I have not had a good day today, and the evening is not looking any better. Bill was pretty unresponsive this morning which is baffling everyone. He is focusing more on people when they speak to him, but he was not moving much at all.
This afternoon Dr. Patel said that a more senior radiologist looked at the CT scan and he thinks that Bill has had a stroke directly caused by the surgery. He said that he has seen patients with more irregular areas in their brains that wake up and patients with fewer areas that don't wake up at all. He has ordered an MRI and we thought it was going to be done today, but it has been postponed until Monday. When they removed his old pacemaker/ICD one of the leads had adhered to a vein and he said it was more dangerous to try to remove it than to just cut it and leave a small part of it. But, that makes it difficult to do the MRI and they are having to do some extra planning and thinking about it.
Bill slept most of the afternoon and they were able to get the nitric oxide removed and his O2 sats finally stabilized at 96-97%. His Lasix was also increased to take some extra fluid off and see if his blood volume would pick up and help the brain function. That has seemed to help. He wiggled his fingers which was a first and when Dr. Yip and Dr. Patel were in the room late this afternoon he raised his arm and moved his had like he was waving at them. Shortly after that he stretched with both legs and arms and head like he was waking up from a long nap. He focused on everyone who talked to him without having to cajole him and when I told him I was leaving and that I loved him, he frowned and then clenched his jaw. I keep telling myself that's his way of saying I love you back. His nurse Linda, who has been doing this a long time, feels like he is still in there but it's going to take longer to come back. He did respond to her today unlike the one yesterday.
Unlike yesterday we had wonderful nurses today and we have a great one again tonight. It makes it a lot easier to get through the day with nurses you can talk with easily and when the one at night is good, it makes it easier to come home.
Emily went home today which was kinda sad for both of us. But it was time for her to get back and there's nothing more she can do here. She was great moral support and she wouldn't have left if she thought I still needed her here.
So, all for tonight. I'm going to watch the ballgame and then go to bed to get up and do it all over again tomorrow. Keep the prayers coming, We definitely still need them.
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