The Graveside Service for David Keyzer will be on Saturday, February 13, at 11 AM and the memorial service at 1 PM Saturday at Capital City Church (7800 Holdrege Street).
Visitation will be at Roper and Son's funeral home (4300 'O' Street) on Friday, Februrary 12 from 2-8 PM. The family will be at the funeral home from 6-8 PM.
Tuesday, February 9, 2010
Monday, February 8, 2010
Monday, Feb 7, 2010 @6:45 PM
David passed away during the tracheostomy this morning. The cause of death is unknown at this time. They suspect a blood clot because it was so unexpected.
Please pray for God's comfort at this time.
Karen
Please pray for God's comfort at this time.
Karen
Monday Feb 8 11:45AM
Last evening and into this morning David's communication has remained minimal. His night nurse indicated that there was some increase in his non-verbal responses earlier this morning. I did find that, for whatever reason, David's preferred communication is the squeezing of the hand rather than nodding his head or speaking. This morning, his squeeze with his left hand was fairly strong as he responded to some specific questions about TV, people being present, etc.
The bronchoscopy this morning revealed that the stents are still in place and there is no infection. Chest X-Rays also revealed that things are ok. However, there are more secretions than yesterday and they feel David may have aspirated (getting some of the stomache contents into the lung). As a result, David's breathing has become more difficult and very rapid. They are now doing a tracheostomy, creating a more direct airway into his lung from the throat area.
Please continue to pray for David--especially requests that relate to his breathing and the effectiveness of the tracheostomy.
Thanks so much!
Sam
The bronchoscopy this morning revealed that the stents are still in place and there is no infection. Chest X-Rays also revealed that things are ok. However, there are more secretions than yesterday and they feel David may have aspirated (getting some of the stomache contents into the lung). As a result, David's breathing has become more difficult and very rapid. They are now doing a tracheostomy, creating a more direct airway into his lung from the throat area.
Please continue to pray for David--especially requests that relate to his breathing and the effectiveness of the tracheostomy.
Thanks so much!
Sam
Sunday, February 7, 2010
1:15pm
When I, and then a little later, Matt Keyzer got here, David seemed "zoned." He didn't give us much of a response. The nurses got him up in a chair for a while and he seemed to somewhat enjoy that.
A little later, though, Matt pulled out an old picture and we started joking and laughing.
David was smiling at our jokes and raising his eyebrows in response to things we were saying. Now he seems tired again, but it was really encouraging.
A little later, though, Matt pulled out an old picture and we started joking and laughing.
David was smiling at our jokes and raising his eyebrows in response to things we were saying. Now he seems tired again, but it was really encouraging.
Sunday Feb 7 9:40AM
David had a restful night.
This morning they have already done a bronchoscopy, which revealed that the secretions are "thinner" and the sores are "less angry." Please join us in giving thanks for those positive factors.
Today they anticipate, once again, assisting David with getting out of bed, sitting up, and possibly walking. Please pray for strength, especially in light of his "exhaustion" yesterday.
There are many positive signs of growing health; however, David's lack of awareness and energy--especially yesterday--are sometimes difficult for us to handle. This is probably more our issue than anyone else's, yet we request your prayers for this--as the Spirit leads you. Conversations with medical staff continue to have strong hopes for a full recovery and believe that exhaustion is the explanation.
Thanks again for your engagement in this process.
Sam
This morning they have already done a bronchoscopy, which revealed that the secretions are "thinner" and the sores are "less angry." Please join us in giving thanks for those positive factors.
Today they anticipate, once again, assisting David with getting out of bed, sitting up, and possibly walking. Please pray for strength, especially in light of his "exhaustion" yesterday.
There are many positive signs of growing health; however, David's lack of awareness and energy--especially yesterday--are sometimes difficult for us to handle. This is probably more our issue than anyone else's, yet we request your prayers for this--as the Spirit leads you. Conversations with medical staff continue to have strong hopes for a full recovery and believe that exhaustion is the explanation.
Thanks again for your engagement in this process.
Sam
Saturday, February 6, 2010
Saturday, Feb 6, 2010 at 6:55PM
Dear Family and Friends,
Today has been a quiet day. David did not sleep real well last night and so spent a couple of hours sleeping this morning. All his energy seems to be going into his breathing at this point.
The nurses and doctors feel that they may have had him overdo things yesterday and today he is exhausted. They are giving him a rest day and plan to resume Physical Therapy tomorrow.
David had to have another bronchoscopy at 2 PM today to remove secretions. The bronchoscopy revealed that the stents remain in good position. The secretions are a result of having stents, having a sore and irritated wind pipe and inactivity. All these give him more secretions than normal and he does not have the strength yet to cough them all up. The nurses feel this is pretty normal after being on the ventilator for 17 days.
David has not been communicating much today. They feel this is due to the exhaustion.
David has still not been using his right arm and hand at all.
We are thank ful that his white blood count is back to normal (elevated count often indicates infection) and his blood gases (indicates the effectiveness of his breathing) are also normal.
We have recently reached the point where the following tubes are not needed: one chest tube, the arterial line, and the central line. It is exciting to have progress in de tubing this young man!! Let's see.....we have four tubes left....
Praise for David's ability to breathe on his own, for no known infections, for the stents being in in the same place, and for some communication.
Pray for increased strength and his right arm to improve.
Karen
Today has been a quiet day. David did not sleep real well last night and so spent a couple of hours sleeping this morning. All his energy seems to be going into his breathing at this point.
The nurses and doctors feel that they may have had him overdo things yesterday and today he is exhausted. They are giving him a rest day and plan to resume Physical Therapy tomorrow.
David had to have another bronchoscopy at 2 PM today to remove secretions. The bronchoscopy revealed that the stents remain in good position. The secretions are a result of having stents, having a sore and irritated wind pipe and inactivity. All these give him more secretions than normal and he does not have the strength yet to cough them all up. The nurses feel this is pretty normal after being on the ventilator for 17 days.
David has not been communicating much today. They feel this is due to the exhaustion.
David has still not been using his right arm and hand at all.
We are thank ful that his white blood count is back to normal (elevated count often indicates infection) and his blood gases (indicates the effectiveness of his breathing) are also normal.
We have recently reached the point where the following tubes are not needed: one chest tube, the arterial line, and the central line. It is exciting to have progress in de tubing this young man!! Let's see.....we have four tubes left....
Praise for David's ability to breathe on his own, for no known infections, for the stents being in in the same place, and for some communication.
Pray for increased strength and his right arm to improve.
Karen
Friday, February 5 @11pm
David had a good and a hard day today. He started physical therapy and occupational therapy. They got him up in the chair - the first time he was so weak he couldn't hold his head up. He did better the second time. They also stood him up briefly, although he needed support to stand.
