Monday, September 04, 2006

2nd update

Dr. Healey ended up revising Kaelyn's hepatic artery. The ultrasound post revision showed good blood flow. He is not going to be able to close her completely. Her wound will be not as big and hopefully he will be able to close her in a few days.

She is still in surgery and we are waiting to hear from Dr. Healey what happened to the hepatic artery to cause it not to function.

Surgery update

The surgical nurse just phoned us. Some suprising and unsettling news. Kaelyn's hepatic artery is not functioning as it should. They did not say what exactly was going on, but they are doing some exploratory surgery and possibly revising the artery. Wade and I are just sick thinking that Kaelyn may have to endure the exact same thing that happened with her first surgery. Hopefully all will be well and her hepatic artery will be fine. I know that in Dr. Healey's hands things will go as well as it can. I also know that our little girl is surrounded by more than just the surgical team...Heavenly Father knows our Kaelyn and he is comforting us all.

Love,

Angie

In surgery to close belly

Kaelyn went in at 4:30 pm to have Dr. Healey close her belly. She was very restless leading up to this. We, of course, were told that she would go in around 12. So we were holding off on starting her sedation until afer surgery. She was so uncomfortable and not wanting to be in that bed that we finally gave her some benedryl (I don't know why we didn't think of that before) and it settled her down. Moments later they finally came to take her in to surgery.

She is still in right now, hopefully we will have an update soon. Dr. Healey was fairly confident that he could close her, but if he can't he will move the abdominal muscles closer together and sew her as far as he can. They don't want to squish, for lack of a better word, her organs and lungs. He said that there hasn't been a case yet where he couldn't close a kid. And I thought, well this is Kaelyn we are talking about! Ususally the exception to every rule! But I am confident in him also, if we can't close her today atleast it will be a step in the right direction.

Angie

Day 4 in ICU

Kaelyn is doing okay. Her abdomin was a little more swollen than the day before. So last night they gave her some lasix to help her get rid of some of the excess fluid. It seemed to work, this morning her belly was one inch smaller than last night. Yesterday was a battle after she was taken off of her sedation. She was constantly moving and needing mommy. We finally figured out a regimen of benedryl and a suppository sedation that seemed to help her get some sleep last night.

Hopefully this afternoon they will take her into surgery to close her belly. If she is still too swollen they may still take her in and change the dressing and place additional drains to try and get rid of the extra fluid. If they can close her belly than she will probably be extubated either tonight or tomorrow, if no closing she will continue to be intubated until they can close her.

I will post again when they take her into surgery.

Love,
Angie

Sunday, September 03, 2006

ICU day 3

Kaelyn is doing fairly well. Her blood pressure was on the rise yesterday, but as soon as they were going to give her some medication for it, it went down on it's own. I think Kaelyn knew that they were about to add one more med to the multitude and refused to let them (*smile*)! She is such a fighter.

Today they have to take her off of her sedation meds, she can only be on it for 48 hours and then she needs a 24 hour break. They will take her off of it at about 1 pm. I think she will not be happy, and either will we. I hope their plan of increasing her Morphine and Adavan will be sufficient. I guess we will see.

They are still going to try and close her tomorrow. But her tummy is still pretty swollen, though the rest of her is pretty dry. She looks a lot better than she did when she first came out of surgery. All of her LFT's (Liver Function Tests) look great. They are not in the normal range of course but they are so much better than they were before transplant 2.

I will post later,

Angie