Minga left the hospital on Friday, and is home in Rio Hato until Tuesday. She will return to Panama City for ambulatory hemodialysis at one of the centers there. Apparently she’ll then stay with one of her daughters, Ita or Teri, for her three appointments: Tuesday, Thursday, Saturday. I’m not sure if she will be returning home in between dialysis treatments on an ongoing basis, or not. Dialysis in Panama City is temporary, until she can be accommodated in Penonome.
In a stroke of good fortune, the nephrologist who has cared for her in Penonome for the last year — Dr. Felipe — was on his rotation through Santo Tomas in Panama City when he came upon Minga ready to be discharged with the earlier nephrologist’s recommendation for home dialysis. During the time he’s treated her Dr. Felipe has apparently developed a respect and affection for his patient and a trust level with her family. The family was able to share with him that the complexities of home dialysis seemed far too daunting. He listened, and agreed to try and get her into care in Penonome so she can receive hemodialysis there. He changed the order to move the port, and left it in position.
The plan now is for her to receive hemodialysis in Panama City three times a week until the ambulatory center in Penonome can accommodate her.
Apparently she managed the two hour trip home — I imagine one of her sons drove her — and is happy to be there. Rufina says she is receiving visits from neighbors who care about her, and of course, from family. Humberto lives in a part of Minga’s house with Margarita and Naty. He and Margarita cleaned before Minga came home, and he will cook for her.
Minga lost a lot of weight during this ordeal, more than Dr. Felipe is comfortable with. He wants her to gain weight and strength. Apparently her spirits are good although to me she looks quite debilitated. But then, she almost died.
The first pic is her leaving the hospital, and the second is her at home on her porch, with people able to greet her from the road as they pass by. Her family made a Welcome Home sign, and brought balloons.