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Questions and Answers

Where do the Baiers live?

Houston, TX

What is the start date of the story?

Monday, December 1, 1980

Who is Sue's husband?

Bill Baier

What school does Katherine attend?

<p>Vanderbilt</p> Signup and view all the answers

What city is Vanderbilt in?

<p>Nashville, TN</p> Signup and view all the answers

How did Sue and Bill meet?

<p>Bowling league through Shell Oil Company</p> Signup and view all the answers

What department did Sue work in at Shell?

<p>Accounting - personnel and payroll</p> Signup and view all the answers

What were Sue's first two symptoms?

<p>Tingling toes and the orange juice had a burning sensation</p> Signup and view all the answers

What diagnosis did Sue have the previous week?

<p>Intestinal virus</p> Signup and view all the answers

Who is Dr. Lohmann?

<p>Sue's mother's internist</p> Signup and view all the answers

What is Sue's mother's name?

<p>Ruth</p> Signup and view all the answers

What did Dr. Lohmann conclude?

<p>Dehydration and electrolyte imbalance</p> Signup and view all the answers

What was Sue's symptom Tuesday when she woke up?

<p>She couldn't swallow</p> Signup and view all the answers

Where did the Baiers and Dr. Lohmann meet?

<p>Gulfland Hospital</p> Signup and view all the answers

What three things did Dr. Muenkel say Sue's symptoms could be?

<p>Multiple sclerosis, myasthenia gravis, Guillain-Barre syndrome</p> Signup and view all the answers

Bed #10 is Sue's bed number in?

<p>ICU</p> Signup and view all the answers

What was the definition of Guillain-Barre that Bill gave to Sue?

<p>Inflammation of the nerves that can follow an infection</p> Signup and view all the answers

What does Sue think of Craig?

<p>Thinks he should have failed his 'bedside manner' course</p> Signup and view all the answers

What was the symptom that Craig did not notice and documented as 'no change'?

<p>Sue's mouth wasn't moving anymore</p> Signup and view all the answers

What church do the Baiers attend?

<p>St. Philip Presbyterian Church</p> Signup and view all the answers

Who is the pastor?

<p>Sam Lanham</p> Signup and view all the answers

What procedure did Sue receive while Bill was at his company Christmas party?

<p>Tracheotomy</p> Signup and view all the answers

What does Dr. Langos mean by 'inserting a subclavian'?

<p>Inserting an intravenous feeding tube</p> Signup and view all the answers

Who is Gary Stiller?

<p>Bess's friend, in charge of the PT department at the hospital</p> Signup and view all the answers

Why does Sue need high top tennis shoes?

<p>To prevent foot drop</p> Signup and view all the answers

What therapy did Charles first perform with Sue?

<p>Kneading with ROM</p> Signup and view all the answers

What friend of Sue's volunteers at Gulfland Hospital?

<p>Margie Hood</p> Signup and view all the answers

What was the name of their exchange assignment with Shell?

<p>The Hague</p> Signup and view all the answers

Where was The Hague located?

<p>Holland</p> Signup and view all the answers

Who is Dr. Denton Cooley?

<p>Famous Houston heart surgeon</p> Signup and view all the answers

What does Sue think of ICU?

<p>ICU is not for long-term patients. The staff is trained for the normal, specialized, life-support care of the critically ill. Staff is neither equipped or trained to handle long term patients.</p> Signup and view all the answers

Why is Sue repositioned in bed?

<p>To prevent bedsores</p> Signup and view all the answers

What date did Bill begin his two-week vacation?

<p>Monday, December 15</p> Signup and view all the answers

What did Sue establish for communication?

<p>Chart of questions</p> Signup and view all the answers

Who is Cathy?

<p>Mary Helen and Max's daughter</p> Signup and view all the answers

What school does Cathy go to?

<p>UT Austin</p> Signup and view all the answers

Who was Sue's maid of honor?

<p>Chickie</p> Signup and view all the answers

Who is Mrs. Flick?

<p>Han's mother</p> Signup and view all the answers

What muscle did Sue feel twitch first?

<p>Muscle above the knee</p> Signup and view all the answers

Describe a Tiffany rose?

<p>Pale pink with a yellow center</p> Signup and view all the answers

How old was Sue when they got an air-conditioned car?

<p>15</p> Signup and view all the answers

Who are Mary and Jane?

<p>Neighbors</p> Signup and view all the answers

Where does Sue's brother live?

<p>Dallas</p> Signup and view all the answers

What was the date of the Baiers' Christmas party?

<p>Saturday, December 20</p> Signup and view all the answers

Where did Ruth and Sue go on their trip?

