Matt called about 2:30pm with update after talking to dr. regarding her MRI results. He was told that Wendy appears to have had an infarct of the pituitary gland that caused a loss of some hormones. They said they can replace the hormones, but it may take a little longer for her to fully wake up than expected. They have consulted a neurologist to assess MRI as well, to rule out any other damage that may have occurred. Their suggestion at this time would be to skip the trial run of taking the vent out completely and letting her be on her own, and go straight into the tracheotomy. They say this willallow for easier transition and prevent the need to re-intubate in case she was not able to remain off the vent. They said this would be easier on her than anything else at this time. Matt said the tracheotomy could occur as early as today. Matt was comfortable with it because the doctors felt it would be best and Dr. Bonasso had discussed it with him the other evening and had no concerns. He said they may also be applying a feeding tube into abdominally. They want to get all of the stuff out of her so her esophagus can have reduced irritations. This is a preventative measure to protect her esophagus. The doctors also feel that by getting her off of the vent, then Wendy can be transferred sooner to a step-down unit and begin more intensive therapy. This willalso help to increase her stimulation, which can increase her response time and regain higher levels in preparation to return home. This may not have been the news we were all hoping for, but take it from my perspective as someone who sees things similar to this on a daily basis in that she/we are still blessed taht she has made this great of a recovery and still has the ability to recover further. There could have been a lot worse damage taht would have been irreversible. the doctors prepared us for this in the beginning that recovery could be a long process, yet optimistic!! Keep praising and being thankful for all that God has given us all and for what he still has yet to do. More to come later!! Bryan