Mom's Daily Tests & Meds: 2004 - 2006

Daily postings of Mom's in-home tests, administered medications, food eaten and the relationship among the three and her life.

Saturday, September 17, 2005

Today's Stats:

BM Breakfast
Blood Glucose:
    Time:  1137
    Reading:  114
Blood Pressure:
    Time:  1206
    BP:  128/66
    Pulse:  60
  Blood Pressure:
    Time:  1220
    BP:  136/69
    Pulse:  58

    Looking good. She feels good, was standing straight in the bathroom, no breathing difficulty, is still lounging over a hearty breakfast with two slices of home made toasted bread, which has become normal.
    Her Bowel Movement occurred at 1215 while we were bathing her: Fair volume, excellent consistency, very easy elimination, very easy clean-up. Just for fun I decided to check something out in which I've believed for a long time. After leaving her alone "with her thoughts," as I put it, to finish her evacuation, I decided to see if my theory that her blood pressure drops immediately after a bowel movement is true. That's what the second pressure is. It was taken maybe two minutes after she'd completed her evacuation and she was relaxed on the toilet. As you can see the opposite is true. Which, now that I think of it, shouldn't have surprised me. Remembering her blood pressure crash, the actual crash caused her complete evacuation, but immediately after evacuation her blood pressure was a bit above normal, although I don't remember and never recorded the numbers; I just remember commenting on this to the paramedics who were waiting, while she evacuated in the bathroom, to take her to the hospital.

Non-stat Lunch and Dinner
    That's right, no stats. When my mother awoke from her nap and headed into the bathroom, as usual, I followed her with the blood pressure wrist cuff to get a reading before lunch.
    She looked at the cuff, sighed and said, "Don't you ever get tired of doing that?"
    The truth is, no, I don't, I look forward to taking stats. It's one of many ways I keep my eye on my mother's condition. I realized, though, that she gets tired of it. Lately, as you've probably noticed, I've been taking her blood pressure almost every time she turns around. Although I haven't upped taking her blood glucose, a test is a test, a testing device is a testing device and, I think, it's all the same to her.
    "You know what," I said, "I'll bet you get tired of it, don't you. No stats for the rest of the day. How's that?"
    She visibly relaxed while sitting on the toilet.
    I fought to keep myself from taking advantage of her obvious relaxation to take yet another blood pressure stat.
    "That sounds good to me," she said. "How about doing that forever?"
    I laughed. "Well," I said, "that's probably not possible. I at least need to know what your normal numbers are so I'll know when your numbers are abnormal. But we'll take more vacations from stats as long as you're healthy and feeling good."
    She looked at me quizzically, as though I'd just stepped out of "Jabberwocky". "I'm going to hold you to that," she said.
    I'm sure she will.
    Lunch: Two deviled egg halves; four green pimiento stuff olives; about 1/3 cup MCS's bread and butter pickels; 11.5 oz V-8 juice.
    Dinner: I had already begun to gather stuff to make potato soup with onion, celery, green pepper and sausage when she piped up, "I'm hungry. How about some tacos and things from, oh, you know what place I mean."
    "Taco Bell?"
    "Oooh, yes! That's the place!"
    "Sounds good to me!"
    "I'm hungry. Get me what you usually get."
    I did: One taco supreme, one burrito supreme, one order of pintos and cheese.
    When she was finished and staring at her plate I said, "You look like you want to lick it."
    She grinned. "I already did, didn't you see me?" she joked.
    "Are you still hungry, can I get you something else?"
    "Oh, no, I'm completely satisfied."
    She must have been. She stayed up until almost midnight last night.
    Change the routine and you change the day; for the better.

Friday, September 16, 2005

Today's Stats:

Breakfast
Blood Glucose:
    Time:  1409
    Reading:  103
Blood Pressure:
    Time:  1431
    BP:  137/62
    Pulse:  58
  Blood Pressure:
    Time:  1433
    BP:  136/68
    Pulse:  55

