{"id":576,"date":"2025-05-23T09:40:53","date_gmt":"2025-05-23T12:40:53","guid":{"rendered":"https:\/\/hopeforgabriel.com\/23-05\/"},"modified":"2025-08-02T22:07:30","modified_gmt":"2025-08-03T01:07:30","slug":"23-05","status":"publish","type":"post","link":"https:\/\/hopeforgabriel.com\/en\/23-05\/","title":{"rendered":"23\/05"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">9:41 AM<\/h3>\n\n<p>The night was marked by a few episodes of mild fever (37.7\u00b0C at max).<\/p>\n\n<p>This morning&#8217;s blood test results show partly better and partly slightly worse results compared to yesterday, but they remain difficult to interpret without medical training.<\/p>\n\n<p>We are waiting for the doctor&#8217;s opinion.<\/p>\n\n<h3 class=\"wp-block-heading\">3:28 PM<\/h3>\n\n<p>This afternoon, we had an update with the doctor. He took the time to explain the situation to us, and as always, we&#8217;re torn between good news and areas of concern. <\/p>\n\n<p>I&#8217;ll try to summarize simply (I might make mistakes since it&#8217;s a lot of medical information)<\/p>\n\n<p>Overall, Gabriel&#8217;s condition remains stable, even though each organ is following its own evolution a bit.<\/p>\n\n<p>\n          <strong>Today&#8217;s improvements:<\/strong>\n        <\/p>\n\n<p>The bilirubin in the blood has decreased. This is what causes jaundice. It indicates that the liver is managing to process it better and\/or that dialysis is doing its job of elimination well.  <\/p>\n\n<p>The kidneys are also doing a bit better.<\/p>\n\n<p>Regarding breathing, the lungs continue to improve. The team was able to reduce the oxygen concentration in the tube (40%), which shows that he needs less of it. (For information, in the air, there is 21%).  <\/p>\n\n<p>Sedatives have been lightened, and instead, a new lighter treatment will be introduced: methadone, which allows for gentle sedation while reducing the side effects of other more aggressive medications.<\/p>\n\n<p>Nutrition is being increased to provide him with more energy and gently restart intestinal activity. <\/p>\n\n<p>The goal, at this stage, is also for him to resume a more regular digestive rhythm.<\/p>\n\n<p>\n          <strong>Another important development:<\/strong>\n        <\/p>\n\n<p>The doctor has decided to stop Primacor (milrinone), the last medication still active on the heart. <\/p>\n\n<p>This medication helps improve cardiac contraction and dilate blood vessels to reduce the workload on the heart. <\/p>\n\n<p>Being able to remove it shows that Gabriel&#8217;s cardiac function has stabilized. This is an important milestone. <\/p>\n\n<p>\n          <strong>Points of vigilance:<\/strong>\n        <\/p>\n\n<p>Dialysis has been adjusted because it was removing a bit too much fluid. So it had to be rebalanced.  <\/p>\n\n<p>The liver remains under surveillance: certain markers (AST and ALT) are rising again today. The doctor prefers to wait a few more days before drawing conclusions. If the trend doesn&#8217;t reverse, a liver specialist (a gastroenterologist) might intervene.  <\/p>\n\n<p>Gabriel also has a small bump on the back of his skull. It appears to be an edema related to the ECMO (the machine that assisted him for a while), probably due to his immobility. Nothing alarming for now, it should resolve naturally.  <\/p>\n\n<p>On his back, a small infection (beginning of a pressure sore) is still present. They&#8217;re applying a cream to prevent any worsening. <\/p>\n\n<p>Finally, the CRP level (infection indicator) has risen slightly (20-&gt;33), which could indicate a resurgence of \u201cinfection. The\u201d team has therefore resumed antibiotics. <\/p>\n\n<p>\n          <strong>Ongoing treatment:<\/strong>\n        <\/p>\n\n<p>Gabriel is again receiving two very powerful antibiotics: <strong>vancomycin<\/strong> and <strong>meropenem<\/strong>. These are heavy treatments&#8230;  <\/p>\n\n<p>We would have preferred to avoid them, as their side effects are not insignificant. But at this stage, the doctor told us he was afraid of a relapse, so he&#8217;s not taking any risks. <\/p>\n\n<p>\n          <strong>And then?<\/strong>\n        <\/p>\n\n<p>A blood culture is scheduled for today to check if an infection is circulating in the blood. We should know more about this in the coming days (it takes up to a week). <\/p>\n\n<p>\n          <strong>Conclusion<\/strong>\n        <\/p>\n\n<p>Our little Gabriel has just gone through an immense ordeal. <\/p>\n\n<p>Even though he is starting to wake up, he is still very fragile.<\/p>\n\n<p>He needs to continue fighting to definitively get out of all this.<\/p>\n\n<p>On our side, we remain focused, present, and we continue to surround him with all our strength.<\/p>\n\n<p>And we&#8217;re counting on you too. \ud83d\ude42<\/p>\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>9:41 AM The night was marked by a few episodes of mild fever (37.7\u00b0C at max). This morning&#8217;s blood test results show partly better and partly slightly worse results compared to yesterday, but they remain difficult to interpret without medical training. We are waiting for the doctor&#8217;s opinion. 3:28 PM This afternoon, we had an [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","iawp_total_views":0,"footnotes":""},"categories":[17],"tags":[],"class_list":["post-576","post","type-post","status-publish","format-standard","hentry","category-non-categorise"],"_links":{"self":[{"href":"https:\/\/hopeforgabriel.com\/en\/wp-json\/wp\/v2\/posts\/576","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hopeforgabriel.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hopeforgabriel.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hopeforgabriel.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hopeforgabriel.com\/en\/wp-json\/wp\/v2\/comments?post=576"}],"version-history":[{"count":0,"href":"https:\/\/hopeforgabriel.com\/en\/wp-json\/wp\/v2\/posts\/576\/revisions"}],"wp:attachment":[{"href":"https:\/\/hopeforgabriel.com\/en\/wp-json\/wp\/v2\/media?parent=576"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hopeforgabriel.com\/en\/wp-json\/wp\/v2\/categories?post=576"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hopeforgabriel.com\/en\/wp-json\/wp\/v2\/tags?post=576"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}