Discharge is vastly approaching! We are waiting for Sheltering Arms Institute to have a bed that is ready. It's crazy to think this is going to be my new bed for another month! All of my therapists, nurses, and doctors have been coming in to check on me and do small assessments to make sure I'm good to go!
My husband is noted by my side, and they did some family education about what is needed. I nodded to sit up at the end of the bed. I was slightly weak and feeling lethargic during my sessions.
Cardiology came into my room and wanted to look at my stress cardiomyopathy. They noted that they first saw me on the third of May when I first came in because of my shock. They diagnosed me with stress cardiomyopathy. Today, before my discharge, it was noted that I had tachycardia. But nothing to necessarily be worried about. On the third of May, my left ventricular systolic function is severely decreased. The left ventricle is what squeezes the heart to make it pump and when it has decreased the person is experiencing heart failure. On this day, the ejection fraction is 20%. The normal ejection fraction rate is higher than 50%. Anything below 50% means your heart is failing. On the day of the 16th, my ejection fraction was 55-60%, which is higher than the normal rate. Right now, they are holding off on the guideline directed medical therapy as my ejection fraction has improved and because of my age they don't think i will be able to successfully tolerate it.
My primary diagnosis is:
Trauma (T14.90XA)
Traumatic subarachnoid hemorrhage
L frontal/parietal/occipital bone fractures
Cerebral edema
Secondary diagnosis:
<Active Problem List>
Traumatic subarachnoid hemorrhage
Migraines
Seizures
Skull fractures
Trauma
Traumatic brain injury
Cerebral edema
Coma
Cerebellar stroke
Acute respiratory failure
Deep vein thrombosis
Pneumonia
Tachycardia
Parapneumonic effusion
<Past medical>
Depression
Empyema, right
Pneumonia
Subarachnoid hemorrhage
Within the cervical spine, I had an acute fracture of the left occiput extending into the occipital condyle. This is right at the base of the skull.
Today is the GLORIOUS day that I'm discharged from UVA to Sheltering Arms Institute. Check back for further notes from Sheltering Arms!
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