CONGRATULATIONS TO JACOB

One of Jacob's nurses from his last ICU visit stopped me in the hallway saying: "congratulations to Jacob". I had to think for a few seconds, and realized that he was referring to the successful extubation this afternoon! I realize that I need to stop worry about the next possible bad thing that can happen Jacob, and truly cherish with Jacob the fact that the breating tube is out!
It was not completely easy. Jacob had a lot of obstructive breathing after the tube came out, and he does need a CPAP machine for his impaired breathing. Jacob's medical team watched him carefully, since his heart rate and blood pressure were very high as they put him on the CPAP machine.
For the rest of the day and night, Jacob needs to rest and get used to the CPAP machine. All in order to avoid another reintubation. We also need to watch his secretions, since he has a hard time getting rid of them without us suctioning them out. The reason it's so important is that Jacob aspirates on his own saliva, which can make his pneumonia worse - not better.
But good-bye to the worries for a little while, let's celebrate Father's Day with the fact that the extubation succeeded, and knowing that Jacob is a fighter! The extubation is the first step for leaving the ICU. The next step is to get his seizures under control. He is still been giving continuous seizures meds through a central line.
Happy Father's Day to all fathers out there! - Maria.