James's Homecoming at Copperhill

On Sunday, 10/26, James visited Copperhill Community Church. Many people from Copperhill have been part of James's life before and after this incident, and it was an emotional and joyful homecoming. Enjoy the video!

Day 315 - October 28th

After ten months and ten days, James was released from the hospital today. His trial run over this past weekend proved that he could get around safely. He was able to go to a wedding and attend church without any obstacles. He was blessed to be among so many friends and worship the Lord together. Now he is home and as you can imagine he is extremely happy! He thanks God for getting him through to this point and gives the Lord all the praise and glory for his life and recovery. For the next couple weeks James will not be going to the hospital for therapy, but will remain at home to enjoy his family. He has been given a routine of exercises until he begins formal outpatient rehabilitation therapy. Thank you all for your faithful prayers. God has done and continues to do an amazing work in James' life. All praise and glory to Him!

Day 311 - October 24th

The results from James' eye tests did not fully explain the cause of his vision problems. The doctor stated that it is complicated and has ordered an MRI which will be performed today. Please continue to pray for wisdom to understand and resolve this issue. James gets a pass from the hospital to go home for the weekend. He will be attending a wedding on Saturday and going to church on Sunday. He is beaming with joy and can't wait to be back at home with his family and visit with friends! Please pray everything will go well for him this weekend so that when the doctors evaluate his practice trip home, they will be pleased with his progress and give the final okay for release on Tuesday, October 28th.

Day 304 - October 17th

The doctors have pushed James' release date forward a few days to October 28th. This has nothing to do with his progress, but that they want him to have a "practice day" at home followed by an evaluation. James is not discouraged knowing that it is in his best interests. He continues his therapy and is doing very well. He had an eye doctor appointment earlier in the week for further testing. These results have not come back yet. The remodel at his home is moving along with great speed thanks to the efforts of many men that are helping out. Blessings to you all! Please continue to pray for healing and stability of the plastic surgery and for all the things that are coming together to bring James home.

O kingdoms of the earth, sing to God; sing praises to the Lord, Selah
to Him who rides in the heavens, the ancient heavens; behold, He sends out His voice, His mighty voice. Ascribe power to God, whose majesty is over Israel, and whose power is in the skies. Awesome is God from His sanctuary; the God of Israel—He is the one who gives power and strength to His people. Blessed be God! Psalm 68:32 - 35

Day 298 - October 11th

James had the angiogram of his eyes done yesterday. Unfortunately, the test did not reveal why his vision is blurry. More tests will be performed on Tuesday. Please continue to pray for this. James is working very hard in physical and occupational therapy and counting down the days as his release date approaches. Many things need to come together to get ready for James' return. In particular, please pray for construction that is underway at his home to make it more accessible. Many thanks to go out to everyone who are volunteering their time, talents and materials to make his home comfortable. Thank you for your faithful prayers.

Day 294 - October 7th

James' release date has been moved up to October 24th. He has been working very hard in physical and occupational therapy to meet and exceed the goals set for him. He continues to astonish the staff with his focus and determination. He is able to put weight on his right leg and stand for about a half a minute with assistance. He has feeling in his leg down to his ankle which is a big improvement. The dexterity in his hand is improving, too. Those small tasks we take for granted can be extremely difficult for James. Pulling a zipper used to be impossible, but now he can hold the small metal piece and pull it. This Friday he will have an angiogram of his eyes to help determine the cause of his blurred vision. We haven't talked about lab values in a while, but they are good. His white counts are well in the normal range and have been for quite some time. Please pray with thanksgiving for the continued healing of the plastic surgery work, for strength and endurance, and wisdom for the doctors for Friday's tests.

Day 287 - September 30th

James was able to see the eye doctor on Monday. Testing showed that his reading vision needed a new prescription and glasses will be made for him this week. However, the problem with his distance vision will require further testing. The doctor says that he cannot see that there is a need for a prescription but that there may be a different issue altogether. It is possible that there was some vascular damage to his eyes. An angiogram will be performed within the next week. Please pray for this test and wisdom to the doctor to accurately determine the cause of his vision problem. Therapy is going very well for James and he is looking forward to becoming an outpatient by the end of October. Thank you for your faithful prayers.

Day 284 - September 26th

James is doing very well in Rehab. He was able to stand with the help of his therapists and put some weight on his right foot for a few seconds today. This is a major accomplishment. The nerves are still "sleeping" in his foot so he can't feel much, but hopefully they will "wake up" as he practices this more and more. He is able to perform more tasks on his own like brushing his teeth and helping to dress himself. The therapists set a goal for him to sit in a wheelchair for one hour so that he can go to the eye doctor. James is able to sit for three and a half hours! An appointment is set for Monday in the building next door to the hospital. The doctor and therapists have set a target date for release from Rehab on October 27th. This means he can go home and become an outpatient. It is amazing to begin seriously talking about his homecoming in the near future. Praise God for all that He has done. This has truly been a miracle! Please continue to pray for healing and for endurance and physical strength.

Psalm 96
Oh sing to the Lord a new song; sing to the Lord, all the earth!
Sing to the Lord, bless His name; tell of His salvation from day to day.
Declare His glory among the nations, His marvelous works among all the peoples!
For great is the Lord, and greatly to be praised; He is to be feared above all gods.
For all the gods of the peoples are worthless idols, but the Lord made the heavens.
Splendor and majesty are before Him; strength and beauty are in His sanctuary.
Ascribe to the Lord, O families of the peoples, ascribe to the Lord glory and strength!
Ascribe to the Lord the glory due His name; bring an offering, and come into His courts!
Worship the Lord in the splendor of holiness; tremble before Him, all the earth!
Say among the nations, “The Lord reigns! Yes, the world is established; it shall never be moved; He will judge the peoples with equity.”
Let the heavens be glad, and let the earth rejoice; let the sea roar, and all that fills it;
let the field exult, and everything in it! Then shall all the trees of the forest sing for joy
before the Lord, for He comes, for He comes to judge the earth. He will judge the world in righteousness, and the peoples in His faithfulness.

Day 280 - September 22nd

A visit from Gabe:

Hi Everyone,
I saw James this afternoon, and James asked if we could be praying for him in a couple of areas:
1. First, he wants to able to sit in a chair for one hour, by accomplishing this goal sooner that later he will be able to see an Eye doctor to help with his vision.
2. Second obviously, for his vision to be restored. James still is not able to see well, which contributes to making his days long.
3. Last, James wants to be able surpass the Physical Therapists expectations of his treatment and hope to be able to go home and perhaps become and outpatient. He is ready and willing to work hard and do what every it takes to get the job done.
The road is still going to be tough and long for James and Cathy. Continue to remember them in your prayers.

Day 277 - September 19th

James is very busy with physical and occupational therapy. He is doing well and is getting stronger every day. Monday he will be able to sit and begin an even more rigorous routine. Please continue to pray for strength and endurance.

Day 273 - September 15th

A visit with Mark M. on September 15th:
I visited James this evening. Wow! What a turnaround. He was just coming back from a shower--his first in a very long time. He was refreshed and energized, even as he had some pain from all the movement.
I gave James some highlights from the Men's retreat...just a synopsis of the messages, and he was pleased to hear the men of Copperhill were being challenged to grow. He wanted to know if we had fun, so I ran down the activities for him. I also told him about the busted hoses near the firepits, and he cracked up that there's always some mishap.
We talked about his recovery, and he knows he still has a huge mountain to climb. Therapy and rehab will be gruelling and difficult work. He is incredibly determined to make rapid progress and be home for the holidays. I could see in his eyes that he wants this badly, for himself and his family. James expressed how he wants to care for himself and have some kind of fitting work. Please pray that James will remain strong and healthy as he retrains his body, and that God will provide him with an occupation after he is released.
James is deeply touched by the love, support, and prayers from the men at Copperhill. I told him that his struggle and example are bringing us together and helping us live out the Gospel. We are determined to love him not only in word, but in deed. James said that if his suffering is having that result, then he would go through it all again. Incredible.
James passes along his love and appreciation for all his brothers at Copperhill.
-Mark

Day 272 - September 14th

James is settling into his new surroundings and is very excited about starting his new program. Please continue to pray for healing that is still necessary and for strength.

Day 270 - September 12th

After nearly 9 months in ICU, James has been transferred to the Rehabilitation Department to further his progress in the physical strengthening and healing of his body. This was a great day for James. He sees this as the next step toward going home. Please pray with much thanksgiving that James will have great success in this new phase of treatment.
Here's a message for everyone....

Day 269 - September 11th

Everything is set for James to transfer to the Rehabilitation Department tomorrow. He is very excited! Praise God! Please continue to pray.

Day 267 - September 9th

James is doing well. Lab values show his white blood cell counts are in the normal range and that his kidneys are improving. Great news! Also, the lab values indicate improvement in his ability to make blood. This is another very good sign. Overall, he is doing very well. Thank you for continuing to pray for James. Here is a list of some things we can specifically pray for.
Healing that is necessary for the transfer to Rehab and patience to wait it out.
No delays in transfer - he has been disappointed by previous transfer dates that have failed to be realized.
Physical strength to endure 3 hours of daily physical and occupational (hand) therapy. Pray specifically for improvement to his hands - this is especially frustrating in trying to do the simplest tasks.
Pray for wisdom for the doctors and physical therapists.
Pray for the hospital to allow him an eye doctor visit. His infections have hindered this trip to the building next door.
Relief from phantom pain.
Spiritual strength.
Thank you for your faithful prayers!

