Sorry this will probably be rambling, I am very tired, physically, emotionally and mentally. And, I am apologizing for any spelling/grammar issues up front. I am too tired to care about proof-reading right now.
If he had been at home, he would not be alive. If he had not been so close to a premier medical facility, he would not be alive. If he and his boss had not reacted so quickly, he would not be alive. Given all that, only 1% of the people that make it to the hospital live thru this. Two-thirds of his heart was affected. They do not know how much function will return once they start taking off the meds and the balloon. The kidneys were affected due to the extreme reduction of blood pressure. According to the kidney specialist, the kidneys are working at about 20% this morning. They started more fluids with the hope that the kidney function would increase. By the time I left this evening, he was producing more urine so that means the kidneys are working more. But more fluids was tricky because of the heart and not wanting to introduce more fluid that could settle around the heart.
The medical stuff: He is heavily sedated. He is on the ventilator. He has 11 different meds/fluids being fed into him. The balloon is still functioning for his heart. He is running an ugly temp that just won't come down. His blood pressure has come up a bit today to 90/60. His heart rate is high which tells them he is in tachycardia. The rate is around 150 beats per minute. The number floated around today about the kidneys was 240. (Sorry don't remember more or which level that number related to, BUN or creatin) His pupils are sluggish which they tell me is due to the sedation. (Especially since the day after the attack he as alert and responding the people.) The meds as best I can recall: dopamine, fentanyl, midzalam (sedative), 2 antibiotics, insulin, fluids, a med for blood pressure that is light sensitive and I can't remember the rest, sorry. The plan as of right now is to continue with meds/fluids to get the tachycardia under control, the temp down and the blood pressure up. Once all that happens, they will start reducing meds, pulling the vent and the balloon. I was told by the Head of Cardiology that he will most likely be in the ICU for 2 weeks and not able to travel home for at least a month. What can go wrong with all this: The numbers don't improve and they can't reduce meds. They pull the balloon and the heart has too much damage to function on it's own. The kidneys do not improve. In other words, still very critical.
How this day went: WOW! Culturally this place is so different than the US. I, of course, saw every level of dress from shorts to full burhkas today. But other than that, the hospital is run differently. Mark is something of a miracle to them. Every American in the hospital has come to meet me. That included the Director of Operations for Johns Hopkins. The Head of the ER and the Head of the ICU both came to meet me this afternoon. The head of every department that Mark requires has been in with at least 2 of the doctors under them and students. I saw no less than 20 doctors this morning alone. On top of that, in the US the doctor issues an order and the nurse performs the function, generally. This morning there were no less than 6 people in the room at any given moment. And, they stood there and discussed his treatment with each other and me. The nurses and myself had as much say as the doctors. In fact they didn't just discuss, they argued at one point about the increased fluids! While all of that is significant, what made it all hard was the many nationalities I was listening to. I am so tired and therefore having to really pay attention to everyone so that I understand them. That would be hard given the situation in my own country. But to be on the other side of the world with 40 different languages/nationalities is overwhelming. Palestinians, Jordanians, Canadians, Australians, Germans, Emerati, Pakistanis, Indians, French, Italians, Dutch, and Brits to name a few. Absolutely incredible.
In other news: The owner of the company flew from Paris to see Mark today. I met him and all the senior staff of Midex. He personally guaranteed that the med bills would be paid for, I would be reimbursed for any expenses, Mark would be paid for the next 3 months and when he has recovered, he still has a job. They will find him something to do because he will not be able to fly. While, it wasn't on the front of my mind, it was floating around in there further stressing me out. They also stocked Mark's apartment with water, pop and food while I was at the hospital today. A huge relief as the med bills alone are huge. In the US, I am sure we would be over a couple million by now!