This morning's wake-up call was a trip to have an echocardiogram done. We were not warned about having one last night, so it really was a surprise this morning. Apparently, one or more of the doctors wanted some very specific 3-D pictures of Rebekah's trunk and conduit to see if there was any infection growing inside her heart. We still haven't heard what the results are, but I'm going to assume that no news is good news. If there was a problem, we would have heard by now.
We had no sooner gotten back to our room after the echo then they told us we were headed to x-ray! I barely had enough time to get Rebekah the milk she was asking for! :) The x-rays were to check Rebekah's heart and lungs. Again, we haven't heard anything, so I'm assuming nothing was out of the ordinary. I will be requesting that we discontinue the chest physical therapy if her x-ray looked good. It is one more interruption in our day that we can do without if everything looks as good as the therapists say she sounds.
When we got back from x-ray, I had a few minutes to feed Rebekah some breakfast, then it was time for the doctors to come in for rounds. Not much new information there. A few days ago, the doctors had thought that we might be dealing with a virus of some sort, but the fevers have gone on long enough that there isn't much chance of this being viral. Dr. Hlavacek said that it's about a 50/50 chance of ever determining what these fevers are caused by. He said a lot of the time, post-surgical fevers just come and go with no explanation. One day she could wake up and be fever-free and that will be the end of it. Or, it could be a sign of something else going on, and that is what the doctors are trying to figure out. Dr. Hlavacek said that when a fever gets higher, it is a result of a surge of bacteria (in this case) being let out into the body, and the fever is the body's signal that white blood cells are going off to fight the infection. So, ideally, he would like to get blood samples and cultures when Rebekah's fever is higher than 101 so they will have the best chance of figuring out what's going on. I'm not sure of all of the tests he is thinking of, but one is going to be a urinalysis to see if Rebekah has a UTI. She has never had one before, and doesn't really act like she has one now, but he's going to rule it out. Other than that, he said they were going to do some blood tests that were "a little outside of the box" to see if they can pinpoint this fever thing.
So, while I am very grateful that we are not dealing with something much, much worse, it is very frustrating to be here with no end in sight. Especially with an increasingly bored little girl! Rebekah is not able to go to the playroom, or interact with other patients because we don't know the cause of her fever, and we certainly don't want to spread something to another patient. We're just taking things one day at a time!
The good news is that one of the physical therapists brought a play mat and a bench so that Rebekah can be out of her crib and playing on the floor. We played on the mat for a couple of hours this afternoon. Rebekah is sitting very well without support, and she did a bit of crawling Rebekah-style today. We had wondered if supporting her arms to crawl would be too much pressure on her chest and incision, but apparently it did not bother her at all. She didn't even hesitate, so we are excited about that!
That's pretty much the latest from 781! Looks like we'll be hanging around a while longer!
Nancy