Day 263 - September 5th

No changes to report. Please keep praying that James' wounds will completely heal, that the anticipated date of transfer to Rehab will not be extended, and peace for James.

Day 261 - September 3rd

It looks like James will move to Rehab on September 12th. Please pray that nothing will hinder this transfer date and patience for James. He is doing very well and looks forward to moving on from ICU. Thank you for your prayers.

Day 259 - September 1st

James is doing well. No negative signs from the antibiotics being discontinued. The plastic surgeon says the wound is healing well, but still not completely stable and ready for James to go to Rehab. He is anticipating another 3 - 4 weeks. This is discouraging news for James, but he realizes the importance of the situation. Please pray for the wound to heal quickly and that he will be able to transfer to Rehab sooner than expected. Pray for James to have patience and peace during this long wait.
Psalm 57:1, 2, "Be merciful to me, O God, be merciful to me, for in You my soul takes refuge; in the shadow of Your wings I will take refuge, till the storms of destruction pass by. I cry out to God Most High, to God who fulfills His purpose for me."
Romans 8:28, "And we know that for those who love God all things work together for good, for those who are called according to His purpose."

Day 256 - August 29th

James had his feeding tube removed today. He has been eating on his own for quite some time and it is no longer necessary to ensure he gets nutrition. It had also been used to administer medications that could not be done intravenously. Great strides in the recovery process. Praise God and continue to pray.

Day 255 - August 28th

James' white counts came down even more. He is feeling well. Please keep praying that he improves and that he will move to Rehab next week.

Day 253 - August 26th

James' white counts came down to normal today. Praise God! He is feeling well and his appetite is back. Things are going well for him and he looks forward to being released by the plastic surgeon so that he can transfer to Rehab. It looks like this will happen next week. Thank you for your prayers. Please continue to pray for healing and strength and praise Him for all He has done.

Psalm 36:5 - 9. "Your steadfast love, O Lord, extends to the heavens, Your faithfulness to the clouds. Your righteousness is like the mountains of God; Your judgments are like the great deep; man and beast You save, O Lord. How precious is Your steadfast love, O God! The children of mankind take refuge in the shadow of Your wings. They feast on the abundance of Your house, and You give them drink from the river of your delights. For with You is the fountain of life; in Your light do we see light."

Day 252 - August 25th

No changes. Please keep praying.

Day 250 - August 23rd

James' white counts have increased significantly. Not a good sign. He has been off antibiotics for 72 hours now. The doctors will make a decision in the coming days on what course of action is to be taken. On a positive note, James was feeling good today and was able to enjoy some fresh air. The nurses wheeled his bed outside for a little while.
Please pray that James' body will be able to fight off the infections without the antibiotics.

Day 248 - August 21st

No changes today. Please continue to pray as the antibiotics have been discontinued. Pray for healing.

Day 246 - August 19th

The doctors have decided to take James off all of his antibiotics. As you know, James has been very nauseous and they believe the antibiotics may be the cause. Since he is doing so well and the wounds have healed to a point of being stable, the team believes it is time to remove the antibiotics. This is great news, but they are very cautious and will be monitoring his lab values and will be performing CT scans and MRI's to follow his progress. Please pray that James will do well in this process, that his body will demonstrate that he no longer needs these very potent antibiotics. They have always posed a possibility of side affects which James has never shown signs of - praise God - so we really need to pray that he no longer requires these medications and that he will continue to show signs of progress.

Day 245 - August 18th

Today marks 8 months for James. It has been a very long trial and a difficult battle that is frankly, baffling at times. Yet we are always mindful to acknowledge that against all worldly logic James has survived. And not just survived, but is on a road of recovery that will restore his health and will return him to his home with his family, and to the fellowship of his friends. Through these months we have seen the mighty work of our great God: mercy, grace, faithfulness, healing, strength, ever present help. Thanks be to our Lord for all He has done and all that He will continue to do. He is worthy of all the glory and honor!

James had a rough day today. He was given some new medications that made him very sick for most of the day. By early evening he was doing much better and was able to get some food down. Also, he required two units of blood. Not sure why this is, other than the fact that when you are very sick your body sometimes just doesn't make enough blood. The last time he received blood (August 6th), it didn't seem to make a big difference and so the doctors waited to see if he would improve. Unfortunately, the lab values kept creeping down. The two units should help him feel better and help with his overall healing. His white counts have come down significantly to just slightly above normal. Praise God for this! A very good sign.
Thank you for faithfully praying for James and seeking the Lord on his behalf.

Day 244 - August 17th

No changes today. Thank you for your prayers.

Day 243 - August 16th

No changes. Please keep praying.

Day 241 - August 14th

The doctors removed James' tracheostomy this evening. This is great news. It means James is improving and there is NO SURGERY planned for the future. Praise God! The wounds are healing well and his white counts have come down some - still above normal, but down nonetheless. Please continue to pray for healing and for spiritual and emotional strength.

Day 240 - August 13th

No changes today. Thank you for praying.

Day 239 - August 12th

James is doing much better with the pain and his white counts are coming down. Thank you for your continued prayers.

Day 237 - August 10th

No changes today. Please keep praying.

Day 236 - August 9th

No changes today.

Day 235 - August 8th

James had to have another unit of blood today. Other than this, everthing is about the same. Please continue to pray.

Day 234 - August 7th

James is still recovering from the surgery and is having more pain today. He is very sleepy due to pain meds. Even though he received a unit of blood yesterday it did not raise his lab values. His white counts are elevated and he has a low grade fever. Please pray for healing and strength to endure this very long trial.
Psalm 57:1, 2, "Be merciful to me, O God, be merciful to me, for in You my soul takes refuge; in the shadow of Your wings I will take refuge, till the storms of destruction pass by. I cry out to God Most High, to God who fulfills His purpose for me."

Day 233 - August 6th

James is recovering from yesterday's surgery. He has some pain, but not as much as last time. Praise God! He required a unit of blood today. This is not due to blood loss, but that his body is not producing enough. Please continue to pray.

Day 232 - August 5th

Surgery went very well with no complications. The surgeon is pleased with the results and expects this to be the last surgery. James is resting comfortably. Thank you for your prayers and please continue as he recovers and deals with the pain that will follow for a few days.

Day 231 - August 4th

James is scheduled for surgery tomorrow at 2:30pm. Please pray for wisdom for the doctors and staff. Please pray that they will be able to successfully complete the necessary plastic surgery to finally close his wound. The doctors are always quick to remind us that every surgery is a risk to James. Pray that everything will go smoothly and quickly, and for healing and recovery.
Psalm 73:28, "But it is good for me to draw near to God; I have put my trust in the Lord GOD,
That I may declare all Your works. "

Day 230 - August 3rd

No changes to report. Thank you for your prayers.

Day 228 - August 1st

We received news today that James will indeed have the third plastic surgery. This is scheduled for Tuesday at 2:30pm. The intent is to make some adjustments and attempt a final and complete closure of the wound in an small area that is troublesome. Rather than wait for his body to slowly do this on its own which could take weeks, the surgery will speed up the process and speed up his move to Rehab. James is not at all happy about having yet another surgery, but understands the necessity and hopes this will be the last one. Thank you for your faithful prayers.

Day 227 - July 31st

James will not have a biopsy after all. The doctors say that since he has had no fever and his white cell counts came down to the normal range today and that he is showing overall improvement, the test will not be required. After his wounds heal from the plastic surgery, the doctors will stop the antibiotics and see how James responds. This may be a couple weeks from now, but please pray that his body will continue to heal and that these antibiotics will accomplish everything that they are intended to do and will not be required any longer. The drugs are very, very strong and have always had a potential of side affects. Thankfully, because of the Lord's grace and mercy, James has not shown to have any side affects at all! Even so, the sooner he gets off them, the better. As you can imagine, James is very excited about this news. Praise God for His grace and His mercy and please continue to pray with thanksgiving.
Psalm 116:5, "Gracious is the Lord, and righteous; our God is merciful."

Day 226 - July 30th

The MRI was performed today. Initial results indicate there is no collection of fluid in his pelvic cavity, which is great news. However, there is swelling and inflammation. Over the next few days his team of doctors will be discussing the possibility of a biopsy to determine if there is still infection in this area. Please continue to pray for wisdom and for healing.

Day 225 - July 29th

James had a CT scan yesterday. The results show the size of the infection is smaller, but still large enough that the doctors feel it important to perform more thorough testing. He will have an MRI tomorrow (Wednesday) to get a better picture of the pelvic cavity. The doctors will then decide if he needs a biopsy that will determine if there is still infection in the site. If there will be a biopsy, it will be performed on Thursday or Friday. Please pray for wisdom for the doctors and for James not to be discouraged during this frustrating process of testing. Pray for the renewing of his mind.
The plastic surgeon examined the surgical wounds today and is very pleased with the healing process. Thankfully, he is requiring less pain medication to keep him comfortable. Please pray these would continue to heal without infection.
Thank you for your faithfulness in seeking the Lord on behalf of James.

