Page 49 - Journey of Hope by Raymond Moldenhauer
P. 49

DAY91








                                                                                               HUGE ROLLER COASTER FALL



                                                                                              Early this morning Heidi noticed that Alyssa’s stomach was
                                                                                              extremely distended, so she called for the nurse.  A
                                                                                              measurement revealed that it had increased in circumference
                                                                                              from 27 cm to almost 34 cm.  The Nurse Practitioner requested
                                                                                              that Alyssa be immediately moved from the PICU back to the
                                                                                              NICU.  Barium X-Ray was taken to see if there was a blockage
                                                                                              from an abrasion (scar) on the intestine.  The X-ray was not
                                                                                              conclusive though.  So, a Surgeon was called in to discuss the
                                                                                              situation with the Neonatologist and Care Team.  Since none
                                                                                              of the other clinical signs (pain, discoloration,….) were
                                                                                              evident, they decided to wait and see if the stomach would
                                                                                              begin to shrink (they were suctioning off the gas), the
                                                                                              inflammation of the intestine would begin to decrease, and
                                                                                              the blockage would begin to clear.  None of them wanted to
                                                                                              do surgery if they could help it. This close after the initial
                                                                                              surgery is not a good time.

                                                                                              Kathie had spent the night with Heidi, so she called me
                                                                                              around noon to explain what had happened.  I left work and
                                                                                              once again tearfully drove to Wilmington, not knowing what
                                                                                              the day would bring.  Alyssa was hooked up to IV’s, had the
                                                                                              suction tube in her nose, and the nasal canula taped back on
        Yesterday I closed my e-mail with:  “There has been some                              her cheeks.  She was extremely bloated.
        talk among the care team that Alyssa could possibly be
        going home by this weekend.  We will see what tomorrow                                Alyssa barely cried and appeared to be in no physical pain,
        brings.”  But, unfortunately, tomorrow came and it’s still                            although she did grimace now and then (most likely from a
        raining.  None of us could have possibly expected what                                hunger pain).  And in the midst of this trauma to her body, she
        happened today.  We thought we were near the finish line.                             still managed to crack a smile now and then - a blessing to her
        Instead, we are facing another possible emergency surgery                             mom, dad, and especially her Gammy.
        first thing tomorrow morning.
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