Good Day – No adverse events

Faith continues pretty much the same as yesterday, no better, no worse. She continues to have fluctuations in her psO2 and blood pressure. The good news is she is only on 35% supplemental oxygen along with 5% Nitric Oxide (NO).

Monday (5/7/12) is going to be a busy day:

• The ICU team will be meeting with the Pulmonary Hypertension (PH) team and the Pulmonary team to determine what to do next. There is no PH diagnosis at this point just the fact she is acting that way in certain aspects.
• They will be performing a bedside agitated saline echo cardiogram . They want to determine if any shunts exist either a pulmonary shunt or cardiac shunt. Each would indicate there is an abnormality in either system.
• Presuming the aforementioned test is negative the next test they would like to perform is a CT pulmonary angiogram to further study the pulmonary embolisms and their progress, etc.
• Presuming the aforementioned test is negative the next test they would like to perform is a VQ Scan this test will let them know two things. 1) Is her blood properly perfusing into the lungs 2) Are her lungs properly ventilating. Incidentally Jonathan has had at least 3 of these tests in his life. The reason they are leaving this one for last is because it is in another hospital on the CPMC campus and she isn’t too portable these days.

We can’t say they aren’t asking the right questions, we hope we get the answers we want.