This is Kathy taking over from CJ. We have got a serious situation going on right now. It is a long story, but right now Rich is in Doctors Hospital in Nassau, fighting for his life. I will try to make this as succinct as possible. Last Monday, March 2, Rich pulled something in his back in Staniel Cay. We were anchored off of Big Majors Spot. Got him back on boat, and he took motrin and flexeril, and cold to back. By Tuesday morning he was literally crying from the pain. He took a Lortab and that seemed to help with the pain. Wednesday he was actually looking and feeling better. Thursday he woke up and seemed a little lethargic and really sleepy. I told him he might be oversensitive to the Lortab and flexeril, and that we should stop that and only use the motrin. He agreed. I also started him on some deep breathing since he had been lying in bed for 2.5 days and I did not want him to get lung issues. He sat up and ate lunch, and had chicken enchiladas for dinner. Then wanted to go to sleep. On Friday morning he was very lethargic and we took him to the nurse run clinic in Staniel. He was dehydrated and in atrial fibrillation. Got 2 liters of Lactated Ringers, and once the EKG confirmed the atrial fibrillation, the Dr in Georgetown stated he should go to the ER in Nassau. We chartered a private plane to get us there. Went to the ER, where Rich was getting confused, but still alert, though sleepy. After a slew of tests, he was admitted to the intermediate intensive care unit. Early Saturday morning he was placed in ICU for better monitoring. When I got there he was not responsive mentally. He was found to be in sepsis from a gram positive infection, staph aureus, origin unknown. Kidney tests out of whack, and an MRI and EEG done. His MRI of brain showed some capillary bleeds in multiple locations. When I arrived this morning, he had his eyes open, and was lifting arms and moving legs, due to pain. His blood oxygen saturation had dropped and he was getting a breathing treatment An Echo ultrasound was ordered to make sure he did not have endocarditis. Meanwhile, his oxygen saturation drops, and they had to intubate him, put in a central venous line and an arterial line to monitor him. We were suppose to be airlifted back to Ft Walton yesterday, but the hospital did not have an available ICU bed. Today all bets are off on moving due to his deterioration. Obviously I am distraught, but my younger sister who is a critical care nurse told me to
start thinking like a nurse. It is better that he is intubated and on a ventilator, and being monitored
closely. The ICU doctor and the nephrologist both thought the best place to medevac him would be
to Jackson Memorial Hospital in Miami, so arrangements were made to get him there by Lear Jet.
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