Health of James W. GREEN Jr.

    James W. GREEN Jr.:
  1. About 8 PM Friday 15 Dec. 2000 he was in the kitchen at the table eating and started trembling & passed out. I could not get him into a wheel chair to take him to the car & hospital so I phoned 911. By the time the ambulance arrived about 15 minutes later, he was up & walked to the ambulance. They took him to the hospital emergency room in Winnsboro and Xrayed him and kept him until about midnight when I went and got him & brought him home. New1 Jan 2001
  2. Saturday 16 Dec. 2000 the MD was in the office from 9 - 11 AM, but we did not make it to see the MD. New1 Jan 2001
  3. Monday 18 Dec. 2000 dad had his hemoglobin checked & his cold treated and said return Thursday (or sooner if not better). New1 Jan 2001
  4. Thursday 21 Dec. 2000 the cold was better & he scheduled dad for and IVP & catscan the next day and sent him to the hospital to get a prep kit for Xray (bottle of liquid laxative, 3 pills, & suppository). New1 Jan 2001
  5. Friday 22 Dec. 2000 New1 Jan 2001
    1. at appointed time of 9:30 AM dad arrived at Fairfield Memorial Hospital, Winnsboro and gave a vile of blood & then ingested dye in two Gator Aids & when the dye got in his system, he had Cat Scan (shown below). New1 Jan 2001
    2. then in afternoon had doctor's exam with surgeon Sid Morrison in Columbia, SC.
  6. about 10 AM EST Tuesday 26 Dec. 2000 checked into Providence Hospital on Forest Drive at US 1 (2 Notch)
    1. Room 210 (2 Tower) which has just one bed (one patient) Moved to IICU.
    2. Room Phone: 803-733-8755 Moved to IICU.
    3. Nurses' Desk: 803-256-5600 Moved to IICU.
    4. Vitals at check-in: Blood Pressure 125/60.  Pulse: 78.  Temperature: 98.2ºF
  7. 8 to 9:30 AM Wednesday 27 Dec. 2000 Surgeon Sid Morrison had Surgeon Ben Tribble do resection surgery to remove growth (shown in Cat Scan below).  The surgery was scheduled to start at 7:30 AM.  After he got out of Recovery and a room became available in IICU about 3 PM he moved to Room 226 in IICU.  About 2 days later he was moved to Room 222 in IICU.
    Surgeon's Report New14 Jan 2001
  8. about 8 AM Friday 29 Dec. 2000 Dr. Morrison phoned to say dad has become confused & says that is typical of people over 70 after major surgery.  He said it would pass as his body recovers.
  9. Saturday 30 Dec. 2000 Dad's sister Peggy & Peggy's daughter Joann came from Atlanta GA & visited dad.  Dad was fine at first then became irrational, so they left.  He physically fought with the nurses & they gave him drugs to make him sleep since he had not slept in 3 days.   They put a sign on the door not to disturb dad.  Mrs. Alice Glass with Mrs. McMannus visited from Crooked Run Baptist but arrived after the nurses got dad to sleep so did not get to see dad.  Then mom's distant cousins Eddie Killian of Gaston SC & Linda Hoyle of Lincolnton NC visited but of course dad was still asleep.  Mom & I arrived and ran into Eddie & Linda in the cross walk, leaving.  We 4 went to dad's room 222, read the sign on the door, talked to a nurse & then left without seeing dad.  They wanted him to sleep at least until Sunday morning.
  10. Sunday 31 Dec. 2000 was the 1st day we missed going to see dad, but I did phone the nurses station (Intermediate Intensive Care Unit (IICU) which is old 2nd East which is adjacent to 2 Tower where he was the 1st day).  The phone number of IICU is 803-256-5550.  They said he did not get anything to make him sleep Saturday night but they gave him something to make him sleep Sunday & he slept most of the day.  Since the surgery all he has had is little bits of ice, but Sunday they gave him some cranberry juice & just before 5 PM (when I phoned) they gave him pudding.   His intestines are now moving well & can be heard well with the stethoscope which is the signal that he can take in food.  Prior to that, he was being fed intravenously.  The ICU Psychosis (confusion) is over we hope now that he has had some sleep Saturday afternoon & Sunday.   Prior to Saturday afternoon he had not had any sleep since his surgery. 
  11. Monday 1 Jan. 2001 New1 Jan 2001
    1. He walked about 100 feet 3 times today.
    2. He went to the bathroom alone & fell in the bathroom but did not get hurt.
    3. He had Jello, Cranberry Juice, Water, pudding, Orange Sherbet, Coffee, 2 things of soup.
    4.  
      Time Blood Pressure Heart Rate Comments
      8 AM
      172/90
      52
      in pain
      Noon
      138/88
      78
      4 PM
      166/80
      76
  12. 4 PM Monday 8 Jan. 2001 Dad arrived home from the hospital. New16 Jan 2001
  13. Wednesday 10 Jan. 2001 Dad went to Dr. Gaddy's office and Dr. Gaddy took a vile of blood for a PSA test.  Dr. Gaddy ordered Home Health Care to come see if they come help us. New16 Jan 2001
  14. Thursday 11 Jan. 2001 Dad went to Dr. McElveen's office in Columbia.  Dr. McElveen is an oncologist.  He let me read Surgeon Dr. Tribble's report & at my request, gave me copies of it.  He ordered the report of the chest xray done 26 December 2000 at Providence Hospital & gave me a copy of that report.  He confirmed dad did not need to take chemotherapy nor radiation and made an appointment to see Dad again in 3 months. New16 Jan 2001
