Micah is off the ventilator!!! Sorry for the lack of update yesterday, but I never turned on my computer. I can update Facebook from my iPhone, but I have no idea how to post to my blog from my phone (anyone with simple instructions, please help!).
Monday morning's chest x-ray showed that the upper lobe of his right lung was still collapsed. So the doc did a bronchoscopy and was able to suck out some mucus plugs (it was bizarre being able to see inside my child's lungs on a video monitor). Micah was fairly irritable most of the day yesterday since he was being weaned off his sedation meds in preparation for extubation.
After he was taken off the ventilator, they immediately put on a nasal cannula at 100% oxygen. His breathing was VERY raspy and he needed frequent suctioning of his lungs to remove goop. He was tachypnic and his chest was retracting with every breath (those were his two primary symptoms of congestive heart failure prior to his heart surgery two years ago, so I'm all too familiar with seeing his chest do that). You could hear his breathing a few doors down the hall.
His breathing has gotten better since then. By this morning he was only occasionally raspy and the doc was happy to not hear his breathing outside the room. He's down to 40% oxygen and only occasional suctioning.
This morning they took out THREE more things: 1) arterial line, 2) another IV line in his femur, and 3) foley catheter (now he needs to pee on his own). He still has a central line in his femur. I actually saw the doc put that in while Micah was being treated in the ER. It was definitely done on an emergent basis... kind of scary. Anyway, the primary purpose of this line now is to provide Micah with TPN (nutrition through his bloodstream rather than his digestive tract). He also still has a chest tube which is draining fluid from his chest cavity. I'd like that one to be gone soon.
I was almost finished with this post and the doc came in and decided to take out his chest tube. Yay!!!
So, where do we go from here? They started Micah on a very slow drip of formula through his feeding tube this morning. Previous attempts have not gone well (he has not digested anything of significance). The rate is only delivering an ounce of formula every six hours, so it's not much. But please pray that it's not all sitting in his stomach tomorrow morning.
Great progress since Sunday, praise God! Now I'm off to hold my son for the first time in 10 days.
historical fiction from kim vogel sawyer
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