    I have no idea what's going on with her blood pressure. I wasn't expecting it to be so high this morning. I gave her two 2.5 mg lisinopril at breakfast to see if that would help. She was up reading until a little after 0200 this morning. She's spending a lot of the day sleeping, today. Still, her color is good, her blood glucose is performing well, she is not retaining excess fluids. Her knees and back have recovered from her walkering stint earlier in the week. Her breathing is good. For all I know she may be working herself up to a heart attack.
    She begged me for a sleep day today. I reminded her that she's had several sleep days lately but she continued to beg and talked about how her "eyes are tired", weird, I know, although they have been unusually swollen lately, so I gave in. Maybe it's just an allergic reaction to all the blooming that's been going on here since our unusually prolific monsoon.
    I expect it will be a two meal day again today. I don't know why but I'm not overly worried or freaking over this Lethargic Episode. I sense that there are little things that are bothering her but that nothing is majorly wrong, maybe she's just ready to go back to 10 mg lisinopril per day, although I'm glad we've got a blood test coming up soon. I hope my instincts aren't taking a Fool's Holiday.     When she went down for a "short nap" at 1630, only two and a half hours after she'd arisen, I told her, "Okay, day called on account of sleep. Maybe you'll be ready for an up day tomorrow."
    "Oh, I think so."
    I've heard that one before.

Miscellaneous
Blood Glucose:
    Not taken
Blood Pressure:
    Time:  1949
    BP:  131/65
    Pulse:  67

    I took this BP right after I awoke her from her "nap" today. Since I'd given her two 2.5 mg lisinopril tablets at breakfast I was a little concerned. I didn't do anything, though, since she wasn't hungry and said she didn't think she'd be hungry for about an hour or so. I'll wait and see what she reads just before she eats dinner.

Dinner
Blood Glucose:
    Time:  2037
    Reading:  190
Blood Pressure:
    Time:  2035
    BP:  110/54
    Pulse:  54

    There, that's better. I'm not concerned about the blood glucose. She had just drunk a cup of pomegranate tea with a squeezed lemon slice in it and, anyway, she didn't move much at all between breakfast and dinner, and breakfast included two healthy slices of homemade bread, one wheat, one white.
    I'm pleased about her blood pressure. I'm thinking that I just caught her at the wrong time right after awakening. She probably hadn't fully recovered from hauling herself out of bed and into the bathroom.
    For dinner she wanted "something warm and cozy". We still had some Costco chicken pot pie left in the freezer. She thought that sounded "terrific".
    She ate well, we watched episodes of Sex and the City, talked some, I rubbed her feet and legs and she retired at 2315. Her light went out at 2330.

Thursday, September 15, 2005

Today's Stats:

Breakfast
Blood Glucose:
    Time:  1132
    Reading:  96
Blood Pressure:
    Time:  1201
    BP:  129/64
    Pulse:  56

    She was hard to awaken this morning, but I insisted. No more 1300 wake-ups for awhile. Period.
    Otherwise, things look good. I was hoping for a bit lower blood pressure but she's still working out the acetaminophen, probably, and she isn't retaining unnecessary fluid, so I'm satisfied.
    This morning I gave her yet another tablespoon of Benefiber®, not intended this time. I hope I don't end up cleaning smeary shit the next time she moves her bowels. Oh well. That'll teach me, I guess.

BM Lunch
Blood Glucose:
    Not taken
Blood Pressure:
    Time:  1650
    BP:  121/59
    Pulse:  61

    Nice! We're almost there, systolically. She even had her arm clenched through part of the process.
    For lunch I experimented with a deviled egg recipe which was okay but I don't think I'll be making it again. She had four halves loaded with a strangely colored mixture which included egg yolks, avocado, freshly ground ancho chiles, proscuitto, grape tomatoes, lime juice, cumin, espazote, salt and powdered garlic. It tasted as weird as it sounds.
    Her Bowel Movement occurred at 1715, just before she laid down for a nap: Very good volume; excellent consistency; very easy elimination; very easy clean-up; no smeary shit, not yet, anyway. That might happen tomorrow. Maybe her body's getting used to the Benefiber® and it's time to graduate her back to a tablespoon daily. Or, maybe a teaspoon one day, a tablespoon the next. We'll see.

Dinner
Blood Glucose:
    Time:  2054
    Reading:  190
Blood Pressure:
    Time:  2053
    BP:  146/67
    Pulse:  69
  Blood Pressure:
    Time:  2058
    BP:  142/70
    Pulse:  63

    Yes, because her blood pressure was high I took it twice and the difference was minimal. I gave her a third lisinopril before she retired tonight without bothering to take her blood pressure.
    Her blood glucose is high because she snacked all evening instead of eating a meal: 11.5 oz V-8 juice here, a slice of bread there, another slice of bread elsewhere, some Bread & Butter pickles somewhere else, she finally asked, about 2130, if we still had any ice cream. We do. She had a scoop. I expect her glucose to be high in the morning but, what the hell. She was in an excellent mood and ate exactly what and the way she wanted tonight. Sometimes moods are more important than numbers.

