Friends and Family, Included below is the text which will appear in the obituary section for the next 2 days. The information for Sam's services and donation requests are below.
As requested by Sam himself we are taking the next few days to enjoy time together as a family. We are "...putting out a spread, laugh(ing) and remember(ing) good times..."
Sam G Carman age 80, of Worthington, died August 30, 2008 after a short illness at Riverside Hospital, Columbus, OH. He was preceded in death by his first wife Jeneanne. Sam is survived by his wife Betty; children; Yvonne (David) Pruett, Umatilla, FL; Pam Weber, Greensboro, NC; Lou Ann Carman, Columbus, OH; Greg (Diana) Carman, Grapevine, TX; J. Kim (Jeanne) Croker, Cardington, OH ; Jeneanne (Wayne) Adkins, Dublin, OH; grandchildren, Lisa Pruett, Kelly (Don) Welsh, Joshua (Chavala) Tweedy, David Pruett, Megan (Tom) Filippi, James Lang & Madison Adkins; great grandchildren Kimberly, Devin & Tyler Welsh and Jacob Tweedy and many nieces and nephews. He worked 38 years with A&P Tea Company & 7 years at Columbus Metropolitan Housing Authority. He was past president of the Capital City Sam’s Camping Club and current president of his condo association, and current member of All Saints Lutheran Church. Family and Friends may call from 2:00 – 4:00 and 6:00 – 8:00 p.m. Tuesday, September 2, 2008 at the RUTHERFORD-CORBIN FUNERAL HOME, 515 High St., Worthington, OH 43085 where a funeral service will be held at 8:00 p.m. with Pastor Bonnie Gerber officiating. Interment service will be Thursday, September 4, 2008 at Sunset Memorial Park, Beckley, WV. In lieu of flowers, donations may be made to the American Diabetes Association, Central Ohio Office, 937 High St., Worthington, OH 43085 or American Heart Association, Ohio Valley Affiliate, PO Box 163549, Columbus, OH 43216. Condolences for the family may be sent to: www.rutherfordfuneralhomes.com
Sunday, August 31, 2008
Saturday, August 30, 2008
Peaceful Good-bye
It is with heavy hearts that we post this entry. The incredible man with many names - Dad, Padre, Sam, Papaw, Grandpa, Great Grandpa - peacefully passed into the hands of God at 2:45 this afternoon. He fought until the end with his family by his side, but we know he is in a place where he is without pain and at the side of those we have all loved.
Thank you to all who have shared your prayers for him and our family. In the next few days we look forward to sharing stories, laughing and celebrating Sam's life. Please feel free to share your own stories. It is what he wants.
Posting with final arrangements will be posted in later posts.
Love from all of us.
Thank you to all who have shared your prayers for him and our family. In the next few days we look forward to sharing stories, laughing and celebrating Sam's life. Please feel free to share your own stories. It is what he wants.
Posting with final arrangements will be posted in later posts.
Love from all of us.
Thursday, August 28, 2008
Day of Decisions
They did a MRI on Dad last night and the results verified that his brain has suffered from lack of oxygen for an extended period of time. They did a tracheotomy and added a feeding tube to make him more comfortable. They removed him from all the Anesthesia and pain medication, but after this mornings examinations showed diminished reflexes. He is breathing only with the help of the ventilator.
Meeting with Doctor 2:00PM
Family met with Dr Bose this afternoon and he explained that the likely hood of Dad ever regaining consciousness was very low. And if he did, his quality of life would be very poor at best. We all understand that this is not what Dad would want. He has definitely made it clear that he should not to be kept alive by machines. At one point this afternoon he opened his eye's while the family was in the room. The Doctors and nurses explained that this was only a reflex. But we think he was looking at the great family he raised and was trying to say goodbye. In his subconscious we think he feels his job is done and it may be time move on. He can be proud.
Now is the time for reflection and decisions to be made by the family. We ask you to pray with us and we will continue to update here as we know more.
Meeting with Doctor 2:00PM
Family met with Dr Bose this afternoon and he explained that the likely hood of Dad ever regaining consciousness was very low. And if he did, his quality of life would be very poor at best. We all understand that this is not what Dad would want. He has definitely made it clear that he should not to be kept alive by machines. At one point this afternoon he opened his eye's while the family was in the room. The Doctors and nurses explained that this was only a reflex. But we think he was looking at the great family he raised and was trying to say goodbye. In his subconscious we think he feels his job is done and it may be time move on. He can be proud.
