Iain’s heart is working well with some help from medicine.  The lungs look Ok.  Both need more time to recover from the ordeal of the massive transfusions from the surgery.  It looks like the areas of concern from the XRay were clots which have been cleaned up and the padding that was put in to soak up blood flow has also been removed.  The next step was to administer heparin which he seemed to tolerate while in the OR.  So we have to see how he tolerates heparin for the next few hours.  The heparin is absolutely necessary for the ecmo machine.  It has been ok so far without it but would not be able to go too much further without it.  So let us hope he can continue to tolerate it.  We should be able to see him in a little while.

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