He was able to breathe on his own, with just a little bit of oxygen, for most of the day - which is amazing. But they put him back on the bi-pap mask (that he hates) tonight because he was getting tired. He is having a lot of secretions and is needing suctioning because he can't cough them up yet.
Lydia mentioned her day at school and then left to get some coffee. When she came back, he asked her about it. He also asked to watch a little TV and gave input on what he wanted to watch.
He seems to be having a really hard time sleeping. He doesn't sleep much during the day (and it seems like it would be better if he did) and he was having a lot of trouble sleeping tonight as well, even though he appeared just exhausted.
Please pray that he is able to get the rest that he needs. And also that he doesn't get too discouraged. We are definately seeing him make progress, but that progress is probably a lot harder for him to recognize.
He was able to breathe on his own, with just a little bit of oxygen, for most of the day - which is amazing. But they put him back on the bi-pap mask (that he hates) tonight because he was getting tired. He is having a lot of secretions and is needing suctioning because he can't cough them up yet.
Lydia mentioned her day at school and then left to get some coffee. When she came back, he asked her about it. He also asked to watch a little TV and gave input on what he wanted to watch.
He seems to be having a really hard time sleeping. He doesn't sleep much during the day (and it seems like it would be better if he did) and he was having a lot of trouble sleeping tonight as well, even though he appeared just exhausted.
Please pray that he is able to get the rest that he needs. And also that he doesn't get too discouraged. We are definately seeing him make progress, but that progress is probably a lot harder for him to recognize.
Friday, February 5, 2010
Friday, Feb 5 10:30AM
David did well during the night on the bi-pap ("face mask"), which provides positive airflow.
This morning, they have removed the bi-pap and he's doing ok; he's currently receiving oxygen through a nose tube.
When Dr. Gangahar walked in this morning David said, "How are you doing?" Dr. Gangahar smiled and said, "I'm doing ok; how are you doing?" After the brief exchange, David did very slightly move his right arm, as well as his other extremities. On his way out, Dr. G said, "The plan is the same--nutrition and physical therapy."
David's Uncle Ray called this morning and asked to speak with David on the phone. After Ray spoke a few words David said, "Raymond!" (his familiar greeting). I got the impression Ray was quite thrilled at the sound of his name.
Physical therapy and Occupational therapy from Madanna Rehab Hospital are coming twice a day to work with him. This morning he sat on the edge of the bed for 10 minutes, improved in holding his head upright, lifted his legs, and worked on strengthening his voice.
If everything continues to go well, they are talking about a possible transfer to Madonna Rehab (here in Lincoln) the early part of next week.
Please give thanks for progress in several areas; and pray for continued patience and strength (including on the right arm) on this journey to a full recovery.
Sam and Karen
This morning, they have removed the bi-pap and he's doing ok; he's currently receiving oxygen through a nose tube.
When Dr. Gangahar walked in this morning David said, "How are you doing?" Dr. Gangahar smiled and said, "I'm doing ok; how are you doing?" After the brief exchange, David did very slightly move his right arm, as well as his other extremities. On his way out, Dr. G said, "The plan is the same--nutrition and physical therapy."
David's Uncle Ray called this morning and asked to speak with David on the phone. After Ray spoke a few words David said, "Raymond!" (his familiar greeting). I got the impression Ray was quite thrilled at the sound of his name.
Physical therapy and Occupational therapy from Madanna Rehab Hospital are coming twice a day to work with him. This morning he sat on the edge of the bed for 10 minutes, improved in holding his head upright, lifted his legs, and worked on strengthening his voice.
If everything continues to go well, they are talking about a possible transfer to Madonna Rehab (here in Lincoln) the early part of next week.
Please give thanks for progress in several areas; and pray for continued patience and strength (including on the right arm) on this journey to a full recovery.
Sam and Karen
Thursday, February 4, 2010
9:00pm
The bronchoscopy today showed that the stents are in place and everything looks good. They took David completely off the ventilator soon after (fully extubating, or removing the tube)!! We finally got to hear his voice!
A little later in the afternoon, however, his labs were less than perfect and they put him on the
c-pap - a machine that is kind of a cross between a ventilator and an oxygen mask. So he is now wearing the mask and talking isn't quite as easy, but still better than when he was on the ventilator.
David has been restless and uncomfortable for most of the evening. It has been more difficult at this point than we thought. Dr. G, however, said this is just part of his coming off the sedation and it just takes time. "He is ok."
David is still not able to move his right arm. At this point, they think there was probably some damage to the nerves and that he will regain use with time.
Time, time, time. You would think that we would be getting used to this matra by now!
A little later in the afternoon, however, his labs were less than perfect and they put him on the
c-pap - a machine that is kind of a cross between a ventilator and an oxygen mask. So he is now wearing the mask and talking isn't quite as easy, but still better than when he was on the ventilator.
David has been restless and uncomfortable for most of the evening. It has been more difficult at this point than we thought. Dr. G, however, said this is just part of his coming off the sedation and it just takes time. "He is ok."
David is still not able to move his right arm. At this point, they think there was probably some damage to the nerves and that he will regain use with time.
Time, time, time. You would think that we would be getting used to this matra by now!
Thurs 2PM
The physical therapist began working with David this morning. As part of the therapy, he sat on the edge of the bed for 5 minutes.
David has breathed for 6 hours with the ventilator turned off and a bronchoscopy shows the stents are still in place. They plan to take David off the ventilator in a half-hour.
Please pray that he will continue to be strong enough to continue to breathe on his own.
The neurologist saw him David, too, this morning. There is concern because David is unable to move his right arm. Please pray that further testing will not reveal anything serious; and that soon he will have the use of that arm.
Karen
David has breathed for 6 hours with the ventilator turned off and a bronchoscopy shows the stents are still in place. They plan to take David off the ventilator in a half-hour.
Please pray that he will continue to be strong enough to continue to breathe on his own.
The neurologist saw him David, too, this morning. There is concern because David is unable to move his right arm. Please pray that further testing will not reveal anything serious; and that soon he will have the use of that arm.
Karen
Thursday, Feb 4 at 10:00AM
We have had some people ask if there is anything they can get for David. As family and friends we decided it would be nice for David to have a laptop computer. We think he would enjoy the use of this during his recovery and we feel he would find it useful afterward also.
If anyone would like to donate toward this group gift you are welcome to send the money to Sam and Karen at 1730 Meadow Lark Circle, Lincoln 68521. Any extra money received will go to help David with his medical expenses and/or lost wages.
We do not want anyone to feel obligated or that we are suggesting a donation. This is just for those who have asked or are interested.
Thank you to all for your faithful support and for your prayers.
If anyone would like to donate toward this group gift you are welcome to send the money to Sam and Karen at 1730 Meadow Lark Circle, Lincoln 68521. Any extra money received will go to help David with his medical expenses and/or lost wages.
We do not want anyone to feel obligated or that we are suggesting a donation. This is just for those who have asked or are interested.
