Arnold, California

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Wednesday, April 7, 2021 Mom writes: I just picked up my mail and I see where the piece that I did not have is not there.   Thanks so much for all , but I called Fidelity and they have sent it  so it is on its way. Whew. So next week the most important thing I do is take my new info to the tax man who works with AARP, a great service.

And I found the humor in Denny/Sanders  firewood episode😊. The 2 neighbors came over on Saturday and all my 100 plus rounds have been split and I have them stacked in the garage. WOW!

Next, tomorrow I am starting up the art sessions. Nice to be back on track, with the yard cleaned and the nice weather, windows washed , insurance work done, and the vaccines injected, and all the anxious ladies ready to paint. Maybe hiking next month, still a lot of snow up the hill. Thanks for everything. I will let you know how my taxes turn out. By the way, none of the 4 stamps were cancelled on your envelope, another $2.20 saved 😊.

Love, Mom

Wednesday, March 24, 2021, 11:00am Chris reports: Called Mom to check in. She sounded great! Harley had just cut up and moved some branches. Physically, she’s taking it easy. That’s also good news.

Kara was able to round up lots of important info while she was there. Neighbors, friends, doctors, etc. have been added to the Contacts below.

Monday, March 22, 2021, 4:00pm Kara reports: Kara is on her way home to Yucaipa. She feels Mom is in good enough strength and spirit to take care of herself. Craig has offered to visit, if necessary.

Doctor visit went well. Apparently, Mom needed five incision holes instead of the standard four to remove her gallbladder. That didn’t seem to be an issue. The wounds were small enough to glue shut, so there were no stitches. The doctor did scold her for not using her hearing aid. He said it was inconsiderate. She replied, “What?” He started to repeat himself, but stopped midway.

Mom had a scheduled appointment with her cardiologist Dr. Do in Modesto six months ago, but cancelled. She has not rescheduled.

Kara ordered a special power strip, battery back up, battery powered emergency lights, 50 pack of diabitese blood test strips and some all natural peanut butter.

Arnold, California

Monday, March 22, 2021, 11:00am: Kara took Mom for her doctor check up in Murphys. She also sent photos. Considering all she’s been through, Mom looks great!

Kara also audited Mom’s various medical accounts and made a spreadsheet of essential information. I’ll format it so anyone in the family can get to it (pass-protected) in the event of an emergency.

Sunday, March 21, 2021, 3:33pm Kara reports: “Mom is recovering nicely.  She’s taking her first nap of the day right now but she’s watered outside plants, loaded her car with trash to drop off tomorrow, brought in several loads of wood, and shared hours of stories and photos of her family’s history which can be exhausting – just trying to recall names, locations and chronology. But she’s staying on message so her mental health seems to be good.

“We went over her diet and she really doesn’t eat poorly.  Not much processed food at all, lots of homemade soups and salads with nuts, however I think she nibbles on sweets that she makes more than she realizes which may contribute to her sugar intake.  But it’s not anything alarming and she doesn’t have any of the telltale symptoms of diabetes.  We’ll discuss with her doctor tomorrow.

“I’d say the biggest constraints for her would be her strength and range of motion.  Not a concern for most 82-year-old women, but she ain’t most.  She wants to get out on her property – actually just generally be self-sufficient – but she struggles with things like lifting her hands above her head for even a short while.  I’m not sure if these limitations are because of the surgery or if it’s octogenarian-related.

“Tonight I will ask her if she’s ready to be alone, and if not then I will plan on staying longer.  She’s being honest about her condition so I feel she will let me know if she still needs assistance.”

Friday, March 19, 2021, 9:48pm Kara reports: “Mom went to bed about an hour ago and was looking forward to a good night’s sleep. Her energy level and appetite were both better today than yesterday, but she definitely doesn’t like to be hindered. She wants to feel 100% now.  She’s been sharing her history all afternoon and evening so now I’ve got some quiet time to go over her discharge papers; something I was hoping to tackle earlier.

“I have also started to look into a mobile alert system with a pendant that she can carry with her to call emergency services should she need assistance on her property (they usually have about a 500-700 ft. range).  They work off of cellular service so it has to be one that uses Verizon or Spectrum.  AT&T/Sprint/T-Mobile don’t cover her home.  For about $20/month we can have one more level of protection.

“My plan is still to leave on Monday afternoon, but only if I feel she in the position to care for herself.  I’d rather stay longer than have another family member come up pre-vaccine.  If we can get through another month or so then we can resume regular visits and we can create a schedule so she is visited regularly.  (She mentioned that Maria will be back in town around April 20th for her friend’s baby shower.)

“I’m creating an Amazon cart for her and added the surge protector/power backup and 3 packs of the emergency lights, and the glucose monitoring items.”

Friday, March 19, 2021, 12:53pm Kara reports: Kara will take Mom to visit Dr. Ryan Thompson and nurse practitioner Jeanette Toth Monday 11:00am in Murphys.

