Yesterday was a flurry... We went to Dr. Cohen in the morning and her EKG and Pacemaker are doing fine. He said the pacemaker would need replacement in 7 years - that would be at its present utilization of 30% of the time. Her heart chart (beats/min) was lovely according to Cohen - between 70bpm and 90bpm with a small blip in the 100's.
Because of Mom's fatigue we are going to try taking her 2 Toporol as a "group". She will take then at night and see if her fatigue level improves after two weeks. If this doesn't work she'll reverse the dosage and take two in the morning. Re: changing the medication, this wasn't advised. Dr. Cohen says that Toporol is one of the best for controlling the rate at which her heart beats and that it would be a matter of test this, adjust that, and lots of office calls if we were to change her meds.
RE: her swollen feet, he suggested that she wear surgical stockings, particularly as it is erratic rather than a continual problem. Also, she should not drink lots of water/liquids as this would contribute to the problem. Moderation is the by-word.
Mom's physical therapy routine has shifted to focusing on her shoulders rather than her legs. She has done well and needs to develop more strength in her limbs to offset the fatigue/weakness she experiences. She is to use 2 pound weights on her legs (she has these at home) for her leg lifts and 4 pound weights for her arms.
Coumadin levels have remained within range since Dec. 2.4 - 2.7.
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