Thank you to all for your faithful support and for your prayers.
Thursday, February 4, 7:30am
David had a good night. He breathed on his own for 3 hours last evening, and then they had him rest for the night. He is back in wean mode this morning and is doing really well. They're letting him go for a little longer in wean mode, so hopefully he's able to maintain good oxygen levels (and all the other labs that go with breathing).
He gets restless at times and it's 21 questions to figure out of there is something we can do for him.
Dr. G was here this morning and was very positive. David indicated that he recognized him. Dr. G is very encouraging and says he doesn't think there is anything that would keep him from obtaining full recovery.
Rumor has it that David really responded to one of the young ladies working last night and tried extra hard to respond to her commands. She came in this morning and said a special goodbye when she got off. Hmmmmm!!
David wanted to use a pen and paper to communicate with us last night, but he is too weak. Please pray for patience for us and him as we try to communicate and also for him as he works to regain his strength.
-Rachel
He gets restless at times and it's 21 questions to figure out of there is something we can do for him.
Dr. G was here this morning and was very positive. David indicated that he recognized him. Dr. G is very encouraging and says he doesn't think there is anything that would keep him from obtaining full recovery.
Rumor has it that David really responded to one of the young ladies working last night and tried extra hard to respond to her commands. She came in this morning and said a special goodbye when she got off. Hmmmmm!!
David wanted to use a pen and paper to communicate with us last night, but he is too weak. Please pray for patience for us and him as we try to communicate and also for him as he works to regain his strength.
-Rachel
Wednesday, February 3, 2010
6:30pm
David was awake a lot of the afternoon. They are doing weaning sessions where they have him breathing on his own through the vent for small periods of time. The labs from the second trial period of breathing on his own were better than the first. After he breathes on his own for a while, they change the settings and have the vent do the work so he can rest.
He appears very uncomfortable at times and we are constantly trying to figure out what he needs - if he needs pain medication or suctioning or peace and quiet from his very eager and talkative family.
But we are so thankful that he is able to breathe through the vent and isn't fighting it. And his other vital signs and labs have been good as well. Hopefully we have turned the corner!
He appears very uncomfortable at times and we are constantly trying to figure out what he needs - if he needs pain medication or suctioning or peace and quiet from his very eager and talkative family.
But we are so thankful that he is able to breathe through the vent and isn't fighting it. And his other vital signs and labs have been good as well. Hopefully we have turned the corner!
Wednesday, February 3, 11:30am
Dr. Johnson did another bronchoscopy this morning and was very pleased with how everything looks. He is pretty confident on the placement of the stents and doesn't think the stents will move at all.
They have turned off the sedation and David is awake, although groggy. He seems to be in that just-waking-up confused state. But he is looking around and responding some.
He is breathing really well on his own, using the vent tube! This is the first time he has not had breathing difficulties when he is woken up.
They have turned off the sedation and David is awake, although groggy. He seems to be in that just-waking-up confused state. But he is looking around and responding some.
He is breathing really well on his own, using the vent tube! This is the first time he has not had breathing difficulties when he is woken up.
Tuesday, February 2, 2010
2:25pm
The surgery is over and appears to have been successful! Both doctors seemed very pleased when they came to give us the news. They feel that the stents are in the proper place and they think there is little chance of them moving.
They are waiting with the tracheostomy at this time. On the off chance that the stents do move, they need to be able to access things and reposition them. In the meantime, they will probably start weaning the sedation tomorrow.
They are waiting with the tracheostomy at this time. On the off chance that the stents do move, they need to be able to access things and reposition them. In the meantime, they will probably start weaning the sedation tomorrow.
12::30PM Tuesday, Feb 2
David has been transferred to the OR, where the plan is to place two stents (They have decided not to do the tracheostomy at this time). The size of the stents this time will be a bit larger than the previous one, so as to be a snugger fit in his airway.
David had a good night and morning. All his cultures have come back negative. He also had a couple of key "awake moments," following the nurse with the turn of his head and giving a few smiles. We also got a slight smile when we talked about the pictures on his wall, just prior to surgery.
Please join us in giving thanks for the good signs; and in asking the Lord for a successful surgery.
Sam
David had a good night and morning. All his cultures have come back negative. He also had a couple of key "awake moments," following the nurse with the turn of his head and giving a few smiles. We also got a slight smile when we talked about the pictures on his wall, just prior to surgery.
Please join us in giving thanks for the good signs; and in asking the Lord for a successful surgery.
Sam
Monday, February 1, 2010
Mon Feb 1 6PM
There has been a change in the timing for tomorrow's procedures (placing the stents and the tracheostomy). They are being planned for noon instead of later afternoon.
David's condition has remained stable throughout the day.
Sam
David's condition has remained stable throughout the day.
Sam
Monday, Feb 1 8:45AM
David had a good night and is resting comfortably this morning. The high white blood cell count, indicating an infection, is down; his temperature is back to normal. He is breathing comfortably after the stent they had place became dislodged and subsequently was removed.
They plan to place two stents and do a tracheostomy late Tuesday afternoon. If this procedure does not work, they are looking at the possibility of transferring David to another part of the US, to get even more specialized care.
Please give thanks for the stabilizing of all vital signs. Please continue to pray for God presence and power to be made known. We would love to have the healing take place without the "inconvenience" of a transfer. God knows best and he is not baffled.
Sam
They plan to place two stents and do a tracheostomy late Tuesday afternoon. If this procedure does not work, they are looking at the possibility of transferring David to another part of the US, to get even more specialized care.
Please give thanks for the stabilizing of all vital signs. Please continue to pray for God presence and power to be made known. We would love to have the healing take place without the "inconvenience" of a transfer. God knows best and he is not baffled.
Sam
Sunday, January 31, 2010
Sunday, Jan 31 5:15 PM
Dear Family and Friends,
Dr Johnson did another bronchoscopy this afternoon to confirm what he suspected from the chest x-ray. The stent had migrated almost to the throat area and had to be removed.
We are thankful that even though David is no longer receiving the paralytic medication, he is still allowing the ventilator to breathe for him without fighting it. He is resting quietly under sedation and is to remain so until the two new stents arrive Tuesday morning for placement.
We are of course disappointed and remain concerned about the high White Blood count which indicates a probable infection. (At this point they do not know where.)
Please pray that we continue to focus our eyes on Jesus and remain steadfast in our faith that God is able and willing to do miracles.
Karen
Dr Johnson did another bronchoscopy this afternoon to confirm what he suspected from the chest x-ray. The stent had migrated almost to the throat area and had to be removed.
We are thankful that even though David is no longer receiving the paralytic medication, he is still allowing the ventilator to breathe for him without fighting it. He is resting quietly under sedation and is to remain so until the two new stents arrive Tuesday morning for placement.
