--Bob Dylan, "Rainy Day Women #12 and 35"
So apparently in the past couple weeks they have turned our sweet, innocent Jay into a junkie. A couple weeks of constant infusions of morphine and midazolam will do that. Midazolam (Versed) is Valium's big brother (and known as "Dazzle" if you want to get some on a back alley somewhere). To keep him comfortable, he got pretty high doses of both while he was on bypass and the vent. Now that he doesn't need them any more, they are trying to slowly decrease them without causing withdrawal symptoms. The shaking, sweating, and anxiety of withdrawal is not what his heart needs right now. Vomiting and diarrhea are also symptoms of withdrawal, so it is a little hard to know if last night's problems were due withdrawal or something else. We're hoping they can continue decreasing both of these because we can't leave until he's kicked his habit.
Otherwise, today was a rather sleepy day. After playing this morning and working with the physical therapist, he napped for an hour or two. On the PT front, he is doing quite well with his upper body and trunk strength and balance. His skinny little legs have gotten skinnier, and are still too weak to stand. He tried harder today than yesterday, and if he keeps it up, Jay'll be back on his feet in a couple more days.
The afternoon agenda included another wagon ride and chocolate pudding. Oh, and chocolate ice cream, courtesy of our fave Dr. BJ. That soft spot in her heart for our lil' guy seemed to get bigger when he blew her a kiss. ;-)
Jay hasn't had anymore vomiting or poop, so tonight he's getting prune juice through his NG tube. He is continuing to eat pureed fruit too. He is especially excited about eating since he got a really cool front end loader spoon (http://www.constructiveeating.com/) from some friends in the pharmacy at the vet school. Pureed food, prune juice, and coumadin--sounds like a 72 year old instead of a 2 year old!