A magnificent step today - off the ventilator!

Rose has picked up suddenly and significantly since the decision was made to recommence feeding her parenterally (direct into the bloodstream via a drip).

This kind of feeding carries risks. While it undoubtedly enabled her to gain her pre-transplant fat, and it is a useful way of nourishing the extremely ill, total parenteral nutrition (
TPN) can place a strain on the liver. Rose's new liver can hardly afford any extra strain.

But on the other hand, she's had so much trouble keeping down any food, that she has become quite under-nourished again. She needed energy in order to fight and recover, and start breathing on her own again. TPN is providing that energy.

They'll be keeping a close eye on how her liver handles the TPN.