Okay, this is the real scoop. (sigh)
Loren received six shocks in succession from his defibrillator around 11:00pm, Friday night. Thankfully, he was in a hospital at the time.
On Thursday evening, he felt some irregular beats. This is not unusual, but, the irregularity took on a regular form. His heart produced irregular beats in a uniform way, for minutes at a time. We debated whether to go in that night, but it subsided and Loren declined my offer to take him to the ER.
Next morning, it started back up again. We called Mayo, but in waiting for their consultation and return call, decided to go in to the local ER. It is a small hospital, but several doctors know Loren and have seen him on NUMEROUS occasions. A PA was on call and she detected irregularities. (You have to remember, Loren is pacemaker dependent, and every beat is paced, and it should be quite regular) She consulted with one of the docs and they decided to put him in for 24 hours of observation. I am SO thankful they did. It was that night that things went awry again. I was home with the kids, but received a call from the nurse saying Loren had been "unresponsive" but was ok now. (Unresponsive? Like, he didn't feel like chatting? Guess I'm not used to all the medical lingo yet) The doctor said he thought Loren had been shocked 3 times. (he was being monitered by telemetry from the nurse's station) As they got to his room, they saw him jump twice, and the doctor figured he had been shocked as they were running down the hall.
"This is not good, this is not good!" I said. The doctor decided to e-vac Loren by helicopter to Mayo. The copter was coming back up from Des Moines anyway and could swing over. By the time I could have gotten there, they would have left in minutes, so I decided to stay home and try and get rest for the day/week ahead. Loren and I talked and commiserated on the phone for about 30 minutes. He thinks he felt a pacing treatment, but he then went unconcious until he awoke with people shouting his name.
In all this process, Loren did not receive a wink of sleep that whole night. The trauma would have been enough, but he didn't get processed to his room till 5am. I had extra work at the church due to a funeral, so, when I couldn't sleep past 6:15, I put in a little time at the church, leaving the rest to my two wonderful fill-ins, Jason and Derek. (thanks, guys :-) I arrived at Loren's room around noon, where he informed me that he was told he had only been shocked once, with burst pacing attempted before that.
Well, I was thinking maybe this wasn't so bad after all. It was a concern, but not the multiple shocks that the docs, and especially Loren (and I) cringe at.
This MORNING, however, we saw the
real electrophysiologist, who read out the
real interrogation printout, which didn't
really happen until yesterday. That is when we found out about six shocks. This is "not good" times ten. Loren's device cannot give more than six shocks. It can't recharge that fast. Of course, since he was in the hospital, they would have defibrillated him anyway. If he had been at home and required more....
I thank the LORD for preserving Loren's life.
Obviously, things have changed, and he cannot return home until he is assured safety.
They are considering two angles:
reworking the hardware, which would mean taking out a lot, if not
all of his wiring and putting the device in his shoulder. (it was put in his left abdominal area, because, at that time, he has dwindled to 115 pounds, and the older device was larger so they thought it would be too bulky for the shoulder area)
altering medication, Loren responds well to some meds and not to others. Also, he seems to develop a tolerance to them over time. (my evaluation, not the doctor's) They may take him off Mexiletine (current antiarrhythmial) and put him on something else.
I am confident that the EP doctor, Doctor R, will find the best solution. He is consulting with Loren's regular EP, Doctor H. from Iowa City. Apparently they are good friends. (thank the Lord, again :-) Doc R needs to find out all the dope on the hardware that Doc H installed in Loren so they can get a good idea of how to work things. It has to do with vectors and other terms incomprehensible to Ma Hoyt. These doctors are both "smart cookies."
Well, that is about it for now. Sorry for the unintended misinformation. I reported what I was told. Sometimes things are misunderstood over phone converstations, but, this is the straight dope as I know it. Today. For now.
Tomorrow (Monday) should bring some definite plan of action. All this is overseen by the transplant doctors as well. I believe they are letting the electrophysiologist take precedence at this time, as therein lies the immediate danger.
A word to my children at home: I know you miss Mommy, and I miss you all terribly. But please remember that Daddy has no one if I am not here. At least you have eachother. Sick husbands need their wives especially at this time. (in fact, I have taken up residence in the hospital room) You must try especially to get along with one another, watch out for the little ones, and yes, even entertain the annoying ones. You know who they are :-)
A word to my college girls. Keep working hard! I know if you were home you would be a tremendous help in bossing, excuse me, taking CARE of the kids. But you have your responsibilites where God has placed you.
"They serve also, who stay up late and work on papers."
I am not going to spell check this, since I am on the hospital library computer. (besides, once I did that before saving it and lost the whole post) Pardon any "mal mots," I can always edit it later.
Thank you for all your prayers. Love, from "The Ma."