Day 221 - July 25

The nuclear study showed improvement in the white cell activity. No white cells collected in the pelvic area or the area of his wounds. And blood tests show that James' white counts have decreased as well. This is a very good sign. Praise God! An ultrasound was also performed to try and identify a cause for his pain other than the surgical site. There were no findings of great concern and James' pain has decreased to some degree and is much more comfortable. Again, Praise be and glory be to our great God! Overall, James is improving and looking forward to a transfer to Rehab in a few weeks. Please pray with thanksgiving for continued healing and strength.
Psalm 18:28 -30, "For it is You who light my lamp; the Lord my God lightens my darkness. For by You I can run against a troop, and by my God I can leap over a wall. This God—His way is perfect; the word of the Lord proves true; He is a shield for all those who take refuge in Him."

Day 219 - July 23rd

James had another nuclear study today. His white blood cell count has been rising for the past week and because he has been experiencing so much pain the doctors felt it would be profitable to find out where his white cells are collecting. Even though his white count is rising, he has no fever which is a good sign. The results should be available tomorrow.

Day 218 - July 22nd

No changes today.

Day 217 - July 21st

James is still in pain from last weeks surgery, however it has lessened to some degree. He has been on fairly high doses of morphine to help alleviate the discomfort which also makes him quite sleepy. Although, when he is awake, he is in good spirits. James gives all glory to God for continuing to heal him and strengthen him. He recognizes that it is the Lord who is at work in him to help him come to terms with everything that has happened to him and the condition he is in. He is thankful for the Lord's incredible mercy and grace that has been poured out upon him and he is thankful to the many people who have prayed for him and encouraged him through this trial. He is blessed beyond words and sends his heartfelt gratitude to all of you. Please continue to pray with thankfulness for this work in James' heart and that he would continue to encouraged in the Lord. And, as always, for healing. Praise be to our great God! Psalm 115:1, "Not to us, O Lord, not to us, but to your name give glory, for the sake of your steadfast love and your faithfulness!"

Thank you to all who came out for the blood drive today. It was a great showing. Fifty-three people donated blood, of which 42 units were successfully added to the blood bank. Thank you for supporting James and The American Red Cross.

Day 216 - July 20th

James is feeling a little better today - a little less pain. Other than this, there are no changes to report. Please continue to pray for healing.

The blood drive is Monday, the 21st at the Hyatt in Valencia from 2pm - 8pm. Please donate if you can. Thank you!

Day 214 - July 18th

Test results showed that James' PICC line was heavily infected. It was replaced today and James' temperature lowered significantly. He is feeling a little better than yesterday, but is still in much pain even with all the pain medication. White counts were elevated out of the normal range. Please continue to pray for healing.

Day 213 - July 17th

One of the blood cultures has come back positive, meaning bacteria was found in James' blood and he is considered in sepsis. A new antibiotic was prescribed and the PICC Line (line for intravenous fluids) was changed today. James is still running a fever and in a lot of pain from the surgery. Please continue to pray for healing of the wounds and for relief from pain. Also, please pray for wisdom for the doctors as they try to determine the cause and treatment for the new infection. Please also pray that James will not become discouraged. Thank you.

Day 212 - July 16th

James had a fever today of 102.6. Blood cultures were performed to check for new infections with results in 72 hours. He has been in a lot of pain following yesterday's surgery. Please pray for speedy healing and comfort from the pain. Thank you.

Day 211 - July 15th

Surgery went very well. The plastic surgeon was able to completely close the wound and blood loss was minimal. Praise God! James will be in quite a bit of pain as he recovers and the newly closed wound heals so he will be on larger doses of pain medication. It will be at least three weeks before the surgical area will be stable enough that James can transfer to Rehabilitation. Please pray the healing will come quicker than expected, for freedom of pain, and that there will be no complications.
James' white blood cell counts were in the "normal" range for the first time ever! Another praise to our wonderful God. These may rise again following the surgery, but he is definitely moving in a positive direction of healing. Thank you for your faithfulness to pray for James. Praise God for all He is doing in James!

Day 210 - July 14th

No changes today. Surgery is scheduled tomorrow at 2:30pm. Thank you for your prayers.

Day 209 - July 13th

James will have the second plastic surgery procedure Tuesday at 2pm. Please pray this would be successful and that he would remain stable. There are no changes in his condition to report. Thank you for your faithfulness in praying for James.

Day 208 - July 12th

No changes today. Thank you for your prayers.

Day 207 - July 11th

James is doing well after yesterday's surgery. However, he is now experiencing a lot of phantom pain. The pain doctor has prescribed a particular medication that treats this and James found relief for a few hours. The dispensing of this drug is scheduled in a specific course and the next dose isn't until tomorrow. Please pray that this pain would end. Other than this, he is doing very well considering the surgery he just had. No fever and no increase in his already high white blood cell counts. This is often the case, but not this time. Praise God!
Psalm 9: 1 & 2, "I will give thanks to the Lord with my whole heart; I will recount all of your wonderful deeds. I will be glad and exult in you; I will sing praise to your name, O Most High."

Day 206 - July 10th

The surgery went very well. The plastic surgeon was able to close part of the wound and prepare the rest for next week. No complications and no excessive bleeding. James is resting quietly. Thank you for your prayers.

Day 205 - July 9th

James will be having surgery tomorrow (Thursday) at 5:00pm. This is a preliminary procedure by the plastic surgeon to prepare for the surgery to cover his wound next week. Please pray for wisdom for this surgeon and that all will go well. Pray that there will be no excessive bleeding. There shouldn't be, but they are prepared just in case. Pray that James would not be discouraged. This is not a setback, but a necessary procedure to help him heal faster. Unfortunately, because of this surgery and the one to follow next week, his transfer to Rehab and the removal of the trach are put on hold for now.
Please remember the blood drive is coming up. You can set up an appointment by clicking on the link on this site or go to:
https://www.givelife.org/index.cfm?hlc=copperhillchurch

Day 204 - July 8th

No changes today.

Day 203 - July 7th

No changes today. Thank you for your prayers.

Day 202 - July 6th

One of James' wounds is not progressing in the healing process any longer and the doctors are discussing the need for plastic surgery. This would close the wound and help it to heal faster. A specialist will be called in this week to make an evaluation. Unfortunately, this will delay his transfer to the Rehabilitation Department. This will also delay the removal of the tracheostomy since they will need this if the surgery is a go. Please pray for wisdom for the doctors and for James not to be discouraged over this recent news.

Yesterday, 9 bicyclists from Copperhill made an astonishing 33 mile round trip ride from Valencia to the hospital in Northridge to visit and pray for James. Thank you Steve, April, Nigel, Brian, Miguel, Sam, Christian, Nick, and Kieran. James was amazed at your incredible efforts and was blessed by your kindness and ministry.

Day 201 - July 5th

No changes today.

Day 200 - July 4th

No changes today. Thank you for your prayers.

Day 199 - July 3rd

An eye doctor performed an initial examination on James' eyes today. From what he can see, there is nothing critically wrong with his eyes. It is hopefully just a change in prescription, however, these tests can not be immediately performed. His isolation condition prohibits him from being transported to the appropriate facility for testing. Pray that this will change soon. The doctors on the critical care team have agreed it is time to remove James' tracheostomy. This will be done within the next few days. They believe it to be contributing to his gagging and because they see no need for surgery in the immediate future, it is not necessary anymore. This is good news, not only that James gets the trach out, but that they are not discussing a possible surgery happening anytime soon. Please pray for James' eyes - especially the dizziness and double vision. This makes him nauseous and in turn makes it difficult to eat. Also, please continue to pray for healing of all the infections.

Day 198 - July 2nd

James' medical condition is unchanged. A specialist will be evaluating his eyes in hopes of determining what is causing his dizziness, blurred and double vision. It could possibly be a change in prescription, but they need to assess if it is a condition which is related to other issues. Please pray for wisdom.
Some facts about the upcoming Blood Drive you may be interested to know:
James has received 275 units of blood products to date. Astonishing!
Northridge Hospital used approximately 10,000 units last year for all their patients.
Normally, summer months are the lowest turnout for donations.
During the summer California relies on approximately 40% of product being imported from the Midwest states.
This year, due to the horrible and tragic flooding in the Midwest (please remember those affected in your prayers as well), donations are down significantly and there is concern about the availability of blood.
Please consider donating blood if you can. It will be a wonderful gesture of honoring James, and you will be helping others in need. We realize that not everyone is able to donate so for those who can not, your love for James is so greatly appreciated and know that you are serving your brother in Christ by bearing his burdens and seeking our great and wonderful Lord through your prayers. Thank you and may the Lord bless you all for your faithfulness.

Day 197 - July 1st

James had a nice birthday today, at least as best as can be expected. He enjoyed all the birthday wishes and his favorite German Chocolate Cake. The nursing staff gathered at his room to sing to him as well. His medical condition is unchanged and he continues to get stronger each day with physical therapy. Please continue to pray for him. There will be a blood drive on July 21st in honor of James held at the Hyatt in Valencia from 2pm - 8pm. Please mark your calendars for this date.

Day 196 - June 30th

The results of the nuclear study came in. This test evaluated James' pelvic bone. You may remember a test was done quite some time ago and it was determined that the bone showed signs of infection. This same test was repeated last Friday and shows that there has been no change. James will continue on antibiotics and have future studies to determine any progress. James' vision has not been clear for several weeks. He sometimes has double vision and is always struggling with blurriness. When he focuses on things relatively close, he often becomes dizzy which in turn makes him nauseous. It is even difficult to look people in the eye for any length of time. Please pray for wisdom for the doctors to discover what the cause is. Pray for strength and endurance for James during this lengthy process of healing. And, as always, please continue to pray for healing.

