Thursday Night and Plan for Friday

We slept pretty well last night, up every 4 hours for treatments but back to sleep pretty quickly. They have been checking out his lungs with x-rays, they are looking nice and stable and expanding back out to the chest walls. All normal following this procedure. The goal from a pulmonary standpoint is to get him back onto his home vent settings and his home trache. Today they will change his vent settings on the hospital vent and if all goes well with that later today will change him back to his home vent with changing the trache tomorrow.

His blood pressures are still a little high, however, Ian is still on  steroids which can increase your blood pressure. Steroids will be discharged today and his blood pressure will be watched.

Hemoglobin, the protein molecule in red blood cells that carries oxygen from the lungs to the body's tissues and returns carbon dioxide from the tissues back to the lungs. Ian's hemoglobin is low, they will continue to watch it but he may need a transfusion in the next day or so.

Pain management has been pretty good. They are going to put in a referral pain management team so when the time comes for him to come to the floor they will know about him and come see him. In addition, he is currently on on IV morphine, they will be weaning him to morphine through his g-tube. They intend to wean him off of the morphine and back onto his home pain medicines, only.

Ian has been on very little g-tube feeds however they have oked him to start on clear liquids...now to figure out what he will eat.

The hope is to get him out of the PICU on Sunday or Monday.

And for the big surprise of the day:
SITTING MAN