K: "Wow he's satting at 90, that's pretty good."
L: "Well, he's on a half litre of oxygen and sleeping- and holding still."
K: "But still, 90, that tells me that he's improving."
L: "So you think this can fix itself? You've seen it happen?"
K: "Yeah, certainly. So, how do you feel his breathing has been?"
L: "Well he can't really get a deep enough breath to even cough, it's pretty short."
K: "Don't forget, he has an incision in his ribs that is very uncomfortable and it's probably quite painful to take a deep breath, so it'll take some time before he is able to do that."
L: "So you think we should just go home? Cause I'm not sure what I will feel like, not knowing what is going on inside of him and I won't know what to look for if he is in distress due to this.."
K: "Well obviously I don't want you to go home and feel crazy...and worry too much. So we could just do it, and be done with it."
L: (so, we ARE doing the surgery..)
K: "Then again, if he's satting in the 90's and seems pretty comfortable then that tells me this will only improve."
L: (so we AREN'T doing the surgery..)
K: "But I don't want you guys to go home and constantly worry about the future. It's really no big deal, we could just do it. And if we decided to, we would just do it today."
L: (so we ARE doing the surgery..) "You don't think we need to wait at all to see if there is more improvement?"
K: "The problem is, is if you wait too long, the diaphragm can stick, and would be harder to move if we did surgery later. How is he during the day? Pretty active, can he move around ok?"
L: "Yeah, he moves around just fine, but I can tell that he reaches a point where he used to have more energy and doesn't now."
K: "Well again, he just had a surgery and doesn't have all of his strength back."
L: (so we AREN'T doing the surgery..) "I'm just afraid of going home and not knowing what to look for in forms of 'this diaphragm thing is getting worse' and having to come back."
K: "Yeah and if you told me right now to just do the surgery I would think that was totally reasonable."
L: (so we ARE doing the surgery..)
K: "Let me go look at the x-ray again, review this a little more, and maybe we'll wait another day or something."
L: (so we AREN'T doing the surgery today..)
K: "I'll be back."
(approx. 10 minutes later.. 8 people come in the room and listen to Jack and watch him breath as he lies there sleeping.)
K: "So we're gonna do it this afternoon."