Showing posts with label pneumopericardium. Show all posts
Showing posts with label pneumopericardium. Show all posts

Sunday, April 26, 2009

In the blink of an eye

Yesterday was my original due date. Instead Lawson came six weeks, one day early and has been fighting for his life ever since. We've had ups and downs, happy tears and sad ones. The news seems to go from bad to good and back again. This time he made it 22 hours off the ventilator. (for the quick update, scroll to the bottom)

The original 'problem' that caused the team of doctors at Duke to induce labor six weeks early was the fluid found in his lungs at my 33 week check-up. Since then he:

had chest tubes in both lungs to remove the fluid that was there inutero

spent 44 days on a ventilator (minus the 16 hours and then 22 hours he was extubated)

developed an abundance of blebs (air filled blisters) throughout his left lung

developed Pulmonary Interstitial Emphysema, PIE (caused by the ventilator).

has gone through 13 days of a ‘controversial’ steroid, Decadron, which actually seemed to help

has been exposed to the radiation of x-rays every 12 hours, sometimes more often since his birth

had a bronchoscopy (a tiny camera on a tube down his trachea)

was born with tracheomalacia (a weak trachea which closes when he tries to exhale unless stinted open by the breathing tube), which wasn’t found until the bronchoscopy

still has a large pulmonary sequestration, the mass of unhealthy tissue at the bottom of the left lung

had a pneumopericardium (air in the space between the heart and the pericardium, the membrane surrounding the heart) and a tube to remove the air

had a pneumothorax (air in the pleural space around the lungs) and a tube to remove that

has gone through two EEG scans (electroencephalogram- a test that measures and records the electrical activity of the brain)

has been through one CT scan so far and another scheduled for Monday

had a patch of his hair shaved and an IV placed in his head for a CT scan that never happened because radiology didn’t like the IV in his head

suffered a very serious IV infiltration (when the vein that the IV was going though ruptures and the fluid infiltrates the surrounding tissues) over a month ago on his left foot which almost cost him the feeling in his foot; it is slowly getting better

I’m sure there are more things, but those are the ones that come to mind right now. Most of them I have blogged about before, some I have not. It just seemed like time to recap our unbelievable journey. The hardest part is that the wonderfully trained, amazingly intelligent, and extensively experienced Duke doctors admit to having never seen a case like Lawson’s.


The extreme high that we were on Friday came crashing down Saturday morning when they called to tell us he would need to be reintubated and that his x-ray was concerning. His x-ray was considerably worse showing that he has developed a huge bleb and what seems to be atelectasis (several of the alveoli, little sacs that exchange oxygen/carbon dioxide, are collapsed). He is scheduled for a CT scan in the morning, we’re meeting with his team of doctors tomorrow afternoon, and he is on the surgery calendar for Wednesday. The fact that things looked so great on Friday makes it so much harder to accept the huge turnaround on Saturday. It’s becoming harder and harder to stay positive right now, so please say an extra prayer for me!

Thursday, March 19, 2009

Reinforcements arrive!

It's 8:44 on Wednesday, March 18, exactly one week since this wild rollercoaster began. This is the first day I've been able to go without crying hysterically at the drop of a hat (so far). My parents arrived today and joined us at the hospital. I don't care how old you are, a gal still needs her mommy!!!

We got a call at 3am that the air had reaccumulated in the pocket around Lawson's heart (pneumopericardium) and they would have to install a more permanent catheter to help with draining the air. They called again this morning to let us know that it had been installed and he came through just fine. That boy is definitely a fighter! :) We waited at home until my parents arrived and then got Lacey all settled with some very good friends, before we went to the hospital today.

We went in to see him in pairs; my mom and I went first, then my dad and Brian. To me, he looked great today, but it was a shock to my mom, who had only seen pictures of our little man. Seeing him surrounded by all those machines and attached to them with dozens of wires and tubes is a little overwhelming at first. We arrived just in time to watch the nurse do a 'work up', which is when she checks all his tubes, moves some of the monitors around, changes his diaper, and basically checks that everything is as it should be. She let me help her change his bedding today and I got to kiss his perfect little toes when she was changing the blood pressure monitor on his foot! Aaaah, what an amazing moment! :) (Since he's on 'minimum stimulation' we're not really supposed to touch him.) He was off the paralytic, so he was much more awake and aware than usual. He opened his eyes several times and even moved his right arm and his feet a little. It felt so amazing to see him actually moving! I realize that it's safest and easiest for them to care for him when he's paralized, but I just can't stand to see him that way!

Overall, I would say it has been an amazing day! My mommy's here to take care of me, Lacey had a fun filled day with friends, and we've come one day closer to bringing our amazing little miracle home!