20 PM: Talked with   [Tad].  We’ll meet at the bank tomorrow afternoon, after he finishes work.  Since he does not know precisely what time that will be, he’ll call when he’s leaving, and I’ll head out at that time myself.  That should put us both at Citizens bank at the same time.

10:30 PM: Talked with Mom.  She’s been doing pretty well at regulating her sugars. But further adjustments to her sliding scale are likely necessary to further improve the readings.  She’s been writing down her readings since I’ve been on vacation so that when I return home on Sunday, I can enter them here and look over them to see if any immediate insulin dosing adjustments are indicated. 

12:15 AM: Read my   current book  some more.

01:50 AM: Listened to the iPod Touch for the past hour and  a half, and added stations to my favorites. The AOL Radio app allows a maximum of thirty favorites. *groan*  You know, there’s few things more irritating than artificially limited software.  I mean, with 64 GB on this iPod, I’d think you’d be able to store thousands of favorites if you wanted to.  That’s about as restrictive as Verizon denying me the right to put my own music on my cell phone as ring tones.  Gripe over now.  :-)

02:00 AM: To bed I go now.  Take care, and keep reading.  More to come later.  Good night.

Tom Hesley

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Vacation Good So Far

Tuesday, February 23rd, 2010

From audio journal episode: AJE-2010-02-23-10-03.

I thought I’d take this time to record a journal entry, while [Emmy] showers.  You know, with these small apartments such as this one where [Emmy] lives, there are far fewer opportunities for private recording of one’s thoughts than what I’m used to at home.  So I must time the recording to avoid her hearing me.  As it is, these private opportunities happen only once per day for around a half-hour at a stretch in this one-bedroom dwelling.  So while she’s getting clean, here I am, availing myself of one of these special periods right now. 

So let’s see.  What can I talk about today? 

I think the vacation so far is wonderful.  I’m getting a chance to allow my frustrations from caring for Mom in Altoona to settle down a little.  I heard this morning on the news that care-giving can cause a great deal of stress among couples or singles doing the care-giving, and between the caregiver and the cared-for person.  Whether a couple takes in a third person to care for (such as a spouse’s parent) or one member of the couple itself becomes infirm or disabled, caring for them on an ongoing and frequent basis creates difficulties in the relationship, even among the most selfless of individuals. 

The big piece of advice they gave on the show for coping with these conditions was to openly and honestly communicate with all parties involved with the caregiving, before the need to care-give arises, if possible. Sometimes, tha’s not possible, especially when an unforeseen tragedy occurs that disables a loved one; like a car accident or a heart attack.  But the show advised that while everyone’s still healthy, they should have this discussion, about the potential impositions that the care-giving might create. 

Now Mom and I discussed some of this at the outset of our current arrangement, when I moved home with her in 2001. The deal was that I’d live there rent-free in exchange for me taking care of her property and, should the time ever come, caring for her as well.  Yes, I signed up for this.

However, as we found, communication isn’t the only major factor in creating a pleasant care-giving situation.  In our case, we could have communicated fully beforehand, without ever having actually experienced the stresses of caregiving as well as care-receiving before.  Yet, we’d still likely find that once we got into it, that there are some unavoidable and unforeseeable frustrating aspects of care-giving to cope with, no matter how good the intentions of those involved, and no matter how much they talked about them ahead of time.  I believe that it’s always true that you learn way more about a situation once you actually delve into it than you could ever know about it before actually experiencing it. Thus when discussing a futuristic care-giving situation, you’re really chatting from a standpoint of ignorance because you really don’t know what’s ahead, unless of course, you’ve done it before.  But even then, the dynamics of each care-giving situation differ enough to make each encounter with it unique.  Each situation presents its own set of unique, unanticipated, and unchangable challenges. 