Wednesday, September 14, 2005

Today's Stats:

Breakfast
Blood Glucose:
    Time:  1250
    Reading:  114
Blood Pressure:
    Time:  1311
    BP:  141/70
    Pulse:  57

    It's been the acetaminophen, probably, that's been raising her systolic. She continues to exhibit no signs of abdominal fluid congestion and half the time I forget to slap the oxygen cannula on her because she isn't mouth breathing, so I'm sure that's what it is. That stuff takes a good 48 hours to exit her system and I gave her some a couple of times yesterday and the day before. So, we'll just wait it out.
    We're back to completely normal breakfasts, except that two pieces of toast has become a regular order for her, now, which is fine. Because of her lackadaisical bowel movement yesterday and the fact that she had a few small shit rocks hanging on her pudenda this morning, I gave her a tablespoon of Benefiber® instead of her usual rounded teaspoon. Because she's been down more than up and I've been allowing this, hydration has been a challenge I haven't completely met, so I think her bowel movement "problem" is a result of a touch of dehydration. I'll be correcting that today.

Non-stat Lunch
    I didn't bother, I just went ahead and administered her "third" 2.5 mg lisinopril with her light lunch: 8 oz yoghurt, 6 pimiento stuffed green olives, about 1/3 cup of MCS's Bread & Butter pickles and 11.5 oz V-8 juice.
    Her knee and back are quite so troublesome today so I'm laying off the acetaminophen and hoping her blood pressure will settle down tomorrow, although we might be in for one more day of high systolics. She's been very alert today, though, and has been getting up and down a lot.

BM Dinner
Blood Glucose:
    Time:  2043
    Reading:  117
Blood Pressure:
    Time:  2043
    BP:  132/61
    Pulse:  57

    Why didn't I bother taking her BP at lunch? When she's running high (and since I figured out, I think, why she's running high I knew she'd be running high today) her BP makes me nervous and that makes her nervous, thus her BP goes even higher.
    So, her dinner stats look good. I'm sure her normal lisinopril plus the "third" lisinopril I gave her at lunch will keep her under fair control.
    Her Bowel Movement occurred at 1630. She felt the urge while we were watching a movie, which was a pleasure for me to witness. Since she usually evacuates by surprise when she's been ordered to the bathroom for some other reason I'm pleased to know that she remains sensitive to when she has to evacuate: Good volume, exactly for what I was hoping; very good consistency, no shit rocks; elimination was a bit of a trial but I think it was easier than what she reported because clean-up was a breeze and there wasn't anything clinging around the folds. When she has a difficult elimination, clean-up is also difficult.
    For dinner I served some left over marinara with a variety of vegetables and sausage and spices over grilled chicken ravioli with freshly grated Parmesan.
    She retired at 2300 tonight. Her light went off about 2330. I told her I was going to awaken her at 1100 tomorrow in an attempt to get us back on a more normal (for us) schedule, although on this schedule she either barely naps (she took a 45 minute nap this evening) or doesn't nap at all, so it all comes out in the wash, I guess. I might let her sleep in until 1130 to meet her requisite 12 hours. It'll depend on whether she's dreaming when I go in to awaken her at 1100 tomorrow.

Tuesday, September 13, 2005

Today's Stats:

BM Breakfast
Blood Glucose:
    Time:  1332
    Reading:  108
Blood Pressure:
    Time:  1327
    BP:  132/69
    Pulse:  54
  Blood Pressure:
    Time:  1332
    BP:  139/62
    Pulse:  53
  Blood Pressure:
    Time:  1336
    BP:  129/70
    Pulse:  49
  Blood Pressure:
    Time:  1344
    BP:  141/66
    Pulse:  51