  15. Friday 12 Jan. 2001 Gloria Bullard of DHEC's Home Health Care came to open a file on Mom & Dad. New16 Jan 2001
  16. Sunday 14 Jan. 2001 Dad's sisters Ethel Mickelson & Lois Meeks & their husbands Matt Mickelson & Robert L. Meeks DVM arrived from Eatonton GA about 11:30 AM bringing dinner & staying until 3:15 PM. New16 Jan 2001
  17. Monday 15 Jan. 2001 Dad went to Dr. Gaddy's office to complain of his cough & congestion and got an antibiotic, stronger cough syrup prescription and to complain of frequent need to urinate and got Flomax.   I asked if Dr. Gaddy had seen the Xray report & Dr. Gaddy got Providence to send the report.  We read it carefully & decided Dad needed a new Xray with nipple markers & he immediately went to the county hospital next to the doctor's office & got a xray standing facing the film & standing with his left side against the film (both with nipple markers). New16 Jan 2001
  18. Wednesday 17 Jan. 2001 I phoned Dr. Gaddy's Office and got the results of the PSA (prostate cancer) test.  It was 7.7 and the nurse said Dr. Gaddy noted on it that it was a little elevated but no significant change, so I conclude dad does not have prostate cancer.  The nurse said a report has been snailed to us.  The nurse said Dr. Gaddy is not in the office today and will phone tomorrow afternoon if there is anything significant to report.  There is a spot on Monday's xray, but it is not at the nipple so the spot seen on the xray of 26 December is gone and must have been the nipple.  She says the current spot is not pneumonia since dad had no fever Monday (the day of this xray), so is probably just congestion from the cold dad has. New17 Jan 2001
  19. Thursday 18 Jan. 2001 Overslept & missed 9:20 AM appointment with Surgeon Tribble and rescheduled it for 23 January 2001. New24 Jan 2001
  20. Monday 22 Jan. 2001 Mrs. Marie Westbrook Gaston gave dad therapy. New24 Jan 2001
  21. Tuesday 23 Jan. 2001 Mrs. Coleman gave dad therapy.  Kept 3:40 PM appointment with Dr. Ben Tribble in Columbia.  Dr. Tribble released dad.  Dad said he has been off of chewing tobacco for a week.   He has had very little tobacco since 26 December when he checked into the hospital. New24 Jan 2001
  22. Wednesday 24 Jan. 2001 Mrs. Coleman gave dad therapy then Mrs. Marie Gaston came & gave dad therapy. New24 Jan 2001
  23. Thursday 25 Jan. 2001 Mrs. Gloria Bullard RN came & took dad's temperature, blood pressure & asked what medicine he was taking & if he had pain anywhere. He said he was just weak. New25 Jan 2001
    Blood Pressure Temperature
    SittingStanding
    150/80 140/74
    98.2ºF
    Dad & I went to Wal-Mart at about 5:30 PM to get groceries & Phenobarbital for mom.  Wal-Mart has been out of Phenobarbital for about a week.   While I was complaining that oranges were 5 for a dollar here, while 20 tangerines cost only $2 at IGA in Blythewood & while picking out other fruit & vegetables, dad was elsewhere in the store & got tobacco & started chewing.  He had had none in over a week.  I met him in the pharmacy.  After getting the tobacco in his mouth, he was very weak, shaking, moving slow, and taking short steps.  I guess this sickness was like a little boy that gets sick smoking his 1st cigar.  Dad's system had become unaccustomed to tobacco so the tobacco made him sick.   I wrestled the bag of Granger Select tobacco away from him at 7:50 PM.  The 3 oz. bag has about 2 oz. left in it.
  24. Saturday afternoon 3 Feb. 2001 dad came home from ye hated Wal-Mart, chewing tobacco.  He said he did not bring any tobacco home.   I could not find any.  He spit out the tobacco he was chewing & agreed to walk up the low road to the Bagwell's mailbox and back down the high road to make up for this transgression.  I walked with him to the Bagwell's box & then continued my walk from there almost to US 321, the usual daily destination of my walk.  Dad returned home alone by the high road.  Walking up the hill toward the Bagwell's box I asked him if this was hard for him & he said yes.  I had to walk at half the speed I normally walk, so as to not leave him & keep him encouraged to continue.  New3 February 2001
  25. Monday afternoon 5 Feb. 2001 dad helped me look for my car keys.   Having just found them, I came out of the house to tell dad & found him coming from his car with a bag of tobacco in his hand.  He did not want to give it up so I got him to take his walk around the big circle in front of our house.  On the return leg I got the tobacco from him.   This must be the rest of the tobacco from 3 February.  I'd looked in his car so he must have had it crammed up inside of the seat from the bottom. New6 February 2001
