4.27.2013

A not so lazy day for Gabby

Well even though it was a lazy day for Bart and I such was not the case for Gabby. I noticed this morning during her urology round that her right kidney was hardly putting out any urine. The urology fellow decided to flush the drain tube but that still didn't resolve the problem. He brought it to the attention of Dr. Reddy (Dr. Alam's partner) who decided that it was probably because the drain tube was kinked, which they repositioned it. Or that the ureters swelling has gone down which would allow urine to pass around the drain tube and go into the bladder. They decided to do a renal ultrasound. Dr. Alam came in on his day off to be here when the ultrasound was done. He said the kidney looks good and there is nothing to be concerned about. She also had an abdominal xray done, it also showed no concerns. This afternoon her pulse and blood pressure started dropping. We have known that this could be a possibility because of the Dexmedetomidine (sedative). They decided to cut back her dose of that and her blood pressure and pulse have come back up to normal. They also did a EKG just to make sure that her heart looked good... it came back normal. She had a panel of blood and urine cultures pulled this morning but we won't hear back from those for a couple of days. She also got her bed linens changed which requires several of the nurses to lift her up off the bed. All in all she has remained pretty comfortable all day. Her nurse during the day Michelle asked her one time if she was in pain and she shook her head no. She asked her if she wanted her to leave her alone and she shook her head yes. They will continue to bring down her morphine and the dex through out the night and tomorrow so that hopefully she can come off of the ventilator. The respiratory therapist told us to be prepared that it might be Monday though. She said they normally don't take them off the ventilator on a weekend, so I guess we will see.  



These are couple of pictures that show you what rounds can look like. This was urology, ortho and the ICU doctors all looking in on Gabby today.

I would like to extend a huge thank you to Bart's Granny Dolores and her friend Mary. They made the journey with us from Louisiana to Ohio to help out with Avery so that we can concentrate on Gabrielle. They also have been cooking us wonderful home cooked meals each day. How fortunate we are to have them hear with us.

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