Update – Wednesday 7:00 am
They kept Ana on a low dose of something to sedate her through the night to keep her comfortable on the ventilator. She slept all night. She just had a chest x-ray and another sonogram to check for fluid in her lungs and assess her for clots.
Dr. Kato explained that Ana’s blood is clotting more than is typical which is not uncommon with tumor patients. They increased her heperan (a blood thinner) while she was in the O.R. yesterday but they have to watch the level now because too much can cause her to bleed. This means she’ll likely spend an extra day in the I.C U. They also want to make sure she has no fluid build up in her lungs before extubating her. It is shift change now and I’m going to try to grab a shower.
Jim and Amy slept on couches in the I.C U. Lounge so I wouldn’t be alone but they just left. So it’s just me, Ana and a zillion nurses. She is getting examined now by Dr. Ovchinsky (a pediatric hepatologist. Dr. O just gave me a list of things they are monitoring including kidney function, fluid retention and other transplant complications like bile leakage. Ana is still very critical. It will be a very scary few days.
I slept about six hours last night, maybe closer to 7 and I feel a lot better.