Spent a fairly quiet and uneventful day with Andrea. Today's progress was maybe a little sideways in some ways and straight ahead in others. She maybe overdid it yesterday with her trache capped for 6 hours, today they tried capping it in the morning and she kinda panicked so they resumed ventilating again. In the afternoon they put the speaker valve in and she had it for 6 hours. The respiratory tech said that gave only a little more support than with the trache capped and nasal cannulae giving her oxygen support through her nose. It seemed that when she sat on the edge of the bed that she could do it with less support and help, although it was not for as long as yesterday. Her bilirubin had shot up a few days ago till almost as high as it had been, today it had come down 50 points again. this could be that her liver function is slightly improving again, also her TPN was discontinued 24 hours ago, which could explain liver improvement as TPN is somewhat hard on the liver over the long term. She also looked at a magazine for a few minutes, which was the first time since surgery. Faye's sister and brother in law came this morning and plan to leave tomorrow afternoon sometime, so we were not completely alone today. Things were very quiet in the hospital today, very little action anywhere to be seen. Hope you all had a good Christmas. Goodnight.
Love, Maynard
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