TPN will be weaned by 25% in tonight’s overnight feeding. If Garrett’s numbers continue to improve and he can increase oral calories and hydration, the TPN wean can progress in intervals deemed safe by the nutritionist and GI team. Inching toward a discharge plan???
Garrett spent much of the day reading and watching TV again. Fifteen days into this hospitalization, he’s also made it VERY clear that he no longer wants to be here and has no time for anyone else doing an exam.
Nurse: Can I just see your belly?
Garrett: Nope.
Nurse: Please, I need to look.
Garrett: I can tell you it looks the same as it did 20 minutes ago when the last person looked.
Garrett walked halfway down the hallway and back again. It was the farthest he’s walked in close to three weeks. Progress.
Today, for the first time in more than a month, Garrett really laughed. It was at my expense, but I got to see his smile, so I’ll take it.
Basically he acted like “Boss Baby” and fired me and the CHOP staff. (Think he wants out or what???) We were “relieved of duty” and I was told to leave my “company ID at the door” and be “escorted out by security.” “Your careers are in the toilet people!” (The hilarious firing went on for 15 minutes and made me slightly concerned for any future employees Garrett may have!) The idea of this ridiculous scenario tickled Garrett so much that he could not stop laughing. And neither could anyone else. For a few minutes OG (Original Garrett, or how Garrett refers to his non-sick self) made a very welcome appearance. Good news- Garrett told me if “if a job opens up” he’ll let me know. :)
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