Monday, July 8, 2013

Post-Op Day 4 and 5

Another tough day.  To cut to the chase, Harlie is sick.  She is worse than she was yesterday.  Which is definitely not the direction we want to go in.

Post-Op Day 4

They changed her meds.  They took her off the Gentamicin and Clindamycin and put her on Vancomycin and Zosyn.  All IV meds.

She has been suctioned about a hundred times today.  And she sounds so bad.  You can hear how awful her lungs are from across the room.  She's been sleeping 99% of the time.  We have to force her out of bed to try to go potty.

She's even worse now - at 6pm - than she was earlier today.  She desperately needs a bath.  So, we started to give her one (in the bed, of course) and the second I started to lay her down flat on the bed, she immediately desatted, turned blue and struggled to breathe.  We had to abort the bath.

They are going to take another x-ray and try upping and adding an additional diuretic med.  And they are considering moving her back to the ICU.  At this point, her current nurse and I, believe she is too much for the floor.  She needs more.


I wrote the above yesterday (Sunday).  Things got crazy, and then it was way too late to write.  It is now Monday morning at 8am and it is MUCH easier to write about yesterday and last night now that she had a good night.

Yesterday she was definitely going in the wrong direction.  She really scared me when we tried to do the bath.  It wasn't that she just desatted - she was struggling to breathe.  After that it was "only do what you absolutely have to" and it was obvious that she was going downhill.  I've been around and seen enough to know that things can turn quickly.  And I really thought that we were heading in that direction.  They agreed, because they transferred her to the CICU around 10pm or so.  They immediately rounded on her and within minutes they were busy helping her.  They got another EKG.  They stopped her feeds until things improve.  They got another chest x-ray.  And they hooked her up to BiPAP.  I thought they said CPAP, but I was mistaken.  BiPAP provides her a little more breathing support.

She normally fights anything that helps her breathe - but within three to four minutes, she slowly relaxed and fell asleep.  Her body is so freaking tired.

Over night, since her body was finally relaxed a little, she peed over a liter!!!  Woohoo!  You can already tell a difference...

Post-Op Day 5

And she's been awake watching TV for the last 45 minutes.  That is the most she's been awake since her surgery on Wednesday.

They need to get more blood for labs and they want to see if they can get a new IV in.  They don't want her fighting or getting all worked up, so they are going to give her some sedation.  Hopefully it works and I can turn her screws all three times at once, so I won't have to do it again today.  That would be awesome!

Well, it's 9:35am now and her nurse gave her a dose of Versed, Morphine and Valium and she was not relaxed.  She was still putting up a huge fight.  So, her nurse gave her another dose of everything and she STILL fought.  It took four of us to help get the IV in.  She wanted to put a larger needle in and she got it in, but Harlie fought so much that she lost it.  Crap.  They got what they needed for labs, but they didn't get that IV in.  I was able to turn her screws, though.  Since she was on a lot of meds, I took advantage and turned them three times to get it over with.  I also cleaned her pin sites, too.

Her nurse said that the two of us would be asleep on the floor with as much as she gave Harlie.  And she's STILL awake now.  She kills me.

It is now 11:20am, and they rounded on her.  They took x-rays last night and this morning.  And they said that her lungs already look better than last night.  Thanks to getting rid of one liter of fluids!  They also had more questions about her echo (ultrasound of the heart).  They have never been able to get a good study (because she fights so much).  So, the doc said she wanted her to be sedated again to do it.  When the nurse told her about her meds from earlier, she said to add Ketamine.  And more Versed.

It took twice the amount they initially thought to get her calm.  Crazy.  So, she's getting the echo now.  Hopefully that will answer all their questions, and will give us a good report to ease our minds.

It is so nice to see her so relaxed (look at how her leg is crossed).  Right now she is feeling no pain and that makes me feel less pain.

I know I make light of a lot of things.  And I joke about a lot of things.  I'm sure there are many a nurses/doctors out there that have wondered if I get how complicated she is.  I do.  I assure you.  But, it is SO hard to worry like I did last night.  My stomach hurt so bad.  And it's not a hurt that I can just stop.  What if she continues to get worse?  What if the meds don't help?  What if her heart and body just wear out?  All of that could happen.  We are not in control as most would like to think.  And you realize that real quick when you're standing by your child's bedside.

I stayed with Harlie and her nurse until Harlie went to sleep for the night.  Her nurse said she would be in her room the whole night.  And she said that she would most likely sleep soundly all night.  So, I left after midnight and took a cab back to the hotel room.

It would have been easy to be really sad and depressed at that moment - sitting in a deserted children's hospital, waiting for a cab while my daughter lay sick upstairs.  I was super tired and worrying like that about your child takes a lot out of you.  But, I had - what felt like the whole world - supporting us on Facebook.  I couldn't believe the outpouring of support for Harlie.  I felt all the strong vibes you were all sending and I let them help me through.

I slept for a few hours and then came in early this morning. It was SO wonderful to hear that she had a great night and that she made some progress.  The BiPAP was the right call.

Well, she started to fight the echo, and they aren't done getting what they need to get.  So, her nurse just gave her more meds!  Geez!

Anyway, I am so thankful that she seems to have already turned the corner a bit.  I think they will keep her on BiPAP throughout the day and night and see where we are tomorrow.  Hopefully the rest of the day will be pain free and restful for her.

Oh, last night I said, "Harlie, who loves you?"  And while her eyes were closed, she pointed to me.  Oh, the little things.

Well, that's it for now.  Thank you so very much for your thoughts and prayers.  All the good vibes you are sending our way are working.  I'm so, so grateful for all the love and support!

Much love,
Christy xo


Susan said...

While I'm sorry to hear that things got scary there for a bit I'm relieved to also read in the same post that they got better. It sounds like she's out of the woods. Crazy about the pain meds. WOW! Now that she's no longer retaining fluids I'm hoping she gets better quickly. Big (((((HUGS))))) to you and Harlie.

Sandy said...

I don't know how you do it!! So grateful she is better. Wish we could do more for you both here. So glad Maggie is there. Love you both!!

Lisa B said...

I hope Harlie continues to improve. Sending you hugs and positive vibes.

Grandma said...

Oh Christy, you have tons of love and support coming to you and Harlie. Rest assured, we are all praying for you and her..she is a strong little girl..we will see her make the turn for the better to both of you

vtkthies said...

Extra prayers for the peaceful night you all so desperately need!