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@NateGink
Red Raider alum | Romans 8:38-39 | Risk in futures/options is substantial
Northwest Iowa Katılım Temmuz 2009
474 Takip Edilen638 Takipçiler

Hello, friends. We are so pleased to report that Gus had a relatively great day today! He's sleeping now, but we've seen a lot of those sweet, piercing eyes today. We're so thankful for the progress we've seen since coming off ECMO support on Saturday. Still, big hurdles remain.
After coming off of ECMO (extracorporeal membrane oxygenation) support on Saturday, Gus experienced a series of hypotensive spells driven, as we understand it, by a kind of vasoplegic shock-response. Following his first decannulation, cascading hypotension eventually put him back on ECMO support. This time -- praise the Lord -- we seemed to have pushed through the "post-pump slump." *Seemed* is a key word when talking about Gus!
We had been praying for our team to have some kind of breakthrough in treating his vasoplegia. Sunday morning, in hindsight from where things sit today, it looks like that prayer was answered. As I mentioned in a previous update, vasoplegic episodes following cardiothoracic surgery are not uncommon. It can be difficult to isolate causes for this and even harder to treat. Thankfully, when his pressures were spiraling early Sunday morning, and typical interventions were failing, one of our doctors tried a less common -- though not unheard of -- treatment. From what we can see, it's proven very effective. Gus has been much more stable since then, and we've been able to wean his vasopressor agents progressively. We're thankful for the quick thinking that helped Gus stabilize.
As of right now, the goal is to continue weaning his meds and keep his fluid levels balanced in preparation for chest closure. Tomorrow will hopefully be another day like today -- rest and stability. Wednesday we hope to start the process of closing up the chest from his sternotomy. Given how long its been open, it could require a gradual approach. The hope is that this could even help with his lung condition by providing more pressure in the thoracic cavity, which in turn could help the right lung expel unwanted mucus.
Words cannot express how grateful we are for Gus' progress. Several weeks ago we had a new heart that wasn't beating. A little over a week ago, we were forced to go back on ECMO in less than 24 hours. At times, we weren't sure if Gus would last the night. Tonight, we're over 48 hours off of ECMO support and Gus is doing remarkably well given everything his body has been through. God has answered our pleading. In his providence, God has brought us through some very difficult moments -- but he has not failed to show his goodness and power at every turn. I've used the analogy of a rollercoaster to describe the emotional ups and downs, but we don't feel that God is any less sovereign; any less good.
Looking ahead, as our team reminded us this morning, he has a long way to go. His lungs need to improve. His kidneys have taken a beating. He'll need an MRI to really know how his brain has been effected through all this. The chest closure could present a big challenge seeing that Gus is very sensitive and prone to these inflammatory vasoplegic responses. The risk of infection remains. Feeding could be a challenge. -- Yet, in the face of all these obstacles, we simply feel drawn to pray and plead all the more boldly.
As always, we remain appreciative for all the love, support, kindness, generosity, and prayer that we've received. These updates started as a way to keep friends and family in the loop, and now #TeamGus has rallied on our behalf. There are no words friends. We are humbled.
We also remain steadily grateful for the amazing medical team that has been supporting us all along the way. We couldn't ask for better care than the care we've received here at Norton Children's.
Assuming tomorrow is another calm day, I'll provide updates as things evolve. We anticipate Wednesday being our next "big day."
Another praise -- my wife and I got away for most of the day today. A first in almost three weeks and another sign of the incredible progress he's made and the great team of nurses we have.
Goodnight, everyone.
"The LORD is good, a stronghold in the day of trouble; he knows those who take refuge in him." Nahum 1:7

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@BenRand10 @Badgerswimr where would you add length on a short meal position? May be difficult if the rug gets pulled out but overnight has not generally done that in meal? But I hate the overnight market. But i like making money so I will put bias aside😁
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What are the three things? GFY.Ag does for you. Respond below or in DM’s if ur not comfortable. Need it for our website. #oneteamonedream
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May feeder #cattle expiration. Works like clockwork in contango market structure.
@DryCedarFarms
@troy_grocott

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