Tuesday, May 11, 2010

Tuesday, May 11

The neurosurgeon stopped in this morning and said the CT scan done last night showed no major changes; he said there was a little more fluid on the outside of the brain, but as the ventricles shrink a little, the fluid is redistributed. He wasn't concerned, and is ready to release Collin to oncology as his primary care group effective tomorrow.

The occupational therapist worked with Collin a little more today. At the end of her session she worked on trying to calm him. She used her hands to apply gentle pressure to help calm him; he is unable to make sense of different stimuli, so noise, sound, touch, etc. are stressful and/or painful to him. This afternoon I ordered a lightly weighted blanket to see if it helps him.

The physical therapist had him sitting in a special kind of chair for five minutes today. He tolerated it pretty well, and did a good job holding his head up. He even used both hands to push a ball away. He seemed to be moving his head and eyes a bit more to see what was going on around him; when he was sitting up in the chair, he looked down and saw the Broviac catheter coming out of his chest, and ran his hand over it to feel it.

He was started on TPN today, which is IV nutrition that is given through the Broviac. One bag is vitamins, and the other is fats and lipids. The oncologist wants him to gain some weight, because he's going to lose more during chemo. The tube feeding continues around the clock as well, but will be turned off when the chemo starts.

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