Now is the time for reflection and decisions to be made by the family. We ask you to pray with us and we will continue to update here as we know more.
Wednesday, August 27, 2008
Rough Night
Noon:
Dad had a rough night last night. His PH continued to show an imbalance although the nurses were able to get it regulated.
Greg and Mom went up to visit at noon and they were doing tests. Another EEG was done. They wanted to do an MRI however they can't because of the metal stint he has in his leg. They took him off of the sedation medicine while the EEG was done and during this time, his breathing became very labored. They are now using a light narcotic vice the sedation medicine to treat for pain instead of keeping him sedated. The hope is that he will start to wake up. He shows no response to stimulus applied to the bottom of his foot or to a pinch to his neck; although he did seem to grimace when they changed his pillow. He also appeared to bite down on the tube in his mouth when they settle him back onto the new pillow. He had a lot of fluid on his lungs which they continue to remove. He is on more fluids to keep his blood pressure up and they moved his IV from his arm to his neck so they can add fluids faster.
The tracheotomy and "peg" feeding tube are scheduled to be inserted tomorrow afternoon.
Blood pressure 154/64
21 breathes per minute
93 HR
temperature is normal
3:00 pm
EEG Results do no show any changes from Monday EEG results. (this is good)
5:00 PM
Respiratory Therapist was in and adjusted the ventilator, Dad was resting more comfortably now. All vital signs look like they are under control. Still unconscious and not waking up.
Dad had a rough night last night. His PH continued to show an imbalance although the nurses were able to get it regulated.
Greg and Mom went up to visit at noon and they were doing tests. Another EEG was done. They wanted to do an MRI however they can't because of the metal stint he has in his leg. They took him off of the sedation medicine while the EEG was done and during this time, his breathing became very labored. They are now using a light narcotic vice the sedation medicine to treat for pain instead of keeping him sedated. The hope is that he will start to wake up. He shows no response to stimulus applied to the bottom of his foot or to a pinch to his neck; although he did seem to grimace when they changed his pillow. He also appeared to bite down on the tube in his mouth when they settle him back onto the new pillow. He had a lot of fluid on his lungs which they continue to remove. He is on more fluids to keep his blood pressure up and they moved his IV from his arm to his neck so they can add fluids faster.
The tracheotomy and "peg" feeding tube are scheduled to be inserted tomorrow afternoon.
Blood pressure 154/64
21 breathes per minute
93 HR
temperature is normal
3:00 pm
EEG Results do no show any changes from Monday EEG results. (this is good)
5:00 PM
Respiratory Therapist was in and adjusted the ventilator, Dad was resting more comfortably now. All vital signs look like they are under control. Still unconscious and not waking up.
Tuesday, August 26, 2008
Post Family Meeting
After the family meeting, Betty and Yvonne were visiting with Dad when the nurses came in. A blood test was done while the family was meeting with the doctor and it indicated that there was an inbalance in the PH level. Normal is 7.35 and his was 7.17. There was carbon dioxide in his blood. They injected 2 vails of sodium biocards. After they did this, his blood pressure went up to 118/47, his pulse was 80. His breathing was at 21 with the respirator set at 16. The sodium biocard was counteracting the acid in the blood.
Family Meeting
1) Had quit a lot of fluid buildup in lungs last night. They were able to remove most of the fluid thru the night.
2) No real change in the lung volume in lungs.
3) Pneumonia does not seem to be a problem
4) Could only stay off ventilator for 4 minutes today, not good
5) Opened his eyes when sedation reduced
6) Became very agitated and needed to be sedated again
7) Temperature 99.2
8) Blood Sugar 294
9) Blood pressure 117/49 Heart rate 84
10) Labored breathing
11) Tubes could be causing pain in back, etc
12) Trying to wean off sedation and go more to pain medication to see if he will wake up
13) Cardiology wants to run more tests once he stabilizes and is off the ventilator
14) Liver, kidneys function is good
15) Pain meds and sedation caused his blood pressure to fall but they were able to stabilize.
