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August 26, 2003

The Scientific Bit

A bit of a scare this morning, but nothing to worry about, a drain has been plugged in to Jules head to relieve any unnecessary pressure. Job done.

But, and there's always a but...

The registrar and consultant have looked at the CT scan in detail and explained what they think has happened, and the definates and maybe's of Jules ' condition. Click away.

Can't Talk

Possible sore throat, and as the day's go by her voice is coming back. She can say singular words, but the effort is straining her. Most communication is via a pad and pen, which will be a useful record for her when she recovers further.

Can't Stop Peeing

As a result of the removal of the pituitary stalk, Jules is suffering from diabetes insipidus. The disruption of the pituitary gland has caused it to stop producing a substance called ADH (anti-diuretic hormone). ADH is one of many hormones produced by the pituitary gland and causes the kidneys to hold on to free water. When ADH is not produced, the kidneys make abundant dilute urine. If it's not monitored closely her serum sodium will rise and her mental status may be affected more than she normally is. Once she's out of hospital a nasal spray will be the provider of ADH.

No Leftside Movement

After the CT scan today it's now certain that Jules has brain damage. How much, how permanent, is an unknown. But it's likely from the lack of movement down her left side that it's something to do with her motor control for the left. Only time and physio will tell.

In Summary

Jules is going to be on hormones and ADH replacement for the rest of her life. Returning to work I can't see happening before next Easter, if at all. The brain damage will be apparent in the coming weeks as she recovers from the op. Life is going to be hard, but being the positive fighter she is, it's going to take a lot more to knock her back.

Posted by alan at August 26, 2003 8:56 PM

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