  26. Tuesday 6 Feb. 2001 Mrs. Marie Westbrook Gaston of physical therapy came about 9:30 AM & stayed about 30 minutes & gave dad therapy & took his blood pressure which was 110/70 so he is fine.  However he said he is still dizzy until he lies down (just as he was before the operation) & he has a pain in his lower abdomen.  He said he was going to go see Dr. Gaddy in the afternoon, but did not go.  As soon as Mrs. Gaston left, Mrs. Chris Coleman arrived and gave dad occupational therapy and tested his strength in his hands, wrists, & arms.  She said he had met all her goals & released him, saying she would not be back unless called in again.  Dad sent me to get milk about 5 PM.  I went to IGA in Blythewood and intended to give Mr. Young an SCV application & a League application, but he was off. New6 February 2001
  27. Wednesday 7 Feb. 2001 Gloria Bullard RN came to see dad.  His vitals were 110/64, 98.1ºF.  His complaints were that he was too dizzy to sit up and pain in abdomen.  She suggested that he was dizzy due to lying down too much & lying down in the day time & not keeping to a sleep schedule.  She suggested his abdominal pain might be due to the laxatives he is taking.  He took 2 that morning because he felt it was important to be regular & one pill did not get results.  She said that the laxative was probably making his bowels raw & hurt & said he should drink 1.5 quarts of liquid per day & take a stool softener (not Metamucil nor a laxative).  She said we should ask Gaddy before resuming taking pravisid for the throat. She put his morning pill (Hemocyte) in each of the daily boxes and put the Flomax bottle by the daily boxes since it is to be taken after supper. New8 February 2001
  28. Friday 9 Feb. 2001 I snailed the order to Heartland America, 8085 Century Boulevard, Chaska, MN 55318-3056 & dad's check for almost $40 for Sonic Super Ear (page 18 of their January 2001 catalog).  I hope dad will be able to use this as a hearing aid & it will be too big to lose.   It certainly is far cheaper than a hearing aid.  I got the catalog from Dean Weems about the middle of January to late January.  The catalog gives their url as http://www.HeartlandAmerica.Com New18 February 2001
  29. Sunday 11 Feb. & Monday 12 Feb. 2001 Dad lit and smoked a cigar a little.  I finally sniffed it out, finding it in the medicine cabinet & threw it in the woods. New14 February 2001
  30. Tuesday 13 Feb. 2001 Mrs. Marie W. Gaston came & gave dad therapy for the last time.  Mary won't come back. New14 February 2001
  31. Wednesday 14 Feb. 2001 Mrs. Gloria Bullard came for the final time.  This concluded DHEC's Home health care for dad.   Gloria took these vital signs: blood pressure 124/70, pulse 84, respiration 22/minute, lungs: "clear as a bell", 96ºF.  I see no further sign of dad smoking or chewing.  For the first time, Dad walked to the newspaper box at Rd. 30 (& back) to get the newspaper, either Tuesday or Wednesday the 13th or 14th. New15 February 2001
  32. Monday 19 Feb. 2001 at 2 AM dad awoke with a severe pain in his abdomen.  He wanted to see Dr. Ben Tribble so we phoned Dr. Tribble's office at 8:15 AM & they said Dr. Tribble would not be in but we could see one of his associates at 10:30 or 11.  We saw Dr. Chinmay Majmundar (a person of India who spoke with little or no accent).  He seemed caring & thorough.  He felt dad's abdomen for dad's pain, checked for rupture, & questioned dad & finding no problem, ordered a catscan.  We scheduled the CT scan for 10 AM Thursday 22 Feb. with blood work at 9 AM at the Fairfield Memorial Hospital. New23 February 2001
  33. Tuesday 20 Feb. 2001 dad picked up at the Fairfield Memorial Hospital, the prescribed Readi-Cat 2 Prep kit for his catscan. New23 February 2001
  34. Wednesday 10 PM 21 Feb. 2001 Dad drank his 1st 450 milliliter bottle of Readi-Cat 2 Barium Sulfate Suspension. New23 February 2001
  35. Thursday 22 Feb. 2001 8 AM Dad took his second & final 450 mL bottle of Barium Sulfate Suspension that he was supposed to take at 7 AM.   At 9 AM at the hospital they took blood from dad to see that his kidneys were fine to remove the dye they were about to give him.  Then at about 10 AM they gave him the catscan & he was finished about 10:30 AM. New23 February 2001
  36. Saturday 24 Feb. 2001 11 AM I left for Battle of Aiken SC Reenactment leaving dad to take care of mom alone.  I took my car & tent & Dean Weems.  We worked for SCHC for free collecting signatures & camped with the other campers.  It rained hard Sunday.  I waited about 2 hours for flags & tent to dry a bit before packing to return & I got home about 8 PM Sunday.  Dad did fine taking care of mom.  I found he had been to the grocery store & is chewing tobacco.   He is using the hearing aid (ear phones and mic) that we bought. New27 February 2001
  37. Monday 26 Feb. 2001 I found dad had gotten mom's wheel chair out of his car trunk & I put the wheel chair back in dad's car trunk.  then started putting up the tent to let it dry more & hurt the small of my back so bad I collapsed.  Dad is now doing all the work.  I can drive.  I left about 2:20 PM & drove Dean Weems to the John Deere Picket.  His car has a bad clutch.  Then I let him drive us mostly to Red Bank, Lexington Co., SC (& back) to deliver a dog house.   I got home about 8 PM and Dad had gotten the wheel chair out, left the trunk open & the trunk light drained the battery. New27 February 2001
  38. Tuesday 6 Mar. 2001 My back is much better.  I started taking my daily 1.8 mile walks yesterday.

