Sunday morning update
Iain is more awake. We have been trying to explain that he has had his transplant and for him this will be the worst time of his recovery. He does have some comprehension and he is trying to communicate his discomfort to us with his hands and grimaces. It is very frustrating to him when we do not understand. It is not so much the pain but the discomfort around the tubing to the ventilator that is causing the distress.
Part of his problem in weaning from the ventilator is that there are issues with the less left lung whether it is simply mucus (dreadful word), or extra fluid from the bleeding that continues (though not profusely). In turn it is not expanding like the right lung and so, of course, he is desaturating somewhat. The treatments are not pleasant for him, one of them is an almost type of pneumatic wrap around his chest which vibrates or beats his lungs to shake up whatever is in there.
They are still working on getting his blood pressure down as it still quite high. This is really the time I was dreading for him being aware of the ventilator and having to have this dreadfully uncomfortable procedures and on top of that his nagging mother telling him to breath. I am surprised he is not getting his oxygen level up just to get me to shut up. I know John wishes I would.