From John:
Well, this is fun. Another morning in Hospital Angeles Mocel. Yesterday, we got up early enough to go to the devotional at the office. Elder Valenzuela was speaking and did a lovely job, I should add. This is the first time Dalene has been back to work, although we were there just the evening before for FHE with the senior couples.
Well, this is fun. Another morning in Hospital Angeles Mocel. Yesterday, we got up early enough to go to the devotional at the office. Elder Valenzuela was speaking and did a lovely job, I should add. This is the first time Dalene has been back to work, although we were there just the evening before for FHE with the senior couples.
After a short while, she began to notice that her feet were swelling, both of them. She called it the “Little Lotta” look from the old comic book where there is a girl with way fat feet. Wouldn't be politically correct today. She continues to have trouble because she feels like she can't breathe at night; gets short of breath. She also gets quite short of breath when walking. We went back to the apartment before lunch so she could put her feet up and rest a bit. She stayed there and I went back to the office. We had a follow up with Dr. Torres at 5. We wanted to be on time, but the traffic is bad in the afternoons, so we left to get a taxi before 4. The taxi driver took another route and had us to the consultorio within just a few minutes. Dr. Torres' office is by the hospital. Dr. Torres was able to see us within a few minutes. The kidney problem seems to be clearing up fine, but Dr. Torres was concerned about the swelling and heart issues and said that we needed to see a cardiologist, who has consultorio on the same floor, just across the way, Dr. Mario Velez.
Dr. Velez is an older Dr. and was a bit stiff at first, but speaks pretty good english and got us right into his office and loosened up and was really kind and funny. He interviewed Dalene at length about all her conditions and then took her to the exam room and had her put a gown on the top, to do an EKG. She got winded just walking the few steps to the bathroom to dress. Her feet were still swollen and he was very concerned as well. He said that he thought she was having heart failure (then there were two!). Not much lost in that translation. She has been anemic as well and he said the right lobe on her liver was swollen. He said that she needed to be admitted into the hospital so they could intervene if something went wrong and she could have the studies done that they needed quickly, rather than let her go home. I told him that I would need to notify our Church Dr. and that if there was anything very significant they would probably send us back to the US to follow up. He commented that he wouldn't recommend getting her on a plane, that it could make things worse. (That makes e feel better. Not!)
I called Dr. Stevens and told him what was going on and he talked for a bit with Dr. Velez. We agreed to come get checked out. So they even sent a wheelchair over to get her to the ER with minimal effort. (they didn't do that when I had a kidney stone.... made me walk in pain) On a brighter note, all her information is already there so other than the million forms you have to sign, it was pretty easy to get in.
The did a chest xray, scheduled an echo cardiogram, started another iv, and drew blood. (Dalene: since my viens are so bad they literally hung my hand off the gerny and let it drip into the vial after the lid had been removed. Yes it was a slow process NQR) This took a while. (They have a quaint way of having patient's family meet them at the elevator. They go out the hallway from the ER directly to the elevator and the family member goes back through the ER, the ER waiting room, through the lobby of the hospital and then meets at the elevators. Probably so they can get exercise. NQR)
Dr. Velez showed up at the ER and checked on us, as did Dr. Torres. Dr. Velez told Dalene that he had good news and bad news about the hospital food. The bad news is that the hospital food is really, really terrible. The good news is that they don't give you much! ER humor…
| NQR QUIZ (how many can you find): Que es esto? (brought to ER for our dining pleasure.) |
Great diet for a cardiac patient. They then told her not to eat anything because they were taking her up to do the echo in a few minutes.
The ongoing saga… Where did we leave you last dear readers? So Dalene spent yesterday in tests (estudios in spanish). They drew blood, her IV blew and they had to reset it (never fun) and took her down to do a Doppler blood vessel “estudio”. She came back, having been gel'd head to toe. They did suggest that she take a shower because they were going to put a 24 hour EKG cardiac halter on her and she wouldn't be able to bathe in the mean time. So to the shower she went. Tough to bathe with an IV, but we got 'er done. Silly me, I forgot her curling gel the night before when I made the mad dash to get stuff. Forgot that and her antibiotic. Dang!
So around noonish, a nurse came in to put her halter on, but because she was trying to eat, she said she'd come back 15 minutes later. An hour went by, so I needed to drop off her kidney stone to the lab. The Dr. gave it to us to look at (no, I don't know why) so we had brought it back to him and he gave us a “receta” to get it analyzed. So down the elevator to the lab, all twelve floors, to get it dropped off. The first crisis was: “but señor, that was on your last visit, we cannot accept this on this visit”. Well, maybe we can, let us check. “We need your 'LMNOP' number”, which I had no idea what that was. Maybe it is on the insurance card. I will go back and get it.
