RECOMMENDATIONS:
Firstly
have
regular
check-ups
with
the
neurosurgeon
this
will
help
ensure
that
the
shunt
is
working
correctly,
and
progress
is
on
track
freeing
you
to
live
a
normal
lifestyle.
Hydrocephalus
requires
long-term
follow-up
care
so
it
is
important
to
have
regular
check-ups,
Therese
attending
physician
dismissed
her
after
the
first
follow-up
without
scheduling
future
care,
the
neurosurgeon
needs
to
monitor
your
patient's
progress
and
make
a
test
for
any
changes
that
may
indicate
that
there
is
a
shunt
malfunction.
After
the
patient's
discharge,
there
will
be
a
transition
back
to
your
health
care
team,
and
attending
medical
check-ups
is
recommended,
Physical
and
occupational
therapy
may
speed
the
recovery
and
further
enhance
the
patient's
health,
since
this
is
all
about
Therese
you
need
to
know
that
Therese
had
her
share
of
therapy
done
at
home
by
a
private
company,
after
the
completion
of
the
schedule
seven
visits
her
therapy
is
being
done
by
me
her
husband.
I
have
cared
for
her
those
last
six
years
and
now
well
into
her
tenth
month
of
living
with
a
shunt,
so
many
strange
and
unusual
happenings
with
Therese
prompt
me
to
record
her
daily
life,
seeing
such
signs
as
walking
difficulties,
poor
bladder
control,
and
progressive
de
-
mentia,
all
of
this
can
be
slowed
down
given
the
proper
care,
that
being
said
brings
me
to
the
most
important
weapon
you
will
have
in
this
venture
it
is
emo
-
tional support.
EMOTIONAL
SUPPORT:
Whether
you
know
it
or
not
if
you
are
caring
for
someone
with
hydrocephalus
you
are
not
alone
there
is
an
institution
that
you
can
reach
out
to
for
help,
but
the
most
important
is
the
family
and
emotional
factors
for
you
and
the
family
must
be
considered
that
is
why
sharing
the
respon
-
sibilities
is
recommended
and
needed.
Regular
feelings
with
your
doctor
will
help
them
provide
the
best
professional
guidance
for
you,
while
the
help
of
rela
-
tives
and
friends
or
other
professional
help
may
be
necessary
for
moral
support
and
what
is
best
for
the
patient
to
accomplish
this
goal.
Therese
is
gradually
showing
signs
of
loss
of
interest
in
our
quality
time
together,
she
rather
spends
most
of
her
time
sleeping,
She
is
having
difficulties
moving
her
right
leg
when walking, Therese's shunt is placed on the right side of her head. I will be updating this blog four months from today.
THERESE TODAY:
NEUROLOGY
NEUROSURGERY:
The
surgery
was
performed
because
Therese
needed
to
relieve
pressure
on
her
brain,
which
goes
by
the
name
of
Hydrocephalus
after
a
thorough
examination
of Therese the doctor recommended placing a shunt may be able to provide a long-term benefit.
Without
going
into
much
detail
about
shunting,
let
me
end
by
telling
you
about
the
different
kinds
of
Shunts.
Different
Kinds
of
Shunts
Different
shunt
systems
re-route
the
excess
fluid
to:
The
abdomen
The
lung
The
heart
The
neurosurgeon
will
discuss
the
pros
and
cons
of
each
approach
with
you,
Therese
procedure
re-routes
the
excess
fluid
the
abdomen.
OK
now
back
to
when
we
left
off,
Therese
was
just
approaching
her
eighth
month
of
living
with
a
shunt,
remember
me
telling
you
about
the
rough
time
spent
with
her
those
first
couple
of
months,
the
vomiting
and
the
nightly
visual
watching
over
her
making
sure
her
throat
passage
is
clear
and
so
forth.
Later
came
the
difficulty
in
feeding
herself,
her
total
sanitation
I
mean
everything,
brushing
her
teeth,
sponging
her
body
and
cleaning
her
private
parts,
styling
her
hair
and
cleaning
up
after
herself
when
she
uses
the
toilet,
also
doing
the
cooking
and
laundry,
plus
scheduling
and
maintaining
her
daily medication intake, making sure she attends her mandatory doctors visit.
All
of
this
may
sound
tiresome
it
is
indeed
tiresome
when
you
don’t
have
any
help
with
the
mandatory
tasks
needed
to
keep
her
healthy.
Somehow
I
have
with
the
help
of
my
God
pulled
through,
Therese has been ill since 2017, she suffered several strokes, which left her speechless and unable to move her legs efficiently, she also has slight amnesia.
THERESE JOURNAL
What is a shunt?
It is a hollow tube surgically placed in the brain (or occasionally in the spine) to help drain cerebrovascular fluid and redirect it to another location in the body where it can be reabsorbed.