We are of course disappointed and remain concerned about the high White Blood count which indicates a probable infection. (At this point they do not know where.)
Please pray that we continue to focus our eyes on Jesus and remain steadfast in our faith that God is able and willing to do miracles.
Karen
10:40am
We are so encouraged to interact with David!
The bad news at the moment is that his white blood count is high, indicating some kind of infection. We really appeciate your prayers in this area.
The bad news at the moment is that his white blood count is high, indicating some kind of infection. We really appeciate your prayers in this area.
January 31, 2010 10:39am
Hello there friends,
Last night was a really good night for David. Lydia and I saw very purposeful responses to commands, and they were the sort of responses that we haven't seen in a long time. When I walked in the room, sometime around 11:30pm Lydia told David that I was entering the room and David followed me with his eyes in a very intentional manner. She also asked David if he would be willing to shake his head to show me that he is responding well, and he made a clear motion with his head that he was understanding what she was saying. We tried to get him to squeeze her hand, but at this point, we couldn't expect anything like that given the amount of time he's spent on a paralytic and the nurse confirmed this. He seemed very peaceful when this was going on, and his numbers remained stable; The overall vibe was very positive. At this point, they're not going to allow him to come completely off of sedation until the two new stents are put in, but these sort of responses have been the glimmer of hope that will reinstate the much needed patience needed for this situation. I woke up today feeling much more positive about David's recovery.
Matthew Keyzer
Last night was a really good night for David. Lydia and I saw very purposeful responses to commands, and they were the sort of responses that we haven't seen in a long time. When I walked in the room, sometime around 11:30pm Lydia told David that I was entering the room and David followed me with his eyes in a very intentional manner. She also asked David if he would be willing to shake his head to show me that he is responding well, and he made a clear motion with his head that he was understanding what she was saying. We tried to get him to squeeze her hand, but at this point, we couldn't expect anything like that given the amount of time he's spent on a paralytic and the nurse confirmed this. He seemed very peaceful when this was going on, and his numbers remained stable; The overall vibe was very positive. At this point, they're not going to allow him to come completely off of sedation until the two new stents are put in, but these sort of responses have been the glimmer of hope that will reinstate the much needed patience needed for this situation. I woke up today feeling much more positive about David's recovery.
Matthew Keyzer
Sunday 8:30AM
David had another good night last night, with all his vital signs being stable.
They are weaning him partially from paralytic meds, so he is showing some signs of "waking up." Lydia (one of his sisters) claims that he is responding to some commands; and that he smiled at her. When she asked David, "Are you smiling? He responded with an even bigger smile, says Lydia (I do believe that this is more than attempt to outdo her siblings--and her mother--in getting responses from David; plus it is probably more than just gas).
Medical staff will keep David under sedation until his surgery to place a second stent on Tuesday, so his responses will be limited.
David's next surgery (Tuesday) is partly due to his pulmonary doctor being uncomfortable with the location of the 1st stent. He says "we can do better." It is also intended to address the issue of the collapsing of additional airways.
Please give thanks for David's partial waking up; it gives us a lot of joy. Give thanks, too, for his stability and for his excellent medical care. This is surely God's gift.
Please continue to pray for God's miracles; and for his glory to be be made known throughout this journey.
Sam
They are weaning him partially from paralytic meds, so he is showing some signs of "waking up." Lydia (one of his sisters) claims that he is responding to some commands; and that he smiled at her. When she asked David, "Are you smiling? He responded with an even bigger smile, says Lydia (I do believe that this is more than attempt to outdo her siblings--and her mother--in getting responses from David; plus it is probably more than just gas).
Medical staff will keep David under sedation until his surgery to place a second stent on Tuesday, so his responses will be limited.
David's next surgery (Tuesday) is partly due to his pulmonary doctor being uncomfortable with the location of the 1st stent. He says "we can do better." It is also intended to address the issue of the collapsing of additional airways.
Please give thanks for David's partial waking up; it gives us a lot of joy. Give thanks, too, for his stability and for his excellent medical care. This is surely God's gift.
Please continue to pray for God's miracles; and for his glory to be be made known throughout this journey.
Sam
Saturday, January 30, 2010
5:15pm
The bronchoscopy showed that David's lower airways are floppy and the stent isn't in the best position. The plan now is to take him back to the OR on Monday or Tuesday (hopefully Monday) and replace the first stent with a shorter stent and then insert a second stent as well. They will also do a tracheostomy at the same time.
A tracheostomy is when they put a tube through his throat into his trachea. The tube can be connected to the ventilator so that he no longer needs the tube in his mouth. The advantages of a trach. is that David will not need to work as hard to breathe and will not experience the gagging sensation. He can also be easily connected and disconnected from the ventilator as he readjusts to breathing on his own.
They are decreasing the paralytic medication today, but will keep David sedated until after the next procedure(s). The pulmonologist is expecting him to need some time at a rehab. hospital after he leaves here.
A tracheostomy is when they put a tube through his throat into his trachea. The tube can be connected to the ventilator so that he no longer needs the tube in his mouth. The advantages of a trach. is that David will not need to work as hard to breathe and will not experience the gagging sensation. He can also be easily connected and disconnected from the ventilator as he readjusts to breathing on his own.
They are decreasing the paralytic medication today, but will keep David sedated until after the next procedure(s). The pulmonologist is expecting him to need some time at a rehab. hospital after he leaves here.
Sat 10:10AM
David was stable through the night and into this morning.
A bronchoscopy is scheduled for this afternoon to check stent placement. We do not yet know the specific time for the procedure.
If the stent remains in the correct place, they will start the wake-up process after the bronchoscopy.
Please give thanks that all has gone well so far after the surgery.
Please pray for good news in the items mentioned above, scheduled for this afternoon.
A bronchoscopy is scheduled for this afternoon to check stent placement. We do not yet know the specific time for the procedure.
If the stent remains in the correct place, they will start the wake-up process after the bronchoscopy.
Please give thanks that all has gone well so far after the surgery.
Please pray for good news in the items mentioned above, scheduled for this afternoon.
Friday, January 29, 2010
2:45pm
He is back from surgery and it went well. The stent is in the appropriate place.
They did find some more weak or "boggy" areas in the airway, in addition to where they put the stent. They will be watching to determine if further intervention is needed.
They are planning to keep him sedated for the rest of the day. A bronchoscopy is planned for tomorrow to see how everything looks. They are hoping to decrease the sedation and paralytic medications tomorrow.
They did find some more weak or "boggy" areas in the airway, in addition to where they put the stent. They will be watching to determine if further intervention is needed.
They are planning to keep him sedated for the rest of the day. A bronchoscopy is planned for tomorrow to see how everything looks. They are hoping to decrease the sedation and paralytic medications tomorrow.
Friday 10AM
David, once again, had a stable night. Temp was normal to 99. They were also able to decrease the ventilator settings even more.
Please join us in giving thanks!
Tentatively, his surgery to place the (removable) stent is set for 1PM this afternoon.
Please join us in praying
-for continued "coming together" of the variables in preparation for the surgery
-for Dr. Johnson, who will be doing what he calls a unique and infrequent surgery
-that the post-surgery weaning from the ventilator will go smoothly
-for the antibiotics to continue to be effective
-for the stent to be effective in assisting David's breathing and allowing his airway to heal
Thanks so much!
Please join us in giving thanks!
Tentatively, his surgery to place the (removable) stent is set for 1PM this afternoon.
Please join us in praying
-for continued "coming together" of the variables in preparation for the surgery
-for Dr. Johnson, who will be doing what he calls a unique and infrequent surgery
-that the post-surgery weaning from the ventilator will go smoothly
-for the antibiotics to continue to be effective
-for the stent to be effective in assisting David's breathing and allowing his airway to heal
Thanks so much!
Thursday, January 28, 2010
Thursday 9PM
We received news a few minutes ago that David's surgery to place a stent is likely to occur tomorrow afternoon. They have not given a specific time. They are still waiting on a necessary "part" to arrive tomorrow morning, but are quite certain things will work out. Meanwhile, aside from a slight temp, David's condition remains stable. He has had a couple of "good days," according to his nurse. As you offer your petitions, please join us in giving thanks that the preparations for surgery are working out.
Sam
Sam
1pm
Karen just checked in with the nurses. They are having "no problem ventilating." All is stable. They continue to plan for placement of the stent tomorrow. No time yet on the surgery. - Sam
Thursday AM--Sam
Thursday 9 AM
David had a good night. The Chest x-ray looks good. The white count this morning does indicate an infection, so they are starting him on an antibiotic. It looks look like all the equipment and personnel will be available for the stent to be placed tomorrow. No specific time has been mentioned yet.
The Family is doing well. Last night we prepared pictures of those David has admired, along with bubble quotes. For example:
-Johnny Cash says: "You sure walked the line."
-Edgar Martinez (former player for the Seattle Mariners) says: "Just try to make contact." (This was a saying of his after a come-from-behind victory in the playoffs).
-Barak Obama says: "You can do it."
-Martin Luther King Jr says: "You had a dream; a LONG dream."
-We're also looking at posting a picture of Karen (to be the largest one) saying, "David, it's time to wake up!!
There are a host of others on the wall who will welcome David back; but you get the idea.
We also continue to have community gatherings in the waiting room, adding three new people last evening.
Thanks again for your interest, concern, prayers, and expressions.
David had a good night. The Chest x-ray looks good. The white count this morning does indicate an infection, so they are starting him on an antibiotic. It looks look like all the equipment and personnel will be available for the stent to be placed tomorrow. No specific time has been mentioned yet.
The Family is doing well. Last night we prepared pictures of those David has admired, along with bubble quotes. For example:
-Johnny Cash says: "You sure walked the line."
-Edgar Martinez (former player for the Seattle Mariners) says: "Just try to make contact." (This was a saying of his after a come-from-behind victory in the playoffs).
-Barak Obama says: "You can do it."
-Martin Luther King Jr says: "You had a dream; a LONG dream."
-We're also looking at posting a picture of Karen (to be the largest one) saying, "David, it's time to wake up!!
There are a host of others on the wall who will welcome David back; but you get the idea.
We also continue to have community gatherings in the waiting room, adding three new people last evening.
Thanks again for your interest, concern, prayers, and expressions.
Thursday, January 28
David had a really good night. They were able to turn down his vent settings this morning and he is basically on room air (through the vent, of course).
He does have an infection (WBC's up from 14 to 23, for the nurses). It's possible that it is in the lung, but preliminary results of cultures are not definate. His chest xray, however, looked "pristine" per Dr. G - so that is encouraging. They are watching him super closely for evidence of infection and they are starting antibiotics this morning. Everything else is pretty much status quo from yesterday.
It looks like they are probably going to be able to get everything they need to place the stent tomorrow, so we can be very hopeful for that.
He does have an infection (WBC's up from 14 to 23, for the nurses). It's possible that it is in the lung, but preliminary results of cultures are not definate. His chest xray, however, looked "pristine" per Dr. G - so that is encouraging. They are watching him super closely for evidence of infection and they are starting antibiotics this morning. Everything else is pretty much status quo from yesterday.
It looks like they are probably going to be able to get everything they need to place the stent tomorrow, so we can be very hopeful for that.
Wednesday, January 27, 2010
Wednesday, January 27, 11:15am
They seem to have found a cocktail of sedation /paralytic/BP medication that is working. He had his best night so far. The pressures on the ventilator are down (a very good thing) and his labs are good.
Balencing the fluids - what goes in and what comes out - is a difficult balence for anyone who has been on a ventilator for this long (about 9 days now). And he start running a low-grade fever this morning. They are doing some tests to determine possible sources of infection. Those results may not be in for 2-3 days.
We don't know yet how they are doing with finding all the parts and machines needed to place the stent. WE're still hopeful that they will be able to do this on Friday. (Otherwise we may be waiting until Monday.)
Balencing the fluids - what goes in and what comes out - is a difficult balence for anyone who has been on a ventilator for this long (about 9 days now). And he start running a low-grade fever this morning. They are doing some tests to determine possible sources of infection. Those results may not be in for 2-3 days.
We don't know yet how they are doing with finding all the parts and machines needed to place the stent. WE're still hopeful that they will be able to do this on Friday. (Otherwise we may be waiting until Monday.)
Jonathan and David 11PM Tuesday
Their names were Jonathan and David.
They traveled together on the pathway of life--in the land of Israel a long time ago.
They bonded--even made a covenant together.
They were true brothers, though not by blood.
They would come to each other's defense in the conflicts they faced.
They were separated by death--an untimely death.
While one became king, the other entered heaven.
Now they are together.
Their names are Jonathan and David.
They've traveled together on the pathway of life--Wisconsin, Washington, Nebraska, Denver, Kansas City.
They have bonded--even more deeply over troubled heart and lung.
They are true brothers, by blood, heart, and action.
They have come to each other's aid as they've faced the transitions of childhood.
Now, in an unwanted environment, the one looks from the bedside, wondering what it would be like to reconstruct his life without the other.
Then upon reflection, more information, and renewal of faith, he has greater assurance that they, Jonathan and David, will continue to walk the pathway of life together.
May it be, dear God!
(Sam)
They traveled together on the pathway of life--in the land of Israel a long time ago.
They bonded--even made a covenant together.
They were true brothers, though not by blood.
They would come to each other's defense in the conflicts they faced.
They were separated by death--an untimely death.
While one became king, the other entered heaven.
Now they are together.
Their names are Jonathan and David.
They've traveled together on the pathway of life--Wisconsin, Washington, Nebraska, Denver, Kansas City.
They have bonded--even more deeply over troubled heart and lung.
They are true brothers, by blood, heart, and action.
They have come to each other's aid as they've faced the transitions of childhood.
Now, in an unwanted environment, the one looks from the bedside, wondering what it would be like to reconstruct his life without the other.
Then upon reflection, more information, and renewal of faith, he has greater assurance that they, Jonathan and David, will continue to walk the pathway of life together.
May it be, dear God!
(Sam)
Tuesday, January 26, 2010
1pm
Just had a meeting with the doctor, nursing staff and respiratory team leader. It was encouraging to know that they really are doing everything possible.
There is now a fair chance of getting the removable stent placed on Friday. We are hopeful that will be able to happen. They are trying to gather the parts and pieces needed (some of the equipment is not here in Nebraska).
There is now a fair chance of getting the removable stent placed on Friday. We are hopeful that will be able to happen. They are trying to gather the parts and pieces needed (some of the equipment is not here in Nebraska).
January 26, 10:30am
The sedation medication that was restarted last night is helping, but blood pressures are still up and down. We seem to be caught in a cycle. They have to give him the sedation and pain medication to keep him calm, but then his blood pressure drops. If he gets agitated, however, his airway starts to collapse making ventilation a challenge.
The removable stent that everyone wants for him probably can't be placed until Monday. We can't do a tracheostomy (to remove the very large ventilator tube that probably makes him feel like he is choking) until after the stent is placed.
Please pray that somehow we can get that stent sooner.
Please pray for his sedation and that blood pressures will stabilize.
We are so thankful that he has not developed any infection or pneumonia. Dr. G said this morning that his chest xray is "pristine."
Please pray that, as a family, we will learn how to wait on God.
The removable stent that everyone wants for him probably can't be placed until Monday. We can't do a tracheostomy (to remove the very large ventilator tube that probably makes him feel like he is choking) until after the stent is placed.
Please pray that somehow we can get that stent sooner.
Please pray for his sedation and that blood pressures will stabilize.
We are so thankful that he has not developed any infection or pneumonia. Dr. G said this morning that his chest xray is "pristine."
Please pray that, as a family, we will learn how to wait on God.
Monday, January 25, 2010
10:25PM (Posted by Sam)
Prayer is a most effective way to tell God we love him and trust him; it is a powerful tool to have Jesus take my burdens and forgive my sins; when combined with listening, it is the best way to receive guidance in life; at times, miracles are the result of our honest discussion with the Almighty Savior. Prayer is all these things and more.
It has become apparent to me at key times in my life that God does things that seem cruel, but in doing so brings me to a prayer-ful place where I've never been before. Sometimes he takes me there with family and friends. Together, we go deeper, like divers in the ocean of God's love. When we come to the surface, we will freely speak of what we have seen and heard. Now is the time to go to that place; soon will be the time to speak.
Prayer is a most effective way to tell God we love him and trust him; it is a powerful tool to have Jesus take my burdens and forgive my sins; when combined with listening, it is the best way to receive guidance in life; at times, miracles are the result of our honest discussion with the Almighty Savior. Prayer is all these things and more.
It has become apparent to me at key times in my life that God does things that seem cruel, but in doing so brings me to a prayer-ful place where I've never been before. Sometimes he takes me there with family and friends. Together, we go deeper, like divers in the ocean of God's love. When we come to the surface, we will freely speak of what we have seen and heard. Now is the time to go to that place; soon will be the time to speak.
9:40 pm
Feeling thankful for Nurse Heather tonight. She conferenced with the doctors and changed his sedation medication. It will make him more deeply sedated (which is good because he won't fight the vent as much) and his blood pressures don't drop as much. It reminds me of how important it is to pray for the doctors and nurses, too.
8:00pm
David's pulmonologist called. He has been doing some research today. At this point, David is going to need a stent. (A stent is not a good thing - it's a foreign body, it can move down toward the lung, and he can feel it).
The pulmonologist is committed to finding a removable stent. Right now it looks like it could be placed Wednesday at the earliest, maybe as late as Monday.
David's blood pressures are up and down - up when he gets agitated, down with pain medications and too much movement.
Please pray for healing for his body and that he will somehow stop fighting the vent. We're still hoping for a miracle, but in the meantime, please pray that they find the right stent and that it comes sooner versus later.
The pulmonologist is committed to finding a removable stent. Right now it looks like it could be placed Wednesday at the earliest, maybe as late as Monday.
David's blood pressures are up and down - up when he gets agitated, down with pain medications and too much movement.
Please pray for healing for his body and that he will somehow stop fighting the vent. We're still hoping for a miracle, but in the meantime, please pray that they find the right stent and that it comes sooner versus later.
5:45pm
We have not heard about the CT yet....It's been a day of rest for David and a day of waiting for the rest of us....
12:48 p.m.
Daivid is currently in stable condition. They are currently doing a CT scan to get measurements for a stent. We will receive the results in several hours. His windpipe did collapse last night and at this point they believe it will be necessary to put a stent in. The family is doing well, considering the situation. David's friends continue to bring food and help cover night shifts. Two of them were also present this morning as (under Karen's direction) we had scripture readings, prayer, annointing with oil and singing. --Sam
Monday, January 25
He had an ok night. His blood pressures do go down when they have to move him around a lot. And they go up if he gets agitated or in pain.
We are waiting for this morning's bronchoscopy to happen. It was scheduled for 6:30 this morning, but the doctor isn't here yet.
We are waiting for this morning's bronchoscopy to happen. It was scheduled for 6:30 this morning, but the doctor isn't here yet.
Sunday, January 24, 2010
Sunday, January 24, 2010 at 1230
From Sam and Karen: There is no change from this morning's report. David remains on the ventilator and is resting quietly. We're thankful for people who have dropped by for encouragement and food--not necessarily in that order. Please pray that
-DaVid will be able to breathe on his own
-He will not need the stent
-no infection set in
-wisdom for the Doctors
-patience for the family
Thanks so much for your continued interest and prayers!
-DaVid will be able to breathe on his own
-He will not need the stent
-no infection set in
-wisdom for the Doctors
-patience for the family
Thanks so much for your continued interest and prayers!
Sunday, Jan 24, 8:00am
David had a pretty good night. They were able to turn some of the vent settings down (a good thing), although he isn't quite ready for room air yet - they are keeping the oxygen level on the vent at 30% (room air is 21%).
He is resting quietly. They are giving him pain medication every hour.
No signs of infection at this time, so we are happy about that. His chest xray is clear - meaning no pneumonia - so that is awesome! Labs so look good - so kidney and liver fuction are good.
We need a miracle for the "kinked" area - the tube that goes from his trachea (in the center) to the lung was bent for so long that it is weak. A stent could be used to strengthen that area, but it is a foreign body and would always be a potential source of infection. We want a miracle so that he doesn't need a stent.
