Oh boy,

Well here goes a doosey of a post. Kaelyn did in fact have a blood clot in her hepatic artery. This in one re-run we did not want to partake in. It was fairly hemolized, meaning that the clot had been in there for a little while (probably started formin on sunday after they discontinured her herparin dirp). She came out of srugery around 9 pm and we sat and spoke with Dr. Healey for a little bit. He was wondering if she may have some sort of clotting disorder where she clots easier than other people. They are going to be doing some testing for that . It also looked like all of the swellin and extra gas in intestines was causing all of the vessels to be stretched and thus narrowing the passage for blood flow. She was moving around a lot and that could have caused some more swelling and dislodging of clotted blood to form a more organized clot. Today she is highly sedated and medically paralyzed just for her own protection.

She has a fever and had fairly low blood pressures overnight. So they have given her extra fluid to counter act that. It has brought her fever down and her blood pressure back up. She is still running a low fever, they have cultured her and are waiting on results. She is currently on about four different antibiotics, so hopefully she is covered for what may be infecting her.

We thought her initial ultrasound went well. The tech (Jenny, our favorite) saw adequate blood flow in the hepatic artery and other vessels. The bile ducts did look dilated, which is not good, but usually can be reversed if the blood flow was not stopped for too long. But then Jenny came back with the radiologist and wanted another look at her liver's left side. They believe the left side has taken significant damamge. Where there is enough blood flow the ogan lights up well and looks brighter. Her left side was very dark, which means there may be litterl or no blood flow to that side. This is not good. They are going to report this to Dr. Healey and Dr. Reyes and they most likely will want to take her back to surgery to get a better look at what is going on. We should hear later today when and what they are going to do. One good thing is that her right liver side looks pretty good and they may be able to just resect the left side and leave her will a healty right lobe that will grow to meet her needs. We just have to wait and see.

Please pray for Kaelyn,

Angie