Gavin is doing ok. His pain is still a huge issue but we are working hard to stay on top of it. He was switch yesterday from Morphine to Dilaudid and we did see some effect but still it does not seem to be cutting it. He is on a continouse drip and then he has been using his break through dose every two hours. After rounds this morning we gave him a dose of valium, which gave him about a little over an hour of relief. He is still ok but he is just moaning rather than crying.
In rounds this morning we talked about several things. His pain is an issue and we need to look to make sure there is nothing going on with his belly. We just did an ultrasound and they are expecting to see lots of fluid, which could cause issues later as far as a possible infection. I was told we may need to place a drain. Gavin will be getting blood today as well as lots of Albumin as his levels are still low despite is transfusion yesterday. We are going to try to start TPN tonight as long as he remains stable this afternoon. He is still running continous high fevers despite the tyolnol, but we did get permission from surgery this monring to try some tordal, which is kinda like Mortin only IV.
Adam initially went to work this morning but was able to come back to the hospital to help me out. Needless to say I still have not slept, but I was able to get a shower this morning, which does wonders for my spirit.
Gavin is looking really good. If it wasn't for the pain I'd be asking to go back to the floor. His belly looks amazing -- I have to remind myself that he just had organs removed. This video is yesterday -- this is one of his better moments.
****This video does show Gavin's belly -- just so you know.