Day 195 - June 29th

No changes today. Thank you for your prayers.

Day 194 - June 28th

No changes today. We are still waiting for results of the nuclear study. Thank you for your prayers.

Day 193 - June 27th

James had a nuclear study performed today. We will get the results over the weekend. Overall, his condition has remained the same. His diet was approved for all foods and he is looking forward to his favorites. Please continue to pray for healing of the various infections in his body, wisdom for the doctors, and for physical and spiritual strength.

Day 192 - June 26th

James' condition is unchanged over the past few days. He was moved to another room that has a window but he is still in ICU. He works hard every day with his physical therapists and is looking forward to moving to the Rehabilitation Department. Pray this will be soon.

Day 191 - June 25th

No changes to report today.

Day 190 - June 24th

James did not have a fever today and his white count came down slightly. The doctors continue to monitor the infection. No other changes today.

Day 189 - June 23rd

James has a low grade fever and his white blood cell count has risen higher again. The doctors believe it to be related to the infection in the pelvic area. James is very discouraged. Please pray for wisdom and healing.

Day 188 - June 22nd

James has been working hard at getting strong enough to be transferred to the Rehabilitation Department. Hopefully this will be soon - within the next couple weeks. He continues to fight the infections in his body and will be monitored by CT scans. His white counts are still high. Thank you for faithfully praying for James.

Day 187- June 21st

No changes today. Thank you for your prayers.

Day 186 - June 20th

No changes today. Thank you for your prayers.

Day 185 - June 19th

James is participating in a lot of physical therapy which is preparing him for the eventual move to the Rehabilitation Department. The issues that hindered his eating, drinking and talking have been resolved and he is doing well. His lab values still indicate infection (high white blood cells), however the levels that determine the need for dialysis have been decreasing slightly every day. Please pray for physical and emotional strength, and also for his spiritual strength to trust in God's plan for him. Many people have asked about the video that was recently taken of James. You can still view this short clip by going back to the older posts for June 11th.

Day 184 - June 18th

No changes to report. Today marks 6 months for James in ICU. Please continue to pray.

Day 183 - June 17th

No changes in James' condition, however it was very encouraging today in that the ventilator is not even in his room anymore! His doctors are working on changing his room to one that has a view. He will still be in ICU but he will at least be able to look outside and know the difference between day and night. Please continue to pray for healing and praise our amazing God who does wondrous things. We know that He works all things to our good and we are only beginning to see this in James.

Day 182 - June 16th

James is responding very well to reverting back to his old pain medication. He is no longer nauseous and is more willing to eat and speak. He is still fighting a variety of infections, including what remains in the pelvic area. The rehabilitation department is anxious to receive him and get him moving again. He can transfer to this department even with the infections, but he must be stable. Please pray this will come quickly.

Day 181 - June 15th

The results of the CT scan performed on Friday are in. After review, the doctors feel the infection appears smaller in size. This is the first time there has been a true decrease in size. Praise God! James is not doing so well on the new pain drug he was transitioned to. He will have to go back to the old medication but it will be administered differently. He is breathing on his own without assistance from the ventilator and is breathing room air instead of oxygen. This is a great improvement. Please continue to pray with thanksgiving.

Day 180 - June 14th

No changes today.

Day 179 - June 13th

James had another CT scan today. The results will come in a few days after several doctor's have an opportunity to review and then discuss together. Other than this, everything is about the same. Thank you for your prayers.

Day 178 - June 12th

James is resting from yesterday's big adventure to the outdoors. He was awake enough to watch the end of the Lakers' game and was sorely disappointed! His white counts are still elevated and his lab values are gradually increasing again that indicate he may require dialysis in the near future. This will require a surgical procedure to put in a new catheter. As you may recall, the one he had was recently removed and tests showed it was infected. Please continue to pray for healing.

Day 177 - June 11th

James took a trip outside for 30 minutes today to enjoy the fresh air. What an incredible encouragement to his spirits! Cathy was able to get a video of a few minutes of the trip. Click on the link below - James has a message to all of you. Enjoy the video and see what our amazing God has done and is doing in the life of James. You may want to turn up the volume a little. He is regaining the strength back in his voice, but it's still a little slurred and quiet. Please continue to pray for James as he is still very sick. Also, praise our God for His grace and mercy.

Day 176 - June 10th

James is still in the process of being transitioned to a new pain medication which is making him very sleepy. He should level out within the next few days and be alert for longer periods of time. He was taken off the ventilator for most of the day today and was able to eat and drink a little. His white blood cell counts are high and the doctor's are not sure why. Please pray for healing.

Day 175 - June 9th

James is basically unchanged today  thank you for your prayers.  

Day 174 - June 8th

James is doing a little better today. His fever has lowered and his blood pressure is stable without medication. He spirits were a little better today and he even watched some of the Lakers game this evening. Please continue to pray for healing from the infections in his body.

Day 173 - June 7th

James had a very difficult day. A blood culture came back positive for staph infection and he had a fever of 101. His blood pressure needed to be maintained through medication and he received 3 units of blood. The doctors decided to put him on dialysis this evening and immediately following the procedure (which takes three hours) the dialysis catheter will be surgically removed because they suspect it to be infected. He is still adjusting to the new pain medication and was quite sleepy for the majority of the day accompanied by some minor withdrawal symptoms. Please pray for healing from this new staph infection and for his blood pressure to become stable.

Day 172 - June 6th

James was transitioned to a different pain medication yesterday. Unfortunately, this new medication is making him very sleepy today which affects his breathing. As a precaution the doctor has put him back on the ventilator for a couple days. This is not to be considered a setback as James will come right off the ventilator once the appropriate dosage is determined. The doctors are being careful to give him just the right amount so that he will not experience any pain, while at the same time avoiding any possible withdrawals from the previous medication. Also, James had dialysis today. This was the first time since April 28th. His lab values had been gradually increasing over the last couple weeks and the kidney doctor felt it was time. Fortunately for James, he won't remember any of it because he was asleep. Please pray that the pain medication will transition quickly and that James will be comfortable in the process.

Day 171 - June 5th

James' condition is unchanged from yesterday. He is doing well with physical therapy in regaining his strength and jokes around with the therapists. Praise God that we see joy returning to his demeanor. Thank you for praying and please continue.

Day 170 - June 4th

James was able to eat and drink today. On the menu were watermelon, cranberry juice, butterscotch pudding, cherry jello and water. He was excited to be able to eat and drink and this really boosted his spirits. His white counts are still high and being monitored closely. Please remember that James is still very sick and needs our constant prayers for healing.

Day 169 - June 3rd

The results of the nuclear study came in today. The pelvic area is the most significant indication of white cell activity. This was expected by the doctors and they will continue to monitor James' healing in this area by CT scan every week or so. The PICC line showed signs of infection and was changed today. James has not had dialysis since April 28th which is great, however his lab values have been gradually increasing. Please pray that the infection that remains in the pelvic area is eradicated, that his lab values will stabilize and he will not require dialysis, and for his emotional/spiritual health.

Day 168 - June 2nd

James' white blood cell counts rose even higher today. The indium study was performed today and the results will be in tomorrow. A blood culture has come back positive indicating a possible infection in his PICC line. This will be confirmed tomorrow, and if it is positive, the PICC line will be changed. James is feeling a little better than yesterday, but his spirits are low. Please continue to pray for comfort, healing and strength.

Day 167 – June 1st

James had a difficult day. His white blood cell count is very high and he feels very sick. Several cultures were performed today with results that will come over the next few days. On Monday he will have another indium study where some of his blood will be drawn and the white cells will be made radioactive. These will then be injected back into his body and will illuminate where infection is. Please pray for wisdom for the doctors and healing for James

Day 166 - May 31st

James has been off the ventilator for two days. He was able to speak today with a special attachment to his new trach called a Passy-Muir Valve. This speaking valve allows air to pass over the vocal chords making speech audible. He did very well, much better than a couple of weeks ago when this was attempted in a different manner. Even so, it takes great effort on his part to speak and will need to exercise these muscles back to full strength. The doctor plans for James to drink and eat on Monday or Tuesday. While he passed the swallowing test on May 15th, the trach he had at that time was too large and made it too difficult. This new smaller size should make it easier for him. His first requests are a drink of water, cantaloupe and watermelon (the fruit may have to come in puree form, but at least he’ll be able to taste it). Please continue to pray for James, especially for his mind & his spiritual health.

Day 165 - May 30th

James has been off the ventilator since yesterday. Praise God. The doctor's recommendation is for him to stay off the ventilator as long as he is comfortable, and he is doing great. He will still have the trach for another week, but will be changed to a smaller size which will make it easier for him to swallow and get his much desired drink of water. The CT scan results indicated no changes from the previous test and treatment is being continued in the same manner. James has not required dialysis in over a month which is amazing. He still has quite a road to complete recovery, but he has overcome huge obstacles. James has amazed the staff at the hospital. Nurses stop by his room just to comment on his recovery and get a smile from him. All the praise and glory belongs to our great God. Please continue to intercede before the Lord for wisdom to the doctors and staff, and for healing, peace and strength for James.

