Alex has had a rocky weekend. He's been a bit unstable with his blood pressures. We have been told that they are walking a fine line with him, trying to get his heart to do the work it needs but trying to keep the fluid off him at the same time. He's really been struggling and needing extra help.
He seems to not like nighttime, apparently it just gets too quiet for him or something because he will be fairly stable all day and then at night drop his pressures time and time again.
Alex's head ultrasound showed no brain bleeding, they said the bruising is from some broken capillaries in his chest wall and since they had toseparate the layers in there it just seeped into the tissues and that's why he's bruised. It'll go away in time.
They were able to wean down his dopamine on Saturday but he is still needing his epinephrine, in fact last night they had to increase the dose to help his blood pressures. They really want him off the epi because although it makes his heart pump harder and faster, it constricts the blood vessels. He has been unable to tolerate any of the vasodilators they have tried to give him and he can't go back on the one he tolerated because his kidneys aren't working enough to excrete it. They are also trying to wean him off the steroids he needed a few weeks back, they think they are responsible for the broken blood vessels and also they inhibit healing and obviousely he doesn't need that to happen.
The little guy really needs our prayers. We really need him to stop walking that fine line and just take a good step in the right direction. His doctors are very worried about him right now.
Showing posts with label Alexander's life. Show all posts
Showing posts with label Alexander's life. Show all posts
Tuesday, March 14, 2006
Sunday, March 12, 2006
Day 43
Alex needs prayers today. His whole body is bruised. right now they are thinking it's from when his hemoglobin dropped on Friday night and the blood is now finding it's way to his tissues. From a neurological standpoint........we don't know. This mornign and overnight he wasn't responding to things that normally make him mad, now when she turned him he did move some and his pupils look normal. His soft spot on his head is a little firm, but not bulging. I'm sure they will be ordering a head ultrasound today.
His blood work looks good, his blood pressure is stable as are his sats, heartrate etc. He's a little acidotic but better than he was yesterday, they haven't gone up on his vent settings again as of now. The fluid they are getting out of his pd is pinkish tinged now instead of clear/yellow as it was and should be.
Docs are in rounds so I'll know more later
His blood work looks good, his blood pressure is stable as are his sats, heartrate etc. He's a little acidotic but better than he was yesterday, they haven't gone up on his vent settings again as of now. The fluid they are getting out of his pd is pinkish tinged now instead of clear/yellow as it was and should be.
Docs are in rounds so I'll know more later
Saturday, March 11, 2006
Day 42
Alex had a bit of trouble with his blood pressure last night. We think it was because he was losing a bunch out of his chest tubes (he apparently thinks this is the way to get extra fluid out of your body, he needs to realize that's why God gave us kidneys) and because the site around his chest tube they replaced was bleeding. He got some blood and he's been doing good all day, even being quite generous with his pressures which led them to wean his dopamine to a 'keeping the line open' level and tonight they are going to start weaning his epinephrine.
They also decided to give him some more iv nutrition which is obviousely something he needs to heal, as well as it will help to replace some of the fluids he's putting out.
His pressure sore on his head is looking a tiny bit better, hopefully it will heal quickly.
Currently Alex's kidneys aren't working. That is probably partly due to the fact that he's losing so much fluid through his chest tubes and that they are pulling the rest off with the PD so his kidneys have nothing to filter, but we would like to see him peeing at least some and currently he's not which is worrisome.
He stopped oozing from his incision today which is a very good thing, it needs to be dry to heal and with all the oozing it's been doing it has been holding up the healing process so maybe now he will start to heal better so we can hold him. His surgeon saw him today and said it looks ok, he's confident it will heal fine.
They did have to go up on his vent rate twice today because his blood gasses were coming back acidotic, why this is no one is really sure but it may be related to the trouble he was having overnight, he is just needing a little more help from the vent to get over the bump.
Alex has learned a new trick to make mommy panic. When they flush his RA line or suction him he drops his heartrate, I've seen it go as low as 17. He really needs to realize that these tricks aren't funny.
They also decided to give him some more iv nutrition which is obviousely something he needs to heal, as well as it will help to replace some of the fluids he's putting out.
His pressure sore on his head is looking a tiny bit better, hopefully it will heal quickly.
