Good morning.

As Dr. Ivy, Iain’s physician at Children’s Hospital, said to me “…this is going to be a roller coaster.”

Unlike the craziness that Iain experienced yesterday afternoon and evening, the night was calm. He has been sedated and his vitals have remain steady.

Today the doctors and nurses are taking steps to protect the kidneys and lungs. He’ll be on a continuous form of dialysis and the ventilator will be changed to reduce the pressures and total volume of air introduced to the lungs. The current theory is that he’s suffering from acute lung injury (graft dysfunction) resulting from the enormous amount of blood what was necessary during surgery.

The biggest production today will be to switch him from lying on his back to lying face down. It’s non trivial with all of the access points and draining tubes in his torso.

The goal today is to keep him stable and not cause more injury.

Thank you for the thoughts, prayers and support. We are humbled. There is even a three day Lord Shiva puja occurring in India! Thank you.

–John