Mr Dancy Update Tuesday

Mr Dancy started his day with his activities of daily living. He then ate breakfast and afterwards started dosing off and on and participated very shortly in a puzzle and then dosed again and went on his morning walk. He later came back inside the house and and later prepared for lunch. After lunch he appeared to be sleepy not wanting to participate in any activities nor get up from the table. Finally he decided to get up and take his afternoon walk, returned inside and conversated a little and began dosing again. He did move around a little slow today. I would say that he had a fair day today.

Mr Dancy Update Monday

Upon arrival, Mr Dancy was asleep and then got up to start his daily route of care with my assistance. He later ate breakfast and afterwards he participated in setting up his weekly medications with assistance, then he participated in a puzzle game and ended with a exercise game of throwing and catching a ball. He went for his morning walk and then came inside to rest for a while and afterwards, he ate lunch and dosed off and on did not participate in any afternoon activities and later went for his afternoon walk, returned inside and rested the remainder of the day. He moved around pretty good to day and had a great day.

Mr Dancy Update Wednesday

Mr Dancy started his day today with his daily routine care. Afterwards, he ate breakfast and participated in a card game activity for short time. He talked a little more today than ususal and later went for his morning walk and sat outside for a little while. Afterwards he came back inside and ate lunch and talked more about being a captain on the New Jersey ship going into details about his assignment as a captain. Later he prepared to get ready to go and visit with his son this weekend. Overall i would say that he had a great day today.

Mr Dancy Update Wednesday

Mr Dancy started the day off with his daily morning routine. Later he ate a large breakfast and dosed off and then participated a little bit in working on a puzzle. He went on his morning walk and sat outside for a little while and then went inside and dosed again. He participated in his afternoon range of motion exercises with his legs did not want to exercise his arms today. He ate lunch and participated in another activity for a short time and walked a little and that was it for today not too much talking today. Overall the day went well.

Mr Dancy Update Tuesday

Mr Dancy was sleeping when i arrived this morning. He got up and showered and ate breakfast this morning and then fell asleep. He has been very sleepy throughout the entire day, probably a little tired from the doctors appointment on yesterday. He did not participate in any activitities today when asked. He just wanted to rest today, he did go on his morning walk but refused the evening walk. He also did not want to move around today once seated, when asked to move around he refused and sat for long periods of time today. His conversation was very limited also. Other than that the day went ok.

Mr Dancy Update Monday

Mr Dancy was up sitting in the living room when i arrived today. I walked with him to his room to assist him with getting a shower. After his shower he ate breakfast and dosed off later waking up to assist me with preparing his medications for the week. He went out for his morning walk and then sat outside for a little and played a card game, in which he dosed off and on again. Later he came inside to eat lunch. After eating lunch he prepared to go to the doctor and was very talkative especially at the doctors office and talked a lot about his hair cut that he got on yesterday and my car and barbs car and talking to the doctor about his foot. He did say also that he did not sleep last night, that he was just lying in bed and that was the reason that he was very sleepy today. He did move around pretty good today even at the doctors. Other than being a little sleepy today i would say he had a great day.

Mr Dancy Update Saturday

Upon arrival Mr Dancy was asleep. He woke up and showered and ate breakfast and dosed off to sleep then participated in a card game for a short period of time and then dosed off and on and later went for his morning walk. He began asking where is everyone at i told him they were gone but would return shortly. He sit outside on the patio for a while then came inside and participated in range of motion exercises for him arms and legs. Afterwards he ate lunch and then dosed off to sleep again and later he went for his afternoon walk, after the walk he participated in a throw catch ball exercise for a while. He read a few headlines in the newspaper and worked on a puzzle a little until he became tired. He went to sleep again off and on and later finished up the day with a evening walk and ate his supper and conversated a little and when asked you ready for bed he said yes and stood up immediately and was ready to go to bed he said he was tired. I put him to bed shortly after. He had a very good day today.

Mr Dancy Update Friday

Mr Dancy had a pretty good day today. He participated in his activities of daily living and ate a nice breakfast and lunch. He worked on a puzzle this morning for about 30 minutes and then he conversated with me asking continuously where were everybody else at assuming he was talking about the boys, i told he they were gone but will return later on today. He wanted them to join us with the puzzle. He did walk this morning and this afternoon. However, he did not participate in any afternoon activities. As i brought him to the room to type in on the blog he has asked me to put his name in the report so i am responding to his request maybe he wants to tell everyone hello. He had a very good day today and moved around a little better and i was able to get him to drink more water and he ate all of his breakfast and lunch even licking his fingers after he finished his lunch.

