Dr. Bromberg has been in and reset the pacemaker to 100 bpm. He was hesitant to turn it too far down, too fast yesterday. He was happy to hear that he had a restful night and kept down some crackers and cheerios. He and Dr. Samples would like to see him awake a little more and not so lethargic, but more playful and eating better. He said he probably shouldn't have made any promises yesterday about turning this failure around just by lowering the rate. With Connie coming into it with a couple of strikes already, meaning that he already didn't have normal function due to the leaky valves and somewhat stiff LV, that it was unrealistic to think that he'd bounce back very overnight. He said it may be more of a four or five day thing. He's hoping he is better clinically and that he can stop the milrinone soon. Ideally it is a 24-72 hour fix. If he doesn't tolerate coming off of it or doesn't improve drastically from where he's at now in the next four or five days, he thinks it may be time to take a look at the valves (via cath) and talk about whether it's time to repair or replace a/some valves.
Overall, he's pleased with the progress. His lungs sound better than yesterday. He's going to give him more Lasix today though which should get rid of some more of that fluid and make him feel better. He'll get a venous blood draw tomorrow to check his INR levels for the coumadin and probably get that again on Friday.
Say a special prayer for Cece today. In about 45 minutes she is set to receive her First Holy Communion. The chaplain came in today to offer prayer and communion and I told her about Celeste and we said a special prayer for her.
Will update more if anything changes. . .