This morning his heart rate is much improved. Back down in the 70’s. He is relieved that we (Yuri and I) talked. And in above message it was thrombolytics (TPA) he was given.

Excellent tell him I love him and let me know of plan when there is one. Is he still on all the medicine or since he’s stabilized will they start weaning him off some of it until they can get him into surgery? Have they also found a course of action in regard to what type of surgery he needs?

Any developments?

No developments. I’ve been working with air transport all afternoon. Doesn’t look like he will fly out until about 8 a.m. tomorrow. His heart rate is good. His oxygenation is not as good as when I left this morning. The doctor is supposed to come in and talk to me.

Ok so does that mean too much fluid in his lungs? And what’s average oxygenation?

Good is > 90 on room air but Dad is on a mask at 100% oxygen and we’re hanging at 90-92%. When I left this a.m. It was at 99%. Going backwards.

So what could that mean? And where are u flying to?

It means his heart has taken a real hit. It’s injured and can’t pump well so fluid is collecting in his lungs. We will go into Miami. Last I heard they were close to finding a bed at Miami University Hospital. We were trying there or Mount Sinai. We won’t know much more until we can get a heart cath scheduled. Just wanting him to stay stable. Augh! Yuri, the goddamn airport closes here at 6 p.m. So that coupled with difficulty in finding an available bed is delaying the flight out.

Ok is there anything they can do in Belize to keep oxygenation up beside mask?

Dr. here now. He’s had lots of Lasix to take fluid off. They are conferring.

Ok let me know what’s the prognosis.

They are going to shoot another chest X-ray at 6 tonight. Need to see how it compares with yesterday. He’s exhausted and trying to sleep.

What did the other xray show and do they have other imaging devices like sonogram or Ct scan and would that be.

It showed pulmonary edema, fluid. Ct not appropriate. I know you are worried. Sonogram maybe but doesn’t really address problem he is having. I am on the phone with Miami transport docs. They are calling back in a minute to talk to the doctor here. Yuri, honestly in my opinion they need to intubate and place him on a vent so he doesn’t work too hard to breath. Besides when we fly we will be at altitude. But they are talking and deciding not to do it right now.