Everything Happens for a Reason

I do truly believe that everything happens for a reason.  And with Finley - we believe that more than ever.  But we've now had a couple situations in the last 9 (almost 10) months where we have found things out as a fluke.  Before Finley was discharged after her heart repair surgery - she was supposed to have a full echo done.  Well they were never able to complete hers because she threw such a fit while they were trying to do it.  But since those echos are just meant to be a final baseline and because she seemed fine and her saturations were good, etc - she still came home.  Rewind to last weekend in the ER.  We went in because Finley was super fussy and inconsolable, breathing heavy, sweating profusely, etc.   All of her labs checked out fine.  And when they came in to do an echo, she just happened to be asleep so the limited echo they had ordered turned in to a full blown echo since she slept through the whole thing.  That echo revealed this pressure (90% - 'alarming' level) in her pulmonary valve which, wasn't the reason we were there and I have just been wondering these last couple of days what might have happened and how we would have otherwise found this outside of something really terrible happening,

And as you now know from my brief post last night - Finley came home just in time for the weekend!  The doctor had sort of mentioned the possibility very nonchalantly on Thursday, but I hadn't seen her all day yesterday until one and I had really lost hope at that point that there was any chance in the world.  What a nice surprise!  Finley had a repeat echo yesterday afternoon and it showed that her pressure had gone down a bit further - from 50% to 45% now so the Propranolol has succeeded in cutting that pressure in half!  We just pray that it continues to work well for her.  We are so happy they took the chance to try it.  The funny thing that I have been marveling about since her re-admission is the sweating that had been plaguing her since her surgery - is gone - and it stopped abruptly the day she began taking the Propranolol.  I had mentioned this issue with the sweating to the nurse practitioners a couple of times before her previous discharge - and there can be lots of causes of sweating and they theorized that since she's just had a big change to her anatomy, that is probably what was causing it.  The interesting thing is that cardiac patients pre-surgery tend to sweat a lot because their heart is working extra hard for them.  I am pretty sure all of the doctors think I am nuts because I've not been able to get one of them to confirm my theory, but I just feel like this medicine had to have been the reason it stopped.  When I say she was sweaty - we are talking hair soaking sweating - all of the time.  One of the days before she went home the last time, I was holding her during a nap and when I put her back in her crib - the front of my sweater was wet - so much so that it looked like I spilled something on myself.  And this is how she was most of the time post op - her head was drenched with sweat and the rest of her body was cool and clammy.  I am happy to say - she is sweat free and to be honest - I think her lips and cheeks are a little rosier as well.  So its interesting to me as much as she seemed to be so much different after surgery - it turns out there were still issues we didn't even know were there.  Amazing (and extremely scary at the same time).  So now we wait and pray that this medicine continues to work for her...

Finley still continues to have some tummy issues because they have switched up her antibiotic for her kidney reflux and they've started a new one for the c. difficile. I had been pushing for the previous two days to start her on a probiotic.  This is something we used for Nate when he was having tons of ear infections and the antibiotics were wreaking havoc on his stomach - and I felt like they really worked.  Probiotics aren't something the hospital uses a ton, but the nurses had seen good results in the limited times they used them so they helped me to stay on top of the doctors until they got some for Finley.  The probiotic we are using, Culturelle, is over-the-counter but I just wasn't sure if I could put it in Finley's g-tube (for fear of clogging it) or not.  I am hopeful that this will help not only make her tummy feel better in the short term but also help beef up her immunity in the long term.

I had to take this picture because for some reason, the green lead is ALWAYS her favorite and she always takes it off.  Its also the only one where, if you take if off, none of the others work.  The green lead can frequently be found in Finley's mouth.

While I had been hopeful that Finley would come home yesterday, I have learned my lesson never to say anything to Nate unless I know for sure.  He's been taking it pretty hard when she gets hospitalized and so I really wanted to surprised him yesterday when I picked him up from Grammy's by bringing a special little friend along.  And so Finley and I decided to wait out the rush hour traffic and left the hospital around 6 and stopped at Grammy's on the way home to get Nate.  The funny thing was Nate wasn't at all interested in seeing me - he wanted to stay at Grammy's!!!  That was until he saw who was in the car and then he was super excited and immediately began "sharing" his toys with Finley.  He is just such a sweetheart and loves her so much.  Watching them interact is one of the best things in the world.

Just squeezing in one more nap before I go home.  I am loving this little nest my nurse made for me.
This morning, I am just getting ready to start Finley's spa day.  We do this every time she gets discharged because girlfriend needs a little TLC!  We start by cutting her nails and then I give her a nice long bath, get all of the adhesive off of her skin (from the tape and bandages, etc) and then I rub her down with lots of good lotion and I blow her hair dry for her (I know this sounds crazy but for those who have seen Finley even remotely recently - this kid has TONS of hair and it takes forever to dry on its own).  And so now I am off to pamper my princess!

Have a wonderful weekend!

1 comments:

Jodi said...

Yes, everything does happen for a reason! You are finley's parents because God knew your strength, love, and compassion was the perfect medicine for her!

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Finley's Medical History

Born on 8/8/2009 - Finley is taken to Children's Memorial Hospital via the transport team 12 hours after she is born.  She is having trouble breathing and is turning blue.  She is immediately admitted to the NICU.

