Good Evening All, And what a Day!Today has been one of those that you look back on at 9:33 in the evening and say, “Whew, that one is over, wonder what tomorrow will be like!?!?”
This morning the drain came out, along with the arterial IV and one of the 3 regular IV’s. This was a good thing in a few ways. First, the drain was able to remain in for 5 days. Dr. F says that is the max he leaves one in and most of the time doesn’t even make it past 3 days. Secondly, Kels can now move about at her leisure, not that she wants to, but she can. Thirdly, flushing that particular IV burned her, and she hated having that long board taped to her arm. Have you ever put tape on your dogs nose and watched him try to get it off? Yeah, right, I am the only one? Well, that is kind of what it is like having the board. She wanted to scratch her head but the board was longer than her fingers, she wanted to eat, but could not hold her food, she wanted to color but had to hold the marker between her two fingers. Very minor aggrevation, I know, but at 3 yrs, the small things can turn big quickly.
Doctors orders are for her to be able to sit by herself for at 1 1/2 hours without getting sick or dizzy. We made it to 45 seconds before she began crying out in pain. We could only get her up by raising the angle of the bed up to 30 degrees. Nicole did pick her up and let her look out of the window for a minute or two, which she has wanted to do since Saturday. That’s fine, small steps are the longest ones on the way to recovery. She is still having the 2-3 hour periods of time when she is very grouchy and screams at the staff. Partly because she is scared of any one in scrubs or lab coats and partly because some of the things hurt.
So what went so wrong? The main reason we had to make the trip as soon as we did is because of her heart rate, remember. We were told that the brain is causing the heart to act in ways that Dr. Feldstein had not seen before with Chiari. After the surgery, he wanted us to meet with the cardiology team to discuss different ways of monitoring Kels until the 3-6 month “reboot” period is up. It was not until today that we were able to speak with someone from cardiology that understood Chiari and the effects it was having on her heart. He brought us the results from the EKG from a few days ago, and his response was not quite what we wanted. He told us that if she was 70 – 80 year old man, then he would not have been as concerned. What he found was that Kelsey’s heart is beating in a pattern of normal rhythm then a 4-5 second pause, then restarts to a normal rhythm. The concern, of course, is that it may not restart. Her sinus node, the bodies natural pace maker, is being affected by the Chiari, we think/hope. What we are also hoping is that after 3-6 months, the brain will no longer feel the pressure, and the sinus node will go back into normal operation. Nicole made a very valid observation, “Why do we have to have the condition that is rare to both the neurospecalist and the cardiologists?” I don’t have an answer for that. We were made of aware of the possiblity before the surgery that we may be facing a brain stem issue, but at this point there is no reason to even chase that rabbit.
So, after all of this news, we will be remaining in the hospital at least through Wednesday, if not Thursday/Friday. They are doing an ultrasound tomorrow of her heart and possibly other tests, depending on the outcome of the echo. Just as we take a 2 steps up, we have to take 1 back.
On a lighter note or two, I wanted to again thank all of you for the kind words and encouragment. From my brother, Jason and his group at work, to Jen Gaines and all the work she has done, to Pastor Wesley for just being himself, to Lori for being Lori, I cannot tell you what it means to us. In the past, I have had to watch my children experience things that caused them pain, Callie with her RSV, then stiches, then a car wreck. Kelsey with her struggles from birth, and then Cambrie with her struggles with Kelsey (that was a joke.) During these experiences, I have been rather weak stomached and had a generally hard time. But from the moment we went to the ICU in Savannah, I felt a sense of strength, a solidness that can only be derived from the Almighty. So thank you for praying for us and with us, I can testify that God hears us.
Going along with the, “what will tomorrow bring” theme, Hannah and I were able to see Ex-American Idol David Hernadez sing this afternoon. He came into town for a few interviews and made a stop at Columbia Presbyterian to meet a few of the kids. He really can sing, that kid was good. He’s not as good as David A., but he’s got talent none the less. In this city, there is always something going on, I hope to experience some more.
More updates will come tomorrow, and as always, thanks for caring for our little girl.
A.