Joey’s lungs are not good right now. All signs are pointing to a really bad pneumonia (the cultures haven’t come back yet, but he has every other clinical symptom, so they are treating it like pneumonia). The X-Ray taken tonight showed that his lungs were full of junk and there is much crap to be suctioned out. It looks like CF mucus.
The breathing tube is still in. He is currently on pressure control, which means that it is the machine, not Joey, initiating his breaths. Problem is, Joey is such a fighter that he is still trying to work at breathing instead of letting the machine do the work for him, so they are giving him a drug to knock him out again so that he can get some rest, which is what he needs to get better.
We were told at the meeting this morning that it will take over a week at the very least to get an indication of whether or not things are improving. The ICU team is very concerned about him. Right now, protecting his lungs is their first priority, with everything else taking a backseat. His kidneys still aren’t working, but dialysis is on hold for today at least. Things look good with his liver, although it is sluggish. It was nice to tell him that his liver is as it should be right now and that his blood pressure is stable. I am talking to him as if he can hear me; I think he can.
There is much talk about the lack of reserves he is running on. He was very run down before his transplant. Run down, but strong willed. “They don’t know who they’re dealing with”, I told him before I came home tonight. “You’re Joe Whitford”.