Morning Report

We just went in to see Josiah and heard the update from the staff physician.  When we arrived at the hospital they were doing a procedure so we needed to wait an hour before we could go to his room.  They had hooked up a machine that measures the amount of blood flowing through whatever vessel they are measuring.   

Josiah is in a very fragile state.  He isn't better or worse than he was when we left him last night.  They will look at his numbers over the next couple of hours and then they will decide if he needs to go to the OR and what needs to happen.

There is some conflicting data but it looks like he needs more blood to the lungs.  They could remove the clip that is currently narrowing the central shunt or they could take down the bilateral Glenn shunt.  His sats are in the 50s which is low but still okay in terms of the brain.  The pressure is high in his two superior vena cava so they need to make sure that there is enough blood pressure to send the blood all the way to the brain.  That's why they sometimes have to use the external pacemaker to give him an artificially high heart rate.  They have also had to use the pacemaker a few times to correct the heart rate when it has suddenly jumped too high.  He is on a ton of medication. 

Please pray for wisdom and energy, particularly for the staff physician and the surgeon both of whom would not have had much sleep last night. 

We hope Josiah will one day be the coolest kid in the class on show-and-tell day when he shows his scars and tells his heart stories, thanking God for his mercies and blessings.

Thank you for continuing to pray!

Blessings,

Elizabeth and Graham