Sara had a big day yesterday and is wiped out today. She hadn't been fed in two days, so I am sure her energy is down because of that as well. They've clamped off her shunt, so her intra-cranial pressure has been fluctuating a lot. When she coughs it goes pretty high, but normalizes shortly after. This also has her wiped out a little bit, and her responses are sluggish. The neurosurgery team is watching this closely.
They did place an orogastric tube this morning (mouth to stomach) so that we could get some nutrition into her. That tube will stay in until tomorrow when they insert a gastric tube through her abdomen into her stomach. This will allow her to be fed via a port on her stomach, until she is able to suck/swallow and take food normally. When both the g-tube and traech are no longer needed, they get removed and the holes basically close up on their own. But, for the near future she'll need these in place so she can complete healing from her acute injuries and move onto rehabilitation.
It is such a treat to be able to see her whole face. Its hard to believe just how hurt she is with as good as she looks this morning.
She'll be resting the remainder of the day, and we'll keep her as quiet and comfortable as possible. Tomorrow she will go to the OR and under general anesthesia for the g-tube placement.
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