I am very impatient today for whatever reason, I think the lack of adequate sleep is getting to me. When I got the the hospital today the nurse told me they were starting Tom back on Precedex to help with his agitation. So, now we are back to 3 meds to keep him comfortable and quiet. I expressed my frustration with Scott the PA in charge of him today that I feel as though we are going around in circles. He was very honest and said yes we are. They just can't find a reason as to why Tom comes out of the sedation in such a wild manner and the problem is that when he does that he drops his oxygen sats into the 70's (NOT GOOD) and it starts the cycle all over again. More sedation, up the vent settings, and so on. Today they have not been able to trial CPAP again because his chest x-ray wasn't looking to good and he is very secretional. The thing to keep in mind is that Tom is not getting worse...he just isn't getting any better either in the mental status/respiratory status departments. Although, his electrolytes are stabilizing and his kidney function is continuing to improve. Tomorrow will bring another dressing change. The wound and infection remain under control which is a huge accomplishment.
I am feeling much better after a visit with Mark and Kenny today. They certainly lifted my spirits. Thanks so much guys! I am looking forward to spending the late afternoon with the girls and Trot. I think a trip to the park is in order for some fresh air, sunshine, and laughter.
I will close for now with this thought...slow and steady wins the race.