Wednesday, May 7, 2008

So here's where we are...

Deja vu.

Things are looking all too familiar for Olivia, again. Obviously she is on the vent again. She is on a whole lot of medications. She is back on a paralytic, 5 sedation/agitation medications, 2 antibiotics, 1 heart medication, 1 blood pressure medication, and nutrition through her IV, along with all of her home medications. They have also put on a somanetics patch on her back to monitor her kidney function and a BIS patch on her forehead to monitor how "awake" she is underneath all the sedation and paralytic. Her blood pressure is still teetering here and there, but her heart rate is slowly coming down and her oxygen saturations are so-so.
Anyway, she has a room full of machines - again.

They did the echo of her heart this afternoon. It did show a significant change over the last 2 months. Her sub-aortic stenosis has gradually gotten worse and her mitral valve leak has gotten quite a bit worse. The debate, as usual, is when to do the surgery, whether to do both defects at the same time, and whether to replace or repair the mitral valve. It seems to me they will wait until her cultures come back. If anything comes back showing infection, I would assume they'll hold off until she is over this hump. If she doesn't show any signs of infection, this is probably all signs of congestive heart failure and I think they would be more likely to do the surgery sooner. Again - that's all in my opinion, so we'll have to see.

We'll pray for a calm, peaceful, and consistent night and see what tomorrow brings.

3 comments:

threekidchaos said...

What a difference a day makes. I hope the dr's can agree on a treatment path soon so Olivia can get back to being healthy. We'll cheer hard for Jack at tomorrow's game. As always, if you need anything, just call.

Kristen

Adam said...

My thoughts and prayers are with you and Olivia.

I too had aortic stenosis. The valve disease went severe on me and I had to have double heart valve replacement.

Doing very well now, though.

Again, healthy prayers are on their way to your family.

Thanks for sharing,

Adam

the*4*of*us said...

I visit you guys often through Judy's blog--I just wanted to let you know that we are praying for Olivia!