Sunday March 16

Sunday morning: I call Luciana and ask about IV nutrition. She says it never came and she was concerned about that too. I contact Dr. Ray White at Bethesda Naval expressing my alarm about nutrition; no food at all since Tuesday evening dinner. He says he’ll stop by soon and see what he can do. I find Dr. White in the room with my dad when I arrive at 7:20 am and he stays next to my father for 2 hours trying to pass an NG tube. Dr. Nawaz joins him. He comes out looking exhausted saying “It just wouldn’t go. I’m convinced I got it past the pharynx but it just wouldn’t go further. I hope you have a better day.”

Later Sunday morning they try to insert the PICC line and fail. I’m told this will have to be attempted again tomorrow under ultrasound guidance; there is nobody on the weekend staff with that kind of experience. Later still they try to insert an NG tube under radiological guidance and fail. Sunday evening at 8:00 pm the light IV nutrition (PPN) Dr. Koch was talking about on Friday morning and Dr. Ball was telling me about on Saturday arrives and is hooked to the IV.