Mr Dancy Update Thursday

Mr Dancy started the day out by showering etc and then ate breakfast. Immediately after he finished eating breakfast he went into a deep sleep and did not participate in any morning or afternoon activities, neither did he go for his morning walk. I assume that he was pretty tired from the doctors appointment he went to on yesterday. He woke up for lunch ate and then fell back to sleep again and about one hour later he went for his afternoon walk and sit outside for a while, conversated a little and that was all that went on today.

Doctor's appointment

Dad had a physical appointment today with Dr. Gee. He had done bloodwork last week and provided me with the results today...all looked good regarding bloodwork, slight indication of dehydration, though could be because Dad had to fast for bloodwork (test at 8am, no breakfast.) I talked to Lois about being more diligent with getting Dad to drink more water...he often only sips it.

We reviewed Dad's medications and will continue with the same meds Dad has been on (Namenda & Aricept for memory, Metoprol and Norvasc for blood pressure, B-12 injection monthly, prozac for depression). Dad also takes a daily vitamin, baby aspirin, senna and colace for constipation.)

Dad has lost more weight...was down to 138. We do struggle sometimes to get him to eat everything in front of him. I asked about whether to introduce Ensure, and doctor said good idea, though could initially cause some diarrhea.

His blood pressure was a little high 150/70, though doctor didn't express concern.

I mentioned that it seemed like Dad's hearing had gotten worse...he checked his ears and found some wax...suggested the over the counter kits to soften and remove, which I will get.

He asked about other concerns and I brought up the skin cancers. Speaking of that, Dad had his upper body examined this past Monday...Lois said doctor identified 4 areas of concern, but doctor hasn't yet contacted me to tell me what they are. I called today but haven't heard back. Anyway, he basically said the decision about what procedures to undergo is certainly a personal family decision. He did say if it were his parents, same age and condition as Dad (93, relatively good physical condition and for the most part, comfortable), he would likely not do much about it, particularly if procedures are uncomfortable for Dad.

Charles Dancy Update Tuesday

Mr Dancy was already awake upon arrival this morning. Upon entering the room he spoke and immediately began to talk about a family member by the name of chip. He asked to set up the phone system so that he would be able to speak with chip. He then prepared for his shower and ate breakfast, afterwards he participated in a card game and was really into this game in which he continued nonstop for one hour and fifteen minutes. He constantly asked questions while playing the game showing a lot of interest. I asked him several times to go for a walk for exercise and he stated that he did not want to walk this morning that he wanted to continue with the game that was all the exercise that he needed today. Around noon he decided to take a break and rest a while. Later he went to his room for range of motion exercises on both arms and legs in which he participated for about 30 minutes. He later ate lunch and i offered to take him for a afternoon walk and he decline stating that he ate to much and was too full to walk. He decided that he wanted to just rest and chill for the rest of the day. He was very alert and conversated with me a lot today. He told me that he he moved here a while ago from the east coast to the west coast to live with Barbara and Paul calling there names and told me that he moved here from Winston Salem North Carolina. He moved around well today and stayed awake the majority of the day. He had a wonderful day.

Charles Dancy Update Monday

Mr Dancy did not want to get up initially upon arrival of shift. I waited for a while and later on he decided to get up moving slowly stating "this is too much for me" meaning going through his daily routine of showering etc. He showered ate breakfast and assisted me with a morning activity of setting up his medications for the week and afterwards he waited to go to the dermatologist for his upper body check up. He complained again about having to walk to go to see the doctor but continued on anyway. The doctor will follow-up with barb concerning the visit on today. He ate a late lunch and was in a good mood at the doctor and upon returning home. He talked a lot and was very alert today asking a lot of questions and wanting to know what was going with him today. Overall i would say he had a great day.

Mr Dancy Update Friday

Mr Dancy woke up and showered and ate breakfast and dosed off pretty much during the day. He appeared to be tired because he was moving very slowly today. He tried to participate in a puzzle game but it was very limited assuming that he was tired. He later went outside for his morning walk and set outside a little and then went inside and had lunch. Later he waited for me to gather his belongings to travel with him to his son house. He did not conversate much today other than that he had a pretty good day.

Mr Dancy Update Thursday

Mr Dancy had a good day today. He showered, ate breakfast and participated 30 minutes in a card game. He moved around well and was not sleepy today very alert. He walked both morning and afternoon participating in both legs and arm exercises. He held conversation off and on throughout the day. He ate lunch and participated in another game activity and that was pretty much the outcome of today.