    We went to dad's 2 PM appointment with Dr. Ben Tribble.  Dr. Tribble said the report of the Cat Scan of 22 Feb 2001 says there is no new tumor visible.  Dad asked when he could start working & Dr. Tribble asked if he was working yet.  Dad & I responded that Dad is working.  Dad has been chopping fire wood.  Dad said he wanted to rake leaves.  Dr. Tribble said you should be able to rake leaves.  Dad said he is too tired.

    I asked Dr. Tribble for a copy of the CT scan report & he said ok & his nurse & I found a copy of the CT Scan report in dad's folder & she gave it to me.  It is poor, but readable & seems to be a xerox of a carbon copy or fax.  I picked up dad's Cat Scan (xrays) yesterday & we took them with us to Dr. Tribble.  Dr. Tribble did not want them so I asked if I could keep them.  He said ok.  The Fairfield hospital had marked the folder "Copies/Do Not Return", so the hospital did not want them.

    Dad made an appointment to have a spot removed from the left side of his face.  I pointed out the large knot behind dad's left ear.  Dr. Tribble did not at 1st notice what I was pointing out.  Dr. Tribble said it was a sebaceous cyst & that since Dr. Gaddy had removed sebaceous cysts from dad before, Dr. Gaddy could remove that one if we think we want it removed.

    I got Dr. Tribble to look at the Cat Scan with me a moment.  He was running behind & busy so I did not get but about 2 of my questions answered.  We weighed at this doctor's office.  I weighed 186½ lbs. & dad weighed 164 lbs.  I drove down and back.  On the way home dad pulled out a bag of tobacco and I held his arm down so he used the other hand, so I just fussed. New6 March 2001

