12.5.17 Wound VAC14

Aimee had another night of intense desats and another pain crisis into late last night. Her lungs are sounding great, chest x-ray is clear. She is no longer in isolation. Possibly it is just her central apnea acting up because of all the stress on her body currently. 

Another wound VAC dressing was done this morning. The surrounding skin is getting irriatated, but the dressing change went well. No noticable change in the wound. Still huge. 

She is being transferred over from surgical care to medical care due to the current complexity. The ortho team will still manage her wound of course, but medical will be overseeing her nutrition, respiratory status, ect. Once we are transferred to medical then a new plan will be made. The GI team still wants an upper GI study done today, but it has to be approved by her new attending first. 

Aimee is pretty pale and exhausted so far today, but she is also peaceful and resting.