January 29

 Brenda is still in the Medical/Surgical ICU listed as critical with focus on Pulmonary and Kidney. The first thing this morning was her dressing treatment, it took only 45 minutes, and then they did her Respiratory treatment, Occupational movement of legs / feet for abut 28 minutes and then Physical therapy arm movement plus they set her up for about 15 minutes. This was one of her best days since her move to the Medical/Surgical ICU. Her burns are healing. Her Ventilator setting is at a PEEP of 7 and Oxygen level is at 40%, this down from the 50% she was at. She is receiving antibiotics via the Ventilator, fourteen day cycle that should be ending Friday. Her white cell count is normal. Urine output was good and she did process an increased amount of Toxin's, but she  still needs to process a much higher level. If she continues to improve her process levels of Toxin's they will not need to do the Hemodialysis. This is a day by day decision based on her kidney toxin process levels. She was in the Stretch Chair this morning / afternoon for 3 plus hours. Jack is working with her with speech exercises which she is working hard on. Doctor Perry, her team lead, said he is going to order an increase in her physical therapy since she is doing so much better. If her pulmonary keeps improving she may move back to the Burn ICU, still critical, but the focus is on burn care.