Currently Alex's kidneys aren't working. That is probably partly due to the fact that he's losing so much fluid through his chest tubes and that they are pulling the rest off with the PD so his kidneys have nothing to filter, but we would like to see him peeing at least some and currently he's not which is worrisome.
He stopped oozing from his incision today which is a very good thing, it needs to be dry to heal and with all the oozing it's been doing it has been holding up the healing process so maybe now he will start to heal better so we can hold him. His surgeon saw him today and said it looks ok, he's confident it will heal fine.
They did have to go up on his vent rate twice today because his blood gasses were coming back acidotic, why this is no one is really sure but it may be related to the trouble he was having overnight, he is just needing a little more help from the vent to get over the bump.
Alex has learned a new trick to make mommy panic. When they flush his RA line or suction him he drops his heartrate, I've seen it go as low as 17. He really needs to realize that these tricks aren't funny.
Friday, March 10, 2006
Day 41
Another decent day. We had the skin doc come and look at his head and she says that she thinks it's starting to heal, it's clean, and to just keep putting antibiotics on it and keep him off it.
Dr Foker came and said his incision looks good, but everyone else agreed he's on crack (nurses words, not mine) because it's a mess, but if Dr Foker is happy, were happy. He will definitely have a lot of scarring, from where the stitches have pulled and ripped his skin, but that's ok.
After spending much of the day working on clearing one of his chest tubes that wasn't draining (it was coming out every hole in his chest instead) they decided to place a larger tube in and so far it seems to have done the trick. If it doesn't work out they may have to take all the tubes out and replace them in the sides of his chest through his ribs instead.
They also decided today to start to wean one of his cardiac meds, dopamine. His pressures since have been fairly low, in the mid 60's (they want him above 65 to wean the dopa and above 55 all the time systolic) but they think that part of that may be that with the PD they have really dried him out so they are going to work on fluid replacement.
The nurses also discussed turning his O2 down on his vent cause his sats are in the high 90's and since he's a mixer (his red blood mixes with his blue blood in his heart through the ventricular septal defect) they don't really need to keep his sats that high. We'll see about that
To get out of the ICU we have to be off the vent and off all cardiac meds via IV (he may go home on oral) so that's the plan right now, to wean him off all that and get his kidneys working again. They aren't right now and whether that's because he's so dry from the pd or the fact that his heart is stressed is unclear at the moment.
Hoping to hold him soon!
Dr Foker came and said his incision looks good, but everyone else agreed he's on crack (nurses words, not mine) because it's a mess, but if Dr Foker is happy, were happy. He will definitely have a lot of scarring, from where the stitches have pulled and ripped his skin, but that's ok.
After spending much of the day working on clearing one of his chest tubes that wasn't draining (it was coming out every hole in his chest instead) they decided to place a larger tube in and so far it seems to have done the trick. If it doesn't work out they may have to take all the tubes out and replace them in the sides of his chest through his ribs instead.
They also decided today to start to wean one of his cardiac meds, dopamine. His pressures since have been fairly low, in the mid 60's (they want him above 65 to wean the dopa and above 55 all the time systolic) but they think that part of that may be that with the PD they have really dried him out so they are going to work on fluid replacement.
The nurses also discussed turning his O2 down on his vent cause his sats are in the high 90's and since he's a mixer (his red blood mixes with his blue blood in his heart through the ventricular septal defect) they don't really need to keep his sats that high. We'll see about that
To get out of the ICU we have to be off the vent and off all cardiac meds via IV (he may go home on oral) so that's the plan right now, to wean him off all that and get his kidneys working again. They aren't right now and whether that's because he's so dry from the pd or the fact that his heart is stressed is unclear at the moment.
Hoping to hold him soon!
Thursday, March 9, 2006
Day 40
Alex continues to be stable. He has passed the 48 hour mark and is doing well, although obviousely still critically ill.
They went down on his vent settings today because he was fighting the vent a bit, basically breathing over it and his blood was showing he was getting too much oxygen so they turned it down a bit.
I am a bit, ok a lot concerned about a bedsore he has on the back of his head though and am going to request that the skin docs come and take another look at it as it seems to be getting worse instead of better with current treatment which involves a medicated dressing and turning him side to side to avoid pressure on the sore. We'll see what they decide to do.
His incision is beginning to heal although it still looks rather yucky. It's definitely not a 'clean close' but it's closed and they said they will do some plastic surgery on it with his next OHS and make the scar better, but honestly a scar is the least of my worries........that's what t-shirts are for right?
