Tuesday, July 7, 2009

Day 24 of Recovery - A new week: what will it bring?

9:30 am Monday, July 6, 2009: As usual, now that I am back in town I stop in for my morning visit to Tesfaye, but it will be brief as I have to get a number of things done and my afternoon is going to be occupied by the ZLC Charity Golf tournament which I usually play in because it is put on by my good friend Garry Zlotnik. The sky looks foreboding for a golf tournament, but maybe we will be lucky and the rain will hold off. Tesfaye looks even better this morning, with a big bright smile on his face as Nurse Merlita attends to him. However, his voice still remains a mere whisper. I am wondering if the throat specialist will see him soon so that it can be determined if another swallow test is in order. It is my good fortune to bump into Lise before I leave, and I ask her if a throat appointment had been set up. She said not to her knowledge (she was also off the last few days), but she would check and find out and give me a call.

11:00 am Monday, July 6, 2009: Lise gives me a follow up telphone call to advise that, indeed, the throat specialist is going to make a special appointment to see Tesfaye at 12:30 as he will be going out of town for a few weeks; Lise also thought it would be useful to have an Amharic language speaker at the appointment if possible. As I knew that I was unavailable at that time, I was fortunately able on short notice to arrange for Haley, Nanci and Melaku all to be there. The outcome of the appointment conveyed to me by Haley was that one side of the vocal cords had some paralysis, which apparently is quite a rare byproduct of intubation, but it should heal with time. They usually give it a few weeks, failing which they can inject the vocal cords with silicone to try to compensate for the problem. However, this problem was also impacting Tesfaye's ability to safely swallow without risk of aspiration, so in his case in order to speed up the recovery process and try to allow him to start eating solids they decided to do the injection through the throat into his vocal cords. Just writing about this makes me kind of queasy but, naturally, Tesfaye handled the needle in his usual stoic manner. Later that night Jim and I went to see Tesfaye and his whisper seemed a little bit stronger. I left hoping that as a result of the injection they might do another swallow test tomorrow and that he would now be able to pass it. We'll see.

No comments: