I wish this post had better news. Kirk ended up having a really bad day. He did get his tracheostomy and permanent feeding tube, PEG at about 2 pm. However he had some trouble after that. First we suspected based on difficulties maintaining his oxygen saturation in his blood, that he had something happening in his lungs. When they did his tracheostomy they took a good look and tried to clean out his lungs. He had a lot of secretions and they have sent off cultures. However he already has a fever so they have started antibiotics for pneumonia again.
After his tracheostomy the nurse noticed his right pupil was much larger than his left pupil and not reactive. His pupils have not been equal since the accident but they weren't this different so it was a change. The doctors tried to send him down to CT but his ICPs spiked too high and he had low oxygen saturation. They did get a CT from the mobile unit. The CT doesn't show anything significantly different from his previous CT and certainly didn't show anything that would cause the pupil and ICP issues.
They have added another short acting sedative as needed to control the ICP and when I checked in at 8:30 pm he was under control and finally breathing OK. But still had the same pupil issue. They are going to get an EEG to make sure he isn't having seizures. He is also back on temperature control to try to get his fever down.
Your prayers were answered the other night when he came off pentobarbital. Please pray for the doctors and their decisions and Kirk and his body and comfort. He was uncomfortable today and that breaks my heart. Pray for rest for his brain so it can heal and peace within the confusion and discomfort he is feeling.
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