Day 164 - May 29th

James was off the ventilator for twenty hours yesterday and the goal is twenty-two for today. The results of the CT scan are not available yet and will hopefully be ready tomorrow. His wounds are continuing to heal. Overall, there has not been much change in his physical condition. As expected, James has to process things a few times before it registers and had to be told what happened to him over these past five months all over again. Please continue to pray for him to know the peace of Christ in all of this.

Day 163 - May 28th

James is doing very well at breathing on his own without assistance from the ventilator. Yesterday he was off for eighteen hours and hopefully today will be twenty hours. He still has not required dialysis and has no fever. White counts are still elevated, but lower. A CT scan was performed today and results will be in the next day or two as several doctors will likely want to comment. He is still quite discouraged. Please continue to pray for healing, regained physical strength, emotional and spiritual comfort and for independence from the ventilator with no set-backs.

Day 161 - May 26th

James has a low grade fever of about 100, but the doctors are not worried about it. He had been fever free for a few weeks and this is not too high. His physical therapy is going well and he gets stronger every day. Please continue to pray for healing and strength.

Day 160 - May 25th

James’ medical condition is basically the same. He continues to be weaned off the ventilator and we hope it would be within the next week. Please continue to pray for healing and for emotional and spiritual strength.

Day 158 - May 23rd

James' medical condition is unchanged over the last few days. His kidneys are functioning at 15 - 20% so he has not required dialysis in nearly four weeks. His pain medication dosage is being tapered down and is currently at 10% of what his peak dosage had been. Yesterday he was completely off the ventilator for 10 hours and today was a long session as well. The tracheotomy prevents him from eating, drinking and talking which is very frustrating for him so he anxiously looks forward to the day he is weaned off completely. Our biggest prayer request right now is for his psychological/emotional and spiritual condition. He is very discouraged. He is processing everything that has happened to him over the past five months all at once. Please pray for him to know the peace of Christ which surpasses all human understanding, that he would know the comfort and love of our compassionate and merciful Lord, and that all who care for him would be sensitive to his concerns during this time.

Day 136 - Day 155 May 2008

May 20th - James' medical condition was unchanged today. He is having much difficulty swallowing with trach. Once he is able to beathe on his own without assistance from the ventilator the trach will be removed and he will be able to drink and eat. Please pray for regaining strength over his entire body and the ability to come off the ventilator. Also, please continue to pray for his spiritual and mental health.

May 19th - No change in James' condition today. Thank you for your prayers.

May 18th - No changes in James' medical condition today. This is a very challenging time for him right now in a very different way. Not his physical health, but his mental and spiritual health. Please continue to pray for him as he comes to terms with everything that has happened.

May 17th - The results from the CT scan were reviewed by several doctors. One of the concerns of going into surgery last week was the fear of hemorrhaging. The surgeon said that during this very meticulous surgery he was able to remove the majority if not all of the infected tissue that was present, yet carefully stopping at the point where there was concern on how much bleeding began to occur. The scan shows there may still be something there, but it is difficult to determine exactly what it is - infection or scar tissue from this very surgery. However, if there is still tissue that is infected, his body may be strong enough at this point to fight it off, or if it is necessary, at some point, they will address the possibility of a second surgery to remove it. James is showing signs of improvement in that his white counts have dropped more in the last few days (even though they are still elevated above normal). He has no fever and still does not require dialysis. These are positive signs that his body just may be strong enough. Time will tell. James was awake enough that he was told in short summary what happened to him. As you can imagine, that was difficult. He may have to be told many, many times before it sticks in his memory. Please pray for James to seek and know the comfort and strength in our merciful God. Psalm 57:1, 2, "Be merciful to me, O God, be merciful to me, for in You my soul takes refuge; in the shadow of Your wings I will take refuge, till the storms of destruction pass by. I cry out to God Most High, to God who fulfills His purpose for me." Romans 8:28, "And we know that for those who love God all things work together for good, for those who are called according to His purpose."

May 16th - James' condition was about the same today. We are still waiting for results on the CT scan. He was given soft food and drink today for the first time. The muscles in his throat are very weak and it was difficult to swallow. It will take some time to stregthen these again, but he is determined. He has physical therapy daily and actively participates in the activities. Please pray for his ability to regain his muscle strength in his entire body.

May 15th - We are still waiting results from the CT scan the other day. James had a swallowing study today and he did well despite the fact he had to swallow the barium fluid that always makes him sick. He braved through even when given the option to do it another day. He's very thirsty and desperately wants to actually drink some water. He will be able to begin drinking and eating very soft foods tomorrow. Even so, remember that he is still very sick and needs our constant prayers. He is still being tapered down on sedation and is not completely awake, just more awake than before. White counts are high, but no fever and no dialysis.

May 14th - James had a CT scan today of the pelvic area as a follow up to his surgery last week. We will know the results tomorrow. James was completely off the ventilator for two and a half hours today. He breathed on his own without assistance and did very well. He gets stronger every day and hopefully will be removed from the ventilator within the next couple weeks. He has not required dialysis for 17 consecutive days. Praise God! Please pray for wisdom as the doctors evaluate the results of today's test.

May 13th - James had no fever, no dialysis. White counts are still elevated and may be linked to the lung problem over the weekend and an infection at the tracheostomy. A CT scan will be performed at the end of the week to assist in evaluating the results of the recent surgery.

May 12th - James was unchanged today. Please continue to pray.

May 11th - James had a good day today. No fever, no dialysis. He is becoming so much more aware of his surroundings and of people. He even watched a little of the Lakers game today. Please continue to pray for healing and also for peace as he mentally processes his condition.

May 10th - James' chest xray today indicated a partially collapsed right lung. A procedure was performed to remove fluid that was the cause and now he is doing well. His fever has come down and white counts are lower although they are still elevated above the normal range. Please pray for comfort and peace as he becomes more and more aware of his surroundings.

May 9th - James is still doing well recovering from the recent surgery. He did not have dialysis today, in fact, it has been twelve days since he has required it. Fever has returned, but was expected. Please continue to pray for healing.

May 8th - James is recovering well from last night's surgery. No complications and he didn't even require dialysis today. All praise and glory to God for providing the surgeons, the wisdom imparted to them in the timing and the ability to perform the surgery, and the immeasurable grace of our great God. James still has quite a road ahead of him in the process of recovery and your faithful and fervent prayers are greatly appreciated. We know that all of this is in the Lord's perfect timing to accomplish His perfect will.
What a mighty God we serve!

May 7th - James had surgery tonight and praise God (I mean really praise God) he came out of it without difficulties. They were able to immediately access and remove the abscess area and put in a surgical drain to release any other secretions. God used the hands of those surgeons to do what had been said in the past to be inoperable. James tolerated the anesthesia well and only required a small amount of blood. Please continue to pray for healing.

May 7th - Today at 5p.m. we are asking as many people as possible to lift our friend James Daniels up in prayer, as most of you know he has been critically ill and undergone many surgeries since Dec.18th. This evening the surgeons are hoping to remove the infected area in his pelvic region. This is a very risky surgery, but the only hope the doctors feel in saving James' life.
Please pass this on to all those who will come together with us and lay this wonderful man before the throne for healing, grace and peace for the family this evening.

May 6th - The doctor who has done a previous surgery for James has seen the results of the CT scan and will be discussing with his associate the possibility for another surgery. They will be presenting their opinion to Cathy tomorrow. Please be praying for guidance and wisdom on their behalf. Overall James condition was unchanged today.

May 5th - James is about the same as he has been for the past week. A surgeon who performed one of his surgeries in the past has agreed to give a second opinion. He ordered a new CT scan this afternoon and will review his case tomorrow to decide if surgery is possible. Please pray for wisdom for this doctor. James has shown some improvement in that he has had no fever for several days and he hasn?t required dialysis for a week. His white counts are still elevated though. The doctors have been in the process of reducing his pain medication to meet his current needs and at the same time the sedation is being adjusted down. This process can cause withdrawal symptoms, so please pray that this would be a comfortable transition for James. The intent is to wake him up. This will take several weeks just to get him awake and coherent. As you can imagine, this will be incredibly difficult as he begins to learn what has happened to him over the past four and half months. Please begin praying for James' mind, his spiritual health. Pray for him to know God?s peace and strength through this time. Philippians 4:7, "and the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus."

May 4th - Again, no changes. Still waiting for a second opinion. Hopefully we will have more information tomorrow. Your faithful prayers are appreciated.

May 3rd - The second opinion has not come in yet. James has no fever and lower, yet still elevated, white counts. He also received two units of blood today. Please keep praying for a miracle healing, wisdom and God?s perfect will. Thank you.

May 2nd - No changes in James' condition today. Still waiting for a second opinion.

May 1st - No change in James' overall condition. There has been no improvement in the infection by means of medicine and under more favorable conditions a surgical approach would be the next course of treatment. As you know, surgery has not been an option for James. However, due to the critical nature of his condition there is conversation of proceeding with surgery in the very near future even in the face of great risk. This is an extremely difficult decision to make. Pray for a miracle. Pray for wisdom. Pray for God's perfect will.

Day 106 - Day 135 April 2008

April 30th - Another day without changes in James' condition. Thank you for your faithful prayers.

April 29th - No change in James' condition today. Please continue to pray as a second opinion is still being sought.

