Saturday, March 28, 2009

My Dressing supplies used to take care of my PEG Tube Stomina

MY DRESSING SUPPLIES FOR PEG TUBE STOMINA
BY: PC Ellis March 18, 2009
1. Medicom 2 in x 2 in all gauze sponges, 100 % cotton, 12 ply REF NO. 3002, http://www.medicom.ca
2. Dukal non-sterile gauze sponges, 2 in x 2 in.- 12 ply Ref no. 2128 http://www.dukal.com Dukal Corp. % Plant Ave., Hauppauge, NY 11788, tel no 631-6563800
3. Dukal 4 in x 4 in non sterile gauze sponges, 100% cotton – 8 ply Ref No. 4084 same as above info
4. TopplerSterile Drain Swabs 3 in by 3 in Ref No M12507 Made by Johnson & Johnson
5. Flexi-trak Anchoring device for catheters and tubes, 1-1/2 in by 4 in Ref No 0003-0374-40 Made by ConvaTec, Montreal , Qc 1-800-465-6302 Numero de commande 37449
6. Hypafix 5 cm by 10 m low allergy dressing retention sheet (tape) Ref No 71443-01 made by BSN medical GmbH in Hamburg, Germany
7. Micropore Surgical Tape 1 in by 10 yd Hypoallergenic Ref no 1530-1 Made by 3M Health Care, St.Paul, MN 55144-1000 USA 1-800-228-3957
8. Non-Sterile Cotton Tipped Aplicators, 3 in wood shaft
9. 500 ml Baxter 0.9 % Sodium Choride Irrigation solution Ref No JF7633 Made by Baxter Corp., Toronto Ontario
10 Dec, 2009: I am now using SeaSorb (made from sea weed) to protect the opening in my stomach which acts as a wick to soak up the discharge and am changing it once a day. Have home care nursing coming in twice a week.

My Enternal Fedding Supplies that I use

MY ENTERAL FEEDING SUPPLIES Mar 17, 2009 BY Peter C Ellis
1. COMPAT 1000 ml Vinyl Gravity Feed Bag with preattached Enternal Delivery Gravity tubing . Ref No 199216 MADE BY NESTLES at http://www.nestlenutrition.com/us Toll free no 1-877-DEVICE-8. Covered by Ontario ADP.
2. KENDALL KANGAROO 1000 ml Vinyl Gravity Feed Bag with preattached Enteral gravity feed tubing, ref no. 8884702500 MADE BY TYCO Healthcare Group, Mansfield, MA Toll free no 1-800-962-9888 at http://www.tycohealthcare.com. Covered by Ontario ADP.
3. COMPAT: 500 ml rigid feeding container with preattached Enteral gravity delivery tubing Ref no 8884702500 Made by NOVARTIS Nutrition Corporation in Minnepolis , Min., USA DISCONTINUED IN CANADA but still can be purchased in the USA at my expense
4. 60 ML KENDALL Syringe with tip cap ref no 1186000777 MADE BY TYCO Healthcare Group, Mansfield, MA Toll free no 1-800-962-9888 at http://www.tycohealthcare.com. Covered by Ontario ADP.
5. KENDALL Female lock connector tip for 60 ml syringe, ref no. 275008 MADE BY TYCO Healthcare Group, Mansfield, MA Toll free no 1-800-962-9888 at http://www.tycohealthcare.com. Covered by Ontario ADP.
6. 35 ML KENDALL Monoject Syringe with catheter tip. Ref no 1183500888 MADE BY TYCO Healthcare Group, Mansfield, MA Toll free no 1-800-962-9888 at http://www.tycohealthcare.com. Covered by Ontario ADP.
7. KENDALL ENTRISTAR (Y ADAPTER) PEG ENTERAL CONNECTOR, Ref No 8884-752042 MADE BY TYCO Healthcare Group, Mansfield, MA Toll free no 1-800-962-9888 at http://www.tycohealthcare.com.. Covered by Ontario ADP.
8. COMPAT Universal Y Port Adapter with Stretch-Lok Strap Ref No 087503 Made by NOVARTIS Nutrition Corporation in Minnepolis , Min., USA DISCONTINUED IN CANADA but still can be purchased in the USA at my expense
9. KENDALL KANGAROO Y-Site Extension Set Ref No. 8884705008 MADE BY TYCO Healthcare Group, Mansfield, MA Toll free no 1-800-962-9888 at http://www.tycohealthcare.com Covered by Ontario ADP.