They went down on his vent settings today because he was fighting the vent a bit, basically breathing over it and his blood was showing he was getting too much oxygen so they turned it down a bit.
I am a bit, ok a lot concerned about a bedsore he has on the back of his head though and am going to request that the skin docs come and take another look at it as it seems to be getting worse instead of better with current treatment which involves a medicated dressing and turning him side to side to avoid pressure on the sore. We'll see what they decide to do.
His incision is beginning to heal although it still looks rather yucky. It's definitely not a 'clean close' but it's closed and they said they will do some plastic surgery on it with his next OHS and make the scar better, but honestly a scar is the least of my worries........that's what t-shirts are for right?
Wednesday, March 8, 2006
Day 39
He's closed!!! Dr D worked for 4 hours to get the skin sewn together and it's very very tight, he said it was the toughest close they've ever had but he refused to give up. It was so tight they had to put in smaller chest tubes and take out the pacemaker wires (which are no larger than stereo wires) because there was just no room for anything not directly needed. (He's never USED his pacer, it's just been there just in case).
Last night they started chest irrigation since on the 28th of Feb they grew some bacteria from his chest culture. Unfortunately that's not working very well since the new chest tubes are so tiny, the fluid isn't able to flow back out of them and it's instead leaking out his chest (this child sure loves to leak!) Good news, the dialysis is now working properly.
He's doing good considering. He's been pretty stable. They had to knock him out though because he was really fighting the vent this morning and it was making his heart work harder which they don't want right now. This first 24-48 hours are pretty rocky and they just want to ride it out as easily as they possibly can.
Last night they started chest irrigation since on the 28th of Feb they grew some bacteria from his chest culture. Unfortunately that's not working very well since the new chest tubes are so tiny, the fluid isn't able to flow back out of them and it's instead leaking out his chest (this child sure loves to leak!) Good news, the dialysis is now working properly.
He's doing good considering. He's been pretty stable. They had to knock him out though because he was really fighting the vent this morning and it was making his heart work harder which they don't want right now. This first 24-48 hours are pretty rocky and they just want to ride it out as easily as they possibly can.
Tuesday, March 7, 2006
Day 38
Today has to be the day. There's another washout scheduled for 10:30 (yeah right lol) and all the fluid is off him so he HAS to be closed today. So keep those prayers coming!
They figured out the issue with the dialysis fluid. Apparently when in his second surgery his spleen bled they first tunneled down around his diaphragm to get to it, and now the fluid they are putting into his belly is leaking through it and coming out of his chest. As of yesterday the cardio docs didn't seem too concerned about this, but the renal docs didn't seem too thrilled. Apparently the cardio docs won.
ooh rounds are done, time to go see my bubba! More later!
UPDATE: They decided to go in and fix the hole in his belly, he went into surgery at 11 and they said 4-5 hours....... which means 8 hours. More later!
UPDATE: Just got a call from the nurse. They fixed the hole with no problems, were able to close his sternum with no problems. Now they are meticulousely working on getting the skin closed. It's rather chewed up from so many times of having to sew the "heart bandaid" on. But Dr D is determined!
They figured out the issue with the dialysis fluid. Apparently when in his second surgery his spleen bled they first tunneled down around his diaphragm to get to it, and now the fluid they are putting into his belly is leaking through it and coming out of his chest. As of yesterday the cardio docs didn't seem too concerned about this, but the renal docs didn't seem too thrilled. Apparently the cardio docs won.
ooh rounds are done, time to go see my bubba! More later!
UPDATE: They decided to go in and fix the hole in his belly, he went into surgery at 11 and they said 4-5 hours....... which means 8 hours. More later!
UPDATE: Just got a call from the nurse. They fixed the hole with no problems, were able to close his sternum with no problems. Now they are meticulousely working on getting the skin closed. It's rather chewed up from so many times of having to sew the "heart bandaid" on. But Dr D is determined!
Sunday, March 5, 2006
Day 36
Another good day! Alex is showing his defiant side and refuses to stop oozing fluid and making his ioban (a sterile sticky film much like saran wrap that goes over his chest) fall off. Today he earned the nickname "ioban man" from one of his docs because they had to replace it yet again and they had to practically wrap the kid in it like a mummy..and it's STILL coming up lol
He's also doing something they can't quite figure out, somehow instead of putting the fluid out of the dialysis cath, he's actually putting it out his chest tubes. He loves doing things HIS way and not thier way. Whatever the case may be, he was -166 cc's of fluid by 3pm, so it's workin.