Thus, due to this ignorance about what’s to come, advance communication about it only works so well to calm the waters ahead, because it will only reveal so much about the sorts of hardships one might have to face.  Now I would agree that communication is a necessary first step to alleviating the stresses that subsequent caregiver roles create.  But talking openly won’t solve all the potential pitfalls.  I think that with Mom and I, our communication, no matter how openly and candidly we discussed the issue, would not have solved the problems getting along that we’re having right now.  Why?  She and I have basically different personality types.  Though we share many similar, key values, we’re very different from one another nonetheless.  I’m very much the type-a sort of personality, and she exemplifies a type-b one.  She cares a lot less about detail than I do.  This causes her many problems of course, in her unwillingness to carefully manage her medicines. 

Indeed, I’m afraid to loan her my electronic devices because I know how careless she is with them.  I remember one time I had an external disk drive that held all the music for my DJ business in her car.  Somehow, she spilled some chocolate pudding all over the front half of it. Then, to make matters worse, she emersed the whole unit in a sink full of soapy water to clean it up rather than just wiping it off with a clean, damp cloth.  Oh, when I learned of this, I became quite angry.  This is but one of many prime examples of the sorts of frustrations that I must deal with on an ongoing basis with her. 

But still, as I mentioned in my recent letter to her parents  a couple weeks ago, I love her a great deal in spite of her carelessness.  So unless she becomes malevolent or dangerous, I’ll stay with her until the end.  Indeed, it will probably take that long before my writing earns me the kind of money needed to purchase the total independence that I enjoyed while working as a lead software engineer.  Besides, I could never stand by and watch her flounder; not when I’m capable of helping her, no matter how idiotically she behaves at times.  Thus, I can’t solve these frustrations by leaving.

So the question is: How do I cope with the near-constant head-butting with Mom?  How do I keep it from angering me?  I can’t control or change her because she’s proven over and over again that she simply will not be controlled, nor will she change appreciably.  She’s defiant and until recently, notably non compliant.  It’s just her nature I guess, and so I realize that this cannot easily be changed.  Nor can I immediately deal with these irritants by changing myself either.  I am who I am, and so, I’ll always consider the details more critical than she does.  I predict that I’ll always become frustrated (at least a little) when her lack of attention to detail gets her into trouble with her meds.  Though accepting her for the person she is has reduced my stress levels some, I still get stressed, and that stress reaches high crescendos just prior to vacations.  So the goal is to make myself more impervious to her antics.

One way to do that is take periodic breaks, just like I used to do at work.  Care-giving is in fact a job of sorts, because there are always new challenges, new things to consider, and new procedures and thought processes to document (as with her med sheets) and implement (as with the pill and physical therapy schedules).   So this ought to be treated like a job.  While this is a job born of love, it still is a job nonetheless, fraught with all the stresses of full-time work.  I like this job though much better than software engineering, because it offers more flexibility.  I get to pick each day what I want to work on for the most part, without a boss critiquing my choices.  Plus, I can change my mind and work on something else, mid-stream if I so desire.  One can’t do this as much in a corporate setting.  In those circumstances, you work on the same two to four things until they’re finished, which can take years sometimes.  With care-giving and home maintenance, I can switch off tasks to a large degree and not be held so accountable for the things I did not finish. So caring for Mom is quite a bit better than the software job I had until 2003 because though it still stresses me, overall, it’s much less stressful. 

Yet, caregiving is still a job, in spite of its increased  do-what-y0u-want-to-do  culture.  So, I need to cope with the downsides of this job just as I did when working in software.  When I got overly frustrated at work, I took vacations, and this is what should be done now, in my care-giving role. 

So here I am, out at [Emmy]‘s, and I think that this will really be quite a therapeutic time; it will recharge me, restoring my reasonably good levels of tolerance.  Plus, it will fire my excitement to do what’s needed around the house this spring; my next work stent at home.  Because of their rejuvenating effects, I hale vacations.  People who like taking them are not lazy.  In fact, they’re smart because they recognize that vacations are an effective coping mechanism for dealing with frequently and chronically unpleasant yet unchangeable circumstances.  They keep frustration from totally consuming me.  When I reach the breaking point, I take a break, which is what I’m doing right now.  I love changes of scenery, and I’m certainly enjoying this one. 

More later.

Take care.

Tom Hesley

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