We’re a little concerned that we didn’t get a more comprehensive report from the hospital, so we’re not sure how to proceed. Hopefully, the doctor visit will shed some light on Mom’s condition.

Wednesday, March 17, 2021: Maria took Mom to get her second COVID-19 vaccination. She will be 94% protected by the end of the month, thank god.


Hospital Discharge Information

Diabetic Supplies, Diabetic Monitors

Discharge Durable Medical Equipment
Reason: diabetes

Special Instructions: please dispense 1 formulary glucometer per insurance pt is testing BID ICD 10 E11.69A1 C 8.6

Diabetic Supplies, Lancets

Special Instructions: please dispense 1 month supply lancets and
lancing device if needed pt is testing BID #2 refill ICD 10 E11.69
A1C 8.6

Diabetic Supplies, Test Strips

Special Instructions: please dispense 1 month supply test strips
pt is testing BID #2 refill ICD 10 E11.69 A1C 8.6

Discharge To: Home

Discharge Patient Discharge

Diet: Resume Home Diet

Discharge Activity: Resume Home Activity

Follow-up Instructions

Meet with: Janette Toth within 5 to 7 days
150 Big Trees Rd, Ste. E Murphys, CA 95247

Arnold, California

Final Active Medication List
We have provided a list of your active medications as a courtesy so that you can easily update your home records and provide to your physicians. These are the only medications that you should be talking. Do not stop these medications until told to stop. Please review carefully and contact your doctor prior to taking any medications NOT on this list.

Aspirin (aspirin 81 mg oral enteric coated tablet) 1 tablet oral daily.

Atorvastatin (atorvastatin 80 mg oral tablet) 1 tablet oral nightly at bedtime. Refills: 0
Atorvastatin is used along with a proper diet to help lower “bad” cholesterol and fats (such as LDL, triglycerides) and raise “good” cholesterol (HDL) in the blood. It belongs to a group of drugs known as “statins.” It works by reducing the amount of cholesterol made by the liver.

CARVEdilol (CARVEdilol 3.125 mg oral tablet) 1 tablet oral twice daily. Refills: 0
Carvedilol is used to treat high blood pressure and heart failure. It is also used after a heart attack to improve the chance of survival if your heart is not pumping well.

Clopidogrel (clopidogrel 75 mg oral tablet) 1 tablet oral daily.
Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease)

metFORMIN 500 mg in AM, 1000mg in PM.
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes.

Type 2 Diabetes
More than 9 out of 10 people with diabetes have type 2. The older you are, the more likely you are to have it. Type 2 is a disease caused by a mix of your genes and your lifestyle. Being overweight, having high blood pressure, and not exercising all raise your chances for type 2.

You can have diabetes for years and not know it. Symptoms like thirst, peeing more often, blurry eyesight, and tingling hands and feet may come on slowly without your noticing.

Diabetes can lead to other health problems such as heart disease.

Low blood sugar, called hypoglycemia, is more common in older adults with diabetes. Symptoms such as dizziness, confusion, and weakness might worsen as you age.

Healthy habits can go a long ways to prevent diabetes, keep it under control, and even reverse it.
• Lose extra weight, especially if you carry a lot of belly fat.
• Move your body. Aim for at least 30 minutes of physical activity like walking every day, 5 days a week.
• Eat healthy. Cut back on sugar, salt, processed packaged foods, and saturated fats from meats.
• Load up on dark leafy vegetables, fresh fruit, whole grains, and lean protein.


Corded Phone (Optional)

A phone that doesn’t require electricity may be a lifeline when the power goes out. Harold may have left a few in the garage, if not:

ATT Trimline Phone $13

Requires a phone service that uses traditional lines from the street. Keep plugged in all the time.

Arnold, California


Battery Backup

A battery backup will keep wi-fi running, charge her mobile phone, and even run her desktop computer for a short period:

APC P-BE550G $100

Arnold, California


Emergency Lighting

Leave these lights plugged in all the time and they’ll pop on when the power goes out. They can also be used as a flashlight.

Amerelle 2-pack $20

Six lights plugged in around the house would be great.

Arnold, California


Doctors Medical Center Emergency Room
1441 Florida Avenue, Modesto, CA 95350
Admissions: 209-578-1211
Nurses’ station: 209-576-3871

Dr. Ryan Thompson
Jeanette Toth, Nurse Practioner
300 Church Street, Murphys, CA 95247 or
150 Big Trees Rd # E, Murphys, CA 95247

Sheriff – Arnold Division

Fire Department


Jan Jacobex

Carol & Don Crouch

Sonja Cooper


Carlos Alvarez (next door most weekends)

Debbie Scanlon

Sue & Paul Bishop


cell: 209-286-9280‬
home: 209-753-0113‬‬
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