<p>Scandinavia</p> Signup and view all the answers

What is Ruth's holiday tradition?

<p>Leaves a jar of green cherries and a can of black olives</p> Signup and view all the answers

Who kept Sue company during their Christmas party at home?

<p>Margie</p> Signup and view all the answers

What day did Sue wake up to her tongue curled over and under her teeth?

<p>Sunday, December 21st</p> Signup and view all the answers

What caused Sue's swollen tongue reaction?

<p>Antibiotics</p> Signup and view all the answers

What did the doctor on call order for Sue's swollen tongue?

<p>Benedryl injection</p> Signup and view all the answers

What sensation did Sue feel after the Benedryl injection?

<p>Falling sensation</p> Signup and view all the answers

What playoff game was Sue listening to on the radio?

<p>Houston Oilers vs Pittsburgh Steelers</p> Signup and view all the answers

What sorority was Sue a part of?

<p>Zeta sorority</p> Signup and view all the answers

What university did Bill attend?

<p>Rice University</p> Signup and view all the answers

Where does Bill's family live?

<p>New Jersey</p> Signup and view all the answers

Bill's father is bedridden due to a?

<p>Stroke</p> Signup and view all the answers

Where was Sue's first vacation to after working at Shell for one year?

<p>Hawaii</p> Signup and view all the answers

What is Mrs. Flick referred to as?

<p>Oma</p> Signup and view all the answers

What is Chickie's first gesture upon visiting Sue?

<p>Using a dampened washcloth to wipe Sue's face</p> Signup and view all the answers

What trip did Bill cancel during his two-week vacation?

<p>Annual, all-male hunting trip</p> Signup and view all the answers

Where was Sue's dad's auto dealership located?

<p>Rosenberg</p> Signup and view all the answers

Who did Sue give a perm to during their sophomore year?

<p>Mary Helen</p> Signup and view all the answers

Where did Mary Helen live their sophomore year?

<p>Galveston</p> Signup and view all the answers

How did Sandra hurt Sue?

<p>By not checking the water temperature before removing ear wax</p> Signup and view all the answers

Who is the Physical Therapy Assistant Director?

<p>JoAnn</p> Signup and view all the answers

What medication did Dr. Lohmann prescribe to slow Sue's heartbeat?

<p>Inderal</p> Signup and view all the answers

What was the date when Sue's head moved?

<p>January 15, 1981</p> Signup and view all the answers

Where did Hans arrange for Bill to research Guillain-Barre syndrome?

<p>Baylor Medical School library</p> Signup and view all the answers

How does Sue define Guillain-Barre syndrome on page 127?

<p>Guillain-Barre attacks the sheathing of the neuromuscular system, destroying the nerve sheath and causing paralysis without necessarily destroying the feeling of sensations.</p> Signup and view all the answers

What is the rate at which myelin sheath grows back?

<p>An inch a month</p> Signup and view all the answers

How many blinks did Sue perform when speaking about Sandra?

<p>6 blinks</p> Signup and view all the answers

How many blinks did Sue perform when speaking about Louise?

<p>7 blinks</p> Signup and view all the answers

What was the name of the ship Sue and Bill sailed back on from their exchange program in Holland?

<p>The France</p> Signup and view all the answers

How long was the sail back home?

<p>4.5 days</p> Signup and view all the answers

What date did Katherine leave back for school in Nashville?

<p>January 11</p> Signup and view all the answers

What does IMV stand for?

<p>Intermittent Mandatory Ventilation</p> Signup and view all the answers

What was the secret that Nurse Vickie shared with Sue?

<p>That she is pregnant</p> Signup and view all the answers

What would the nurses do when deceased patients were removed from their cubicles?

<p>Pull the curtains</p> Signup and view all the answers

What is the name of the manual oxygen pump that nurse Sandra used on Sue when changing her leaking respirator?

<p>Ambubag</p> Signup and view all the answers

What is the name of their family's church's ranch?

<p>Mo Ranch</p> Signup and view all the answers

What virus outbreak occurred at Mo Ranch?

<p>Flu virus</p> Signup and view all the answers

What happened in history on January 20, 1981?

<p>The Iran hostage crisis ended after 444 days, only 25 minutes after Jimmy Carter's term as the 39th President of the United States had ended.</p> Signup and view all the answers

Where did the Iranians take over the American embassy?

<p>Teheran, Iran (the capital of Iran)</p> Signup and view all the answers

What was hung all over Houston to welcome home hostages?

<p>Yellow ribbons</p> Signup and view all the answers

Where did the hostages land first?

<p>Germany</p> Signup and view all the answers

What kind of doctor is Dr. Birmingham?

