Bill doesn't feel fine today. He's in some pain and just generally looks like he doesn't feel well. His Foley catheter came out this morning which normally would make him feel a lot better. He indicates that he's in some pain and he's been getting Tylenol since last night. His secretions from the trach are also thicker than they have been, but his O2 sats are staying up.

I talked to Dr. Landolfo this morning and he looked at the incision at the groin. He thinks it's going to take a "small" surgery to close it. They will have to move some muscle over the area to close it. Right now it is still packed and it really hurt when they were messing around with it. I don't know when this surgery will be, probably the first part of the week. I doubt that it will be done this week-end.

Dr. Yip didn't say anything about the biopsy results, but one of his anti-rejection meds has been cut in half, so I would think that there are no signs of rejection and they are starting the tweaking process. These meds will be adjusted up or down for the rest of his life.

All for now. We were going to try the speaking valve again today to see how he does swallowing, but since he feels so bad I don't know if he will want to work with it. It doesn't seem like it's been a month since the transplant, but it will be tomorrow. They say time flies when you're having fun, and while this hasn't been fun, it has gone very fast.