Dr. del Nido stopped by early
this morning. He said the chest x-ray
and everything else looked good. He is
ready to start weaning Diego off meds and machines. This will be a very slow process with big
leaps forward and occasional small steps backwards. Overall this is a very good sign.
The first machine to be
disconnected was the pacemaker. They
would like to see Diego’s heart rate stay at 80 or above. Diego’s HR is hovering around 77. They are optimistic that Diego has a
naturally slow heart rate.
He had a nice treat this morning, his nurse brushed Diego's teeth and cleaned his mouth for himJ
Diego’s
good buddy, Forrest’s mom stopped by when passing through Boston today. Just before Marlow arrived (approximately
12:00pm) the nurse stopped the paralysis meds.
While Marlow was bedside with me they removed Diego’s left atrial line
(approximately 1:30pm). Diego is still
pretty quiet. He is not opening his eyes
or moving much at all. The nurse is
happy with the slow progress and said while he is resting he can work on
draining more fluids.
Early in the evening, Diego had
some abnormal heart rhythms. His HR had
been 67 for most of the afternoon then jumped to the mid 90s. They performed an EKG and said it was
junctional rhythm. So he is back on the
pacemaker. They are pacing his heart over
the junctional rhythm so his current pacing HR is 111.
He is still highly sedated so he
isn’t really moving around much. They are
waiting to get more fluid off him before reducing his meds and removing the
ventilator. If his fluid number is in the negative this
will help him breathe on his own easier.
We can see on the monitor that he is already breathing a little on his
own.
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