Let's just jump right into it, shall we? Our girl had another rough night last night (still more of the same -- no need to fret), and the team realized that most of Jane's troubles seem to stem from her own initiated breaths. She did fine with what the vent was doing, but when she tried to breathe for herself it sort of tripped her up and led to more desats, so they decided to take Jane's work out of the equation. How can they accomplish such a thing? They PARALYZE her. How 'bout them apples? So she's getting IV fluids and nutrition through her new central line, as well as a drip of the paraylitc and Versed (a sedative specifically for patients on ventilators) and morphine.
They were planning on going ahead with the cardiac consult this afternoon, starting with an echocardiogram. I will, of course, let you know what comes out of that when I find out.
They cultured some of the mucous from her trach, and it looks like she may have a staph infection. Ugh.
Amazingly, wonderfully, she was doing better when I called this afternoon than when I spoke to the doctor this morning. They've been able to wean her oxygen down to 60% when they haven't needed to bump it up for suctioning or when she desats. After many weeks of favoring her right side, she's happier on her left, so they're letting her hang out that way. I brought in her beloved Birdie yesterday, which I'm hoping is giving her some much-needed companionship while I'm unable to be there with her.
"What's that?" you say. Yeah, well, looks like Sarah's caught herself her very own bug, with a fever and a cough and sleepless nights. So I'm hanging out with her rather than adding to Jane's already heavy plate. (Jane's cultures came back negative for influenza [and, so far, everything else, except the staph], so at least I don't have to freak out about that.) So no pictures today. I don't have any Awesome Guest Photographers helping me out yet.
Speaking of whom, I have to tell you guys that Stellar Nurse Angela drove all the way to Boston to surprise me at the hospital today. Can you beat it? Of course, I wasn't there. But it was such a boost to my spirits to hear from her (and listen to her try to navigate the streets of Beantown on her cell phone with the GPS bleating in protest in the background). I'm extremely happy to have Jane at Boston while she deals with all of the crap being thrown at her, but I don't think it's possible she'll ever have nurses that begin to match her truly awesome crew back north.