Sunday, July 15, 2012

Its Sunday evening, i just got back from the hospital. Andrew is now off Dobutomine (pressor to keep blood pressure high enough while in coma). He had a fever last night, that came down on its own. Still had a lot of movements on EEG but they took it off because his skin was satring to break down and they need an MRI and can't do that with the EEG. Still continues to breathe over the vent here and there. They stopped feedings due to bloated stomach and got residuals in feeding tube from stomach. They gave him a suppository hoping for bowel movement. Considerings trophic feeds (5cc/Hr) just to keep things moving and keep use of the tube. Also started him on colace (stool softener) and miralax (laxative). Neurology checked reflexes which were responsive (left better than right). They also checked pupils and eye movement and said they were more responsive than yesterday which is good. They also checked his brain stem (they did this by injecting cold water into his ear in hopes of eyes moving to ear of injection, they didnt get the response they were looking for but will check again later. No evidence of seizure activity right now. They took off EEG and washed his hair so he looks a little more normal now. The electrodes can cause skin breakdown which we noticed on his forehead. They also cant get an MRI with this on as mentioned before. Doctor said he is making progress from yesterday but still isnt doing some things they were expecting. No gag reflex but he did jerk a little bit the last time they suctioned the vent when i was there. They said he is making some slow progress and not to worry until there is an absence of day to day progression. Central line has some clotted blood stuck so it is useless right now. So they will "TPA" it which means stick some fluid in there to break up the blood. Chest x-ray showed a little more congestion than yesterday so they are turning the "PEEP" up on the vent to help the fluid out of the lungs and help vent work better. They also gave him a breathing treatment for the same reason. Shortly before i left today they gave him an enima because he still had not made a bowel movement.

So with all that said, please continue keeping Andrew in your thoughts and prayers. I keep telling him how many people are praying for him and that he needs to wake up and get better!

(sorry for the misspelled words i have neither the time or energy for spell check)    =)

Matt and Markie are sitting with Andrew now, i will update more if there are any changes.

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