Tuesday, December 1, 2009

Oh, You Thought You Were Going Home, eh?

Looks like we are stuck here for a while longer. On yesterday's Echo, it showed that Kimble has a pericardial effusion. This means that there is fluid build-up around the heart. This fluid, if it continues in volume, can put pressure on the heart and cause problems with heart function.

There are a few paths we can take, to get this treated. First, it could resolve on its own. This is the hopeful option, but probably not the most likely. This effusion is the result of the shunt placement, and surgery, and isn't surprising that it developed. For our surgical team, they like to be a bit aggressive with their shunt patients, and get it resolved before it turns into a problem. Kimble would have to have surgery again, to place a drainage tube in the heart cavity, and although it is the most minor of the heart surgeries, it still means surgery, which involves sedation, ventilation, etc. It's like we would be starting over again, with recovery and everything. Major bummer. But it would need to be resolved, so ignoring the problem would only make it worse.

This course of treatment will be decided on in a few days for a few reasons. Kimble is showing no signs of suffering because of his effusion. He isn't feverish, unconsoled, showing high blood pressure or drop in saturation, vomiting, not eating, or in pain. These are all good signs. If one or more of these symptoms develop, the decision would be made for us and he would go to surgery.

They are also holding off on immediate surgery because he has been on such a high dose of blood thinners after his clotting episode last week. It would be dangerous to bring him into surgery at this time. Today, the doctors stopped his blood thinning medication. Now we wait a few days to either have the fluid resolve on its own, or have surgery to drain out the fluid.

Best case scenario, with things resolving on their own, we are looking at another week here, at best. Probably longer.

Coming from Sunday with our expected departure a few days away, to now, with another surgery possible, this news is disheartening.

16 comments:

runningfan said...

Shaina, I'm so sorry! let me know if I can help.

Maynards said...

BOO!

Shavonne said...

Hang in there Shaina! The time will soon arrive for when you can bring your little man home!

traci said...

be thankful they caught this before he went home and it got worse... i know its disheartening, but u still have that beautiful baby boy to love on...he is in the best place for now...we are praying

Adri said...

I'm so, so sorry...

Elise said...

I know it sucks to not be going home but he is safe in the hospital and it is the pits to go back after you have been home, thinking everything is fine. Your time in the hospital will soon be over. Just cuddle and kiss little Kimble now while you have him to yourself. Hang in there. You can make it!!!

Carol said...

How frustrating for you all - but as noted, it is much better they caught it now... Will be hoping for it to resolve itself on its own in the days they wait for the thinners to get out of his system... Will be thinking of Kimble.

Jeff and Lori said...

I'm so sorry he doesn't get to come home as soon as you were hoping. But I too am grateful they caught this now. Please let me know if you need anything!

Ryan said...

Ah, I'm so sorry to hear you have to stay longer. . . When does your mom leave? Does that complicate things? Wish I was there to have the kids come to my house! Lots of love and prayers. This is Nicki

kendra said...

Look at how beautiful he is!!

I'm sorry about your step back. That really stinks. I hope things will continue to improve quickly, though. Hang in there, you two.

Colleen said...

I am so sorry, Shaina! I know this prolongs things, but thankfully he's so well taken care of! Hang in there!

Jen said...

two steps forward, one step back is so hard. but he is getting amazing care and when it's time to go home you know he will really be ready.

Sara said...

I'm so sorry :(

courtney said...

We'll pray for the best! Love you guys!

dippyrooroo said...

I'm sorry Shaina. It's hard when you've got your hopes up to be so dissapointed. I'm still hoping the best case senario will somehow come to pass.
P.S. the kids are now not just praying for your baby, but that every baby born in the whole world will be healthy. :)

Julie said...

Wow- how disappointing! Are you back in the CICU? I sure hope things clear up and you can head home soon. I'll be praying for you!