Monthly Archives: July 2015

Postop Day 3 – Evening

Zayne was much more comfortable with the pre-medication before her 4 hour drip.  I’ll make sure she has the pre-meds prior to the next 2 sessions.

Even when the nurse wanted her to use the diaper, Zayne insists on using the toilet.  She took a long walk to the other side of the CICU.  She kept asking me to pick her up, but the nurse insisted on Zayne walking herself.  Zayne wasn’t shaking, and I told her that she needs to pass an exercise test to get out of the hospital.

The central line in her groin will be pulled on Friday. I start training on Friday on how to deal with Zayne and her meds.

20150702_171730Here’s the incision.

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Postop Day 3 – Noon

We got the room all packed up for the move only to have a last minute change to keep Zayne in the CICU since they had an available bed.  Arterial line removed and I got to witness my first arterial spray

The 4 hrs drip has started, but this time she was premedicated to help reduce side effects. 

The change from IV to oral medications are causing issues, as I expected.  She doesn’t want to open her mouth and dislikes constantly having people telling her what to put in her mouth. Or the constant lies “honey, this won’t hurt at all”.  She is tuning everyone out and won’t talk except to hold out her arms and say ‘Mommy’ – my queue to be in bed with her.   I’m pretty sure she would give everyone the finger if she knew how.

1:45 pm – on the 4 hrs drip and sleeping peacefully.

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Post-op Day 3 – morning

Last night was the fewest interruptions and minimal beeping.  Between 1 and 2 there were 2 trips to the potty, and that takes 2 people besides Zayne.  At 6 am, she was feeling well and got up on her knees in bed – she was ready to bolt.  Zayne said her stomach hurt, so the nurse was about to give her an IV med to settle her stomach.  It was a good thing that I woke up to hear them talking , because it turned into the first #2 trip to the throne.  I just needed to ask Zayne why her stomach hurt.   She was planning on sitting in a chair, but was pretty tired from her walk.  Her walking is much improved from yesterday.

Zayne was chosen to move to the “annex”, because her bed is needed.  The Cardiac Intensive Care Unit (CICU) is full, so she will be moved to the Cardiac Care Unit (CCU) but will still remain a CICU patient. We will move around 9 am, before she is hit with today’s tough medicines.

I hope I won’t get in trouble for sleeping in her bed

20150701_104440

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2nd Day with New Heart – Late Night

Today had significant milestones to poop on Mommy.  The swan catheter measure her pulmonary pressure.  It was strange to look at the yellow tube that was pulled from her neck and realize that just seconds ago it was in her1435813468741 right atrium, right ventricle, and pulmonary aorta.  Next accessories to be pulled were the chest drain and electric leads (also on her heart).  A little morphine was needed to help this procedure which included a small stitch at the drain site.

 

No more bedpan.  Zayne insisted on going to the potty.  She walked for the first time with her new heart on very shaky legs.  It took 2 people to help her walk – I helped her walk but made sure I wouldn’t lift her from under her arms if she fell.  The nurse pushed the huge med poles that are tethered to Zayne via tubes and wires.

Wiping out the immune system is an itch (and a word that rhymes).  Last night Zayne had a medicine which made her pretty sick.  Today, a 6 hour dose of a different medication to continue the 4 day process.  Her poor little body is being brutalized by these drugs.  She feels awful and is lethargic.   Once her immune system is gone there will be 3 months of tweaking medications to find just the right dosage that will keep her new graft (heart) from getting rejected, but leave her with a little bit of an immune system.

After having more drugs to help counter-act ill effects, Zayne went for her first walk down the hall.  She was pretty shaky, but managed to go a short distance.  I know she isn’t feeling well because she had no interest in picking out a toy from the ‘treasure box’, and wasn’t interested in playing on the iPad.

Grancie helping Zayne walk down hall

Grancie helping Zayne walk down hall1435813616744

 

After a nice nap and a little Pediasure, it was time to take oral meds as some of the IV meds are switching to oral.  I had asked for help with getting Zayne to take her meds, and a child life services specialist brought me a reward page and stickers.  I have no idea how to use choices and rewards when the kid doesn’t respond except to shake head ‘no’ and squeeze lips shut.  One of the meds must be taken at an exact time, and the nurse ended up forcing the meds into her mouth.  The PTSD begins.

Payback begins too.  I was comforting her when she claimed her stomach hurt.  I told her that was because she was crying, but quickly realized she had a new heart so that shouldn’t be the reason.  Then I smelled something weird and realized my hands and stomach were wet.  Sick medicine poop.  Her stomach stopped hurting and she didn’t even know what had happened. She is out of it for now.  Hopefully, she will be lucid in the morning and we can try walking again before she is hit with another 4 hr does at noon followed by the 8 pm dose.  Thursday is not going to be a fun day.   The final dose will be on Friday.

I’m all for getting pooped on if it makes her feel better.  Medically, she is doing amazing and that little heart is beating strongly.

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2nd Day with New Heart – Early Morning

It was wonderful to have a lucid conversation with Zayne at 4 am when she was feeling good.  She wanted to get out of bed and go for a walk.  She still looks like The Borg with her wires and tubes coming out of her body (especially the large, central line in her neck).  We were going to swap going downstairs for a chair in her room, but the nurse did not want to attemp without giving her some Tylenol and Oxy.  After bargening iPad time in exchange for taking medicine, she promptly fell asleep.  Zayne started out by asking for 31,000 movies, but I managed to convince her to take 1 short movie and some learning games.  I am not looking foward to having to give her multiple drugs every day.  Right now, all the blood draws (multiple each day) and most of the meds are easy, because they are just done through her existing lines and IV.

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