8/9/2009 - Finley is diagnosed with Tetralogy of Fallot, a congenital heart defect and laryngomalacia, a condition that causes her to aspirate whatever she swallows in to her lungs.

8/21/2009 - Finley has open heart surgery to place a Blalock Taussig shunt to help facilitate proper blood flow.  When she is older, she will require a full repair of her heart.

9/10/2009 - Finley is released from the NICU.  Because of her laryngomalacia and reflux, she is fed 100% through a nasal gastric tube.

9/14/2009 - Finley is re-admitted to the hospital for an infection in her surgical wound.  Finley's genetic test comes back - she is diagnosed with CHARGE Syndrome.

9/15/2009 - During a CT scan to assess the infection, the doctors notice something strange on her CT.  It appears Finley has a malrotated bowel and will require surgery.

9/23/2009 - Finley is examined by the opthalmologist and she is found to have colobomas, a condition common with CHARGE Syndrome, in both eyes.  The degree of her visual impairment is unknown.

9/30/2009 - Finley has the Ladd's Procedure to correct the malrotation and also has a g-tube placed.  

10/7/2009 - Finley has a sedated ABR to check her hearing.  She has a mild hearing loss in her right ear and a moderate to severe loss in her left.  Her loss can be at least partially corrected with hearing aids.

10/8/2009 - Finley is supposed to be released from the hospital today but she has been having low blood sugars.  The endocrinology is called in to evaluate her.

10/29/2009 - Finley is finally released from the hospital with a unconfirmed diagnosis of hyperinsulinism.  Actual diagnosis requires fasting blood tests - because of her heart condition, it is not safe for her to fast.  She needs to have her blood sugar tested every three hours and we are taught how to administer an emergency glucagon injection in case her blood sugar gets to low.

11/1/2009 - Finley requires emergency injection because she cannot sustain her blood sugar.  She is taken to the local ER and transported via the transport team to Childrens Memorial.

11/10/2009 - Finley is discharged from the hospital on a 24 hour continuous feed.  We add polycose to her milk to help her keep her blood sugar at an acceptable level.

11/22/2009 - Finley is taken to the local emergency room with a bad cold - she is having trouble breathing and her oxygen saturations are low.   She is transported via the transport team up to Children's Memorial.

11/25/2009 - Finley is released from the hospital - just in time for Thanksgiving.

12/8/2009 - Finley is taken to the local emergency room for observation - she has a bad cold.

12/21/2009 - Nate is chasing the dog and the dog runs in to Finley's IV pole, knocks it down and pulls out her g-tube.  She is taken to the ER at Childrens to have it put back in.

2/10/2010 - Finley is admitted through the ER at Childrens - she has a bad cold again.  Oxygen saturations are low and breathing is labored.

2/13/2010 - Finley is released from the hospital.

4/17/2010 - Finley is taken to the ER at Childrens - she has pus draining from her belly button.  They suspect a urachal cyst - they send us home with orders to return on  Tuesday (during our scheduled visit) for an abdominal ultrasound.

4/20/2010 - Finley is admitted to Childrens for an overnight stay.  She will have a swallow study and abdominal ultrasound on Tuesday and a CT and sedated echocardiogram on Wednesday which will require anesthesia.

4/21/2010 - The anesthesiologists have trouble intubating Finley, so they call in her ENT to have a look at her.  He observes that her airway is 75% closed off - partially due to scar tissue from previous intubation and partially due to an infection.  The diagnosis is subglottic stenosis and may require her to have surgery on her airway.  She is immediately admitted to the PICU and put on a 24/7 breathing treatment and antibiotics and steroids to help reduce the inflammation.

4/26/2010 - Finley is well enough to be taken off of all oxygen.  Immunology and Infectious Disease are called in to examine Finley because the culture of her throat are growing staph and strep.  Infectious Disease is trying to figure out what could have caused her infection.  Immunology labs will be drawn to determine if Finley has an immune problem which sometime occurs with children with CHARGE.  This is the second significant infection she has had since she was born.

4/27/2010 - The lab calls to say that they mis-read Finley's airway culture.  It's not growing staph - its only growing strep.

4/28/2010 - Immunology labs are back and don't show anything significant.  Finley's lymphocyte counts are low but that isn't unusual for a child who is fighting an infection.  The doctor wants to re-examine her before her first birthday.  In the meantime she cannot have any live vaccines.

4/29/2010 - Finley is discharged from the hospital.  The ENT will do a bronchoscopy before her heart repair surgery to determine next steps on her airway issue.

5/11/2010 - Finley has open heart surgery to repair her heart.

5/17/2010 - Finley begins to show signs of infection which is later identified as a urinary tract infection.

5/25/2010 - Finley is discharged from the hospital.

5/30/2010 - Finley goes to the ER at Childrens because of fussiness, sweating, heavy breathing.  And echo later identifies that the pressure gradient around Finley's pulmonary valve is an astounding 90%.

6/1/2010 - Finley is admitted to Childrens to try a medication called Propranolol to help ease the pressure in her heart.

6/2/2010 - The Propranolol brings the pressure in Finley's heart down from 90% to 50%.  Finley has a positive test for C. difficile which will require antibiotic treatment.

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