I’m glad to say there’s not much new to report, other than Dr. Sonal being one of the most compassionate practitioners of medicine ever.  Rudy was put on pressure support last night and in short order the vent alarm was ringing due to the leak around his trach (in this case a leak is not a negative thing).  Nurse Bobby and the RT tried to work with it for several hours until they finally determined that Rudy likely didn’t need what little help it might be giving so Dr. Sonal gave the OK to shut it off at 12:30am.  I enjoyed a peaceful six hours of slumber–which qualifies for “sleeping in” in the ICU.

Today brought a very good omen as we found ourselves in the care of Nurse Trina, who oversaw our first discharge.  She’s on for the next 3 days so we’ll hope the precedent holds.  Rudy’s had a calm morning and it looks like the previously stated plan for Wednesday Friday is still in place.  We had a good feeding session with OT Nicole where he ate a full 10 spoons of rice cereal.  Hard to believe it as we mixed it with the formula (which tastes like crap), but it seemed a new and interesting experience. 

In the midst of things, I’m very pleased to be able to help Trina fix her computer as it seemed to be plagued by viruses.  I suspect she thinks I’m much more tech-savvy than is actually true, but if she handles the viruses in my kid, maybe I can help a bit with those in her laptop.  If you’re reading this, Trina, then maybe my fix worked.  In case it didn’t work, I won’t say anything else nice about Nurse Trina as she’ll probably be mad at me and won’t be able to log on and read it anyway.

I said I’d leave at 1:30 and it’s now 2:30, so the little guy has worked his magic again.  It’s just so tough to pull yourself away.  In this instance, I’m glad to be torn because he’s so alert and engaged.  As Trish is feeling a bit under the weather, we might leave Rudy in the good hands here on Tuesday and rest up for the second coming back home in Goleta.

I better get out of here now.  Really.  I mean it.

It’s been a Sunday of calm routine here in the PICU.  Rudy sleeps.  Rudy eats.  Rudy poops.  But most importantly, Rudy breathes.

I can’t believe it took me almost seven months, but last night as I was walking to dinner I popped into CVS and bought some ear plugs.  Took all of two minutes and $1.69.  It was a move that afforded me something closer to REM sleep for a few hours, but by 4AM even the vent alarm going off every 3 minutes penetrated these defenses.  I was prepared to endure until morning rounds for the team to give the order to put him on trach collar, but Dr. Sonal brought relief to me and Nurse Bobbie a few hours earlier when she checked on Rudy at 6:30am and decided it was time to take him off the vent.  As we’ve got some time before the antibiotics run their course, it’s likely we’ll give Rudy another break tonight and let him sleep with the vent on pressure support (why doesn’t that alarm bother him?), but he’s been very calm and comfortable on room air all day with sats right were they should be.

Dr. Andy laid out a plan during rounds that he would let the antibiotics course finish on Tuesday and look to discharge Rudy on Wednesday.  His one request was that no one discuss this plan in Rudy’s presence.  So, as far as Rudy knows, we’re leaving on Friday.  That way, we’ll have him out of here before he has time to pull one of his pre-discharge tricks.

Wednesday Friday can’t come soon enough.