    Our regimen (such that it is) fell apart today as my mother recovered from yesterday's advanced movement. No, it wasn't that yesterday hurt her. She just hasn't moved that much with that much enthusiasm in a long time and her body spent most of today going, "Geez, what the hell happened yesterday?!?"
    Believe it. I took four blood pressures this morning. I wanted to make sure that her elevated systolic was just because she wasn't relaxing her arm. Although a touch of the elevation may have been her annoyance at having me take her blood pressure four times in a 17 minute period, it was legitimately high (for her). The last blood pressure was taken immediately after she had her Bowel Movement. It occurred to me that maybe the 'stress' of getting ready to move her bowels might have elevated her blood pressure but, no, that wasn't the case either.
    Her blood sugar, of course, looked good, as it almost always does. She was sitting on the edge of her bed at 1300 when I arrived home from the Costco trip upon which she was supposed to accompany me but didn't. I looked in on her this morning at 1030, when she'd asked me last night to awaken her this morning. She was sleeping the sleep of the dead, so I decided to give her an hour since that would bring her up to twelve hours of sleep and I knew her body was still tired from yesterday. At 1130 she was still pretty much on the shore of the River Styx. I roused her, as much as I was able, and she was clear that she didn't want to awaken yet. She told me to go to Costco without her. I mentioned I'd be back by 1300. Thus, that's when she awakened, on her own.
    She stayed up without a nap from then until 2345 but, as you'll notice, I took few stats and her meals were a free form jumble. She was clearly stiff. She didn't complain about it but acknowledged her stiffness when I asked her about it. She was also having trouble with her right knee and volunteered that her thighs were "a little sore". From the exercise yesterday, I'm sure.
    No, I don't feel bad about getting her moving again. We even talked about it and she volunteered that maybe she should move a little more. We'll see how far that goes, but I will continue to try to get her going a bit more than has been the case in the last several months, hopefully without crossing the boundaries of frustration mentioned by The Wondrous FNP back in January.
    She looked good all day, once she was up, and ate and drank well, particularly breakfast. She asked for two pieces of toast and was done with her breakfast within 15 minutes, unusual for her.
    Oh, yeah, details of her Bowel Movement: Fairly good volume; excellent consistency; very easy elimination; somewhat easy clean-up.

Lunch
Blood Glucose:
    Not taken
Blood Pressure:
    Time:  1829
    BP:  153/68
    Pulse:  58
  Blood Pressure:
    Time:  1836
    BP:  129/63
    Pulse:  57

    The first blood pressure was clearly annoyance. However, considering that her systolic remained elevated above 120 the second time around and her diastolic gave me some leeway, I administered her "third" lisinopril at this time along with her lunch, which consisted of 8 oz non-fat, artificially sweetened yoghurt, 6 green pimiento stuffed olives and six mini-dills and 11.5 oz V-8 juice, chased with a large cup of decaf instant coffee.

Non-stat Dinner-of-sorts
    Since the day has been caddywampus, her dinner actually spread throughout the evening. Around 1930 she had a large oatmeal raisin cookie. From 2045 on she munched on popcorn with extra margarine drizzled over it. Lots. She loves popcorn and I figured it would be good for her tonight since it was obvious that she wasn't going to be interested in a regular evening meal. I administered her pills at this time and included one extra strength acetaminophen even though she said she didn't want it. I also gave her one while we prepared her for bed, around 2230.
    She drank plenty of fluids throughout the day even though she wasn't up much. She didn't appear to be experiencing abnormal fluid retention, so I don't think she's suffering from CHF. I'm not sure what's elevating her blood pressure, but, today, at least, it could have been a hold-over from yesterday and yesterday it could have been the mounting attitude stress prior to her trip to the grocery. So, I'm not worried, just vigilant and ready to pump her with 50% more lisinopril than she normally takes.

Monday, September 12, 2005

Today's Stats:

Breakfast
Blood Glucose:
    Time:  1041
    Reading:  123
Blood Pressure:
    Time:  1038
    BP:  135/61
    Pulse:  51
  Blood Pressure:
    Time:  1040
    BP:  120/63
    Pulse:  57

    You'll find this funny. Notice the two BP readings, three minutes apart. The first was taken just after I was yapping at my mother about something, probably about getting her moving today, and she was probably resisting the idea. Knowing from her systolic that I had probably irritated her, I took another three minutes later after I had absented myself from the bathroom to spray her bed with the white vinegar/water solution and move the fan in her room to enchance drying. What a difference "a little tenderness" can make!
    Her BG is above normal but I expected this. Yesterday was the last of our sugary days for awhile. Besides the morning sweet roll, which you'll notice was doing a positive dervish when I took her dinner stats last night, about a half hour before she went to bed (I she retired close to midnight) she headed into the kitchen. I heard one of the refrigerator doors open. I followed her to investigate and she had her head stuck in the freezer. "I was just wondering if we had any of the toffee ice cream left," she explained. Her eyes were gleaming.
    I sighed and found it for her. "This is it, Mom," I said. "We need to put some days of no sugar treats under your belt after today."     "Well then," she replied, "I'd better have two scoops instead of one."
    Our Lady of Sugar reasoning.
    When she noticed I wasn't having any she asked why.
    "I'm sorry Mom," I said, "I can't handle sugar before bed. I can't really handle food before bed."
    "You poor girl," she said. "Too bad you took after your father. I'll have yours, then."
    "That's fine with me. Seeing as how I'm not having any. You can have all of mine you want!"
    She gave me That Look. "You're too smart for me, child!"
    Our Daughter of Our Lady of Sugar reasoning.

