Lots of progress made today in addition to the extubation. He sat in a chair for 2 hours (1 1/2 hours against his will!) and has taken some water and a couple of sips of coffee. His voice is coming back some to normal. For a while he sounded really funny.

The situation in his arm is very puzzling. Heat and elevation has taken the swelling from his fingers. He also isn't as rigid in his bicep. But he has a huge knot on the top of forearm. After getting back into bed, he complained when the arm was moved and his wrist is swollen, but it is not rigid. The dr. has ordered an ultrasound of the arm to see what is causing this. He said if it hasn't been done by tomorrow he will do it himself.

He has had 1 little setback. He's being put back on nitric oxide along with the oxygen. His O2 sat is 100%, but he's getting 100% oxygen and they think it should be higher than 100% because of that. So they are adding the other to see if that helps. He says his pain threshold is 3 and he's complaining of a headache but the pain medicine should take care of that.

We've cleaned the wound today and I think tomorrow I may try to do some of it instead of just watching. The only way to do it is to just do it. The worst part is getting everything set up and it all has to be sterile so we cap and mask and special gloves. The actually process of cleaning it and redressing it seems to be very simple.

All for now. He's getting settled into bed and then I think he's going to have a nice nap. Maybe I will too!