It was just as well. Jane had a pretty crappy day. Nothing dramatic, and the doctors still aren't overly concerned, but she's definitely feeling under the weather. The suspicion for the moment is that she's fighting a virus -- possibly a rhinovirus. And guess who has a cold? And has had it for almost a week? Listen, I've been washing and Purrelling my hands obsessively and wearing a mask every day, even before I was feeling cold-y because Sarah was sniffly, but still. Tom keeps sliding suspicious glances my way (kidding [mostly]).
So, Jane's been sleeping all day, like you do when you feel grody. She'll peek her eye open for a minute and then do the baby equivalent of ducking her head back under the sweaty covers.
Some technical details. Her oxygen was in the 70s and 80s all day -- obviously a big jump from the 40s and low 50s where she's been for weeks. Her CRP went up again (that would be the protein level, and I did ask Awesome Nurse Angela what it stood for: c-reactive protein, the level of which rises in response to inflammation), from 20-ish to 23.something. Her normal levels in the past have been under 5, except right after the trach surgery. But her blood gases have been good these last few days, better than they'd been the last two weeks or so. Weird.
SO. So, she obviously needs a little something to help her through this. Oxygen is part of it, and today's day attending authorized a 5-day steroid burst, and today's night attending bumped up two of the pressure settings on the vent and wrote up a new plan for dealing with this new development. Which is always a good thing. And she has primary nurses on tonight and tomorrow, so for the next 24 hours at least she'll have people on who know her well.
I have to give a shout out to Respiratory Therapist Fitzy (call name Top Gun), who earned the Awesome title today by fighting hard at Angela's side to get the doctors to take Jane's elevated oxygen needs seriously enough to make some changes. He's on again tomorrow, which makes me feel better. Continuity of care, people!
Damn it all. And I was hoping to help out with the trach change tomorrow, but no way, not if I'm going to be shoving germs down into her lungs.
They did tell us there were going to be bumps in the road. Figures they'd be right about that part.