Lunch
Blood Glucose:
    Not taken
Blood Pressure:
    Time:  1548
    BP:  139/69
    Pulse:  63

    It was just a fluke that I happened to remember to take her BP just before her snack lunch. I'm glad I did. Even though she was sitting on the toilet at the time, which is an optimum place for her to be sitting to get a good resting BP, it registered high. She looked like she might be a little water logged, maybe, but not much. The primary aspect, though, is that she had begun a concerned and confused discussion 3 minutes prior to me taking her pressure about "Dad", if he was dead and how he died. I assumed she meant her dad, so I began that tale. By the time I finished her face was all screwed up. Nope, "I know how my Dad died, I mean your Dad."
    This is one of the very, very few times she's forgotten that he is dead. Once I explained, in detail, the circumstances of his death, including how he managed, over decades to work himself up to his particular death, she was satisfied.
    I decided, though, to go ahead and give her a "third" lisinopril (once she has dinner it will be her third of the day), considering the height of both her systolic and diastolic and that she might be agitated about deaths all day today. Giving her a lisinopril will give her a physical edge.
    Oh, yeah. She had some of MCS's Bread & Butter pickles and six green, pimiento stuffed olives for lunch. That's all she wanted.

Dinner
Blood Glucose:
    Time:  1943
    Reading:  77
Blood Pressure:
    Time:  1941
    BP:  165/81
    Pulse:  65
  Blood Pressure:
    Time:  1948
    BP:  127/76
    Pulse:  60

    Yes, I did a double take, too, on that first blood pressure. This time there didn't seem to be any excuse. She wasn't honed in on a television show, neither of us was watching television or a dvd. She'd been reading her new tabloids but quietly. We weren't having a heated discussion of any kind. I immediately assumed, oh shit, her BP's going up on it's own; way up! It occurred to me that I should probably give her 5 mg lisinopril at dinner, thus boosting her to four 2.5 mg today. I was so surprised that I didn't even think about the possibility that she hadn't relaxed her arm.
    Luckily, I hate to overmedicate her even a little, so I decided to continue with dinner preparations for a few minutes and take it again, making sure that her arm was relaxed, which is an iffy proposition, since as soon as I mention it and test her arm, she tenses up. But, we went through the drill anyway. I figured, at least I'd get an idea if the rise was legit or a blip. As you can see, it was a blip. In 7 minutes her systolic dropped almost 40 points, even though she was a little miffed at my "relax" routine. Her diastolic dropped 5. Although high for her, she was definitely back in a range where a fourth lisinopril for the day wasn't necessary.
    For dinner we had half Cobb salads and grilled garlic cheese bread. Mmmmm.
    Glory be, I got her out today. She went to the grocery with me. Not only did she accompany me without protest, she looked forward to it all day and took a shortened nap because she was anticipating the trip. She may have arisen early because of it. I'll report on how she did, movement-wise, over at =>Moving =>Mom.

Sunday, September 11, 2005

Today's Stats:

Breakfast
Blood Glucose:
    Time:  1308
    Reading:  105
Blood Pressure:
    Time:  1325
    BP:  126/60
    Pulse:  57

    The 126 systolic is Mom's annoyance at me telling her several times to "relax your arm" while she repeatedly insisted, "I am", then me proving to her that she was not by dropping her arm and it remaining in mid air. In other words, everything's fine.
    When I entered her room to awaken her, she was up and ready to stand, so 11.5 hours worked for her last night.
    I made the mistake of not putting anything away last night before I went to bed. She spotted the sweet rolls which I'd left out and decided this morning would be a good morning for them, once again. We also had the Canadian uncured ham. Again, today will probably be a two meal day with a very, very light lunch when she arises from her nap.

Dinner
Blood Glucose:
    Time:  2040
    Reading:  245
Blood Pressure:
    Time:  2038
    BP:  142/61
    Pulse:  56

    No lunch stats since we didn't officially have lunch and her blood pressure is doing fine. She did have some pickles and olives but that was a post-nap, pre-dinner "hold me up".
    Although her blood pressure seems high, her concentration was honed in on something on TV; hmmm...can't remember what, now, oh, yes, The Last Temptation of Christ. I've got to remember to get that movie. Anyway, she was completely unable to relax her arm in order for me to get a correct resting blood pressure, so drawn into the movie was she. So, after one attempt, I stopped.
    Let's see. We had left over Costco chicken pot pie for dinner with a dollop of sour cream to cut the salty taste.