Day +91

Max's vent settings were increased overnight and this morning with no improvement to his blood gases. His blood pressure dipped and his urine output decreased. Consequently, his weight is up, and his kidneys aren't able to keep up as well as they have been. The doctors have decided that Max needs dialysis. He will be taken to surgery sometime this afternoon to have his Hickman line replaced with a dialysis catheter. If he returns from surgery early enough dialysis will begin tonight. If not, it will begin tomorrow.

There was talk of placing a temporary catheter in his leg at the bed side because of the risk of him traveling to surgery and the risk of the operation itself, but the dialysis doctor felt we should seize our opportunity. If Max's lungs deteriorate and he needs to be placed on an oscillator again they will not be able to place the permanent catheter.

Please continue to pray for our dear Max. He is trying so hard but he keeps hitting road blocks.

-Margaret