Aaron has not been doing so good these last couple days. His oxygen needs have gone up and yesterday two small air pockets (neumo's) were found outside his lungs on his chest films. Normally a chest tube would be inserted to release them but Aaron wouldn't be able to handle that at the moment. His oxygen needs have increased and he is having trouble with his CO2 numbers. He has an air leak in his vent tube and one of his cultures had another positive for staph colonization although they can not confirm it with his current tube. The plan today is to change out his tube and put a bigger one in. The last time his tube was changed he did pretty well but he was significantly more stable. We are not sure if he will be able to handle the change today and from what it sounds like they are going to also try to put him on a vent that will allow him to be transferred over to Primary's today. Today is going to be a long day.