We are so thankful to God for all the positives. Please also pray for continued protection against infection, wounds (from not being able to move), ect.
He is resting quietly. They are giving him pain medication every hour.
No signs of infection at this time, so we are happy about that. His chest xray is clear - meaning no pneumonia - so that is awesome! Labs so look good - so kidney and liver fuction are good.
We need a miracle for the "kinked" area - the tube that goes from his trachea (in the center) to the lung was bent for so long that it is weak. A stent could be used to strengthen that area, but it is a foreign body and would always be a potential source of infection. We want a miracle so that he doesn't need a stent.
We are so thankful to God for all the positives. Please also pray for continued protection against infection, wounds (from not being able to move), ect.
Saturday, January 23, 2010
5:30pm
David had a quiet afternoon - thank the Lord!
His labs are fairly normal again. They have the paralytic and the sedative going, so he is resting quietly.
They are planning to keep the sedation and the paralytic going until Monday, perhaps as long as Wednesday. The main reason is to allow that cartilage/kinked area to heal.
The paralytic medication is exactly what it sounds like. The sedation is so that he doesn't have that anxiety of being aware, but being paralyzed. With the medications, he appears to be resting very comfortably. And we're very thankful for that.
His labs are fairly normal again. They have the paralytic and the sedative going, so he is resting quietly.
They are planning to keep the sedation and the paralytic going until Monday, perhaps as long as Wednesday. The main reason is to allow that cartilage/kinked area to heal.
The paralytic medication is exactly what it sounds like. The sedation is so that he doesn't have that anxiety of being aware, but being paralyzed. With the medications, he appears to be resting very comfortably. And we're very thankful for that.
11:30am
The bronchoscopy showed that his cartilage airway is weak. When he gets agitated and starts moving around more, the airway collapses. They are thinking that, with the sedation, we will avoid the collapsing airway.
It is hopeful that the airway (made of cartilage) will strengthen with rest. If it doesn't get stronger on its own, he will possibly having to surgically insert a stent (basically a mechanical straw). We will be praying that he doesn't need the stent because it is a foreign body and can cause infection.
We are thankful, though, that he is off of the medication for his blood pressure. That means he's maintaining his blood pressure on his own again. Yeah, God!
It is hopeful that the airway (made of cartilage) will strengthen with rest. If it doesn't get stronger on its own, he will possibly having to surgically insert a stent (basically a mechanical straw). We will be praying that he doesn't need the stent because it is a foreign body and can cause infection.
We are thankful, though, that he is off of the medication for his blood pressure. That means he's maintaining his blood pressure on his own again. Yeah, God!
11:00
They had to cardiovert him - his heart went into a not-so-good rhythm - and they had to shock him. We were praying and they came in to tell us that the cardioversion worked.
They are doing another bronchoscopy because they are concerned that the kink in his airway is inflamed. This could cause the airway to be more narrow again, causing some of the problems with his breathing.
They are doing another bronchoscopy because they are concerned that the kink in his airway is inflamed. This could cause the airway to be more narrow again, causing some of the problems with his breathing.
10:25am
The echo and chest x-ray both came out good. They are putting him back on the paralytic medication again. It seemed that, with the paralytic medication, he was calm and was breathing better. We're hoping that will be what he needs to rest and recuperate.
Saturday, Jan. 23, 9:00
David was breathing a lot faster this morning. They gave him pain medications and then were giving him a breathing treatment. When Lydia and I went to go back into the room, the doors were closed and there was a whole crowd in there.
The doctor came out to talk to us after a little bit. His blood pressure dropped and he is now on 2 medications (epi and Levaphin drops) to maintain the blood pressure. His fluids and electrolytes are off (something very difficult to manage with any very ill person). He has a metabolic problem, but they are also wondering about a heart problem. They are going to do an echo in a little bit to check out his heart.
Psalm 34:1-4 (thank you, Mandy, for sending that to Lydia)
The doctor came out to talk to us after a little bit. His blood pressure dropped and he is now on 2 medications (epi and Levaphin drops) to maintain the blood pressure. His fluids and electrolytes are off (something very difficult to manage with any very ill person). He has a metabolic problem, but they are also wondering about a heart problem. They are going to do an echo in a little bit to check out his heart.
Psalm 34:1-4 (thank you, Mandy, for sending that to Lydia)
1 [a] I will extol the LORD at all times;
his praise will always be on my lips.
2 My soul will boast in the LORD;
let the afflicted hear and rejoice.
3 Glorify the LORD with me;
let us exalt his name together.
4 I sought the LORD, and he answered me;
he delivered me from all my fears.
Friday, January 22, 2010
8pm
David appears to have had a fairly restful, quiet day. Should be just what he needs to help him feel better.
We're all just dying to have him talk to us, but we will just look forward to tomorrow!
We're all just dying to have him talk to us, but we will just look forward to tomorrow!
2:30pm
Encouragement! The pulmonologist is more optimistic than the other doctors have been. He doesn't seem to think that the high carbon dioxide level would have caused damage or long-term problems.
That being said, they still just want him to rest today. And so we keep waiting and hoping. (Although it's just a little bit easier now.)
That being said, they still just want him to rest today. And so we keep waiting and hoping. (Although it's just a little bit easier now.)
1:45pm
We're not expecting a lot of change today. He some sedation and has pain medications. He seems to be resting very comfortably. They are talking about weaning him from the vent tomorrow.
10:15am
The surgeon has been such a blessing to us. He just talked to us and encouraged us to keep praying. He told us the story of an 18-year-old who had a heart transplant. She woke up like David, then went non-responsive. They stopped all of her care because 3 neurologists said she didn't have a chance. She woke up on Day # 9 without any indication of damage. She has lived a normal life for the last 20 years. And so we need to maintain our hope. And try to obtain some patience.
9:40 am
We are in waiting mode, but the waiting is getting more difficult.
David is not responding appropriately. The Head CT showed no stroke or bleeding. However, it would probably not show damage from CO2.
Basically we don't know at this point if it could be the medication yet or if there is truly brain damage. And we can't know. And we want so much to know that he is ok.
We're struggling. It feels like we're back at Tuesday, where we don't know if he is going to make it. Unfortunately, I have a feeling that we might be going through my box of Kleenex after all.
I (Rachel) know too much about brain injuries and what that road looks like. I know what we could be facing. If there is brain damage, I will still have to say goodbye to my little brother as I know him and then learn to know my new little brother.
Phil 4:6-8 are our verses right now. "Do not worry about anything. Instead pray about everything. Tell God what you need. And thank Him for all he has done. If you do this you will experience God's peace which is far more wonderful than the human mind can understand. His peace will guard your hearts and mind as you live in Christ Jesus."
David is not responding appropriately. The Head CT showed no stroke or bleeding. However, it would probably not show damage from CO2.
