Showing posts with label Glenn Surgery. Show all posts
Showing posts with label Glenn Surgery. Show all posts

Sunday, March 6, 2011

Glenniversary

I'm the worst mommy ever because I let Chase's 1-year Glenniversary go by last Thursday, March 3rd, without recognizing what a huge accomplishment it was and how far we've come since then! So here's my post, a few days late, recapping what my sweet boy went through. Here's a summary of what was completed during this surgery:
We met with Dr. Bradley a few moments ago to discuss Chase's surgery. Everything went very well! He was able to patch the pulmonary arteries and connect the SVC to the pulmonary artery. It turns out he WAS able to access his coarctation and patch that narrowing as well, which is a wonderful blessing! Hopefully that will eliminate the need for us to bring him back for additional balloon procedures in the cath lab. Praise the Lord!!!
And here's a summary in pictures:
Seeing him for the first time after his Glenn: March 3, 2010.
My strong warrior.
Little monkey.
My sweet boy... a little swollen.
Extubated!
Not a fan of being stuck in the hospital...
He loved to hold a finger for comfort (and still does), so the nurse wrapped up some gauze for him to hold while mommy was away.
REALLY ready to get home, but not quite able to give up the oxygen. :(
Let's get outta here, Mommy!
All smiles!
Finally discharged and on our way home exactly one week post-op: March 10, 2010.

I am so proud of my sweet warrior boy and his amazing strength! He has been through more in his 16 months than most people will go through in their lifetime. I cannot imagine my life without him. He has taught me so much and continues to do so every day. I no longer take the little things for granted. Every accomplishment and milestone is a reason to celebrate! God knew exactly what He was doing when He blessed us with our sweet little Chase. His special little heart makes our family complete!

Congratulations, Chase!!!

Wednesday, March 10, 2010

Tuesday, March 9, 2010

Almost There

Well, it's 12:02 AM and hubs and I are ready to catch some zzzz's. We left our little fella around 11:30 PM in the capable hands of our night nurse. He had a good catnap in mommy's arms but then seemed ready for the late-night PCICU party before we left.

So he's been off oxygen for over 14 hours now and has been holding steady. In fact, it seems like he's improving a bit because he's been trending in the high 70s to low 80s all afternoon. The big test will be tonight during his "good sleep" period. Last night he dipped down to 62 and had to have the oxygen put back on. We're hoping tonight goes better and he does well without it.

IF, and I mean IF, he manages to make it through the night tonight without going back on oxygen, THEN it's almost certain that we will be discharged from the unit tomorrow without a stay on 7C. You know this is what we're praying for!!! We've asked our nurse to call if she does need to put him back on o2 during the night so we'll know better what to expect in the morning. I look forward to sharing a great report of God's answer to our prayers!

On another note, please forgive my earlier ranting about the day we had today. I've had a serious lack of sleep and an obnoxious amount of stress the past few days, and I really shouldn't take it out on the PCICU. I need to learn to deal with my own control issues as I'm sure that is the source of my problems. I just know nothing and no one is better for a child than his mommy!!!

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Still Hangin' in There... Barely

It's been another frustrating day in the PCICU. Chase had to go back on oxygen last night around 4:00 AM. He was taken off the oxygen again this morning around 9AM and is still currently off the oxygen. This last hurdle is proving to be a BIG one. In the meantime, hubs and I are beside ourselves with frustration. We have no control. We understand we have no control over Chase and his body's ability to utilize oxygen and we're okay with that. We're on his schedule. He's in charge. What we're really irritated about is having NO CONTROL over our circumstances. We're stuck in the PCICU. We've been "floor status" for 3 days, which basically means the only thing the nurses do is check vitals every 4 hours and occasionally play around with his o2 levels. It means we're ready for 7C. The private room where WE'RE in charge. In the PCICU, we're subject to a complete and total lack of control. We can't control the noisy beeping at the baby's bedside next to us. We can't control the cleaning lady that has apparently found the absolutely loudest way to open a new trash bag when emptying out the trash. We can't control the guy cleaning the floor with the loudest machinery known to man. We can't control the nurses who approach our bedside using anything but their "inside voice" while Chase is obviously sound asleep. We can't control the fact that apparently are no beds for us on 7C.

