Saturday, March 31, 2012

COPD EXACERBATION, MARCH 29, 2012

SYMPTOMS :

Coughing during the day and at night in bed, short of breath and lots of infamation in my chest.
Blood oxygen saturation level: 91 %

PRESCRIBED MEDICINES:

1. ANTIBIOTIC: Teva-Levofloxacin 750 mg. Take one daily after food for seven days

2. PREDNISONE 50mg: Take one daily after food for inflamation.

PEG TUBE SITE RELOCATION, MARCH 31,2012

MY PEG TUBE RELOCATION TO ANOTHER SITE
BY Peter C Ellis, Age 75, Dated March 31, 2012

REASON FOR NEW SITE:

My six year old PEG TUBE stoma was leaking off and on for four months, became infected and herniated for the second time within a year and popped out of its existing location on Jan 22/12. I went to Emergency immediately Sunday night, slept there overnite

SURGERY:

On Monday Jan 23/12 my gastroenterologist installed a new Peg Tube in a new site as old site was infected. My gastroenterologist used a children’s endoscopy scope because of my severe weakened post polio pharyngeal muscles. I then had x-rays done to verify there weren’t any perforations.

CARE OF EXISTING SIX YEAR OLD STOMA:

After being burned on my outer skin by my stomach acid coming through the old infected stoma for twelve days while feeding through the new site , I had a home care stoma specialized nurse come home to see me on Feb 3/12. She Installed a pouch over it to collect any further drainage. On Feb 10/12, the collecting pouch was removed.

Today my old stoma has completely healed and is closed.

LESSONS TO BE LEARNED FROM MY EXPERIENCE:

Make sure you have a pouch installed over existing stoma immediately after the surgery to collect the drainage to avoid the very painful stinging and burning of your outer skin like I had for twelve days.

MAINTENANCE OF MY NEW STOMA:

I change the gauze once every morning on rising, Cleanse the wound with saline solution, apply Calmoseptine pink cream with a cotton tip applicator, and cover it up with a new gauze.

CARE OF SKIN BURNS AROUND OLD STOMA: Apply Calmoseptine pink cream.

Signed: Peter C Ellis