He's also doing something they can't quite figure out, somehow instead of putting the fluid out of the dialysis cath, he's actually putting it out his chest tubes. He loves doing things HIS way and not thier way. Whatever the case may be, he was -166 cc's of fluid by 3pm, so it's workin.
Saturday, March 4, 2006
Day 35
Alex had a very good day depsite yet another OR procedure to put his catheter in. He didn't bleed! He's "oozing" from the site but no hemmorages so that's great!
The PD catheter is pretty interesting. Every 30 minutes they put in salt and glucose water and then at the end of 30 minutes they let it drain out, the idea is more out than in. They started it at about 6:30pm and so far he's tolerating it quite well and getting a few extra cc's more out than in at each "pass". His blood pressure comes down a bit when they drain it but not so much that people get scared, they just fuss with him a bit and it pops back up. They said it's from the fluid shifting.
Dr. D talked to us after the cath was put in and they are planning another wash out/closure attempt on Tuesday, hopefully he will have enough fluid off by then that he will tolerate it and finally be closed!
Everybody send Alex some "keep up the good work!" vibes!
And a big congrats to Alex's old roomate Luke, who is officially off the vent!
The PD catheter is pretty interesting. Every 30 minutes they put in salt and glucose water and then at the end of 30 minutes they let it drain out, the idea is more out than in. They started it at about 6:30pm and so far he's tolerating it quite well and getting a few extra cc's more out than in at each "pass". His blood pressure comes down a bit when they drain it but not so much that people get scared, they just fuss with him a bit and it pops back up. They said it's from the fluid shifting.
Dr. D talked to us after the cath was put in and they are planning another wash out/closure attempt on Tuesday, hopefully he will have enough fluid off by then that he will tolerate it and finally be closed!
Everybody send Alex some "keep up the good work!" vibes!
And a big congrats to Alex's old roomate Luke, who is officially off the vent!
Friday, March 3, 2006
Day 34
Alex wasn't able to be closed today again:(
It's still too tight in there and he dropped his bp when they tried, although not as much as before. So tomorrow he gets his new peice of equipment, a dialysis catheter. It was described to me as they put salt in his belly and then suck it out, bringing the fluid with it. So hopefully they'll get all that fluid off him in a few days and they can get him closed.
Otherwise he had a decent day. He was stable all morning and started peeing a bit more. After the washout he was a wee bit unstable for about an hour but he looked good this evening.
It's still too tight in there and he dropped his bp when they tried, although not as much as before. So tomorrow he gets his new peice of equipment, a dialysis catheter. It was described to me as they put salt in his belly and then suck it out, bringing the fluid with it. So hopefully they'll get all that fluid off him in a few days and they can get him closed.
Otherwise he had a decent day. He was stable all morning and started peeing a bit more. After the washout he was a wee bit unstable for about an hour but he looked good this evening.
Thursday, March 2, 2006
Day 33
We got a phone call very early this morning to let us know that Alex was unstable. We got the kids to school and went to the hospital and they said they didn't know exactly what was going on but his blood gasses looked bad and there was evidence that his kidneys and liver were starting to take a turn for the worse. They were suspecting either a bleed or an infection. They ordered a full body ultrasound to look for bleeding.
Through the day he continued to stabalize himself, his blood gasses were looking better, his liver and kidney tests were looking better, his blood pressure was good.
The results of the ultrasound showed bleeding between his brain and skull. To what extent I don't know. He's having a CT scan done tonight to make sure there isn't any active bleeding (they are pretty sure there isn't at this point) and whatever else it is they look for so we will know more about it in the morning.
He did have a chest washout/possible closure scheduled for tomorrow but i'm unsure if they will still do it tomorrow given todays events.
_____________________________________
Update: The CT scan revealed it's not blood! It's just fluid and doesn't appear to be compressing his brain! Very good news!
Through the day he continued to stabalize himself, his blood gasses were looking better, his liver and kidney tests were looking better, his blood pressure was good.
The results of the ultrasound showed bleeding between his brain and skull. To what extent I don't know. He's having a CT scan done tonight to make sure there isn't any active bleeding (they are pretty sure there isn't at this point) and whatever else it is they look for so we will know more about it in the morning.
