James is back in his room and resting. Ideally, we wanted to find a cause for his pleural effusions so we can know how to stop them. Today's cath did nothing -- ok, almost nothing -- to provide those answers.
It did rule one thing out: the pressures in his Fontan system are not out of whack.
Given that the leaking increased in recent days, everyone expected to find that the Fontan was failing: we expected the refenestration to be inevitable.
Instead, his Fontan looks stable!
(Current hypothetical speculation is now focused on pulmonary vasculature, pending analysis of mPAP, PVR, CO, SVR, RAP, etc...).
And that's the news...
Enough?
How would you react and respond:
Realistic: No news means we haven't found anything news worthy; check back tomorrow...
Zen: There is no news; there is only what you make of it.
Optimistic: No news is good news.
Pessimistic: No news? Seriously?
Relativist: No news is all the news there is, so it must be good enough.
Scientist: No news means our data is insufficient and our hypothesis has lacked clarity and focus; more lab testing needed!
Parentist: No news means no answers, but no bad news either, which is good, and we've avoided a big, drastic intervention for the time being, which is also good, so now we sleep this off and see about getting James to the hospital playroom and FaceTime with the family tomorrow 😘
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