<p>An anesthesiologist</p> Signup and view all the answers

What was Sue's pulse rate when Aurilla took her vitals?

<p>62</p> Signup and view all the answers

What is considered to be Sue's 'normal' pulse rate?

<p>112</p> Signup and view all the answers

Who suctioned Sue's mucus plug?

<p>Dr. Muenkel</p> Signup and view all the answers

Who changed Sue's tracheostomy apparatus?

<p>Dr. Birmingham</p> Signup and view all the answers

Nurses Kay and Harriet motivated and encouraged Sue to accomplish what?

<p>Breathe pure oxygen for 2 minutes</p> Signup and view all the answers

What do the stickers on the chart represent?

<p>Equipment, therapy, and staff charges</p> Signup and view all the answers

How much did Bill say each lemon swab cost?

<p>.60</p> Signup and view all the answers

Sue noticed most of the good nurses were full or part-time?

<p>Part-time</p> Signup and view all the answers

What is Sue's brother's name?

<p>Fred</p> Signup and view all the answers

How many years younger is Fred?

<p>3</p> Signup and view all the answers

February 10th marked how many weeks of being in the hospital?

<p>10</p> Signup and view all the answers

Which of Sue's visitors from her congregation is trained as a nurse?

<p>Ruth</p> Signup and view all the answers

What religion was Sue growing up?

<p>Methodist</p> Signup and view all the answers

What position did Bill hold in his Presbyterian church?

<p>Deacon</p> Signup and view all the answers

Study Notes

General Information

  • The Baiers reside in Houston, Texas.
  • Story begins on December 1, 1980.
  • Sue's husband is Bill Baier.
  • Their daughter, Katherine, attends Vanderbilt University in Nashville, Tennessee.

Background and Meet-Cute

  • Sue and Bill met through a bowling league associated with Shell Oil Company.
  • At Shell, Sue worked in accounting, specifically personnel and payroll.

Initial Symptoms and Medical History

  • Sue experienced tingling toes and a burning sensation when drinking orange juice as initial symptoms.
  • One week prior, she had been diagnosed with an intestinal virus.
  • Dr. Lohmann, Sue's mother’s internist, identified dehydration and electrolyte imbalance.

Hospitalization

  • Sue’s bed number in ICU was referred to as Bed #10.
  • Meeting occurred at Gulfland Hospital between the Baiers and Dr. Lohmann.
  • Dr. Muenkel suggested potential diagnoses: multiple sclerosis, myasthenia gravis, or Guillain-Barre syndrome.
  • On December 21st, Sue woke up unable to swallow.

Medical Procedures and Treatment

  • Sue underwent a tracheotomy while Bill attended a company Christmas party.
  • Dr. Langos discussed inserting an intravenous feeding tube.
  • Physical Therapy was initiated to assist in Sue's recovery.

Family and Community

  • The Baiers are members of St. Philip Presbyterian Church; the pastor is Sam Lanham.
  • Margie Hood, a friend, volunteered at the hospital to support Sue.
  • Ruth, Sue's mother, is known for her holiday tradition involving green cherries and black olives.

Notable Events and Experiences

  • Sue's first encounter with a physical therapist involved kneading exercises and range of motion therapy.
  • The family had a Christmas party on December 20th, and Sue officially moved to a different bed on January 15, 1981.
  • During recovery, Sue started a communication chart to ask questions.

Personal Life and Relationships

  • Chickie was Sue's maid of honor, and she had a significant friendship with Mary Helen and others.
  • The Baier family celebrated Christmas while navigating medical challenges, with Bill canceling a hunting trip to be with Sue.

Health Updates and Progress

  • After an allergic reaction to antibiotics, Sue’s swollen tongue was treated with a Benedryl injection.
  • Sue began experiencing muscle twitching and other signs of neurological recovery.
  • Sue's pulse fluctuated between 62 and a normal pulse rate of 112.

Cultural and Historical Context

  • The story reflects events occurring concurrently, such as the end of the Iran hostage crisis on January 20, 1981.
  • Yellow ribbons were hung around Houston to welcome home American hostages.

Additional Information

  • Sue recalls significant details about her past: she became accustomed to an air-conditioned car at age 15 and was involved in a sorority (Zeta).
  • Key health events included a focus on Sue's cardiac health, with a medication called Inderal prescribed to regulate her heart rate.
  • The average rate at which myelin sheath regenerates is one inch per month.

Personal Reflections

  • Sue's experiences in ICU highlighted the care dynamics and her observations on staff's roles in long-term treatment.
  • Communication techniques using blinks were employed for Sue to express herself effectively despite her condition.

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