THERESE JOURNAL

Welcome back to the health journal of Therese Atkins, last time we left off I was documenting the ongoing progress of Therese, as I told you before Therese has a shunt place in her head, for those of you who are not familiar with the word shunt. What is a shunt? it is a hollow tube surgically placed in the brain (or occasionally in the spine) to help drain cerebrospinal fluid and redirect it to another location in the body where it can be reabsorbed

NEUROLOGY

NEUROSURGURY

The surgery was performed because Therese needed to relieve pressure on her brain, which goes by the name of Hydrocephalus after a thorough examination of Therese the doctor recommended placing a shunt may be able to provide a long-term benefit. Without going into much detail about shunting, let me end by telling you about the different kinds of Shunts. Different Kinds of Shunts Different shunt systems re-route the excess fluid to: The abdomen The lung The heart The neurosurgeon will discuss the pros and cons of each approach with you, Therese procedure re-routes the excess fluid to the abdomen. Ok now back to when we left off, Therese was just approaching her eighth month of living with a shunt, remember me telling you about the rough time spent with her those first couple of months, the vomiting and the nightly vidual watching over her making sure her throat passage is clear and so forth. Later came the difficulty to feed herself, her total sanitation I mean everything, brushing her teeth, sponging her body and cleaning her private parts, styling her hair and cleaning up after herself when she uses the toilet, also doing the cooking and laundry, plus scheduling and maintaining her daily medication intake, making sure she attends her mandatory doctors visit. All of this may sound tiresome it is indeed tiresome when you don’t have any help with the mandatory tasks needed to keep her healthy. Somehow I have with the help of my God pull through, Therese has been ill since 2017, she suffered several strokes, which left her speechless and unable to move her legs efficiently, she also has slight amnesia.

JEHOVAH THE MERCYFUL

Four months ago if you have been following Therese journal I told you of the difficulties, the triumphs, and the failures, four months later today January 15 th Therese is still with us, those last four months have not taken her for the worse, she is gradually making small strides on her own. FEEDING : Therese is trying to feed herself with great difficulties for example, she would stare at her plate in front of her contemplating what to do next, holding her hands and scooping up some food and placing it in her mouth seems to do the trick, she then will hold the utensils in her right hand continuously poking at the food while with the other hand, she will scoop up another portion from the plate, after she slows the helping she will then put the empty spoon to her mouth as if there were some residue of food to be eaten. STOOL : Therese has to stop vomiting after ingesting her meals, however using her bowels has become somewhat of a difficulty, she continuously has to struggle to accomplish number two, plus her stool is very hard, so a dose of a stool softener is needed periodically to accomplish a smooth bowel movement. SLEEP : Most nights she goes to bed at a scheduled time, it helps if you make up a sleep schedule time, it takes her roughly thirty minutes to fall asleep, sometimes more. Snoring is not something you want to hear when you go to bed next to someone, however, when you have a patient with a shunt sleeping next to you snoring comes like a welcome gesture. SANITATION: Therese is not able to sanitize herself, she needs help to get it done, again if you have a schedule that is a good thing, Therese schedule is flexible, at ten in the morning she takes her medication, followed by a bath, or a body sponge, first the top part then the bottom half, next she enjoys a cold or hot breakfast, by the end of her breakfast she returns to the toilet and then back to bed for another two hours of sleep

Getting closer to Almighty God.

Today Therese has a doctor's visit she is having her annual medicare wellness, to be honest, I look forward to the result for there is a secret I want to share with you, Therese has been ill a long time now however that space of time I have taken care of her, yes it's just Therese and myself in the home, Therese illness has brought me closer to Jehovah, you can say caring for her has become my joy for Jehovah God has touched and visit me often, yes that is my secret caring is sharing, caring is love, caring is patient, when combined you find out that you are closer to the god of creation Jehovah is his name. .

Jehovah who can be like you?

Well I thought I would have more to tell you, I thought Therese would decrease in capacity and worsen to the point of taking her to the hospital, but that is not the case she shows me that only God can heal, yes friends health wise she is just like you and me with ups and downs, next month will be the anniversary of the shunt placed in Therese's head if the Lord is willing I will get back to telling you about her progress, may the Lord bless you all and cheerios for now.

Come back on Therese Birthday

Click birthday if the Lord Jehovah is willing Therese will then see her 77 birthday, come the month of May, for the blessings she has received from almighty God is priceless, come altogether let us praise Almighty God, the only God who created the universe, you can quote me but never doubt me, there none like Jehovah

Compassionate Family-centered Care

We are all children of one God, with gifts to match our existence, there is no force placed upon you to serve him, but you do well if you surrender your will and become his servant, he will befriend you till the last minute of your life here upon this earth he has made by uttering only two words, let there be and it was, Thank you, Therese, for the joy you have given me throughout out our journey.