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| Room with a view - at least (Bad stitching together but you can see Mexico City. Pretty with night lights. |
So back up to the room, get all of Dalene's cards and back down to the lab, no easy feat. “No señor, that isn't the number we need”. Okay, why don't I just pay cash for this? “Bueno caballero, you can do that. Just take a seat and we will see how this is to be done”. Really?! Okay, I will wait. The entire cast of characters, all 5 of them, leave the counter and convene a special session inside of the director's office to see what is to be done for this gringo who is willing to pay to have a kidney stone analyzed. Ten minutes later, they all return and one of the girls signals me, “You pay here”. So $790Mx later, I have a credit card receipt. “Will you require a factura señor?” Si, says I. “Okay, please have a seat while we figure out how to print one”. Back to the seating area. The lab director then comes out to request the stone that is in a test tube with a rubber stopper. She tells me that she will take the stone, because they need to rush it to the courier who is about to leave. They send it to LabQuest in California for analysis. And off she goes with the rock. “Aqui es su factura caballero, please review it for accuracy”. Well, other than it is showing my address as the hospital, pretty close. “Ah, but that will not work, what is your address in Mexico?” Hmmm, look at your computer screen, we are in a room upstairs, probably the one on the screen. “But señor, your postal code shows here in Chapultapec”. I didn't give you that code, you put it in. Okay hold on, I will go back up and get the postal code from the address card on my luggage, so back up the elevator cattle car I go. Find card and back to elevator. Okay, weird, the down button doesn't read at all. I will wait. Well, maybe not wait that long. I can go down the stairs, I think. Down the stairs. Here is my address including the postal code, Will that work? “Sure, just a moment, while I print this”. “Will this work?” Yes, except you didn't put my correct address in. “Oh, I see, that will not work. Un momento, this address is very long”. Brilliant, I knew that. When one uses Aztec and Mayan words in addresses, they have a tendency to get very long and darn tough to pronounce. “How about this caballero?” Let's go with that. Gracias, muy amable.
Dang, two hours later, I am hungry. And the lobby for the elevators is slammed. I need the exercise, cue the Matahorn! Up the stairs. Piso 1. No problem, I can do this. Piso 4, I didn't think the air was quite that thin. Piso 8, old guy passing me on a high lope. I bet he was only starting at 7 or something. No, I think I saw him in the lobby. I will just wait here for a second to catch my breath. Fortunately, I can look casual, since there is a heliport on the same level I can wonder over… except for the sweat rings and heavy breathing, no one hardly noticed. Crawling up the last three flights was a bit embarrassing, but really, who will I ever see here again anyway? Oh yeah, we are staying here multiple nights and may be back for additional procedures. Surely they will not notice the tall blonde guy and stop, stare and point fingers and laugh.
Success comes in many forms I suppose.
When I got back to the room, Dalene was MIA. According to the nurses, she was in another study. I missed her in one of my comings and goings. Down in the X-ray labs. Later, (much later, like two hours) back through the door she rolls. They were doing a lung function test with contrast and radioactive isotopes she had to breathe in. (Dalene: They kept telling me I would learn Spanish when my brain was in crisis mode...... I reached that when I needed to empty the bladder that was filling with the fluid run off and the nuclear image tech kept telling me "dos minutos mas" ... "CUANTOS MINUTOS MAS?" "MAS NECESITO PEE PEE!!!!!! "no, señora, only trenta segundos mas", PEE PEE ON LA MESA, MUCHOS NECESITO PEE PEE !!!!!!! (I think he understood when my toes were curling inside the the machine and my legs were crossed). Not a great moment when you have to walk with legs crossed and make loud moaning noises when you finally get to the toilet. Even then when I was done they put me back on table for more images with contrast). Said they had her on the table and elsewhere for way too long for someone taking Lasix (makes one urinate frequently). She was happy to be back in room and unhappy to be in the hospital. I think she has hit the wall.
| NQR - contrast not given in IV - that would be the two bandaids he gave me. |
In trots Dr. Velez shortly afterwards. How are you feeling? Well, like we are stuck in a hospital again with not many answers. All the tests are coming back normal, we just don't understand why your heart rate is so slow. It is definitely heart failure, but we don't understand why. (I wish he wouldn't use that term. I think in the states they would say bradycardia. Somehow it makes it sound less ominous and not as terminal, but I think that is how they think about it here. We all are in heart failure as our heart wears out.) But, he says we will know more tomorrow when the halter study is done. He says he thinks that this looks like Dalene will need a pacemaker. I am dubious, but what do I know. “Bueno”, he says with a command to walk for the monitor purposes and off he goes.
