The recovery from surgery continues. Tobias had a pretty uncomfortable day yesterday so the pain med has been restarted. (One thing he is quite able to do is to communicate his wishes!) His feedings are increasing every 12 hours and he is now receiving 17 ml per feeding. Yes, that IS over a tablespoon! He was at the 13 ml level before surgery so has now began to progress in that area. He should max out sometime tomorrow at about 22 ml and stay there for a while. The iv supplements are also scheduled to stop although they will leave his PIC line in. (The nurse says it's Murphy's Law; if they remove it, he will no longer tolerate his feeds.) The latest x-ray showed that the post-op mucous problem in his right lung has been resolved, so he no longer needs treatment for that and has returned to his pre-op regimen. His ventilator support has been turned down just the teeniest bit. The weaning process begins!

As Kathryn noted, Toby is beginning to have periods of alertness and showing an increased ability to interact instead of retreating from all stimuli. Most of his time is still spent in sleep, but we appreciate the moments he is looking and listening. It is exciting to see even small steps in his development and to know that God is continuing His good work.