Trish went back to SB for the weekend, so I’m here hanging with Rudy. The 4pm Doctor Parade just came by (OK, they call them “rounds” but it always feels like the former as I step out on our front “porch” and wave as they go by).
After looking at the flourscope study, Dr. Reemtsen feels there is no damage to the diaphragm, making the key concern nutrition and conditioning. Nutritional status can be determined by checking prealbumin levels. Rudy’s level is 9; it should be 20. This confirms the plan of action determined with his chylothorax. If we can stop the leak, Rudy can retain the protein and nutrients he needs to breathe on his own.
The only way we will avoid surgery on Monday is if the chest tube output stops completely. It just dawned on me that Rudy might be a bit of a troublemaker. They put Rudy on Monday’s surgery calendar three hours ago and since then, wouldn’t you know, the chest drain output has gone down to pretty close to nothing. Reemtsen is a cool customer, but he wonders if Rudy is trying to drive him crazy.
Turnabout is fair play, so Brian got the last word by sending Rudy on a two hour sprint. Just because the timeline got extended a bit they aren’t giving Rudy the weekend off. He’ll be doing three a day as he seems to tolerate these well and every little bit of conditioning helps.
So, I’m looking forward to a weekend watching the tube!