This has not been a good day. Bill's numbers were all over the place this morning. I saw Dr. Maddox and another dr. from the lung group stop at the door so opened the door and when he saw his numbers he just said "Crap, we're back to where we were 2 days ago". He did not hesitate to order him put on the vent so that they could deep suction him and use some saline to hopefully keep from having to bronch him. That was done almost immediately and then he was lightly sedated so that he wouldn't fight the vent.

He's awake now and was just suctioned again. He is indicating that he can't swallow and it is hard with the inner balloon inflated. They don't want to keep him sedated if they can help it. He's not fighting the vent, but I can tell he's not very comfortable.

Dr. Sheikh came in and said, after looking at what was being suctioned out, he thought it was more the infection starting again. Dr. Maddox said that pseudomonas and E.coli both grew from the samples they took from the bronch Sunday morning. So he consulted with Dr. Threlkeld and they've ordered 2 different antibiotics, 1 IV and 1 nebulized. They've also ordered a chest x-ray to see if there is a mucus plug blocking a lobe, but Dr. Sheikh thinks it's more the extra secretions from the infection activating again.

He's still really agitated right now and Ella is seeing if they will order more sedation so that he won't fight the vent and try to cough, but she hasn't come back in yet. When she was figuring how much of the sedation to give him before, she was talking to herself as all intelligent people do, and I heard her say his weight, 133.1. He was 136 on Sunday but I think that this weight loss is more from the "cleansing" that was done on Sunday to lower his potassium. He's at the goal amount for his feedings, I just don't like him being this thin. I haven't looked at a BMI chart to see what he should weigh, but I think it's probably more than 140.

All for right now. This will probably be updated a lot today, especially when anything happens.