Today was another good day. Hana is still a bit sleepy and her hematocrit was low (19) so they did a blood transfusion. That perked her up a bit in the afternoon but her overall energy is still low, which I think is still fine at this point. They gave her albumin today too. They are hoping to get Hana off the 1/4 L of oxygen she is still getting but so far her O2 level starts to go down sometimes without it.
They added a 1/4 clonidine patch to hopefully help her wean faster off her last drip – the dexmedetomidine. They didn’t turn it down until 3:30 in the afternoon, so it had been almost 30 hours since the last time they turned it down by 10%. I noticed that the gagging and retching did not appear today like it has been the last few days. Maybe it’s been withdrawal causing the gagging.
I like hearing the fellows come up with their plan and then hearing the rest of the team explain why something is or isn’t a good decision. Every once in a while I know something the fellow doesn’t know and I worry that either they haven’t spent enough time in the CVICU or I’ve spent too much time in the CVICU.
Today’s highlight was holding Hana for a while and then getting on the floor with her again for some play.