Doctor visit for Hospice re-certification went very well. No issues continuing Hospice care at all. He is fairly certain Gary also has an anoxic brain injury from low oxygen when he was sick in November. It fits his rapid decline and newer symptoms. He did some therapy on Gary's right arm to relieve rigidity and stiffness, and is coming back on Tuesday to work on his left arm and train us how to work with it so his arms don't become locked in curls (they have been getting stiffer and stiffer over the past week). GREAT guy. He hates skilled nursing facilities, too. We're well supported with him and Gary's new nurse. They really listen and care.
The Tuesday BM medication apparently helped internally more than it appeared to from an activity perspective. His bowel sounds have become more normal again. Hopefully he'll stay in better shape there. I'll opt for inpatient assistance if it diminishes again, because it is so uncomfortable for him and also hard on us from a care perspective. I've added acidopholus to his daily regimen, and Activia, to see if that will help, also.
Lung sounds diminished, still high heart rate, and blood pressure was low (low number was 58).
Keeping him hydrated and taking in a good amount of calories is going to be challenging.
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