Mr Dancy Update Wednesday

Mr Dancy went to the doctor this morning for blood work. He returned home and ate breakfast and slept the majority of the day. I think maybe there is a possibility that he was tired from the trip to the doctor and just needed to rest. He later ate lunch dosing off and on after about an hour he finally finished. He did not participate in any activities today and conversations were minimal. Overall i would say that he had a fair day.

Charles Dancy Update Tuesday

Mr Dancy started the day off this morning not wanting to get up. After several prompts he finally responded. He showered and ate well for breakfast and participated in a puzzle game for about 30 minutes. He then went for his morning walk and set outside at the patio and dosed and then as i attempted to get him to go the restroom for a diaper change he would not get up. He stated that going to the bathroom is just to much for him. Later after waiting a while he finally responded. He then went back outside to sit at the patio table and had lunch he would take a few bites and then dose and had to be reminded on several occassions to finish his meal and finally he did. Later on he was asked to go to the bathroom for another diaper change and he refused to get up. I waited and waited and he never responded. I had to ask barb to speak with him to go and get his diaper change and he responded immediately. However, i would like to say that he did participate in afternoon exercises with both hands and legs and maybe he just may have been a little tired today from the doctors appointment on yesterday. Hopefully he will get rested tonight and will have a better day tommorrow.

Charles Dancy Update Monday

Mr Dancy had a pretty good day today. He was taken to the dermatology after eating a large breakfast and prepared for his stitches to be removed from the surgery of last week. He moved around pretty good at the doctors appointment, there were no problems noted. The doctor explained to both he and i about the surgery which took place last week and that he would be coming back in next Monday to check the upper body. We went back home he ate a late lunch and rested the rest of the evening.

CharlesDancy Update Saturday

Mr Dancy had a good day today. He showered ate a big breakfast and participated a little in a puzzle game. He went for a walk both morning and afternoon. He did not eat much for lunch today. He rested a little after lunch and then he participated in exercising with a small ball with arm and leg exercises until for approximately 10 minutes. He was very talkative today and spoke a lot about his wife today and other things as well. He did appear to become somewhat tired at the end of the day. Overall i would say today was a good day for him.

Charles Dancy Update Friday

Mr Dancy had a good day today. He showered and ate breakfast and participated in a card game for about 40 minutes. He walked both morning and afternoon and sit outside for awhile where he dosed off to sleep a couple of times. He later came in and prepared for lunch and ate part of his lunch and dosed off and finished it up later. He participated in conversation a little today. He viewed his war log book of USS New Jersey this evening and played the building blocks game a little. Overall i would say he had a pretty good day.

Dad's skin cancers

Wanting to catch everyone up with regards to Dad's skin cancers.

At the initial visit with the new dermatologist (Justine attended with me), Dr. Iwasaki immediately identified 3 spots of concern on Dad's face. As previously mentioned, the 1st two were tested to be a melanoma and a squamous cell on his upper left cheek and forehead respectively. Dad was referred to a specialist and these cancers were successfully removed. The melanoma was considered "in citu" meaning that it had not spread. The 3rd spot around the fold of his mouth next to his cheek was identified as a basal cell. Dad had his appointment with Dr. Iwasaki this past Monday to have it removed in the office. It turned out that the cancer was quite deep, and in fact the doctor told me today that they were not able to get to all of it at the appointment on Monday. She was going to recommend referring him to the specialist to try and remove the remainder.

I raised my concern about the importance of continuing to have Dad subjected to these surgeries (certainly doesn't like all the needles in his face and he is usually quite tired the 1st few days following the surgery). Dr. Iwasaki mentioned that a basal cell rarely will metasticize, so that depending upon how much longer we expect Dad to live, it would not likely kill him. She did mention that it could possibly move to his gum, and perhaps cause some pain, but not necessarily. We also talked about the fact that she had previously recommended that after these initial 3 surgeries, Dad should have a full-body inventory. We have to split it up into two appointment (above waist, below waist), and I have scheduled the 1st appt for Monday, August 3rd. My thinking is it would be good to understand how much more we might be looking at having to address, before we make any decisions about proceeding with another surgery. Specifically, I think it would be beneficial to know if there are any more melanomas, or squamous cells, which have a greater potential to metasticize in the blood stream and adversely affect Dad's end of life.

Dr. Iwasaki also suggested bringing up the question of Dad's life expectancy with the doctor (he has an appointment next week) and to get his input on the necessity of the surgeries. It would be nice to have Dr. Lichstein's input on this since he knows so much more about Dad...did he ever offer and thoughts on Dad's life expectancy?

Everyone's input on this matter is greatly appreciated.