My thoughts are with your family and Lorelei...
I am not a mom to humans but when my hubby was in the hospital I felt so neglectful to my fur-babies! I would think that if your bros has other kids of his own that would be a good distraction for Noel and a relief to your sister...both could have daily phone chats...but also your sister will hopefully have a little sense of comfort knowing her older daughter is well cared for and busy!