My grace is sufficient for thee: for my strength is made perfect in weakness.  Most gladly therefore will I rather glory in my infirmities, that the power of Christ may rest upon me.       2 Corinthians 12:9

Saturday, November 6, 2010

Not out of the woods yet....

So overnight Rebekah was stable, albeit with high pressures. Today, not so much. She has been having frequent breakthrough periods of startling awake, which causes the pressures in her heart to jump dramatically. The LAP and RAP pressures that I talked about in the previous post (normal is high single digits, post-op normal is low teens, Rebekah has been running close to 20) are jumping up into the 50's during these startle periods that Rebekah is having. Yeah, that's super high and not really great on her heart.

The doctors have also been doing echocardiograms every six hours (at the bedside). Overnight, they noted moderate dysfunction in the right side of her heart. The good news is that it had not gotten any worse this morning. The bad news is that it has not gotten any better, either. You can be sure this is something that the doctors are keeping a very close watch on. They also confirmed that the conduit has narrowed, and they are watching it closely to see if it is narrowing any further.

Believe it or not, Rebekah's heart pressures and function are not the main concern of the doctors right now. The biggest concern is that Rebekah is not peeing. I mean, like almost not at all. Like only 9cc's over two hours. And that was her "big" amount of the morning. The previous hour was only 3cc's. Rebekah has been getting two "big gun" diuretics since midnight, and she is still way overbalanced in her fluid intake/outtake. That fluid is also contributing to the already high pressures in Rebekah's heart. She is also much more swollen today than when we saw her yesterday due to all of the fluid retention. There is another diuretic that the doctors are probably going to try later this afternoon if the noon doses of the other diuretics don't produce the results we need.

So, the two biggest concerns of the day are for Rebekah to start urinating (in large amounts) and for her to keep calm and still so the pressures in her heart don't skyrocket. As always, we will update with other news as things progress.

1 comment:

Lacey said...

Come on baby girl, give us some pee! Praying for a better day!