Bill never did get his xray today, but the doctors didn't wait around and made some changes to his medications. Not only did they order the nebulized antibiotic, they also ordered an additional medication that is supposed to thin the secretions. These are in addition to the 2 bronchodilators he has been getting.

They did increase his sedation a little and that helped him stay calm. We kept the room dark and quiet and he finally quit fighting the vent. He woke up about lunch time and Caleb got him cleaned up and they maneuvered him into his recliner. It took some doing since the chair was on one side of the room and the ventilator was on the other side. But, they got the chair to the other side, along with his IV pole and got him settled...and then Andrea came in to give him his breathing treatments.

The treatments had to be broken into 2 since the antibiotic had to be done separately. She suctioned him after the first one and then did the antibiotic and then switched him back to regular oxygen!

His sats stayed up all afternoon and he stayed in his chair until 4:30. He also worked with physical therapy. He didn't argue at all about doing his exercises, but he tried to refuse to stand. He told him to come back, but Travis said he didn't know if he could do that. I told Bill that if he wasn't going to try to stand he couldn't come home. That didn't work and when he refused again I just told him I was going to make arrangements with the nursing home for him to go live there so that he could stay in bed forever. And, it worked! He stood 2 different times for about a minute each time. The plan for tomorrow is for him to walk from one side of the bed to the other, with the help of Travis and Ella, who thinks she will be his nurse again tomorrow. She's a little tiny thing and Travis is a really tall guy, so it should be interesting to see them.

That's about it for the 2nd half of the day. We didn't see any other doctors and the lung docs just monitored his numbers from the nurses station. They did increase his feeding to 60mL/hour. They also had to increase his heparin drip a little. It's walking a fine line on his clotting factor, yet they're still trying to dissolve the DVT.

I think that's all. I took 3 pages of notes throughout the day, but they are mostly for me. I'm pretty sure I've hit the highlights. So, we'll see how his night goes and what happens tomorrow. I've fed the cats, fed me and it's about time for bed. Goodnight!