Just a bit ago I was at my wits' end. Chase was sound asleep in my arms. It was about 1:30 PM and he wasn't due to eat until 2PM. This has been a challenge in and of itself because we again have NO CONTROL over his schedule. We try to get him on an eating schedule since I'm nursing him (and this affects my pumping schedule), but we can't do anything when the night nurse decides to feed him every 2 hours and ends up dumping several ounces of my hard-earned breastmilk. Anyway, so he's not due to eat until 2PM and I'm doing my best to keep him on a schedule during the daytime while I'm here with him.

The staff starts prepping the bed next to us for a surgery case that will be rolling in soon. Hubs approaches a nurse to ask her when the case will come in so we could make sure I can be there to breastfeed Chase at 2PM. She said I needed to go ahead and do it now so she can clear the PC as the case will roll in at 2PM. So therefore I was forced to wake my sleeping, heart-surgery recovering baby up from a much-needed nap and force him to eat 30 minutes before he was ready to do so. This made me MAD. Then, because hubs happened to ask the nurse a series of questions, we stumbled upon the fact that the nurse we had all day (and for the past 2 days) was being assigned to the new case rolling in, and Chase would be turned over to the nurse covering bed 2. What this means is that while we would be gone (kicked out of the unit while the new surgery case rolls in), a totally different nurse (and one in training with her) would take over Chase's care, without so much as a single word to us or apparently, without much of a report from our existing nurse (as she was focusing on the new case). This made me MAD. The complete lack of control, the complete lack of communication, which could definitely have an impact on the care and well-being of our son, the apparent lack of respect we are receiving as parents...

I am MAD.

Monday, March 8, 2010

Hangin' in There

It's been a frustrating and irritating and tiring and exhausting and difficult day. We started out by having his chest tube removed, which was fantastic! That only left us with ONE minor hurdle to overcome... oxygen support. At least I thought it would be minor.

He's been hanging out with decent saturation while on a whopping 1/8 Liter of oxygen. That's about 22% oxygen. To put it in perspective, the room air that we all breathe is 21% oxygen. Ya, just one tiny little percentage point different. But apparently, Chase really likes that 1%.

We've tried weaning him completely off oxygen twice today. Both times his sats would dip into the mid- to upper-60s. And both times he ended up back on his whopping 1/8 Liter of oxygen. Talk about frustrating.

And let's top it off with the fact that we've been third in line for a bed on 7C all day. One patient went up around noon. The next one, not until 7:30 pm. So that means that we're still hanging out in the PCICU, unable to go upstairs and unable to bring our boy home where he belongs.

It's been a draining few days for me both physically and emotionally. It kills me to leave my baby at the hospital to go home each night, not knowing if he's being cared for the way we want him to be cared for. It's tough not spending any time with my sweet LO, although she's none the wiser since she's being spoiled 24/7 by her dear Gramma and Pa Pa (for which we are eternally grateful!). I just want to make some progress toward the finish line. I feel like we're stuck on the side of the road. I guess it might be because we've been here for almost two weeks since we had the cath procedure before the Glenn. I know it's ridiculous to feel this way since so many families are here for such a long time (think Baby A who just went to 7C this morning after 5 continuous months here). But for me, it's hard, regardless of the length of time because no one wants to have their child be in a hospital, no one wants to be away from their other child. I want us all together again and that truly is right around the corner. I guess the monotony of this leg of the race is getting to me today.

Update: It's 11:58pm and we're heading out of the PCICU. Chase has been off oxygen again, this time since around 10pm. He's holding his own. Let's hope and pray he makes it through the night without help keeping his sats up. The good thing is his nurse tonight is known as "The Weaner." Apparetly she's known for getting her patients to wean off whatever they need to. Make her proud, little guy!! :)

Update: it's 4:17am and hubs just called up to the PCICU. Apparently our boy dipped into the low 60s while sleeping and needed the oxygen turned back on. I don't understand how his sats were great (88ish) before the cath and Glenn, and so unstable now. They opened the coarctation in his aorta, patched (widened) his pulmonary arteries and increased the flow of oxygenated blood to his upper body. How is it doing these things made his sats worse and not better??!!!