ADP: Ontario Assistive Devices Program

Results of my Thoraic CT Scan on Dec 3, 2008

SUMMARY of RESULTS of LUNG CT SCAN on Dec 3 at QCH Feb 28, 2009
As told to me by Dr.E Kyrillos at The Family Medicine Clinic on Feb 20, 2009
GENERAL:
1 There is a cyst at the apex of segments 5 and 6 of the liver. The remainder of liver is unremarkable.
2 At the upper pole of right Kidney, there is a 1.9 cm lesion
3 In left lower lobe there is a 5 mm nodular density
4 In right lower lobe, there is a irregular speculated 1.2 cm mass and adjacent to this is a 6 mm nodule
OPINION :
There are 2 new irregular masses in lower lobe of right lung that were not present in prior CT Scan of July, 2008. Could be related to a typical infection such as MAI, However Neoplasm in not excluded therefore follow up CT Scan is recommended in 3 months (March)
Ultrasound test on right kidney is recommended to check or confirm that the lesion is not a solid renal mass
BATERIA FROM SPUTEM SAMPLE on Feb 20, 2009 revealed bacteria called PSEUDOMONAS AERUGINOSA
This bacteria can only be treated with five different antibiotics according to Dr Kyrillos
Was prescribed APO-CIPROFLOX 750 MG or Ciprofloxacin HCL 750 MG om Fed 26.
FOLLOW UP APPOINTMENT with DR E Kyrilos is to be made after next CT Scan and Ultrasound test on right kidney.

OC HOSPITAL STAY from Dec 7 to Dec 11, 2008

QCHospital Stay from Dec 7 to Dec 11, 2008

PNEUMONIA Taken by ambulance from my home to hospital early Sunday morning.

ADMITTED by Dr. S. Morrin, M.D.,F.R.C.P.(C) Internal Medicine, Hematology on Monday after spending day and night in Emergency. Was discharged on Thursday.

OXYGEN Was on oxygen for 4 days. O2 level on admittance was 88 % and when I left was 92 % while on oxygen O2 levels were 97 %
Took blood sample from artery to see if I was eligible for home oxygen and the respiratory therapist in hospital advised me not to have it at home.

CHEST XRAY in hospital on Dec 8

ANTIBIOTIC: 750 mgs of LEVAQUIN once daily in morning for 15 days total including 5 days in hospital

PHYSIOTHERAPY: Had chest physio to help me cough up and will have more treatments as an outpatient to teach my wife how to do this.

SPUTUM : Abundance of thick stringy white froth and very little yellow mucus

LUNG HYGIENE at home: Steam vaporizer with acapella

FOLLOWUP CT SCAN Ordered by Dr j Lemelin and was done on Dec 3 at QCH
Previous one was on July 18th at General Hospital. Have not been told results of it.

DIETITIAN REFERRAL I want to be referred to Bernice Wood, dietitian of ParaMed at 613-728-7080. Who has looked after me since I first had my Peg Rube installed 2-3/4 years ago.
Since hospitalization , I made a decision not to have anything orally again. Everything will go through my PEG Tube ie Vitamins, all medicines and all nourishment.
I am taking in 1800 calories a day or six cans a day. I am really suppose to have 2100 calories a day. I have lost 10 pounds since hospitalization.
I have decided to not to take anything orally as before: pint of beer, Aero dark chocolate bar because I have had 2 pneumonia within 6 months of each other.

MOUTH HYGEINE: Saw Speech language pathologist in hospital and she stressed good oral hygiene. Brushing my teeth twice a day and scraping my tongue. : Had bed side swallowing test in hospital

SPUTUM COLOUR Green. PLEASE test my sputum for infection.