- Keegan is stable but struggling today with lots of pain and discomfort. This is due to the type of dialysis he is on, the surgery from yesterday, the discomfort from uremia (swelling and toxins), and just feeling crappy. He is very tired and agitated. His labs show he is tolerating the dialysis well; the level of built-up toxins in his blood are coming down. It will be a long road to bring the edema (swelling) down though. He is still destroying his red blood cells and platelets, so we are anticipating more transfusions tonight or tomorrow.
- We will start him back on TPN (IV nutrition) tonight. He still cannot eat for a lot of reasons, but he is asking more and more for water. It is so very frustrating for us; I can't imagine how frustrating it must be for him.
- He did have one wet diaper earlier this afternoon - a great sign! His kidney has obviously taken a good hit, as there was quite a bit of blood in the urine, but it is great that he finally got some out.
- Keegan was put on oxygen via a nasal cannula this afternoon. This is less due to his lungs/heart, and mainly due to the fact that his discomfort has kept him from taking deep enough breaths to adequately oxygenate his blood.
- His amazing heart is still going strong! We still have no indications that this has affected his heart in any form or fashion, but his team is monitoring him very closely.
- If Keegan continues to tolerate the dialysis and TPN well over the next several days, we would then be transferred to the renal floor, rather than the cardiac floor. It is very likely Keegan may go home on dialysis.
The peritoneal dialysis machine - Keegan is on dialysis 24 hours a day right now.
He is awake in this picture, unfortunately. The edema is making it difficult to keep his eyes open.
The Lord is my sheperd; there is nothing I lack. In green pastures, you let me graze; to safe waters, you lead me; you restore my strength...even when I walk through a dark valley, I fear no harm for you are at my side.
Psalm 23: 1-4