Jameson's first day off ECMO was great. After his periodic
adjustments by the nurses he kept getting really comfortable -great
vitals!! He did spike a fever Thur evening and again early this
morning, but we suspect it's not an infection. His kidney function
appears to be declining a little bit, but we kind of suspected it might
since we doubled his special elixir a couple days ago. J's bowel
movements still haven't really returned so he's still not being fed via
his intestinal tube anything substantial. Today's chest xray showed
mild improvement so hopefully it continues. His nurse the other night
was an absolute workhorse so he got a good scrubbing including a hair
wash. He suddenly smells less of sterile adhesive and more like a
finely primped stallion, more Celtic than Italian. Capping yesterday's
steady, relaxed day was a blood gas showing better ventilation allowing
even better ventilator settings (those curious - his PIP is only 24,
PEEP 10, rate 18, and FiO2 is down to 45- so substantial improvement
this past week). We're still holding off on the tracheostomy in hopes
he might be off the vent in a week or so. Jameson plans on watching
some football today, but insisted we not tune in the Gophers so as to
not upset him (he's a realist).
Enjoy your weekend!
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