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.