Saturday April 23 11:20 AM

8:40 AM Ed was waking up when I opened the door but it took him about 30 minutes to really wake up. He was frustrated because he did not feel as good as yesterday. More confused and out of it. He did eventually sit up and told me that Stuart had planned some card games for today. Ed ate all of his breakfast. Dr. Godwin (nephrologist) came by during breakfast. Creatinine at 7.9, but since Ed is making good amounts of urine he did not order dialysis today. The white blood cell count is very good and normal. He encouraged Ed to drink lots and eat well. At the end of breakfast Ed was not doing so well anymore. He could not get the words he wanted to say out of his mouth. He was trying hard, but only every 5th word was a real word, and he had trouble holding and putting down his coffee cup. He laid back down to sleep. Stuart came in and Jeanne is on her way. The nurse called Dr Godwin and Afridi (Hospitalist) and both will be back by to see him to re-evaluate. In the meantime they started a drip with saline, took his glucose levels (189 - a bit high). In addition a neurologist will come by and see him tonight. All to make sure the confusion does not have another reason than the low kidney function. Right now Ed is sleeping.--Friederike and Stuart