16) Blood pressure 80/31 @ 1:00
17) Blood pressure improved 123/66 @1:30
18) Breathing labored because they moved him and his eyes have been opened
19) He have blinking reflex when they wipe his pupils
20) Both pupils are the same which is a good sign
21) Eyes were open for 10-15 mins
22) Breathing on his own a little
23) Large brain damage ruled out
24) Mersa in control
25) Good prognosis full response to stimulation
26) Heat did not stop
27) EEG- no specific abnormality
28) Urine output good
29) Blood pressure need to be lowered
30) Large amount of brain damage not noticed
31) There will be some intermediate brain damage
Meeting with Dr Boes
32) Been on machine-Looked for cause no specific reason why it occurred
33) EEG - Brain wave test is abnormal - no evidence of seizures
34) Has abnormal brainwave pattern
35) Encephalopathy - see explanation below
36) Liver-kidney-thyroid ok
37) No evidence of blood or swelling in the brain
38) No tumor indication in the brain
39) Encephalopathy can improve but the longer you remain unconscious recovery is less likely for a full recovery.
40) Prognosis guarded not sure how much he will recover
41) Tomorrow we will see if there is some improvement. If not they will do a tracheotomy on Thursday to remove ventilator out of his mouth and add feeding tube to his stomach. This may make him less agitated and able to take him off the sedations and possibly try and wake him.
42) Antibiotic medicine is working good
43) It’s a wait and see situation and may be weeks instead of days.
What is Encephalopathy?Encephalopathy is a term for any diffuse disease of the brain that alters brain function or structure. Encephalopathy may be caused by infectious agent (bacteria, virus, or prion), metabolic or mitochondrial dysfunction, brain tumor or increased pressure in the skull, prolonged exposure to toxic elements (including solvents, drugs, radiation, paints, industrial chemicals, and certain metals), chronic progressive trauma, poor nutrition, or lack of oxygen or blood flow to the brain. The hallmark of encephalopathy is an altered mental state. Depending on the type and severity of encephalopathy, common neurological symptoms are progressive loss of memory and cognitive ability, subtle personality changes, inability to concentrate, lethargy, and progressive loss of consciousness. Other neurological symptoms may include myoclonus (involuntary twitching of a muscle or group of muscles), nystagmus (rapid, involuntary eye movement), tremor, muscle atrophy and weakness, dementia, seizures, and loss of ability to swallow or speak. Blood tests, spinal fluid examination, imaging studies, electroencephalograms, and similar diagnostic studies may be used to differentiate the various causes of encephalopathy.
Is there any treatment?Treatment is symptomatic and varies, according to the type and severity of the encephalopathy. Your physician can provide specific instructions for proper care and treatment. Anticonvulsants may be prescribed to reduce or halt any seizures. Changes to diet and nutritional supplements may help some patients. In severe cases, dialysis or organ replacement surgery may be needed.
What is the prognosis?Treating the underlying cause of the disorder may improve symptoms. However, the encephalopathy may cause permanent structural changes and irreversible damage to the brain. Some encephalopathies can be fatal
2) No real change in the lung volume in lungs.
3) Pneumonia does not seem to be a problem
4) Could only stay off ventilator for 4 minutes today, not good
5) Opened his eyes when sedation reduced
6) Became very agitated and needed to be sedated again
7) Temperature 99.2
8) Blood Sugar 294
9) Blood pressure 117/49 Heart rate 84
10) Labored breathing
11) Tubes could be causing pain in back, etc
12) Trying to wean off sedation and go more to pain medication to see if he will wake up
13) Cardiology wants to run more tests once he stabilizes and is off the ventilator
14) Liver, kidneys function is good
15) Pain meds and sedation caused his blood pressure to fall but they were able to stabilize.
16) Blood pressure 80/31 @ 1:00
17) Blood pressure improved 123/66 @1:30
18) Breathing labored because they moved him and his eyes have been opened
19) He have blinking reflex when they wipe his pupils
20) Both pupils are the same which is a good sign
21) Eyes were open for 10-15 mins
22) Breathing on his own a little
23) Large brain damage ruled out
24) Mersa in control
25) Good prognosis full response to stimulation
26) Heat did not stop
27) EEG- no specific abnormality
28) Urine output good
29) Blood pressure need to be lowered
30) Large amount of brain damage not noticed
31) There will be some intermediate brain damage
Meeting with Dr Boes
32) Been on machine-Looked for cause no specific reason why it occurred
33) EEG - Brain wave test is abnormal - no evidence of seizures
34) Has abnormal brainwave pattern
35) Encephalopathy - see explanation below
36) Liver-kidney-thyroid ok
37) No evidence of blood or swelling in the brain
38) No tumor indication in the brain
39) Encephalopathy can improve but the longer you remain unconscious recovery is less likely for a full recovery.