Hopefully the morning will bring progress our way! And some explanations, too!

Here's a pic from one of our brief moments without o2:



And o2 back on again, sort of:




Posted from my iPhone


Waiting for the Plan

Somebody had his chest tube pulled this morning during rounds! We're happy to say we're third in line for a room on 7C! Chase is still on a tiny amount of oxygen support (1/4L) since he has a hard time keeping his sats up when he's mad, but we're hoping and praying he'll lose it later today. Our goal is to get to 7C today and discharged tomorrow!! Please pray along with us for this.

On an awesomely happy note, the baby that's first in line for 7C today is a little guy that was born a few weeks before Chase and has been here in the PCICU since birth. He had a slew of challenges but made a lot of improvement a while ago and will finally be heading home soon!! Praise the Lord!!!


Posted from my iPhone

Sunday, March 7, 2010

A Chest Tube & Some Oxygen, Part II

Well, Dr. Bradley did rounds this morning and said he was "inclined" to leave Chase's chest tube in for another day. Honestly, I wasn't surprised or disappointed. His output was about 24 mLs over 24 hours and they prefer it to be closer to 12 mLs over 24 hours. We're very close, but not quite there yet. He is down to 1/8L of oxygen so we're really close to losing that support as well. It sounds like the plan will be to hopefully remove the chest tube tomorrow (Monday). They'll want to keep him overnight after the chest tube is removed, so it's looking like Tuesday is our earliest discharge date. Hubs and I are totally and completely fine with this. We know it's all about Chase and his timing, not ours. It sounds like 7C is still full so I'm guessing we'll stay in the PCICU tonight and possibly tomorrow night and be discharged from here. If a bed opens up on 7C tomorrow, they might send us up there for the night and be discharged from there on Tuesday.

Chase is finally starting to act like himself again. We know he takes a good 36 hours or so to really come off of anesthesia and perk up a bit, so it wasn't surprising that he's taken awhile to get back to a more "normal" personality. We're just so very grateful for his incredibly recovery and for the amazing surgeon, doctors and staff here to care for him. We are blessed!!!

I'll keep you posted on his chest tube progress... hopefully he'll lose it tomorrow! And I'm pretty sure we'll lose the oxygen support later today or by tomorrow at the latest. My awesome boy is making his momma so proud!!!

Thanks again for your continued thoughts and prayers!

He's Baaack!


Posted from my iPhone

Saturday, March 6, 2010

A Chest Tube & Some Oxygen

Chase had another fantastic night. He slept well and ate well (5 oz. this morning!!). They took his arterial line and his bulb chest tube out this morning. They have figured out his bp medicine dosage an have his blood pressure under control.

Right now he still has one chest tube in because the amount of drainage is borderline for removal, and as most things are here in the PCICU, Dr. Bradley took the conservative route and decided to leave it in another day. We're fine with that because we're in no hurry and trust Dr. Bradley immensley.

His oxygen saturation hasn't been the best so he's still on oxygen to help him keep it where they want it to be. This doesn't surprise us as Chase tends to need a little extra support when coming off of anesthesia. The plan will be to wean him off over the next 24-48 hours.

Based on how well he's doing, I would not at all be surprised if we were to be discharged on Monday, assuming nothing unusual or unexpected happens. We are so very blessed and grateful for our sweet son and his miraculous recovery from his second heart surgery. Praise be to God! And thank you to our frends, family and blog readers who have been lifting us up in prayer!



Posted from my iPhone

Friday, March 5, 2010

Too Funny!

One of the things that really comforts Chase is holding mommy or daddy's finger in his hand. Almost every time he's held, whether it's to calm him down, nurse him or get him to sleep, he'll always reach for a finger to hold. Especially now as he's recovering from his surgery an can't be held, he looks for a finger to hold and comfort him.