He did have a chest washout/possible closure scheduled for tomorrow but i'm unsure if they will still do it tomorrow given todays events.
_____________________________________
Update: The CT scan revealed it's not blood! It's just fluid and doesn't appear to be compressing his brain! Very good news!
Wednesday, March 1, 2006
Day 32
Alex is continuing to stabalize from Friday's episode. They did the wash out yesterday and were able to get him partially closed but he just wasn't ready to close completely, which I entirely expected.
Today they restarted his nutrition which is good cause it's hard to heal when you aren't getting any nutrients.
Alex still needs those pee vibes, he's not doing so great in that department again and he's puffing up again which just sets his closing back further. Were frustrated.
Today they restarted his nutrition which is good cause it's hard to heal when you aren't getting any nutrients.
Alex still needs those pee vibes, he's not doing so great in that department again and he's puffing up again which just sets his closing back further. Were frustrated.
Monday, February 27, 2006
Day 30
Alex had another day of resting yesterday, he woke up some here and there but when he did he wasn't comfortable so they gave him bumps of his pain medicine.
He's not peeing real well unfortunately and he took on some more fluid on Friday night when they had to stabalize him, last night they restarted one medication called Nesiritide which draws fluid out of his tissues, the downside of it is that it's a new medication and not compatible with a whole lot so they have to run it with a lot of fluid, so they had to stop his nutrition to cut back on fluids. Even still it added to his fluid intake, almost seems like it defeats the purpose....
His white cell count today came back elevated which means he's probably fighting an infection so they started another antibiotic along with the prophylactic ones he already gets to try to wipe out whatever it is he's fighting. We were really hoping to get through this and get him closed without an infection.. but what can ya do.
They tell me they are gonna try to close him again tomorrow now. I am very frustrated about the whole thing because of the fluid he's taken on, his heart didn't handle it that well before and now he's even bigger so it will add that much more pressure to his heart for them to try to do it. Friday really set things back.......
Keep those prayers coming that we can get over this hump and they can by some miracle get him closed tomorrow.
He's not peeing real well unfortunately and he took on some more fluid on Friday night when they had to stabalize him, last night they restarted one medication called Nesiritide which draws fluid out of his tissues, the downside of it is that it's a new medication and not compatible with a whole lot so they have to run it with a lot of fluid, so they had to stop his nutrition to cut back on fluids. Even still it added to his fluid intake, almost seems like it defeats the purpose....
His white cell count today came back elevated which means he's probably fighting an infection so they started another antibiotic along with the prophylactic ones he already gets to try to wipe out whatever it is he's fighting. We were really hoping to get through this and get him closed without an infection.. but what can ya do.
They tell me they are gonna try to close him again tomorrow now. I am very frustrated about the whole thing because of the fluid he's taken on, his heart didn't handle it that well before and now he's even bigger so it will add that much more pressure to his heart for them to try to do it. Friday really set things back.......
Keep those prayers coming that we can get over this hump and they can by some miracle get him closed tomorrow.
Saturday, February 25, 2006
Day 28
Alex had a more stable day today. He was pretty tired from all the stress of last night and he's not peeing so well again so he's a little puffy. It's frustrating these backslides but we gotta take what we can get. They did some liver tests on him to figure out why his blood isn't clotting so well and those came back fine, they also did a full body ultrasound to make sure he's not still bleeding in there anywhere but we don't yet know the results of that.
Alex got to move to the side of the room with a window today, that's a nice change of scenery, we've been stuck in the corner for 3 weeks now and now we have more space, hopefully Alex will be happier over there and not pull anymore of his little tricks.
They decided with the fluid he took on that trying to close him now would be futile, if he didn't handle it without the fluid, he's surely not going to WITH it so now the plan is to wait until Monday or Tuesday to try again, give him some time to rest and get rid of some of that fluid.
So were back to praying for pee!
Alex got to move to the side of the room with a window today, that's a nice change of scenery, we've been stuck in the corner for 3 weeks now and now we have more space, hopefully Alex will be happier over there and not pull anymore of his little tricks.
They decided with the fluid he took on that trying to close him now would be futile, if he didn't handle it without the fluid, he's surely not going to WITH it so now the plan is to wait until Monday or Tuesday to try again, give him some time to rest and get rid of some of that fluid.
