Monday, November 21, 2011

update for today

Today was a good day! Thank you Jesus! First, Elizabeth had her 1 week follow-up with Dr. Vlastos and he was very pleased with how she was doing. So that is a huge praise that Elizabeth has been recovering as well as she has after so much trauma to her body. We are so thankful.

Kellen continues to grow stronger each day and we are so thankful for this. Elizabeth fed him his bottle last night and he GULPED it right down in about 10 minutes. That was very impressive as usually it is a struggle to get the whole bottle into his little tummy. We can see how he is growing stronger each day! He also got to breastfeed and was able to get about 10 mL which is fantastic.

Carson had quite a day. Sunday night, he pulled out his replogle (that is his tube that goes down to his stomach from his mouth). He certainly is stronger than he was in the beginning. As a result, ENT and Dr. Yang were consulted as to what to do. He still has a healing incision internally from a repair to his pharynx after surgery. They don't want to accidentally cause damage to this area when trying to put down another tube. As a result, the decision was to take Carson to surgery tomorrow about noon to place a G-tube. This is a direct port into his stomach from which they will feed him until we can determine if he has nerve function and ability to swallow while still protecting his airway from aspiration. The G-tube can stay for much longer than a tube placed through his nose. As a result, he will have surgery tomorrow. They will also take out his IJs which are IVs into his jugulars from when they took off his ECMO. They are just lines into his bloodstream that will be removed. The doctors may also refit his tracheostomy b/c he has lost so much weight (PRAISE the LORD) that it isn't fitting as well. On a positive note, he continues to wean off his fentanyl (pain medication), they are stopping his hydrocortisone (another medication for blood pressure) are weaning off Lasix (medication to help him pee off fluid. He has down so well with getting rid of fluid he doesn't need this anymore), and he is down to 4 lbs 9 oz. We are so proud of him. That is such wonderful news. We also is weaning off his nitric oxide (and should be off that in the next 1-2 days). His heart is still enlarged on Chest X-ray. They believe this will get better with time. They also began therapy for his little neck and body. They didn't work with his neck, but wanted to see how he would tolerate working with his body first. He did great.

Praises:
1) Carson has lost a lot of fluid and gets to stop Lasix soon : )
2) Carson is weaning off so many medications
3) They started physical therapy
4) Liz and Kellen are doing fantastic

Prayer requests:
1) Safety for Carson tomorrow in his surgery and direction for the physicians
2) For complete healing for his ability to swallow and protect his airway from aspirating fluid into his lungs so he will be able to eat and breathe normally in the future
3) Specific nurses to care for Carson and Kellen that are familiar with their case
4) That Carson is comforted by Jesus as he weans away from pain medications
5) Continued strength for Kellen and ability to continuing feeding well

Thank you everyone for praying so faithfully!!!

Posted by Sarah

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