April 28th - James had dialysis today and received two units of blood. Still high white counts and fever. A second opinion is being sought in the hope of surgically removing the infected tissue deep inside James' body. In the past we have been told this approach is impossible, but the doctors are seeking outside opinions again. They are diligently trying every means possible to rid James of this terrible infection. Please pray that if this surgery can be successfully performed that the Lord will direct the critical care team to the right surgeons. Whatever the outcome we trust in God's sovereignty. "The steadfast love of the Lord never ceases; His mercies never come to an end; they are new every morning; great is Your faithfulness. The LORD is my portion, says my soul, therefore I will hope in Him," Lamentations 3:22 - 24. "The heart of man plans his way, but the Lord establishes his steps," Proverbs 16:9.

April 27th - The test on James' infection in the pelvic cavity has come back positive. The infection is still there. James still has fever and high white counts. Please continue to pray for James as the doctors will be discussing the results over the next few days and what, if anything, may be changed in his treatment.

April 25th - James was about the same today. Still high white blood cell counts, fever, but no dialysis. A test on the pelvic infection was performed by the radiologist today. These results can take up to 72 hours. This area, as you know, is what has not responded to antibiotics and the biggest concern in James' recovery. Please pray for wisdom as the doctors make their evaluations, that there will be no sign of infection, and that this will be a turning point in James' healing.

April 24th - James had dialysis today. Other than this there were no changes in his condition.

April 23rd - James came off the blood pressure support early in the morning and fever is down. No other changes today. Thank you for praying for James.

April 22nd - James had dialysis today. His blood pressure dropped and required medication to support him. As of this evening his pressure has not recovered and remains on medication. His temperature had been normal for the past few days, but has gone up this evening to 100. James' pain and sedation medications are being reduced gradually to make sure he is not getting more than necessary. He is adjusting appropriately to the changes in that he remains comfortable.

April 21st - There were no changes in James' condition today. Please keep him in your prayers.

April 20th - James had dialysis today. His blood pressure required support through medication during the process, but he recovered well and is no longer on it. Fever is low. Thank you for your prayers.

April 19th - For the second day in a row, James did not have dialysis. And he is off the medication for blood pressure support. His fever is down, too. Overall, today was a fair day and we rejoice in this! However, please remember that even with small signs of improvement in one day do not change the fact that James is still critical and very sick. The doctors have always advised us not to get too excited on good days, and not to get too upset on bad days. This is a long road and we still do not know what the outcome will be. Please pray that James will continue to have days of improvement leading to complete healing. In all things we trust our sovereign God!

April 18th - There were no changes in James' condition today. There may be some new tests next week on the pelvic infection. Pray for wisdom for the doctors on this.

April 17th - James required two units of blood today along with dialysis. He is still on medicine to support his blood pressure. Thank you for your faithful prayers.

April 16th - James did not have dialysis today. Unfortunately his fever has returned and his blood pressure has not normalized since yesterday so he remains on medication. Please continue to pray for James as we wait out these days of little or no change.

April 15th - James had dialysis today and once again required medication to support his blood pressure during the three hour procedure. His pressure is still too low to come off the medication and we are praying it will stabilize overnight. The results of the CAT scan show no marked changes in the pelvic infection. The high white blood cell counts are attributed to this infection and his wounds. Good news today - no fever. Praise be to our gracious God.

April 14th - James did not require dialysis today. Other than this, he is unchanged from yesterday. He had the new CAT scan today and we will have better information tomorrow on the results. Thank you for your prayers on this test. He didn't have to ingest the contrast solution!

April 13th - James required medication through the night to support his blood pressure, but by early morning he was stable without it. No change in fever and high white blood cell counts. The CAT scan will be repeated tomorrow due to some conflicting results. Please pray for James in preparation for the test. The contrast that is fed directly into his stomach makes him nauseous and has made him sick. In addition, please pray for definitive results.

April 12th - James did not require dialysis today. He did however require medication for blood pressure support and his white blood cell counts are high. We are still waiting for complete details on the CAT scan. Please continue to pray for healing in James, wisdom for the doctors and all who are involved in his care.

April 11th - James had dialysis today assisted with medication to support his blood pressure. Three and a half liters of fluid were removed in the process. He still struggles with fever and very high white blood cell counts. A CAT scan was performed late today, not only to evaluate the pelvic infection, but also to determine if their is another reason for the persistent fever. The results will be available in the next day or two.

April 10th - James' fever reached nearly 102 today so the infectious disease doctor has again taken a variety of cultures to determine the cause. No dialysis today which means that his kidneys have a SLIGHT improvement. Please remember that James is still so very sick and needs our fervent prayers. Thank you.

April 9th - James required dialysis today with the assistance of blood pressure support. Sometimes his pressure will drop too low during the process and requires the aid of medication. His fever still remains along with high white blood cell counts. Another CT scan will be done by early next week to evaluate any change in the infection of the pelvic area. Please continue to pray.

April 8th - Another day with no change to James condition other than that he did not have dialysis today. His fever is still around 100.7 and he continues on with 5 different antibiotics to fight his various infections. Please continue to pray diligently for the Daniels family.

April 7th - There were no changes in James condition again today. Please continue to lift up the Daniels family in prayer.

April 6th - No changes in James condition today. Please continue to pray for healing.

April 5th - Another day where James is basically unchanged. High white blood cell count, fever, dialysis. His blood pressure is creeping lower again which will be assisted with support when necessary.

April 4th - James remains unchanged over the past few days. These are long days, but we wait patiently, faithfully trusting that the Lord's perfect will is being accomplished in James and in this trial. Thank you for your prayers.

April 3rd - James still has low fevers and elevated white blood cell counts. A nuclear study was performed to see where the white cells are collecting. His wounds are the primary area where the cells are collecting as they continue in the healing process. Thank you for your faithful prayers.

April 2nd - James continues with low grade fever and elevated white blood cells. His blood pressure has been on the low side after dialysis today. Please continue to pray for Gods healing hand.

April 1st - James temperature fluctuates around a low grade fever along with white blood cells continuing to rise. His blood pressure is stable WITHOUT medication today. No dialysis was done, as his lab values were acceptable for a day off. Due to a leak, his tracheostomy tube was replaced. Please pray for James and Cathy through this very long trial.

Day 75 - Day 105 March 2008

March 31st - James condition is unchanged from yesterday; still fever and blood pressure maintained by medication. Please continue to pray. With God, there is both hope and promise. "Because of the Lord's great love we are not consumed, for His compassions never fail. They are new every mornlng; great is your faithfulness. I say to myself, "The Lord is my portion; therefore I will wait for Him." Lamentations 3:22-24

March 30th - Today James had a fever of 102 along with elevated white blood count. During dialysis four liters of fluids were removed. Please continue to pray.

March 29th - Not really any change today; his fever was around 100.6 and his blood pressure was maintained within normal limits with medication. Dialysis continues and his infections are treated with the four different antibiotics. Please continue on in the privilege of prayer.

March 28th - James continues to have a multitude of different infections with various bacteria. His vitals were minimally outside the normal range and daily dialysis has been required. Please continue to pray and praise the mighty hand of God through this long and difficult trial. "The works of His hands are faithful and just; all His precepts are trustworthy. They are steadfast for ever and ever, done in faithfulness and uprightness" Psalm 111: 7-8

March 27th - James fever was down and his blood pressure remained strong with less medication. After review of his pelvic CAT scan, the doctors feel that the infection may be affecting a surrounding area. A different antibiotic will be given for six to eight weeks to fight this infection.

March 26th - James had a CAT scan of the abdominal/pelvic area and the results were unchanged from the previous scan.(no better but at least no worse) Two units of blood were given during dialysis. He continued with a low grade fever and his blood pressure remained adequate. Your faithful prayers are greatly appreciated.

March 25th - James temperature varied only slightly today with a low fever. Four liters of fluids were removed during dialysis. He was ever so slightly awake; just enough for him to acknowledge Cathy. Please pray for the peace of God to surround and fill him through his confusion and sadness.

March 24th - James fever is down today. He had dialysis with as much fluid removal as tolerated. Please continue to pray and don't give up hope. God is actively at work to accomplish His perfect will. "Therefore, since we are surrounded by such a great cloud of witnesses, let us throw off everything that hinders and the sin that so easily entangles, and let us run with perseverance the race marked out for us. Let us fix our eves on Jesus, the author and perfecter of our faith, who for the joy set before Him endured the cross, scorning its shame, and sat down at the right hand of the throne of God. Consider Him who endured such opposition from sinful men, so that you will not grow weary and lose heart." Hebrews 12:1-3

March 23rd - James had fever of 102 even with medication. The doctors are examining every possibility. Dialysis with fluid removal were performed. Please, please pray.

March 22nd - There was difficulty in removing three liters of fluids during dialysis today. An increase in blood pressure medication was required to maintain adequate levels. He remained stable at that dosage. The doctors continue to be very concerned about his various problems including his kidney functions, infection in the pelvic area, the healing of his multiple wounds, as well as the sepsis. Please pray for wisdom for the doctors, peace and perseverance for Cathy and for Gods perfect will to be accomplished in James life. "When you pass through the waters, I will be with you; and when you pass through the rivers, they will not sweep over you. When you walk through the fire, you will not be burned; the flames will not set you ablaze. For I am the Lord your God..." Isaiah 43:2-3a

March 21st - James continues with a low grade fever even with medication. His white blood cells are also elevated again (indication of infection). Dialysis was completed with three liters of fluids removed. A slight increase in blood pressure medication was required to maintain adequate levels. Thank you for your continued prayers.