  39. Friday 21 Sep. 2001 Dad & Mom had a 2 PM appointment with Roger Gaddy MD in Winnsboro (which I made for them Tues. 18 Sep 2001).  Remembering how hard dad's swollen stomach was when he had me fasten his paints to go to church at the end of August (when we went to church for the dedication of the library named for mom), I thought his tumors were back or at least the hematoma.  I'd not been with him to the MD in some time so wanted to go hear what the MD had to say.  The MD felt dad's stomach & tapped his finger on dad's stomach hearing changes in sound which he said was merely presence or absence of gas in various places.  Just before the last operation, such tapping & pressing had caused dad severe pain, so no pain makes me think all is well for now.  Dr. Gaddy also listened to abdominal sounds with his stethoscope.  He renewed dad's prescription for medicine for dizziness (Meclizine, substituted for Antivert).  The bottle says he is to take a 25 mg tablet thrice a day).  Dad is usually dizzy after he eats each morning.  Dad's vital statistics were:
    weight Blood Pressure Temperature Respiration Heart
    Rate
    171
    140/70
    97.5ºF
    18
    80
    Dr. Gaddy had the nurse get a vile of blood & did a CVC on dad & Dr. Gaddy said dad had no anemia (hemoglobin level was ok so dad is not bleeding internally as he was in December) and dad's blood count was good.  A report on this visit to the MD for mom is on her page (q.v.). New as of 23 Sep 2001 23 Sep 2001

Cat Scan of 22 December 2000 of
Source of Pain in Small Intestines of
James W. GREEN Jr.

The catscan was started twice.
It was first started at 11:20:47 and shows
on sheet 1: a top down shot, followed by horizontal slices S#1 - S#14
then on sheet 2: horizontal slices S#15 - S#17 ending at 11:23:33
The run started at 1 +266 & ended at 1 +106.

The catscan was restarted at 11:50:46 and shows
on sheet 1: a top down shot, followed by horizontal slices S#1 - S#14
then on sheet 2: horizontal slices S#15 - S#29
then on sheet 3: horizontal slices S#30 - S#42 ending at 12:08:22
The run started at 1 +458 & ended at 1 +48.

I can only guess at what all the words mean beside each frame of the cat scan. The words did not scan clearly so I have typed them below so one can read & understand at least the obvious words' meanings. These scans that I made of the Cat Scan frames are shown here so that you can determine for yourself how serious you think this is & how much he needs our prayers.

These scans were taken from a single sheet of Xray film. I tried laying the film on the scanner & putting the white cover down on it. I tried removing the cover & in its place putting aluminum foil. I tried laying the film on the glass & following the scanner's florescent tube with an incandescent light bulb. I tried two 75 Watt light bulbs in a "Y" socket. I tried moving the bulb left right rapidly as I followed the scanner slowly down the glass. I tried a lamp with a globe using 40 Watt, 75 Watt, & 100 Watt bulbs. Nothing worked well. The a 40 Watt bulb in a white globe worked best. This explains why the Xray is lit unevenly & the writing shows up rarely.



GREEN JR., JAMES C+    A   FAIRFIELD MEM'L
ABD PAN                            12/22/ 0
120 kV   100 mA  2.8 sec  280 mAs  L/10mm
C3  512  A=350   Level   Width  TL+0
           -8X      55     440
          -16Y
11:59:42
I#21
1 +258
11:59:49
I#22
1 +248
11:59:56
I#23
1 +238
12:02:56
I#25
1 +218
12:03:39
I#26
1 +2058
12:04:07
I#27
1 +198
12:04:37
I#28
1 +188
12:04:51
I#29
1 +178

Repeating Movie of the Above 9 Frames
The growth to be removed is the gray ball/s at upper right.
In the 1st frame it is 2 balls which in the 2nd frame becomes 3 and then 4 lobes in frame 3, then they merge into 2 lobes. Of those 2 lobes, the left lobe is longer, extending into the final frames.  Dr. Tribble says much of the gray mass we see here turned out to be hematoma (blood).  The tumor turned out to be fist sized.

The tumor is a malignancy called Sarcoma.  Sarcomas are typically slow growing, and as such are not responsive to Chemotherapy or radiation. We have not had a report on if it is high grade (fast growing) or low grade (slow growing), but I expect to hear it is slow (low grade). After he is over the operation, the surgeon will make dad an appointment to see an oncologist. Sarcoma of the small intestines are somewhat rare.

It is called a Gastro-Intestinal Stromal Tumor.  His youngest sister had a malignant tumor in her small intestines which was removed.  It returned & she died this year.

Life Raft, support group for GIST patients & their families
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The url of this page is
http://Genealogy.Org/~green/Green/xray.html and
http://millennium.FortuneCity.Com/byker/362/Green/xray.html
( http://members.FortuneCity.Com/jgreen/Green/xray.html)

This page was put on the web 26 December 2000.
This page was Last Updated 3 February 2003.
New means added since 31 December 2000.

This page was put on the web by
James W. Green III.


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