Nurse finally appears to put on the halter. Dalene gets this net thing that is like some kind of fishnet sports bra, a tube thing to hold the monitor in place. Oh, and they finally put O2 on her. It was on last night's orders. I asked about it, but they said it hadn't been ordered. Who knows?
So we finally settle in for a little quiet time for the evening. We had made arrangements for specific foods for Dalene. The food is not what she is used to, so it is difficult. By the time it gets here, it is usually tepid to cold, so that is further challenge. I was able to sneak down to Krispy Kreme and get her a doughnut and 2% milk, which she seemed to enjoy. Okay, I may have had a doughnut too (or two).
When I had her settled in, I made sure she was okay and went down in search of food. It is difficult to find, other than sneaking it off Dalene's plate when she is through. About a block away, I could see a Sanborns, which is a Mexico restaurant chain. The original is just off the zocalo in Mexico City. It was an old hacienda that is now converted to the flagship Sanborns restaurant. I didn't see any other viable places, so I went in and ate dinner there. They had a hamburger (or their version) that looked pretty good, so dinner was had. I wished that Dalene could be there, both for company and for her sake, to get a little air and food with some flavor.
We spent the rest of the evening trying to occupy ourselves with the travels of the kids, to the meager things on TV and eventually watched a Netflix movie, when we finally were able to get one to load on the hospital's internet. Oh, and we did make several series of laps up and down the hallways, per doctor's orders.
The nurse, Ofelia, told us that they were going to turn off Dalene's Lasix drip at 10, so she would be able to sleep some during the night, although she had some meds to give at midnight. We were awake until about that late anyway, in spite of how tired we were.
It was a relatively uneventful night, for which we are grateful. I was able to get up about 7 and sneak in for a shower. I was two days in the same clothes and unshaven, so I really enjoyed the opportunity. They even brought in Dalene pancakes with maple syrup for breakfast, which she seemed to tolerate, at least after I had the day nurse, Edit, warm them in the microwave.
Now it is time to make another series of laps.
Soooo…. mid-afternoon, Dr. Velez came in to our room. He was very cheery and said to us, “Well, I have to tell you the truth. In thirty five years of practicing, I have always been able to come up with the 'why'. But I don't know in your case.” He went on to tell us that all the tests have come back in ways that didn't agree with what his initial diagnosis was. He said that the heart is strong and that everything else looks good. He was stumped. He said he was thinking that it could be some type of hormonal imbalance or 'paraneoplastic syndrome', which involves some kind of tumor, which he see no indication or markers for. He said that he might want to see a CT of the abdomen. I said, just so happens, I have one from last week in the apartment. He wanted me to bring it in for him to look at. The results of the halter test would be available tonight about 7 to 8 pm, so he would see what they said. He said if everything was clear, he would release us tomorrow to go home. Sounds like a repeat of last week. And he was off…
Alrighty then. I got Dalene set and caught a taxi back to the apartment to pick up the 'tomografias' and a few things to get us through to tomorrow. I had called Dr. Stevens to give him the latest report and he and Sister Stevens were headed back to their place. He said to come by his place and he would give me a ride back, because he needed to see and Elder that was hit by a car and was on floor 9 in the hospital. He had surgery yesterday to fix his broken pelvis and leg. Of course I remembered I left my apartment key in the suitcase at the hospital, so I had to get Enrique to loan me a key. A few minutes and I was back at Dr. Steven's ready to go. We waited for Elder Muñoz and the three of us came back.
The resident doctor was in the hallway when we came in and was talking 'shop' with Dr. Stevens. She is an internist and she and he were comparing notes on what was causing this nonsense with Dalene. She said that Dr. Velez is a really good cardiologist and they had been talking as well and he is so frustrated that he can't figure it out. They all are starting to think that this whole thing is a result of the kidney issue and high levels of IV solutions given somehow triggered this. I guess that is why they call it practicing medicine.
| My huggers hurt. |
LOOK NO STRINGS TO KEEP ME DOWN AND NO JELLO, GREEN, RED OR OTHERWISE.
HAD TO LEAVE THE HOSPITAL BEFORE STARVATION....... Didn't take a picture of the lunch meal they served that had a LARGE horse type hair in the middle of it.







