Sam's surgery last night went well. His old port was removed and a new Hickman Central Line was placed. Overall I like where the new line was placed and was happy with the surgery results.
The removal of the port left a rather large wound on his chest which will need to be taken care of for awhile. Not really looking forward to undressing the wound and repacking it, but we'll manage somehow.
Sam's surgery last night revealed some more concern for site access. It appears that during an earlier surgery Sam's right jugular was severely damaged or tied off. This isn't that uncommon, but would have been nice to know. Going back through the history of Sam's central lines it would have had to have been his very first line that was in that vein and the line was removed in Milwaukee - but none of the history that was sent to Boston or Madison has any notes regarding the line being in that vein and it is listed as being in the Right Subclavian vein.
After surgery last night they started to ramp up Sam's glucose. It always seems that once we get off of his normal TPN cycle we have issues and this time will be no different. His blood sugar spiked and remained high all night even when they reduced his intake down considerably. This meant having to check blood sugar every hour last night.
Not sure yet when we are headed home, but today is looking less likely. They would prefer to have his blood sugar be a little more stable before we leave.