He seems a bit worse this morning. Extremely sleepy, and a new left leg twitch that they're thinking maybe are seizures. They're doing a few things this morning for some further evaluation:
- Discontinuing the narcotic pain meds again. Last dose was this morning at 6AM. Back to tylenol, although they say the pain should be subsiding quite a bit so that shouldn't be an issue. With his sensitivity to medication, that could be playing a role here.
- They're going to work on a plan to try and normalize his sleep/wake cycle a bit. He's not getting a lot of extended sleep, which before surgery caused some pretty tired times, so that could be factoring in.
- They've drawn some labs to see if there's anything like low sodium, low dilantin levels, or something else in the blood causing extreme fatigue/lethargy
- They are asking for a neurology consult to come in and evaluate for seizures, which if he's having seizures, that could cause him to be really tired as well. A lot could be causing seizures - new medications after surgery, the surgery itself, a couple missed doses of seizure medication, change in sleep/wake cycle building up over the past five days. . .a lot can cause them according to the neurosurgeon. So we'll see a neurologist today (not our normal one, but he'll be back tomorrow) to evaluate to see if it's seizures causing Dad to be so sleepy.
- And they're getting a head CT to make sure that there isn't something going on with his brain from the surgery. He's not exhibiting the normal signs that indicate he is having too much swelling or a bleed from surgery, but they want to make sure.
Looks like another long day here. I'd say our chances of departure tomorrow back to Omaha went from 50/50 down to zero.
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