Job had a pretty good day today. He is less delirious, more consolable, presumably because his pain is becoming a little more manageable. His sedation/pain medications have been weaned a bit (albeit from very high amounts yesterday). He seemed to have a more peaceful day. He even opened his eyes and looked at us for a few seconds (as opposed to his eyes being rolled back whenever open).
Today's echo images confirmed the narrowing in his aortic arch and his need for a cardiac cath. There are some significant "access" issues, as his right leg is totally blocked by a clot and his left leg is mostly blocked (complications from previous caths). At this point, their first choice of access is through the liver. It will be both exploratory and possibly interventional, perhaps resulting in a balloon or a stent in the arch. We are cautiously hopeful about this procedure. It's a major intervention, filled with risks but with significant potential benefits. He is scheduled for second case tomorrow, which means around 1 pm.
His depressed heart function is still a concern, but could be caused, at least in part, by the narrowed arch. We'll see.
We know that many of you have been praying all day, particularly for our peace and strength. Thank you so much. God's kindnesses have been apparent to us too many times to enumerate.
Today was a small but definitive step in the right direction. Praise God.
-Seth
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