Four
months
ago
if
you
have
been
following
Therese
journal
I
told
you
of
the
difficulties,
the
triumphs,
and
the
failures,
four
months
later
today
January
15th
Therese
is
still
with
us,
those
last
four months have not taken her for the worst, she is gradually making small strides on her own.
FEEDING:
Therese
is
trying
to
feed
herself
with
great
difficulties
for
example,
she
would
stare
at
her
plate
in
front
of
her
contemplating
what
to
do
next,
holding
her
hands
and
scooping
up
some
food
and
placing
it
in
her
mouth
seems
to
do
the
trick,
she
then
will
hold
the
utensils
in
her
right
hand
continuously
poking
at
the
food
while
with
the
other
hand,
she
will
scoop
up
another
portion
from the plate, after she slows the helping she will then put the empty spoon to her mouth as if there were some residue of food to be eaten.
STOOL:
Therese
has
to
stop
vomiting
after
ingesting
her
meals,
however
using
her
bowels
has
become
somewhat
of
a
difficulty,
she
continuously
has
to
struggle
to
accomplish
number
two,
plus
her stool is very hard, so a dose of a stool softener is needed periodically to accomplish a smooth bowel movement.
SLEEP:
Most
nights
she
goes
to
bed
at
a
scheduled
time,
it
helps
if
you
make
up
a
sleep
schedule
time,
it
takes
her
roughly
thirty
minutes
to
fall
asleep,
sometimes
more.
Snoring
is
not
something
you want to hear when you go to bed next to someone, however, when you have a patient with a shunt sleeping next to you snoring comes like a welcome gesture.
SANITATION:
Therese
is
not
able
to
sanitize
herself,
she
needs
help
to
get
it
done,
again
if
you
have
a
schedule
that
is
a
good
thing,
Therese
schedule
is
flexible,
at
ten
in
the
morning
she
takes
her
medication,
followed
by
a
bath,
or
a
body
sponge,
first
the
top
part
then
the
bottom
half,
next
she
enjoys
a
cold
or
hot
breakfast,
by
the
end
of
her
breakfast
she
returns
to
the
toilet
and
then
back to bed for another two hours of sleep
Getting
closer
to
Almighty
God.
Today
Therese
has
a
doctor's
visit
she
is
having
her
annual
medicare
wellness,
to
be
honest,
I
look
forward
to
the
result
for
there
is
a
secret
I
want
to
share
with
you,
Therese
has
been
ill
a
long
time
now
however
that
space
of
time
I
have
taken
care
of
her,
yes
it's
just
Therese
and
myself
in
the
home,
Therese
illness
has
brought
me
closer
to
Jehovah,
you
can
say
caring
for
her
has
become
my
joy
for
Jehovah
God
has
touched
and
visit
me
often,
yes
that
is
my
secret
caring
is
sharing,
caring
is
love,
caring
is
patient,
when
combined
you
find
out
that
you are closer to the god of creation Jehovah is his name.
Simply Devin Inspired by Jehovah Spirit Revelation Of A Poet
Jehovah
who
can
be
like
you?
Well,
I
thought
I
would
have
more
to
tell
you,
I
thought
Therese
would
decrease
in
capacity
and
worsen
to
the
point
of
taking
her
to
the
hospital,
but
that
is
not
the
case
she
shows
me
that
only
God
can
heal,
yes
friends
healthy
she
is
just
like
you
and
me
with
ups
and
downs,
next
month
will
be
the
anniversary
of
the
shunt
placed
in
Therese's
head
if
the
Lord
is willing I will get back to telling you about her progress, may the Lord bless you all and cheerios for now.
Come
back
on
Therese's
Birthday
Click
birthday
if
the
Lord
Jehovah
is
willing
Therese
will
then
see
her
77
birthday,
come
the
month
of
May,
for
the
blessings
she
has
received
from
almighty
God is priceless, come altogether let us praise Almighty God, the only God who created the universe, you can quote me but never doubt me, there none like Jehovah.
Compassionate
Family-centred
Care
We
are
all
children
of
one
God,
with
gifts
to
match
our
existence,
there
is
no
force
placed
upon
you
to
serve
him,
but
you
do
well
if
you
surrender
your
will
and
become
his
servant,
he
will
befriend
you
till
the
last
minute
of
your
life
here
upon
this
earth
he
has
made
by
uttering
only
two
words,
let
there
be
and
it
was,
Thank
you,
Therese,
for
the
joy
you have given me throughout out our journey.
LIVING WITH AN IMPLANTED SHUNT 2023
AUGUST
REPORT:
Howdah
fellow
traveler
if
you
are
reading
this,
then
this
is
a
continuing
history
of
Therese
Atkins,
a
patient
living
with
a
cerebral
shunt,
for
those
who
are
not
familiar
with
the term, a Cerebral Shunt is a surgical procedure in which a tube is placed in the patient’s head to drain out excess fluid.
Now that you have a little knowledge about the topic of my conversation, let’s proceed! It was well over a year ago that my wife Therese was operated on, she has been living with this.