Roller Coaster



Finley watching Nate's "DDD" with him (and holding hands!) - so sweet!

So I guess this is what I get for it taking me three weeks to update this blog.  When I look back at my last post - and how I talked about how good Finley has been doing and now here I sit typing this in room 229 - the PICU at Children's.  Finley started coming down with some cold symptoms on Tuesday night - tons of coughing and Mike and I were up half the night trying to suction her and hold her upright so she could fall asleep.  At that time, I wasn't overly concerned as Finley has fought off two colds this season and got over them quickly - I assumed this would be one of those colds.  Needless to say - it is not.  Wednesday I had to be in the city all day in a client meeting and the took my client out to dinner that evening.  Gigi had texted me a bunch throughout the day and Finley seemed to be holding her own but at the end of the day she sent me a text saying she didn't like the way Finley was breathing - fast and shallow.  When I got home Wednesday evening, she was awake, not coughing much, and while she was working a little harder, it didn't seem to bad - probably because, bless her heart, she was still in a good mood - albeit pretty lethargic.  That quickly went downhill overnight - I tried suctioning her and it wasn't working.  She wasn't coughing much but her breathing had really begun to concern me.  Not only was she breathing very fast and shallow, I could feel her heart racing when I put my hand on her chest.  I sat in her rocking chair, holding her, and was contemplating whether she might need to go to the ER.  This is something I struggle a lot with as the mom of a special needs child - trying not to hit the panic button and trying to get myself to think about her as a normal child.  Maybe I was being paranoid. 


Bundled up to play in the snow after the blizzard.


Yesterday I had to be in the city with my client again and unfortunately - I was leading a strategy session with the client so I couldn't miss it - they traveled in from OH for the meeting.  Mike brought her to the pediatrician in the morning and they promptly sent him to the ER.  This was the first time I've not been able to be there and it sucked.  A lot.  As they began to triage her, they put the pulse ox on to test her blood oxygen level and it was 74 - extremely low.  This is even low by "pre-heart repair" standards.  Needless to say, Mike said at that point the ER doctors swarmed Finley.  They put her on 50% oxygen and immediately admitted her and had been contemplating between the 5th floor where she normally stays or the PICU.  Because of the amount of oxygen she needed to be on - they admitted her to the PICU.  Since then they've changed her from regular oxygen to a bipap which helps to break the oxygen in to smaller particles so it can get through her compromised airway and it also warms the air.  She is also getting Albuterol treatments every 2 hours.  They tried to switch them to every 4 overnight but she couldn't tolerate it and so they have stayed with every 2 hours.  She was running a fever overnight, which is now under control, but she's still having some issues moving enough air into her lungs and so they are watching her closely and will consider intubating her if she doesn't improve.  She seems to have more energy today though than she has in the last couple of days because she's VERY upset about having the bipap mask on her face and immobilizers on both arms so she doesn't pull it off.  My poor baby.

And so it is, this roller coaster we're on.  Hoping to be on the upswing again soon.  Please keep Finley in your thoughts.


Practicing standing in my snazzy shoes.

Trying out her new chair - kindly donated to our vision therapist Marla by another family.

"Hey, this is pretty cool!"

Nate thinks its pretty cool too.


Daddy and his girl.

5 comments:

Kristin said...

Tracy - I will pray for a speedy recovery for Finley. Let us know if you need anything!

Kurby Family said...

So sorry to hear you are down at Children's. Hope Finley gets better quickly. Thank you for commenting on our blog so I could find yours! Thinking of you guys and hoping you are all back home soon.

Jenni said...

Lots of prayers headin your way! Sure hope she's feelin better quick! Take care!

Evelyn said...

I'll be thinking of sweet Princess Finley, she is a strong and brave little girl....hoping for a speedy recovery! Go home soon! XOXO

Unknown said...

saw this on fb speicaly saw crystals reply to it hugs to you and hoping finlay and crys beautiful one can get out at the same tiem wouldnt that be marvelous

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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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