Tuesday, 25 Jan 2005 ( 5 am ):

Gabriella rested well despite two blockages to her “trach” tube overnight. Both blockages were cleared quickly so Ella’s stress level remained fairly low. Yesterday’s big event – the procedure to change Ella’s trach tube – went according to plan. Since Dr. Cable was pleased with the healing at the incision site (a.k.a. “stoma”) and her overall progress, he will probably transfer Ella to the General Pediatrics Ward some time today.

Once there, Mum and Dad will receive the requisite training to care for Ella at home – Trach tube changing and cardiopulmonary resuscitation (CPR), thus far. We will also attempt to ensure the other items needed for our transition to home are ready and in place. It is likely we will have a home-healthcare provider help us monitor Gabriella’s condition.

However, the one potential obstacle to that option is the fact that there is a shortage of nurses on the islands. So, if you know of a nurse who would like to spend a few months working in Hawaii, please let us know. If not, please remember that in your prayers.

Click on the photo to the left to see a photo of Gabriella’s Trach Tube. Once you see the narrowness of the trach tube opening, you will understand how easily it can become blocked. All for now. Please feel free to share Gabriella’s story with a friend…more prayers are always welcome. As always,

thank you for your prayers.

Monday, 24 Jan 2005 ( 8 am ):

Overnight, Gabriella rested peacefully – with no blockages to her “trach” tube. Yesterday, she experienced a few stressful events but no major blockages or DESAT’s. Ella continues to eat well and she seems more comfortable each day. Today’s big event will be the changing of her “trach” tube. During that procedure Dr. Cable will use a small fiber-optic scope to view the portion of her airway below trach tube.

He will also see if the incision site (stoma) is healing properly. If so, Dr. Cable will probably transfer Ella from the Pediatrics ICU to the General Pediatrics Ward. We look forward to taking that step, as it brings us one step closer to home. Lastly, please remember to say a prayer TODAY for Captain Hausman, USMC and all those who are defending freedom around the world. God bless you and

thank you for your prayers.