So I ask him, what's the difference between yesterday and today...why was she waking up so much yesterday and not so much today? He said yesterday they were trying to wean her off the ventilator, therefore they were lowering the sedative dose, and therefore she was waking up. Except when she woke up, they weren't expecting her to become agitated thereby causing her lung vessels to constrict and for her numbers to get high (blood pressure, etc) and oxygen to get low. (which I kind of knew already)
He said that they started giving her the Sildenafil (aka Viagra..see previous post) last night to try to stabilize the bloodflow in her pulmonary (lung) vessels. He said it can usually take 1-3 days for the drug to get in the system and begin to really work. My next question was "Okay, if the Viagra (sildenafil) helps keep her pulmonary vessels open then what happens when she's released?", and Dr. Willis says "Oh, we're going to send her home on the Sildenafil"... and I'm like... ah crap. :( Not what I was hoping to hear, but oh well, who am I to complain?
Then I asked "So, today you're going to let her rest, let the sildenafil do it's thing, then tommorrow try to extubate (take the breathing tube out)?", and says "yes". So, all day today Scarlett's just been sleeping and resting. Nurse Becky said that she's woken up a few times when she comes in to assess her, but she just barely opens her eyes, moves a tad, then immediately doses off to la la land again. Unlike yesterday with the "wigging out" episodes every few hours. She's much more peaceful today.
My daughter Violet has an "Elmo's World" DVD called 'Opposites'. It has 3 ten-minute shows on it: up/down, open/close, and fast/slow. In the fast/slow segment, they do a Tortoise and The Hare analogy. The tortoise says and repeats "Slow and Steady", while the hare is running running running. One of the heartmoms commented on my last blog post "Slow and Steady", and I really liked it, because it aptly describes Scarlett's recovery. Sleep well my precious little princess... all in good time. :)