Goals are good.

The goal for the next couple of days is to get Olivia's clotting issues under control. She had an echo this morning to get a baseline of her mitral valve function. She had a chest x-ray last night to rule out and "pockets" of blood that were causing oozing. Both her "ex-broviac" site and g-tube site are still seeping out a generous amount of blood. Dr. Al is running some labs that will show if there is some factor in her blood that is causing her not to clot, other than the Lovenox and platelets. She will probably get some FFP (Fresh Frozen Plasma) today to help with the bleeding issues, but not too much because they have to be careful not to clot that mitral valve. It doesn't look as though they plan to scope her today, which I'm pleased about. She also gets to start her bolus feeds today. She will get continuous feeds at night and then a bolus at 10, 2, and 6 during the day. Hopefully she will tolerate that okay. She did finish another unit of blood last night and some more platelets. This brought her counts way up! Her hemoglobin is sitting pretty at 10.7 and her platelets are a whopping 77,000. Dr. Al thinks it will take a few days to get the bleeding under control, but as soon as we do, we should be able to break out of this place! Yippee!