poetry oasis kenvil atkins 1/1/2023

AUGUST REPOR 2023 Howday fellow traveller if you are reading this, then this is a the continu - ing history of Therese Atkins, a patient living with a cerebral shunt, for those who are not familiar with the term, a Cerebral Shunt is a surgical procedure in which a tube is placed in the patient’s head to drain out excess fluid. Now that you have a little knowledge about the topic of my conversation, let’s proceed!, it was well over a year ago that my wife Therese was oper - ated on, she has been living with this Therese Atkins Today BY KENVIL ATKINS AUGUST 2023 cerebral shunt well over one year now, sometime between 2022-2023, during this time frame I have documented her progress or failures in the hope that this on hand observation will benefit anyone who has a love one, going through the same journey, yes sir it is a journey at that and quite an adventure. When I left off Therese was nearing her 77 birthday, about three months shy of her 77 birthday, I had just taken her to see her physician for a six-month checkup, her xrays showed significant progress, and the surgery which was done to her head had been properly heal, this is a blessing indeed from Jehovah God. THERESE ATKINS PHYSICAL CONDITION : 1. Therese Atkins has in the past several major strokes, she has been hospitalized as an outpatient at two major hospitals, the first stroke left her paralyzed and unable to walk, while the second compound things, her arms and limbs, and muscles lost most of their functions, also her speech parten became blurred and over a time she lost the ability to talk. 2. Therese Atkins is alive and well but unable to perform her daily sanitary measures, she is not able to clothe herself, and she bites and chews her food, her swallowing is ok, but she needs help with holding the utensils, she needs help going to the rest room, also cleaning after every potty break, and grooming herself. Those are some of the Therese drawbacks, there are other things she is unable to perform or do, and this is within a personal scope of privacy to her. PERSONALITY TRAITS: 1. Therese Atkins has the nicest smile and is always in good humor daily, she is always willing to try and help herself whenever something is being done to her, given the right diet Therese has no problem cleaning her plate. 2. Therese Atkins struggles to walk anytime someone helps her to exercise, she has a tremendous capacity to fight her pains and sometimes suffers in silence. 3. Therese Atkins still thinks in her mind, that she can perform all the above physical conditions mentioned, which makes one marvel at that gal, bless her heart. Therese Prior Condition By now you have gotten a small picture of Therese Atkins's prior condition, which brings me back to today and her present condition. Well I thought I would have more to tell you, I thought Therese would decrease in capacity and worsen to the point of taking her back to the hospital, but that is not the case here, she shows me that only God can heal, yes readers and friends health-wise, she is just like you and me with her ups and downs, next month will be the anniversary of the shunt placed in Therese's head if the Lord is willing I will get back to telling you about her progress, may the Lord bless you all, continuing observation on her progress I have to report that Therese is doing quite well healthwise, however, she is deteriorating in her mental capacity, some of the new things portrayed at this time by Therese are. • Her memory is failing she periodically stairs into space while eating her meals • She keeps the utensils that she has in her right hand, right next to her mouth, without any motion at all. • She pokes at the food item on her plate repeatedly before scooping it into her mouth • She is not articulate and soils her dress due to incorrect mouth motion • Sometimes which is very rarely she gets irritated with herself but shoves off the attitude when someone approaches her with loving tender concern and care. • Her sleep pattern is off, she may lie on her bed motionless for hours without napping, and only fall asleep during the wee hours of the morning. • She drinks less fluid of any kind, and refuses to eat anything after dinner, but enjoys a cup of beverage tea or coffee. But her smile is still to die for, those small inheritances which she now portrays can be overcome with constant vigil care, and a calm approach to each situation, in my opinion for someone living with a tube in their head, it's not normal and will not function normally, so precaution and tender loving care is the key to each symptom and each day of her life events. I begin each day with a routine and stick to the schedule as best as I can, I suppose to each one of you your schedule routine will be different, so it is pointless me telling you what to do in your present situation. Medication Needs a Healthy Diet But to the few who would like to know my routine, it's nothing special, I am not recommending this to you, I am just divorcing my recipe for my wife's ongoing treatment, first of all, MEDICATION: Tthe medication that Therese takes alone can be a major factor so enough said, to combat her system I supplement a diet of various mixed green salads, and the dressing used is diffidently vinaigrette no other, a little Cezar salad now and then. SECONDLY: Secondly, her second course is her meat course, mostly poach fish of some kind, codfish, salmon, mackerel, tilapia, redfish tuna, or mahi mahi, poach and serve with an olive oil sauce of some kind. And three hours later boul of chicken noodle soup with a leak or colored greens. BEVERAGES: For her beverage she only has juices orange, grapefruit, apple, cran - berry, or fruit punch, banana, melon strawberry, pineapple puree with almond milk, and on occasion ginger ale soda. By 6 PM her last meal is a cup of coffee. As long as Almighty God Jehovah provides the resources I am will - ing to prepare the meals, believe me, Almighty Jehovah has never failed me yet, my faith and trust is in the almighty alone, and no other. If I may let me caution you about the most important thing, the patient's medication I recommend that you pay attention to detail. next update January 2024 ALL PRAISES TO ALMIGHTY GOD JEHOVAH - AMEN