As exciting as it was to see the ventilator removed and set on “Standby”, it turns out we’re standing by in a larger sense right now.  As they got Rudy extubated, Dr. Rick took time for a good listen and did not feel that Rudy was getting enough air to breath with out the machine.  Before they re-intubated, they called for an ultrasound which showed that his lungs are functioning as they should but the left diaphragm is not working properly preventing the left lung from getting enough air.  We are waiting for further assessment on the ultrasound film. 

So, another bump and we’re waiting to hear how the team will address this one.  So many things about life are on standby already–what’s a bit more.  It’s disappointing but has given us very helpful information.  It was good to see Rudy’s little unobstructed mouth and in the 30 minutes he had off the ventilator it looks like he was trying to scream, but it appears he’s got a killer sore throat (common among vent patients) and couldn’t vocalize anything.