The Official Joyce Update Blog

  These entries will be a bit odd as I (Jess) will be transcribing text messages from Dusty of the events as they happened and he had time to reach out to myself and the family. I will have him come back and edit/add more when he can.  9:46 a.m.  Dusty: Ambulance  summoned following Joyce abruptly announcing she thinks she was dying, reported trouble breathing, and had severe chest pain, they are taking Joyce to ER.  9:48 a.m. Connie: Are they going to Moscow or Pullman? 9:54 a.m.  Dusty:   Moscow to start with. I am heading to ER now. 10:10 a.m.  Dusty:   On-site at Gritman, they are still getting Joyce admitted and checked. I'm in the ER waiting room and will get access to her when they come get me.  10:37 a.m.  Dusty:   In ER with Joyce, waiting for doc to update on Joyce. BP 150/68    Pulse 93. 10:43 a.m.  Dusty:   Nurse Kim reported doc is now reviewing PRH records that just arrived are "working backwar...

   These entries will be a bit odd as I (Jess) will be transcribing text messages from Dusty of the events as they happened and he had time to reach out to myself and the family. I will have him come back and edit/add more when he can.  8:23 a.m.  Dusty:  Dusty back onsite at PRH. Breakfast was just delivered to Joyce (diced potatoes and sausage patty, assorted fruit pieces) but she claims she is not hungry. Joyce informed CNA she wants to sleep. 8:24 a.m.  Dusty:  Joyce knows who Dusty is but does not remember him being with her in the hospital at all. Joyce thinks she is in a bank. 8:25 a.m.  Dusty:  Joyce does not know why she is in hospital ("What did I do?") 8:30 a.m.  Dusty:  Nurse Peggy stopped Dusty last night on his way out as he passed the ICU room she was assisting in, she informed him Joyce did not sleep much at all on night before last (night of 6th to 7th), she was often wide awake, staring at nurse's station and waved...

  These entries will be a bit odd as I (Jess) will be transcribing text messages from Dusty of the events as they happened and he had time to reach out to myself and the family. I will have him come back and edit/add more when he can.  8:39 a.m.  Dusty:  Dusty back on site. Joyce working on eating omelet and peaches for her breakfast. Doc and head nurse dealing with other patients in ICU needing attention, they will check in with Dusty when able. 8:40 a.m.  Dusty:  Joyce knows who Dusty is and appears to be in good spirits at the moment 8:50 a.m.  Dusty:  Cindy (nurse) and Megan (CNA) stopped by. Joyce was on BiPAP from 1030pm to ~330am before Joyce wanted it off. Joyce's oxygen saturation stayed up after BiPAP removed so it was not restarted. 4 units of insulin was administered to Joyce after Dusty left last night. 8:54 a.m.  Dusty:  Medicine administered Lisinopril (blood pressure), torvastatin (?), aspirin, carvedilol 9:56 a.m....

  These entries will be a bit odd as I (Jess) will be transcribing text messages from Dusty of the events as they happened and he had time to reach out to myself and the family. I will have him come back and edit/add more when he can.  8:33 a.m.  Dusty:  Dusty back on site at PRH. Checking with Sam (Nurse), BiPAP system worked and Joyce "back to normal" 8:49 a.m.  Dusty:  ICU is short staffed today. Sam is being assisted by LCSC nursing student intern. Alyssa today. Joyce is very responsive and back to what family would recognize as baseline normal. Joyce knows who Dusty is but cannot recall which of her sons is the oldest. 8:50 a.m.  Dusty:  Sam informed Dusty that the BiPAP was kept on Joyce until about the time she returned to cover morning ICU shift. 8:54 a.m.  Dusty:  BP 155/67     Pulse 82     Oxygen level 90%     CO2 saturation 19     Joyce responding to interrogatives and able to talk fairl...

    These entries will be a bit odd as I (Jess) will be transcribing text messages from Dusty of the events as they happened and he had time to reach out to myself and the family. I will have him come back and edit/add more when he can.  8:24 a.m.  Dusty:  Dusty arrived to PRH, Day nurse Janine on phone with X-ray. 8:25 a.m.  Dusty:  In Joyce's room. Breakfast just delivered. Janine off phone now. Morning meds administered to Joyce. Joyce reported to have "slept some" last night, "Little better than her first night" according to Janine.  8:26 a.m.  Dusty:  Planned X-ray will be to check Joyce's lungs.  8:27 a.m.  Dusty:  Janine checked Joyce's vitals (lungs and heart) with stethoscope. X-ray is because docs want to rule out pneumonia. Dusty reminded staff Joyce habitually breathes shallow. Janine confirmed they know.  8:28 a.m.  Dusty:  X-ray will confirm if pneumonia or if Joyce's shallow breathing is ...

   These entries will be a bit odd as I (Jess) will be transcribing text messages from Dusty of the events as they happened and he had time to reach out to myself and the family. I will have him come back and edit/add more when he can.  9:16 a.m.  Dusty:  Dusty on site at Pullman Regional Hospital (PRH). Checked in with day shift doc Helen Carlson and day shift nurse Janine. 9:17 a.m.  Dusty:  Joyce potentially will be discharged today, they are wanting to do some additional tests with equipment ( sonogram/ echocardiogram?) Before pursuing release planning. To see how much damage/ if any was done to Joyce's heart.  9:18 a.m.  Dusty:  Current info from labs pulled every 4 hours since Joyce's admission show heart enzymes within acceptable levels so current belief is that heart attack didn't so any damage. 9:19 a.m.  Dusty:  Joyce currently being administered blood thinners previously listed last night (last blog post) and aspiri...