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From Mat's Journal "You Say Dilaudid I Say Laudanum"

From Mathew’s Journal

I am leaving out parts that were already covered in the notebook about signing the release for the biopsy slides and the plan outlined by Dr G.

He had also made note of the case manager, the tech and his nurse.

• Stent in liver maybe Monday not depend on stent inside.
• Nothing Mon after midnight.
• If can’t drain enough inside need to do from outside - like a catheter -not           
                permanent.
• Stay on blood thinner for safety.
• Pain Dr come today 
• trying to get me outpatient
• small % of having to re-do biopsy   ****

****They were concerned that the biopsy taken at Zhills would not be sufficient. I told them that the IR Dr showed me the large chunk he took. 
As it turned out, they didn’t need another biopsy. Later I called the IR Dr at Zhills and thanked him. If they had redone the biopsy when they had planned or hadn’t been able to diagnose when they did, it would have delayed treatment.
“Crunching the timeline.”

**Dr Knight  (pain and palliative doctor) check the amount of times button has been pressed to gauge levels.

*inferior ven cava collapsed.
*stent internal or external tomorrow no eating
     *may be doing exploratory laparotomy.
*may be debulked, but not removed.

-Dilaudid
   - 0.1 hourly release
could go up to .2 or .7  looking to get to .2
-Can't overdose - haven’t been overusing.

MEDS
Allopurinol    300 mg/daily
Fragmin  -  5000 units 1 x day
Colace - 100 mg 2 x day
Protonix - 40 mg 1x day  (IV)
As needed
    Xanax -  .5 mg up to 3x day
    Benadryl
   Temazepam  15 mg as needed
Dilaudid pain med  IV

Funny Note:
When they were talking about Dilaudid, both Mathew and I heard Laudanum.
After the Dr left he said, “I thought I heard them say Laudanum. at first.” 
“Me too,” I said.
Mathew said I thought I had gone back in time to the Civil War or something.


We both laughed so hard because it just struck us as so bizarre and funny.

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