March 20th - Not much change today; James had intermittent fever around 101 and received dialysis with five liters of fluid removed (that's eleven pounds of fluids). Please remain faithful with Cathy and family through this long trial to keep James continually in prayer.

March 19th - James had a quiet day, maintaining adequate blood pressure throughout dialysis while two liters of fluids were removed. He did have a slight fever today. Although James condition remains mostly unchanged, he continues to be critically ill, giving us privilege and opportunity for continued prayer and support. "Be kindly affectionate to one another with brotherly love, in honor giving preference to one another; not lagging in diligence, fervent in spirit, serving the Lord; rejoicing in hope, patient in tribulation, continuing steadfastly in prayer " Romans 12:10-12

March 18th - James had dialysis, removed four liters of fluid and received two units of blood. His pain medication has been completely changed over and after some adjustments, he seemed to be comfortable. Once again he has yeast infections in various places and medications have been resumed. There has been no fever today but blood pressure medications were required to maintain adequate levels. Please continue to lift James and family in prayer.

March 17th - Five liters of fluid were removed today during dialysis as James continues to retain large amounts of fluids. Kidney functions have decreased somewhat since his last surgery (March 8th). Adjustments of medications are still being made to keep James sedated and as comfortable as possible. "I wait for the Lord, my soul waits, and in His word I put my hope." Psalm 130:5

March 16th - James condition remains unchanged. Your prayers are fervently needed and appreciated as he is still critically sick.

March 15th - James medications are in a transitional state to keep him stable, comfortable and minimize side effects. Blood pressure was on the low side and he has remained without fever. Three liters of fluids were removed during dialysis. Please continue to pray for Gods perfect and complete will to be accomplished in James as well as for those whom his life has touched.

March 14th - Today James had his wound vac/dressing change. Also, three liters of fluids were removed during dialysis. Otherwise a quiet day. James is still critically sick and he and Cathy need your prayers as they continue through this long trial.

March 13th - James condition remains the same. No dialysis today although Lasix was given to help reduce the excessive fluids. Please keep on praying. Thank you so much.

March 12th - James remains the same today. He had dialysis and three liters of fluids were removed. The preliminary report for the brain scan appears to be normal. Your faithful prayers are forever appreciated. "Let us not become weary in doing good, for at the proper time we will reap a harvest if we do not give up." Galatians 6:9

March 11th - Dialysis was given and fluids were removed as tolerated. A CAT scan was done of both the pelvic area and also the brain to check for inflammation. The pelvic area is unchanged; no more, no less infection. Results for the brain scan are not in. Please continue to trust in the perfect timing and will of God.

March 10th - Four liters of fluid were removed during dialysis today and it appeared to relieve some of the extreme swelling. His vitals remained stable with medications. He looked restful all day. Please continue on in prayer.

March 9th - James was restful for most of the day. He did have one wake period where Cathy could see that he was truly sad. This is very difficult to see. With kidneys still in failure, he again had dialysis where they were able to remove three liters of excess fluids and additionally give him some blood products. His vitals were stable with only a low grade fever. Pain levels are maintained with extremely high doses of morphine and two different sedation medications. He continues to be supported by ventilator. "I will love You, O Lord, my strength. The Lord is my rock and my fortress and my deliverer; my God, my strength, in whom I will trust; my shield and the horn of my salvation, my stronghold. I will call upon the Lord, who is worthy to be praised..." Psalm 18 1-3a

March 8th - Praise God for all He does! The doctors came out of surgery at 5:30 p.m. with positive news about the bleeding. They were able to cauterize the many tiny bleeds that were found in an area where the gluteal muscle was previously removed, (surgery from Feb.27), and a skin flap was turned into its place. There is still concern about the possibility of future bleeding. James is not producing red blood cells adequately and with the additional blood loss from the wound, he required numerous units of blood (12+) in the last 24 hours. His vitals have remained stable with medication. Please, please pray for James improvement and for strength and perseverance for Cathy and the family during this extremely long and difficult trial.

March 8th - James will be having surgery around 3:00 p.m. today to repair another area that is bleeding. The doctors say that this is very serious. Just please pray diligently for James' care in this critical time. Stay tuned for more updates.

March 7th - During dialysis it was noted that James had new bleeding. They found that the femoral artery (in the groin area) was bleeding out. His doctor was notified and emergency surgery was performed by the vascular surgeon from 1:30 to 3:30 p.m. Repair of this artery was successful but the doctors are fearful of the outcome if this were to happen again. James vitals are stable with medication and he appears to be comfortable at this time A reminder to all of us: "Do you not know? Have you not heard? The Lord is the everlasting God, the Creator of the ends of the earth. He will not grow tired or weary, and his understanding no one can fathom. He gives strength to the weary and increases the power of the weak. Even youths grow tired and weary, and young men stumble and fall; but those who hope in the Lord will renew their strength. They will soar on wings like eagles; they will run and not grow weary, they will walk and not be faint." Isaiah 40:28-31

March 6th - Thankfully James was very restful today after a new sedation medication was underway. His blood pressure was low (possibly due to the new medication) so they had to resume his blood pressure medication to counter the effect. Even though he appeared to be retaining fluids, he did not have dialysis as his lab value were acceptable. Please continue to pray as time goes on for encouragement and perseverance for Cathy and the doctors and for God's perfect will to be completed.

March 5th - The doctors are having difficulty managing James pain. He continues to wake up and be in severe pain even though his sedation medicine is high and his morphine dosage is very high. Even with all these medications, his blood pressure hasn't dropped (could be due to his agitation level). Please be praying for wisdom for the doctors and nurses as they care for James. This is uncharted territory for them as well as for Cathy and the family.

March 4th - James had several wake periods with episodes of great pain which required an increase in pain medication. The new additional pain medication was introduced today and the staff will be monitoring his vitals and watching for its effectiveness. Dialysis was done and no added blood products were needed. Please continue to pray and trust in Him. "Be anxious for nothing, but in everything by prayer and supplication, with thanksgiving, let your request be made known to God; and the peace of God, which surpasses all understanding, will guard your hearts and minds through Christ Jesus." Philippians 4:6-7

March 3rd - James had periods of being awake but was mostly disoriented and his pain level was very high. Morphine was increased and his sedation medicine was pushed directly into his I.V. line to decrease his pain. It took many hours before we really saw him comfortable. A pain management doctor was brought in for consultation and a new medication will be added to his treatment of care. The infection in the pelvic area is unchanged as of now. Pain management and infection control are areas of great concern requiring our constant prayers.

March 2nd - James physical condition is basically unchanged. His blood pressure was strong enough today that the nurses were able to discontinue his blood pressure medicine. Again he had no fever. He did have many periods of being awake but in these times he was anxious and confused. It is so important to continue on in prayer. James may know that he is very sick but many things are still so unclear to him (partially because of the sedation medications that he has been on for so long). Continue in faith through prayer with thanksgiving.

March 1st - James had dialysis as scheduled for today. His vitals were stable with medications and he seemed to be resting quietly. Please continue to pray.

Day 46 - Day 74 February 2008

February 29th - James required dialysis again today and may require it all weekend. Excess fluids were removed as much as possible through dialysis. He also needed two units of blood and two units of blood products. One doctor described his need for additional blood due to a decrease in blood production and also from the drainage from his wounds. The doctors are still very concerned about the health of his kidneys as well as the many other systems of concern. Blood pressure and temperature were adequately maintained with medication. James did seem to be resting quietly for most of the day. Thank you for your continued prayers.

February 28th - A fairly quiet day it was. James had dialysis and was given two units of blood and two units of blood products. They also removed approximately two liters of excess fluids. Fever often follows surgery as it did for him today. Morphine was increased for his elevated heart rate which could be an indication of pain but he was not showing visually signs such as wincing or grimacing. Keep praying for James and trust in the almighty God.

February 27th - We are thanking God that He has allowed James to survive another surgery. The surgery went very well today. They removed the rest of the femur bone from the socket joint and the wound size was decreased due to the revision. His vitals remained stable during surgery but he did require six units of blood. The doctors are encouraged to see that the kidneys are functioning at an improved level (still not normal but better) and that the pelvic area CT scan has not worsened. All in all, very good news. James continues to be very critical; there is still much healing needed and other hurdles to overcome. Please continue to pray in faith with much thanksgiving for all He has done and continues to do.

February 26th - The CT scan of the abdomen was unchanged from the previous. He had dialysis today and was given 3 units of blood as well as three liters of fluids were removed (James is very edematous - fluid retention). The leg revision surgery is scheduled for 2:30 tomorrow. There are risks involved but the anticipated benefits outweight the risk. I can't urge you enough to continue on in prayer (and fasting) and make our requests to God. "We wait in hope for the Lord; He is our help and our shield. In Him our hearts rejoice, for we trust in His holy name. May Your unfailing love rest upon us, oh Lord, even as we put our hope in You." Psalm 33:20-22

February 25th - The results are not in for the pelvic area CT scan that was performed today. It was a very busy day with the scan, a picc line change and his very elaborate dressing changes. The wound specialist nurse as well as the orthopedic surgeon were present. Some of the wounds are healing but the leg wound needs to be revised again. The surgery is scheduled for Wednesday at 2:30. This will be a very difficult surgery with him being unstable and the possibility of blood loss during surgery, but the area needs to be removed. This has been such a long battle not only for James and Cathy but also for the doctors and nurses. Please pray for their strength and perseverance during this time along with our requests for James to our great God.

