Ryan is completely off supplemental oxygen. He was taken off around noon yesterday. He has maintained superb oxygen saturation on his own, mostly pegged on 100% utilization. All labs came back well too. White blood count at 5.7K. All other results, including the metabolic panel, were well within normal range.
Around the same time he was removed from oxygen they increased his feed rate to 25 ml per hour. This is equivalent to 1 ⅔ tablespoons hourly. He tolerated this well so far and we expect his rate to be bumped up again later in the morning.
The stridor breathing I wrote about yesterday has significantly diminished. He has a faint bouts of it very rarely, mostly when he is straining or uncomfortable. The duration of episodes has likewise diminished.
From what I can tell, Ryan will be in ICU for at least another two days. We constantly analyze the trade-offs of remaining in the hospital against going home. When you boil it down, it’s really about weighing the risks in each environment. We have made the right calls on this before, but we never really know until after-the-fact. It’s a constant battle to keep our enthusiasm of returning home in check.