40) Prognosis guarded not sure how much he will recover
41) Tomorrow we will see if there is some improvement. If not they will do a tracheotomy on Thursday to remove ventilator out of his mouth and add feeding tube to his stomach. This may make him less agitated and able to take him off the sedations and possibly try and wake him.
42) Antibiotic medicine is working good
43) It’s a wait and see situation and may be weeks instead of days.
What is Encephalopathy?Encephalopathy is a term for any diffuse disease of the brain that alters brain function or structure. Encephalopathy may be caused by infectious agent (bacteria, virus, or prion), metabolic or mitochondrial dysfunction, brain tumor or increased pressure in the skull, prolonged exposure to toxic elements (including solvents, drugs, radiation, paints, industrial chemicals, and certain metals), chronic progressive trauma, poor nutrition, or lack of oxygen or blood flow to the brain. The hallmark of encephalopathy is an altered mental state. Depending on the type and severity of encephalopathy, common neurological symptoms are progressive loss of memory and cognitive ability, subtle personality changes, inability to concentrate, lethargy, and progressive loss of consciousness. Other neurological symptoms may include myoclonus (involuntary twitching of a muscle or group of muscles), nystagmus (rapid, involuntary eye movement), tremor, muscle atrophy and weakness, dementia, seizures, and loss of ability to swallow or speak. Blood tests, spinal fluid examination, imaging studies, electroencephalograms, and similar diagnostic studies may be used to differentiate the various causes of encephalopathy.
Is there any treatment?Treatment is symptomatic and varies, according to the type and severity of the encephalopathy. Your physician can provide specific instructions for proper care and treatment. Anticonvulsants may be prescribed to reduce or halt any seizures. Changes to diet and nutritional supplements may help some patients. In severe cases, dialysis or organ replacement surgery may be needed.
What is the prognosis?Treating the underlying cause of the disorder may improve symptoms. However, the encephalopathy may cause permanent structural changes and irreversible damage to the brain. Some encephalopathies can be fatal
Monday, August 25, 2008
1st EEG and 2nd CT Scan
1) Rested good through the night.
2) CT Scan done and shows not much changed from Friday. They will use this to establish a base point to compare as additional CT Scans are done to see if there are changes. (apparently it could take several days to see the affects
3) EEG done, we won't know the results for 1-2 days, there is no brain swelling, and does not show he is comatose or that he had a seizure.
4) Took off respirator for 40 minutes before breathing became labored (this is normal) One has to be able to breathe 2 hours normally before they will take them off of the ventilator.
5) X-Ray shows no pneumonia, some fluid buildup. We were told yesterday (Sunday) that he had a touch of pneumonia, but he is responding well to the antibiotics.
6) Blood sugar high (280)
7) Still do not know what happened, but they have ruled out heart attack and stroke. The biggest concern is that he is not waking up even when he is taken off of the sedation. He has good, lung, heart, and kidney function.
8) He was without air for a while on Friday; it will take time to see what kind of, if any, brain damage has occurred.
9) Sedation at 15, max 50. He is still sedated to help his body recover from the trauma of his heart stopping and from not breathing for a while.Temperature is normal (it was high yesterday)
2) CT Scan done and shows not much changed from Friday. They will use this to establish a base point to compare as additional CT Scans are done to see if there are changes. (apparently it could take several days to see the affects
3) EEG done, we won't know the results for 1-2 days, there is no brain swelling, and does not show he is comatose or that he had a seizure.
4) Took off respirator for 40 minutes before breathing became labored (this is normal) One has to be able to breathe 2 hours normally before they will take them off of the ventilator.
5) X-Ray shows no pneumonia, some fluid buildup. We were told yesterday (Sunday) that he had a touch of pneumonia, but he is responding well to the antibiotics.
6) Blood sugar high (280)
7) Still do not know what happened, but they have ruled out heart attack and stroke. The biggest concern is that he is not waking up even when he is taken off of the sedation. He has good, lung, heart, and kidney function.
8) He was without air for a while on Friday; it will take time to see what kind of, if any, brain damage has occurred.
9) Sedation at 15, max 50. He is still sedated to help his body recover from the trauma of his heart stopping and from not breathing for a while.Temperature is normal (it was high yesterday)
Friday, August 22, 2008
Dad's Episode
On his way to Therapy, Dad (Sam, Papaw, Grandpa) collapsed as he was getting into the car. At this point, we are unsure how long his heart wasn't pumping enough blood and oxygen to his brain, but the suspicion is about 4 minutes.
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