So were back to praying for pee!
Friday, February 24, 2006
Day 27
Well, Alex didn't think too highly of the chest closure attempt. They got him together and he was struggling some so they just wired the top 2 bones together and closed him up. Well........ he decided it would be fun to hemmorage.... It was very very scary, he was riding that line for quite a while. they had to go back in and snip the wires and stop the bleeding.
Looks like they are gonna take another crack at it tomorrow, they wanted to today but the majority said no, let him rest today.
So pray tomorrow goes well!
Looks like they are gonna take another crack at it tomorrow, they wanted to today but the majority said no, let him rest today.
So pray tomorrow goes well!
Thursday, February 23, 2006
Day 26
His washout got postponed until tomorrow. They are still planning to try to close him so keep your fingers crossed he tolerates it and they are able. Then we work off the vent and off the narcotics.
We got some good news today. His chromosome study came back normal! He doesn't have Digeorge syndrome which can be associated with the heart problem he has. I don't know much about digeorge, but I know that it can be really bad and were thanking God Alex doesn't have it!!!!
He was good today. Wide awake and being adorable as usual.
We got some good news today. His chromosome study came back normal! He doesn't have Digeorge syndrome which can be associated with the heart problem he has. I don't know much about digeorge, but I know that it can be really bad and were thanking God Alex doesn't have it!!!!
He was good today. Wide awake and being adorable as usual.
Wednesday, February 22, 2006
Day 25
Alex had a pretty stable day yesterday. In the evening his blood pressure came down and his daddy of course worried like crazy, I guess one of the docs told him this is actually a GOOD thing, his blood pressure came down to a NORMAL newborn pressure and he didn't drop his sats or heartrate, so that shows a step in the right direction!
They are saying they are pretty sure they can close tomorrow, say a little prayer tonight that they finally can!
They are saying they are pretty sure they can close tomorrow, say a little prayer tonight that they finally can!
Tuesday, February 21, 2006
Day 24
Alex's washout yesterday went well. The night before last he had a bit of a rocky night and they don't really know why. They ran some tests yesterday and didnt' really come up with anything significant and he's been pretty stable since so we just don't know if it's a brewing infection, if it's because he's losing so much fluid so fast that it's taking important things with it, or what exactly so they made a few chances yesterday and are replacing some of his fluids, just to see.
They weren't able to close him yesterday, still a little too puffy. Maybe Thursday, or Monday....but soon!
They weren't able to close him yesterday, still a little too puffy. Maybe Thursday, or Monday....but soon!
Sunday, February 19, 2006
Day 22
Alex continues to do well. He has completely given up on sleep though, they added a drug and upped another one today and he slept maybe 30 minutes.... He seems to be saying enough with sleep lets get on with things!
He is peeing a ton and losing lots of fluid through his chest tubes, he's shrinking fast! His little hands are soooo tiny we forgot how small he actually is under there!
Another washout tomorrow. I am HOPING they can close him but not counting on it, he's still pretty puffy in the chest area and I'm preparing for having to wait. We just can't wait to hold him and he has to be closed and stable first. Were told when they do close him it'll be rocky for the first 24 hours, his heart isn't use to the added pressure of his breastbones being over it so it will add some stress to his heart for a bit until he gets use to it all.
He developed a tremor today in his hands, they said it's from the narcotics he's on, much as a drug addict will tremor :( Poor baby.
He is peeing a ton and losing lots of fluid through his chest tubes, he's shrinking fast! His little hands are soooo tiny we forgot how small he actually is under there!
Another washout tomorrow. I am HOPING they can close him but not counting on it, he's still pretty puffy in the chest area and I'm preparing for having to wait. We just can't wait to hold him and he has to be closed and stable first. Were told when they do close him it'll be rocky for the first 24 hours, his heart isn't use to the added pressure of his breastbones being over it so it will add some stress to his heart for a bit until he gets use to it all.
He developed a tremor today in his hands, they said it's from the narcotics he's on, much as a drug addict will tremor :( Poor baby.
Saturday, February 18, 2006
Day 21
Things continue to go well. Little Alex seems to be at this point healing nicely. One of the docs yesterday made a comment about extubating next week......... we'll see. It would be nice!
There isn't a whole lot to report at the moment, boring is good!
There isn't a whole lot to report at the moment, boring is good!
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