Friday, October 19, 2007

The Last Thing I Remember....



I'm guessing that most of you reading this already know the general details at least of what happened to Sonja and I this past Oct. 3rd.....for those of you who inadvertently got left off of the multiple email lists I've been compiling, I've posted the original email I sent five days ago (on Oct. 14th) down below this first installment of Sonja's new blog.

The idea behind this elementary attempt at said blog is to create a place that I could post to every other day or so in the short term, a place where folks could check online in their own time to see how The Sonj is doing. Hopefully as she continues to improve and eventually gets off the ICU, she can use this same forum as a system for describing what the experience has been like for her, from her point of view. It should also be a place for contributions from friends and family, and a place to upload some photos and stuff as well.

So that's the plan. If anyone has other ideas to enhance this little project, by all means let me know....I'd love the responses.

For now, she is improving every day, and I hope to get a general update email off to everyone by early next week. Thank you all again for your outpouring of love and support; it has meant more to Sonja and me these past few weeks than you can ever know.....

Love from us both!!

-- Paul



"Dear Friends and Family:
First of all, I hope you'll be able to forgive the need to send this kind of information out through an email; I dearly wish I had the time and energy to contact each of you personally and speak with you on the phone about it, but that is simply not possible. And for some of you this will serve more as an update to what you already know, since circumstances have allowed or demanded that I contact you first. For the rest, again, my apologies.
Sonja is very, very sick. Happily, her condition is improving, though we are not out of the woods yet. Here's a brief explanation of what occurred.
On Tues. the 2nd of October, Sonja was admitted to Cayuga Medical Center in Ithaca, NY; we were both hired this past spring to teach at Cornell Univ. this academic year as part of their resident professional teaching associate program, and have been happily doing just that since Aug. 20th. For the last two weeks of Sept., she had complained of occassional shortness of breath, but never with any pain attached. We discovered on the 2nd that she ws suffering from atrial fibrillation, or irregular heartbeat. She was admitted to the ICU simply as a precaution, and held overnight for monitoring, to be given a heart catherization the next day, Wednesday, in the afternoon some time. I was with her throughout the day on Tuesday and Tuesday evening, and she was nervous but otherwise fine.
At approximately 6am on Wednesday morning she suffered sudden and catasthropic heart failure. Her blood pressure crashed through the floor, and her internal organs suffered severe shock from this signature event. They managed to save her (had she not already been in the ICU it is unlikely that she would have been in a position to survive), though she continued to fail and become increasingly unstable through that day and Wed. night. For the second time in 24 hours, the doctors feared that she might not be strong enough to survive the shock her organs had sustained, but somehow she pulled through. the next day, on Thursday the 4th, she was air lifted by helicopter (a story for another time) to Strong Memorial Hospital at the Univ. of Rochester in Rochester, NY, a teaching facility with the necessary resources and medical sophistication needed to treat her condition. She was admitted to one of the ICU's there, and after getting help for our animals and throwing some clothes in the car, I followed after, doing the short one and a half hour trip in about sixty minutes. She remains in the ICU to date, her tenth day in Rochester. Chronologically, she remained unstable until Saturday the 6th, when she seemed to begin to turn a corner, and her liver, lungs and blood pressure began to slowly rebound from the crisis event.
To begin at the end then, we still don't know exactly what caused her heart to fail on the 3rd. The doctors have ruled out other cardiac related causes, and the good news is that her heart seems to be functioning normally under the circumstances, aside from the continued, now-controled a. fib. When her system went into shock, her liver, lungs and kidneys were severely impacted. Happily, her liver seems to be rebounding, and to date shows no signs of any original or congenital disease....and so it was not the cause of the original crisis either. More good news; the progress that began, very slowly, on Saturday the 6th has continued. Her lungs have begun to re-engage, and while she is still intubated, her breathing function assisted by a ventilating machine, she is much closer to being able to come off that apparatus and breathe on her own. When that finally happens, they will be able to slowly bring her out from the sedation that she has been under since Wed. the 3rd, and she will finally be fully concious and able to communicate again, something that has not been possible since mid-day on the 3rd. Her blood pressure has stabilized and is now self sustaining, no longer supported only by an extensive regimin of drugs. Her kidneys to date have not yet returned to functioning, though I am told that that is not at all unusual; after this kind of event, the kidneys are often the last remaining set of organs to re-boot. She is currently undergoing successful dialysis, and that will continue for the short term.
The best guess at this point is that she entered the hospital in Ithaca not only with the atrial fibrillation, but also carrying some kind of ongoing infection somewhere in her system; that infection somehow, Wed. morning at dawn, engaged with her heart, causing it to fail, then causing her blood pressure to plummet and causing the overall catastrophic shock to her system. To date, they have not been able to pin down the specific kind or type of infection, and so we are forced, despite it's likelihood, to leave the door open to other, more episode-of-House like possibilities for what caused her heart to fail. We may never know exactly what event or combination of things caused the crash. Happily, she continues to slowly improve, and right now that alone is everything.
I have been staying, thanks to the kindness of Skip Greer and Mark Cuddy and all the good people at GEVA Theatre Center, in their actor housing, right downtown and a short ten minutes from the hospital. Our pets have been taken care of by a whole host of truly wonderful people in the Dept. of Theatre, Film and Dance at Cornell (Jenny and Don Tindall, Pam Lillard, and John Hertzler notably among them); our new family at Cornell have embraced us throughout this terrible event, and enabled me to do what I needed to do for Sonja, when I needed to do it. I will never be able to thank them all enough.
So..........please feel free to contact me if you have any further questions (email is probably the best form to do it in, though I am never far away from my cell phone). I hope this email answers some of the questions and rumours that have been arising, and I will strive to keep you all updated on her condition as time goes on. Thanks to you all in advance for your prayers, meditations, best hopes and love. It has meant more to me over the past 12 days than you can ever know, and will mean much more to Sonja as she struggles to recover. Love to you all....
-- Paul"

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