Tuesday, November 5, 2013

Monday, November 4, 2013 10:15pm

AN UP-AND-DOWN DAY FOR JOHN (actually posted 11/5/13 at 7:00am)

John had a stable night on Sunday and was resting when I joined Paul at the ICU.  Through the morning they gradually reduced the amount of oxygen he was receiving and his own levels stayed steady where necessary.  At 1:00 the intubation was removed and he simply had a nasal canula.  All the vital signs looked good.  He was still sedated a bit and unable to talk with his feeding tube in place, yet continued to respond to questions and commands.

After lunch they made an attempt to insert a "pik line" in his arm, but were not able.  Then the wound team changed the dressings on his leg and hooked up the wound vac - at that point, John's blood pressure dropped drastically and he was in trouble again.  He was put back on the ventilator and given critical care treatment immediately.  A central line was inserted.  He is now stable again and resting quietly.  Finding the balance of the pain meds and other needs he has is quite difficult - all have side effects.  Finding the root cause of all these problems still is illusive.  He is continuing to fight, but I know he does not know what is happening. 

Paul stays with him in ICU at night so I can try to sleep at home.  Thanks for your prayers and concerns.

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