Wednesday wrap up

Mary's condition is pretty much the same. She is sleeping and not alert or awake. When she is awake, she is very much foggy and confused. This is not the lady that rocked the chief surgical resident yesterday afternoon. Her system has to get rid of the dilaudid which it never was good at doing. And, if the dilaudid is removed via the kidney, no sweat. If its by the liver, well, we are at 1/5th of nominal capacity IF everything is good.

I'll be back in the morning.