PICU – Day 6 – 10:30 a.m.
Ana was officially approved to be moved out of PICU and onto the pediatric floor at 5:30 a.m. this morning. They are just waiting for a private room to become available. Meanwhile, she continues to be migrated off of I.V. medications and onto P.O. (oral) medications in preparation for her eventual discharge, which will hopefully be sometime next week. She got her morning ultrasound, but the surgical Fellow hasn’t been by to tell me the results. I’m still nervous about clots after the traumatic events of Tuesday (I probably always will be), but Dr. Kato did not seem worried when he came by yesterday. He felt the threat of that was mostly over, but will keep her on Lovenox for another 7 days or so.
Last night was pretty uneventful. I got some sleep – not a heck of a lot, due to beeping and other issues, including one very nerve-wracking moment when I noticed Ana’s gown was covered in blood near the surgical site. Before I could scream “NURSE!” Ana said it was coming from the I.V., not the surgical site. Even so, I ran to get the nurse because it was a lot – and I mean A LOT of blood. It turns out it was coming from the arterial line (A-line) – the one they use to monitor her blood pressure and draw labs. The line was actually fine – I guess it was just bleeding around the line because of the Heparin. The dressing was drenched and had to be changed, as did Ana’s sheets and her gown. Then she was fine and went back to sleep. The Heparin drip was discontinued at midnight, so hopefully that won’t happen again. Eek.
Ana’s had a few bites of a banana this morning and sip or two of hot chocolate, but not much else. Jim JUST arrived to relieve me, so I told him to stay on her about drinking and eating (and walking). He can be better at that kind of thing than me – I tend to let her get away with saying “can we do it later?” She got up and sat in a chair for about ten minutes. It’s just really uncomfortable for her to move, but the more she does it, the better she seems to feel.
So now I am leaving her and going home to Emily for a few days. It’s going to be hard. I know Jim needs to be with her though and I need to recharge and spend time with Emily. Wow, what a wild week. Don’t worry – I’ll keep the updates coming.