Monday

Met Mom at 9 am and found Dad in a chair. He had just finished his breakfast. I got the word out that we wanted to have a family conference with all Directors involved with Dad's care. While waiting for them to show up, Dad went to the gym for a PT session. I watched what they did for a while when the case manager came in. Mom expressed her concerns and asked some medical questions, and I made clear my thoughts and goals. The Director of Referrals came in and took us down the hall where we repeated our mission again. He said that he would address all the points with all those involved and help determine a course of action. Hopefully we are back on a unified track. Dad has a long way to go.

Major concerns at this point:

• If the scales and records are correct, Dad is losing a lot of weight in a short period of time.
  

2/1/09  200lbs.  2/8/09 177.9 lbs. today 164.6 lbs. It is not all fluid, his edema is almost non existent right now. The DOR is checking with the dietitian and we are going to bring him anything he wants sans sodium. Ensure is going to be an in between snack.

• PT a consistent targeted regimen. Keeping Dad engaged in getting better.

Everything is a balancing act and we need to be vigilant about doing the most he is capable of without putting him at risk in aggravating his congestive heart failure or over taxing his heart. 

God is good!