Still Ups and Downs

Yesterday morning, they tried to push Michael's lungs, but we have taken a few steps back. He got very worn out and today he has needed more time with pressure.  He still needs some pressure to help his lungs stay fully inflated at least part of the time.  Most of the time, he is breathing either on his own or on his own with the added pressure (CPAP).
The doctor put in a new trach tube Saturday morning and it has seemed to help his cough quite a bit, although he still does cough a little more than we would like.  His heart rate, while still elevated, has improved.  He still remains on a lot of antibiotics (thanks for the prayers for no more infections).  Michael still remains on dialysis, and we are hopeful the function of his kidneys will return.
And then there is the rehab that is going very well.  Michael has responded so well to the Physical and Occupational Therapy.  Every day he makes more improvements.  He is working very hard with the exercises.  Right now the big push is to get his core muscles strengthened--he can't stand or walk until he has stronger core muscles, but he is getting there.  And Michael is smiling and his sense of humor is there.
While many things have improved, Michael still needs a lot of nursing care after five weeks in the ICU.  Because of this the doctors are considering as an option a possible move to a Long Term Acute Care Facility.  Many things will have to be considered for this and so we will have to see if this would be the best fit for him.  But this sounds like a good option as rehab would be a high priority.
Your continued prayers for Michael are so appreciated.  Our requests for prayer include that his lungs to continue to heal, for increased platelet production, no more infections or Graft vs Host Disease and for prayers for the doctors and staff caring for him. 
Some of Michael's supporters and prayer partners have been following from the very beginning and some have joined along the way.  Many were strangers to us.  But we can't thank you all enough for sending all of the love and prayers.  It is a blessing to have your support!!