Arrhythmias

An EP fellow was once again trying to figure out Josiah's arrhythmias today.  He seems to have at least three different arrhythmias.  The EP fellow said he is able to pace him out of them using the pacemaker in around ten seconds.  Our CCCU fellow was able to pace him out when his heart rate was in the 160s but then was unable to pace him out of it when it rose to around 180.  I suspect I'll learn more tomorrow.

Josiah was having an echocardiogram when I left him shortly after 6:00 PM.  If the results of the echo are good, the charge nurse told me that they will shorten the stent keeping his chest open in order to get closer to closing it up.  They may shorten the stent each day so that it's not a big change all at once.

Josiah is peeing and is on two diuretics but he is still quite puffy.  The kidneys are clearly working but they may not be in an optimal condition due to previously being on bypass and ECMO.  He isn't absorbing his small feeds yet and he is also not having bowel movements.  I don't think this is overly surprising as he is on muscle relaxant but he is now on a medication which should make him have a bowel movement.

Graham and Isaac headed back to Kitchener shortly after 1:00 PM.  Graham has had a cold the last couple of days so he wasn't able to see Josiah yesterday or today.  It was nice to all be together but I think we'll all have a better sleep tonight as Isaac won't be in the bed.  Let's just say he doesn't sleep as well here.

I hope you all sleep well tonight - especially all those returning to school tomorrow.  Thanks so much for your prayers!

Blessings,

Elizabeth