Basically we don't know at this point if it could be the medication yet or if there is truly brain damage. And we can't know. And we want so much to know that he is ok.
We're struggling. It feels like we're back at Tuesday, where we don't know if he is going to make it. Unfortunately, I have a feeling that we might be going through my box of Kleenex after all.
I (Rachel) know too much about brain injuries and what that road looks like. I know what we could be facing. If there is brain damage, I will still have to say goodbye to my little brother as I know him and then learn to know my new little brother.
Phil 4:6-8 are our verses right now. "Do not worry about anything. Instead pray about everything. Tell God what you need. And thank Him for all he has done. If you do this you will experience God's peace which is far more wonderful than the human mind can understand. His peace will guard your hearts and mind as you live in Christ Jesus."
4:36 AM
David has been waking up intermittently throughout the night, about every 45 minutes or so. Sometimes he makes pretty decent eye contact, and he responds to our voices. He has been able to move his arms upon request (it seems) but not squeeze our hands. It seems pretty painful, being on the vent....
His responses are encouraging, and we're listening to Takk over and over. We're hoping he'll be more awake for the doctor in the morning. The sooner he can follow commands, the sooner they can consider pulling the ventilator.
His responses are encouraging, and we're listening to Takk over and over. We're hoping he'll be more awake for the doctor in the morning. The sooner he can follow commands, the sooner they can consider pulling the ventilator.
Thursday, January 21, 2010
10:00 pm
God has sent us a message of encouragement through our friend April. She works at the Bryan ICU and she thinks things are actually pretty normal. She said she is not surprised that he is not alert and aware and appropriately responsive. She also said that the medication can take 24 hours to get out of their system (and us Keyzers have a horribly slow metabolism anyway). She thinks he might not even be real awake until tomorrow afternoon.
They are currently not giving him any more pain medication, in an effort to really assess and get the pain meds out of his system. So hopefully he doesn't have a bad night.
Please keep praying for him with us. But also, pray that we have patience. We want so, so much to talk to David.
They are currently not giving him any more pain medication, in an effort to really assess and get the pain meds out of his system. So hopefully he doesn't have a bad night.
Please keep praying for him with us. But also, pray that we have patience. We want so, so much to talk to David.
8:30pm
David is still GROGGY. And we have a spirit of fear.
The surgeon says we can't draw any conclusions until tomorrow, when we know the medication is out of his system. He is a young guy who has never had any meds and has been "pumped full of narcotics." His kidneys and liver are looking good, so the medication should be able to be processed through his system without difficulty.
And yet we're scared. What if his brain is not okay? What if there is damage? Please pray with us that he has complete healing, body, brain, soul and spirit.
The surgeon says we can't draw any conclusions until tomorrow, when we know the medication is out of his system. He is a young guy who has never had any meds and has been "pumped full of narcotics." His kidneys and liver are looking good, so the medication should be able to be processed through his system without difficulty.
And yet we're scared. What if his brain is not okay? What if there is damage? Please pray with us that he has complete healing, body, brain, soul and spirit.
6pm
We thought he would have been off the vent by now, but no such luck. The nurses, however, don't seem surprised.
The sedation is now off, but they are still giving him a lot of pain medications. Mom got him to respond for a little bit about 3:30, after telling him, several times, that it was time to wake up. :) But then he started getting agitated, probably because of the tube? so we let the nurses calm him down. Lydia said they were in there again a few minutes ago and he responded more quickly, but it was still similar (with the agitation).
The nurses said they are letting him rest and "letting the fog clear." HE is doing find without the sedation and he is breathing fine without much support from the vent. They will just take the tube out whenever he is ready.
Labs are fine and they don't seem to have any specific concerns. They keep telling us that this is all normal.
The sedation is now off, but they are still giving him a lot of pain medications. Mom got him to respond for a little bit about 3:30, after telling him, several times, that it was time to wake up. :) But then he started getting agitated, probably because of the tube? so we let the nurses calm him down. Lydia said they were in there again a few minutes ago and he responded more quickly, but it was still similar (with the agitation).
The nurses said they are letting him rest and "letting the fog clear." HE is doing find without the sedation and he is breathing fine without much support from the vent. They will just take the tube out whenever he is ready.
Labs are fine and they don't seem to have any specific concerns. They keep telling us that this is all normal.
It's only been a few minutes, but we were able to talk to the nurse. The sedation has been turned off, although she is giving him more pain medication. She is concerned that he might be in pain and can't tell us.
97% of the time he is breathing on his own through the vent. The vent is only occasionally putting a breathe into his lung.
We're encouraged. And waiting......
97% of the time he is breathing on his own through the vent. The vent is only occasionally putting a breathe into his lung.
We're encouraged. And waiting......
2:00 pm - update - still waiting
They are still in the process of weaning down the sedation. The nurse tells us that he has opened his eyes a couple of time, and has moved his head. We have not seen him throughout this process, however.
The weaning of the vent can be traumatic. As he wakes up, he finds out that he has this huge tube in his mouth and that can be very scary and stressful for him. So far, because they are doing it so gradually and slowly, it has been fine. We're hopeful that things continue to go well.
So far, it has just been immediate family hanging out in the waiting room. We eagerly ask for information, but we are doing ok. WE finally brought out the games - a first since this began. Dad has made a few work phone calls as well today, so we're starting to get back to normal.
We will keep you posted!
The weaning of the vent can be traumatic. As he wakes up, he finds out that he has this huge tube in his mouth and that can be very scary and stressful for him. So far, because they are doing it so gradually and slowly, it has been fine. We're hopeful that things continue to go well.
So far, it has just been immediate family hanging out in the waiting room. We eagerly ask for information, but we are doing ok. WE finally brought out the games - a first since this began. Dad has made a few work phone calls as well today, so we're starting to get back to normal.
We will keep you posted!
Thursday, January 22, 2010
David is still on the vent, but he had a good night. They have turned off the paralytic medication and they are decreasing the sedative. They are decreasing the sedation very slowly. His breathing has not gotten any faster, which is encouraging.
We are sitting here with the core family, no in-laws for the moment. It feels like a small group. We're just "vegging", waiting for any piece of news they will give us.
We are all eager to have David look at us and say hi. But we are trying to be patient.
Thank you for all of the prayers! We are feeling your support and are thankful for that! Please keep praying for David, for strength and healing. They are telling us that he will have a lot of pain because of the incision on his side.
We are sitting here with the core family, no in-laws for the moment. It feels like a small group. We're just "vegging", waiting for any piece of news they will give us.
We are all eager to have David look at us and say hi. But we are trying to be patient.
Thank you for all of the prayers! We are feeling your support and are thankful for that! Please keep praying for David, for strength and healing. They are telling us that he will have a lot of pain because of the incision on his side.
Subscribe to:
Posts (Atom)