(12.14.17 Wound VAC23

Really encouraging day today. Aimee was awake, comfortable, even happy. She did not fight to get the tube out nearly as much today. She made significant progress on taking fluids through her NJ tube. She was increased to 35mls an hour this evening, halfway to her hydration goal. Once she reaches that goal, we will be able to attempt food. We are praying that this process continues to go smoothly forward over this next week. 

The wound viewing went well this morning. The medical team, the orthopedics team, and the surgeon all wanted to see. The wound is really starting to fill in with good granulation tissue. There is a small area that needs to be burned back a bit with silver nitrate during the next dressing change Monday, but otherwise, it is looking remarkably better. The plastic surgeon and the ortho surgeon will both be there (on the lunch break between surgeries!) to make a decision about either continuing with the wound VAC or closing it in the OR. 

We also got to meet with the GI team again and ask lots of questions about the differences between using a g and a j tube regarding volume, digestion, and meds. It was helpful to also hear a bit of the process of placing this tube, assuming that is where we are headed.