I had a nice chat with Dr. Engle today. He took the time to answer any and all questions that came up over the past couple of days, knowing I had been unable to be present at the hospital. By the way, I woke up not feeling A HINT of sickness and was able to see my baby (definitely an answer to prayer!)... I had all intentions of writing about that conversation tonight, but it will have to wait until tomorrow.
I just got off the phone with the nurse and it's not very good news. For the last hour or so, he has been on 100% oxygen. Normally, this is not a huge deal, but because of his heart disease Cardiology was hesitant to give him that much oxygen. Pray that this will be okay for Malachi. Cardiology also wants Chi's oxygen saturation levels (sats) to be at or above 70%. Tonight, his sats dropped to the 40s and he did not recover from this episode after suctioning. They were able to bring him up out of the 40s, but he is still lingering around the 65-low 70% range. They took an x-ray to check out the lung status and our nurse said that they didn't think it looked much different than the last chest film that they have. They are going to give him an extra dose of lasix to see if that helps at all. thankfully, the doctor that is on duty tonight is the one who is most familiar with Malachi's case. If his sats do not increase and he consistently is at a low level, they may consider increasing his Vapotherm to 5 or switching to some other type of respiratory support. The nurse didn't know anything about changes at this time, but she will call if anything happens.
There are many things which can be attended to, but the MOST PRESSING matter is that he can get enough oxygen flowing and that the doctors can figure out the obstruction and work to resolve the present. Thank you.
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