However, a second and really more ominous situation has been arising. There has been a general, and rapid, decline in her abilities. She has been losing mobility, and could no longer stand when I needed to dress her (to say nothing of our in-place dancing).
Worse still, her eating ability has been declining. Towards the end of the last week in Europe I started cutting out meats because of the difficulty of chewing and swallowing, but otherwise, even while on the ship, she was eating regular meals. In Roosevelt they started putting her on what is called a "mechanical soft" diet, where the food is pea-size. Then it was determined she needed a pureed diet, which was continued in the nursing home. Then it was downgraded to a "blenderized" diet. Her doctor called me this afternoon, curiously, as I had just started to write this, to say she is in danger of aspirating food, and he's now putting her on "nothing by mouth" status. She will be going on a PEG shortly, which is a surgically inserted stomach feeding tube. It is not one of those through the nose. She has continued to lose weight, and looks good at times, yet is very frail, even gaunt. It can only be conjecture what will be happening in the near future.
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