Hubs and I got a good laugh when we came in this morning to see him. His nurse rolled up a piece of gauze and put it in his hand as a good substitute. Not surprisingly, it worked!! Too funny!


We're happy to say that he had a great night last night and is going wonderfully. Our expectation is that he'll lose his RA line, arterial line, foley catheter and possibly chest tubes today. He's not on any meds intravenously and is only taking lasix, zantac, oxycodone (every 4 hours), Tylenol (every 6 hours) and now, his newest addition, enalapril, a blood pressure maintenance medicine that he'll be on for a few years if not forever. I'm so very pleased with his progress and am so very grateful for God's touch on him during this difficult time. His name be praised!

On a totally random note, hubs and I ate dinner at The Early Bird Diner ALL BY OURSELVES last night. I think that might be construed as a "date night!?" The first one in more months than I can count! ;)


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Thursday, March 4, 2010

Day 2

Chase has continued to rock today! He was extubated and had a follow-up with ENT. He woke up a bit and was able to finally have something to eat. The ENT doctor, Dr. Halstead, said the granulation/irritation in his throat (from his first surgery) was gone and looked fantastic! She did say his left vocal cord was not moving, which really worried me, but Dr. Halstead wasn't worried and said it was most likely because he was still somewhat sedated and tired. She said we could go ahead and give him a bottle and see how he responds. I he has trouble, we'll reevaluate him.

We did give him 50 mL of cherry pedialyte and durn skippy did that boy go to town! Afterwards he was content and went back to sleep. He looked so peaceful. We'll be back tonight after rounds to give him his first bottle of milk in almost 48 hours! Yay!!

Here's a quick clip from earlier this afternoon while he was awake. Such a cutie!!!

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Thursday

Hi, all! Chase had a good night last night and is having a great day so far today. He's weaning off the ventilator and should hopefully be extubated within a few hours. He's still rather sedated although he's off of most of the "big" pain meds. His stats all look great!

One thing we need prayer for is his ENT consult. It sounds like they want him to be seen by ENT before they clear him to start eating. If you know anything about Chase, you know he likes to eat! So if they can't come by today, it will be another day before he can eat! I also heard mention of another swallow study, which scares me!! You remember that he didn't pass his swallow study after his first surgery and was on thickened feeds until he was 10 weeks old?! I can't imagine if this happens again and I have to give up nursing for several months. Please be praying with us regarding this!

Here's a short clip of Chase from last night. He looks about the same this morning.

Posted from my iPhone

Wednesday, March 3, 2010

Summary

We met with Dr. Bradley a few moments ago to discuss Chase's surgery. Everything went very well! He was able to patch the pulmonary arteries and connect the SVC to the pulmonary artery. It turns out he WAS able to access his coarctation and patch that narrowing as well, which is a wonderful blessing! Hopefully that will eliminate the need for us to bring him back for additional balloon procedures in the cath lab. Praise the Lord!!!

We were told we should be able to go back to see him in the PCICU around 4:15 PM, so I'm counting the seconds!!!


Posted from my iPhone

Glenn Surgery is Finished!

3:08 PM - They have just arrived over to PCICU. Dr. Bradley will be over shortly after getting baby Chase tucked in.


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Glenn Update #7

2:09 PM - They are off heart lung bypass, everything going as planned. Baby Chase remains stable. Will be over to PCICU in about 45 minutes to an hour.

Yay! Praise the Lord!!!

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Glenn Update #6

1:04 PM - Soon to come off heart lung bypass, all is well, baby Chase is very stable.


Posted from my iPhone


Glenn Update #5

12:03 PM (sorry this is posted late... we were eating lunch) - So we are about 75% of the way there, all continues to go well.


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Glenn Update #4

11:09 AM - They are better than half way there, all is well, baby Chase remains stable.


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Glenn Update #3

10:09 AM - They are working away, he is on heart-lung bypass, all is going well.


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Glenn Update #2

8:47 AM - All is going well in the OR, anesthesia went well, they are now working with the scar tissue, typical amount this far, baby Chase is very stable.


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