We met with oncology this morning and as I suspected, we didn’t really learn much more.
They plan to do the spinal tap Thursday. Pending those results, they’ll make a plan.
Brain radiation is off the table also pending spinal tap results. Should the cancer be in sheath/spine, they do not feel brain radiation will be of benefit.
Jeff continues to have low O2 sats, however, they think perhaps he’s over sedated. They want his pain managed, but they only want him taking the oxy when it’s absolutely necessary.
His nose is still bleeding and he’s still expelling rather large blood clots. His platelets are a little low which may be contributing to the bleed, additionally, being on oxygen dries everything out. They are giving him a spray and saline to help combat this.
Speech therapy was in. He struggled with memory, but did well on math. His process time is prolonged, but he generally answered correctly. At times he said something that didn’t make sense or apply to the question, but again, he eventually got to the correct answer.
The therapist asked him the date and he said, “21 .. 21 Jump Street!” Admittedly, we all laughed, it was even funnier when he said, “aww man, what the hell am I saying?!” He immediately knew that wasn’t the correct response and ultimately said June 21st.
Obviously he’ll be in the hospital until Thursday for spinal tab, beyond that, they are uncertain as he remains so very weak and lethargic. They would like to see him move around a little better and be more alert.
They reminded us that the social worker would be by to discuss hospice. I very briefly detailed our office visit with a social worker and explained we were given no resources.
I asked that they review home health care this afternoon.
Although Jeff would very much like to go home, he understands they aren’t quite ready to discharge him.