Macrine's Tribulations Post Hip Surgery Last Week

San Juan Mercy Hospital and Trauma Center, Carmichael

Macrine's fell last Feb 28 when she got out of her walker. She did not scream ( last year she did). We were able to help her stand up and she walk with a slight limp. David and I examined her head, legs and arms and there were no bruises. She said she was ok except for a muscle pain on her thigh. We called Dr Kramer's office ( he was out of town) for a muscle relaxant. WE gave her aspirin and she was able to sleep. The next day her pain on the right thigh continues and Dr Kramer's office suggested we go to Urgent Care for an X'ray. After waiting at Urgent care for 2 hours Macrine got her X'ray. The result was not conclusive. Urgent Care suggested we sent her to the Emergency for Confirmation. We got a medical transport to the San Juan Mercy Hospital( Carmichael) nearby It took only 30 minutes for confirmation, that she had a fracture on her right hip and needed surgery immediately. Numerous tests, blood, and pre-operation procedures were done for her surgery in the morning. From the emergency room, Macrine was transferred to a Regular Hospital Room at the 6th Floor ( the Tower) of the newly built addition Hospital wing. The next morning she went to surgery as scheduled( March 1). Everything went smoothly. Dr Fujii, the orthopedic surgeon performed a closed reduction and percutaneous screw fixation on Macrine's right hip. After surgery Macrine was wheeled back to her Room on the Tower.

The room was spacious, clean and an extra couch bed where I slept overnight and for the next four nights after the operation. The nurses, assistants and medical services ( food and other amenities) were excellent except for one incident as Follows:

Since Macrine is diabetic her blood sugar was monitored closely. Her regular medication at home is 500mg of Metformin( Oral). However, the hospital do not used metformin as it can interfere with other tests according to the nurses. Instead they use long acting Insulin Injection. Day 2 Macrine was ready to set down and perky and got out of her bed. Her blood sugar ranges from 100 to 180. The Hospital doctor predicted she should be out in 2 more days if there are no infections ( no fever) and if her blood test ( every morning the Vampire attacks Macrine early at 5AM) are normal. In the night of Day 3, Macrine blood sugar was 100. I told the nurse not to give her the insulin. She did not listened to me so in the morning Macrine blood sugar went down to 65. Macrine was lethargic and slept all day. They give her Glucose in her IV. Her blood sugar went up to 270 and finally stabilized the next day at 140. She developed a fever, so they gave her Vancomycin and another antibiotic via IV. Macrine finally woke up from her lethargy ( 36 Hours). An EEG, MRI and CTS were done. All were normal and Macrine was discharged on March 5. We were immediately transferred to a Rehabilitation facility that same day.

Whitney Oaks Care Center, Carmichael:

We wanted to use Manor Care as the Rehab since last year we were able to get a private room for only $100 daily as my personal expense ( not covered by Insurance) and its five minutes from home. We were told they are not accepting patients because of FLU epidemic in the facility.

Today, David informed me there is article in the Wall Street Journal that Manor Care has filed for bankruptcy.

The Discharge Planner of Mercy was busy looking for alternatives. Our wish was a Private Room and within 30 minutes drive from our residence. She gave us a list of six facilities. One facility has a private room but will charge $265 additional fee and located in North Sacramento. The rest of the facilities had no private rooms opening. The Nearest Facility that is rated above average and near us was Whitney Oaks in Carmichael- only a 20 to 30 minute drive depending on traffic. I decided we give it a try.

We made a good decision to send Macrine at Whitney Oaks. The past 2 days, services had been excellent. It has a rating of 4.5 out of five. A few of their employees are Filipino-Americans. Their PT, Activity and Nursing Staff are headed by Fil-Americans who welcome us with service in their Hearts. So far so good. Another positive note, Macrine's room mate adore her and very protective of her if I am not around. There is no slept over as it is not a private room. Today, Macrine and I went to Catholic Mass on their Activity Room offered every Wednesday from 10:00 to 10:30AM. They have also Bingo once a week. This facility is not perfect. A stupid incident based on David III info had been occurring the last 2 days. While I was in Macrine's bedside from 8 to 6, the admission office 2 doors away keep on calling him at home to inform me to
see the Admission Office. David informed them I was in Macrine's room two doors away. However, no one from the Admission Office had talk to me. I will see them today!

I have no idea how long Macrine will be on rehab, but I know Whitney Oaks was an excellent choice.

For more Information On Whitney Oaks Care read: http://whitneyoakscarecenter.com/