drums keep pounding rhythm to the brain
-Sonny & Cher, "The Beat Goes On"
So Jay's surgeon came in today and sprang a pop quiz on him. Yesterday the plan for today was for Jay to rest and then repeat the echo tomorrow. Well apparently, the surgeon was so happy with his progress he wanted to speed up Jay's transition off ECMO if possible. So that meant another echo today in front of the whole team of docs, fellows, ECMO techs, nurses and the janitor just for good measure.
We don't have any official word yet, but it looks like Jay is procrastinator like his dear, ol' dad. His heart function appears similar to yesterday, so apparently he was partying with the guys last night instead of studying. He again did really well when they turned down the ECMO support to 25%, but right now it's not clear that he has enough function to completely come off.
Then, just a minute ago, the surgeon came in and turned the flow completely off! No gradually reducing from 100% support to 75% to 50%. He turned it off the way we'd turn off a faucet, without any warning or anyone else watching - it was kinda "Hmmm, let's see what this does." EEEKK!!
But the beat goes on! Jay's heart kept pumping just fine and the rhythm stayed normal, though his blood pressure did drop a bit. It's rebounding now, as is my own heart which spent the last few minutes in the back of my throat somewhere.
So, no real news though they are discussing taking him off ECMO tomorrow. We're still waiting on that, but we will update you as we know more. That would be a huge HUGE step, and while we absolutely want to make that step as soon as we can, we also want to know that he is ready. So say a little prayer that his heart continues to strengthen throughout the afternoon and evening tonight.