February 24th - James condition remains the same today. Please continue to pray for James best, for strength for Cathy and the family, wisdom for his doctors and compassion and guidance for his caregivers.

February 23rd - James had dialysis today and received blood. His condition is unchanged and critical. It is our privilege to continually bring him before our loving Father. "Do not be anxious about anything, but in everything, by prayer and petition, with thanksgiving, present your requests to God. And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus." Philippians 4:6-7

February 22nd - An infection has been found in one of James previous surgery areas and a different antibiotic is being given. Otherwise his conditions remains the same. "And we know that in all things God works for the good of those who love Him, who have been called according to his purpose." Romans 8:28

February 21st - Another day with little changes. The doctors have found James has a sinus infection and have added a new antibiotic. He is still so sick. Don't grow weary in praying. We know God is presently at work in this; now and/or later. "However, as it is written: 'No eye has seen, nor ear has heard no mind has conceived what God has prepared for those who love HIm'" 1 Corinthians 2:9

February 20th - Today was uneventful for changes in James condition. Medications have been adjusted higher and lower according to the need of the day (fever, blood pressure and pain medications). Please continue to pray and trust. "You, O Lord, keep my lamp burning; my God turns my darkness into light" Psalms 18:28

February 19th - James fever continues to be controlled by Tylenol and a higher dose of medications was required to maintain adequate blood pressure. James had a short period where he seemed to be out of sedation (maybe 5-10 minutes). He looked sad and distressed but what calmed him was beautiful - the name of Jesus and a reminder that He never leaves us. "The name of the Lord is a strong tower, the righteous run to it and are safe." Proverbs 18:10

February 18th - James had dialysis today with excess fluids removed and two units of blood given. His temperature remains normal but an increase in medicine was required to maintain adequate blood pressure. All other areas of concern remain the same. Today was the blood drive in honor of James. Thank you all who came to give blood. There was such an overwhelming response that even some were turned away and will have to give at another location and time. Sixty-two units of blood were donated. James is truly loved. The show of love is so amazing to see; your love and Gods love toward us.

February 17th - James preliminary test results for the abdominal fluid came back negative. They have a five day growth period for the final results. He had minimal fever and blood pressure within normal limits with the support of medication. Thankfully no new problems but still critically sick. We wait in the faithfully loving and capable hands of our Lord.

February 16th - There was little change in James condition today. The paracentesis (surgical tapping of a fluid-filled body cavity to withdraw fluid) of the abdomen was done successfully and the fluid will be tested for infection. This accumulation of fluid often happens with the very sick in prolonged care but we are praying that it has not become infected. Please continue thanking God for his goodness and love.

February 15th - James didn't have a fever today and his blood pressure was maintained with medication. He also did not have dialysis but Lasix (a diuretic) was given in hopes of removing some excess fluids. The CT results revealed fluid in the abdominal area. They will be inserting a tube in hopes of removing the fluid and testing it to see if there is infection at this site. Infection is the enemy. For the pelvic area, it has not changed much. The drain is in the correct position however there is little drainage. Wound dressings were changed today and while the doctors were pleased to see some healing in those areas, James remains VERY sick. He is critical and these are critical days. Please continue to pray as God works in James and in all the circumstances surrounding him.

February 14th - James temperature and blood pressure were within normal limits even with a decrease in his medication. His morphine was increased but still James responded intermittently with eyes open sometimes accompanied with a smirk but also at times with a grimace. He had another CT of the pelvic area but we have not received the report. Please continue to pray.
"Trust in Him at all times, O people. Pour out your hearts to Him; for God is our refuge." Psalms 62:8

February 13th - We were disappointed to see a higher fever today (101.8). Ice packs along with Tylenol were used to reduce this but only to 101. A higher dose of blood pressure medicine was given to treat James struggling pressure and it remained within normal limits at the end of the day (with continued meds). Dialysis was not needed nor was blood given. There did appear to be an increase in drainage from his wounds possibly agitated from todays dressing change. Also one of his antibiotics was changed in hopes of a better response to the infections. Keep praying. What comfort we have knowing the almighty hand of God is in control. Praise His Name!

February 12th - James remained with a low fever today. He had dialysis including receiving some blood and blood products and also removing (as they often do) two liters of fluid from his body (when your so sick your body retains excess fluid around the cells). Morphine and Ativan (sedation medicine) doses were also increased to keep him comfortable. Unfortunately, his blood pressure was unstable so his medication has been doubled. So we wait; trusting our Mighty God and comforter. "God is our refuge and strength, an ever present help in trouble. Therefore we will not fear, though the earth give way and the mountains fall into the heart of the sea, though its waters roar and foam and the mountains quake with their surging." Psalms 46:1-3

February 11th - James remained about the same today. His blood pressure is being supported by medication, his fever is on the low side, and he had dialysis today. It is disappointing that he has not demonstrated any improvement in his infections, but we must continue to pray that the antibiotics he has been on will begin to heal his body. Please also pray for wisdom for all his caregivers.

February 10th - James blood culture did come back positive, confirming sepsis at this time. The tests also showed staphylococci (staph). The antibiotics he is presently on should cover these infections. His vitals (supported by medication) have not changed much since yesterday. James appeared to respond to some conversations around him. Keep praying. God is our hope and we will trust in Him.

February 9th - James blood pressure was maintained within normal limits with medication and has had minimal fever all day. Increased morphine and sedation medicine kept him looking comfortable and he did not need dialysis. Continue bringing requests before our gracious God; willing to yield with thanksgiving to His perfect plan. Reminder: We have added new appointment slots for the blood drive in James honor. Please make an appointment by clicking the "Blood Drive Sign Up" picture above, if you are planning on donating blood. Thank you so much!

February 8th - Today we had our meeting with six of James primary doctors, his wound nurse, attending nurse, case worker and social worker. There was much discussion about James condition and what can be done next. The consensus is that the infection in the pelvic area is inoperable at this time with James instability and varying wounds. His antibiotics and blood pressure medicines will be continued with hopes of improvement. Although his blood culture came back negative, he continues to show signs and symptoms of sepsis. Continue to pray FERVENTLY for James, for Cathy and all the family. Give praise to our Almighty, Sovereign and Loving God and pray with thanksgiving for the great love He has for us all and for the perfect plan He has in mind.

February 7th - The meeting is tomorrow at 12:15 p.m. to discuss James care. Please keep this time in prayer. The infectious disease doctor confirmed the infection in the pelvic area. They do not know to what degree as to total area affected. They are also not sure if this area is operable. This will be discussed tomorrow. A plastic surgeon came in today to give his opinion on possible surgeries in the future. At this time he is not a candidate for these surgeries with James being septic and unstable. But, God is Faithful no matter what! Isaiah 25:1 O Lord, you are my God; I will exalt you and praise your name, for in perfect faithfulness you have done marvelous things, things you planned long ago.

February 6th - James has been receiving Tylenol today to keep his fever low and reduce stress on his body. He had two CT scans of the pelvic cavity today; with and without dye. They were able to see the area in question and drain off 10cc of fluid and put in a tube in hopes of draining more. The intent is that without the excess fluid that the antibiotics will be able to work more efficiently. The blood culture results are not in but the doctors are saying he's showing signs and symptoms of sepsis. Although James has had this before, the doctors are VERY concerned. A meeting is being scheduled for Friday with James doctors to discuss his care. In this, please pray for wisdom and continue to rest in His care.

February 5th - James continued to have fever today and his blood pressure was low but responded well with support of medication and fluids. He did have dialysis with hopes of removing excess fluid (around the cells) throughout his body. ACT scan of the pelvic area is scheduled for tomorrow at 11:00 a.m.. With those results, the doctors will decide about the possibility of draining a fluid pocket in that area. We are waiting on a blood culture to see if James is septic again. These symptoms as well as some others are pointing in that direction. Please keep praying and trust our God who knows best.

February 4th - Because of the degree of James wounds, he has a nurse who is a wound specialist who comes in to attend his wounds and change the dressing and vacuums. The surgeon is often present to assist and evaluate. James had those dressings changed today. The doctor (as well as his specialty nurse) was happy to see an improvement (even a little improvement). Blood was given this morning and his blood pressure was strong this afternoon and evening. He did have dialysis today but it was only marginally needed. Unfortunately, he had a fever of 102. His pain medication as well as sedation medication was slightly decreased which allowed Cathy some brief moments with James. It appeared James was somewhat aware but also sad. This is a time to not only pray for physical healing but also for his emotional and spiritual strength and fortitude.

February 3rd - James received one unit of blood along with some blood products today. His blood pressure had been low but returned within normal range after receiving the blood. Again James did not require dialysis. The doctors continue to keep James sedated for optimum healing. Please continue to pray and trust our mighty God.

February 2nd - There is not much new information. James had fever last night but it has been normal today. His blood pressure has been on the low side and he had another day without dialysis. Please keep praying for the tissue to heal and for the infections to cease but we will continue to trust His timing and His will.

February 1st - James was able to go these last two days without dialysis. His kidneys are improving but only to a small degree. There was no fever but his blood pressure was low and he seemed to be uncomfortable. His Morphine level has been increased dramatically in the last week and with low blood pressure they have to be very careful before increasing the morphine to a higher level. The wound nurse changed his dressing today and commented that she had hoped to see more healing. We continue to pray and wait --- but wait with the purpose of glorifying God.