Saturday, August 25, 2007

Please Remain Seated

Ladies and Gentlemen...please remain in your seat until the ride comes to a complete stop! Well..evidently, our ride is far from over.

So, this morning Kate's blood test showed that her liver enzymes were rising and her blood platelet levels were down. She didn't eat well for the night nurse either. So, the intensivist came in around 11 and told me he wanted to run several tests.

1. Send blood and urine cultures to check for infection
2. Call in a gastro-intestinal doctor to do a liver/kidney ultrasound and consult
3. Call the cardiologist to do an echo
4. Start more antibiotics

So...after more phone calls to Andy and mom...the tests began. I was pretty overwhelmed and was not catching everything they said. I never knew there were so many numbers and levels in the liver. The liver ultrasound showed some extra fluid and acute damage..consistent with her arrest on Tuesday. The cardiologist did the echo and his opinion was that she was in right heart failure....basically, the right side of her heart is not working properly and is not pumping the blood in an efficient effective manner. This is causing a build up with the liver. He wanted to check with another cardiologist on Monday and determine if the problem is directly related to the anatomy of her heart.

It was pretty overwhelming....not quite sure what to think of all of when I asked if transplant was ever considered, he said if she doesn't' get better, it may be something to talk about. Andy, bless his heart, did the 2 hour drive to Indy, at top speed, not sure what exactly was going on with Kate. He was at school attempting to do some plans when I called to let him know the news. Nana, once again, jumped in the van and made the drive to rescue her crying daughter.

So...a long afternoon of wait and see and worry and wonder and every other terrible feeling of anxiety with Kate' s health. Melanee came for a "fun visit" with just the girls only, to walk into a room filled with frightened faces. She and my friend Sharyn took me out for dinner and a break...while we were gone Nana and Andy got some good, encouraging news from the night doctor.

She thinks that this is what happened earlier this week. Basically, the Milrinone (heart medicine) had worn off and this caused her heart to not work effectively. This built up enzymes and toxins in her body, causing the arrest. She was back on the Milrinone when she came back in Tuesday and was taken off yesterday...once that wore off, again her heart was ineffective. The good news, is that this is treatable...with Viagra non the less. That medicine would help to relax her blood vessels so that the blood could flow easier. As she grows the pulmonary arteries will grow and allow better flow and effectiveness out of her heart. We will know more once all the cardiologists and surgeon POW WOW on Monday. The gastro doctor said that once the heart works effectively, the liver follows along and gets better. Evidenntly, the liver and heart are really affected by each other.

So...we are feeling better right now...optimistic that we can conquer this and bring Kate home, safely at some point, once all this is resolved. It's a crazy world here in the PICU. A huge thanks to everyone who once again stepped up to the plate to help us in a day of crisis....especially Uncle Doug for keeping Seth.


Judy Davis said...

Krista & Andy, Wow! You
certainly have interesting
bolgs but not so happy ones sometimes. My heart cries for you as you discover how the heart and kidneys work together. Prayers are with you. Love, Judy Davis

Rachel Bell said...

God is a safe place to hide, ready to help when we need him. we stand fearless at the cliff-edge of doom, courageous in seastorm and earthquake, before the rush and roar of oceans, before the tremors that shift mountains.

jacob-wrestling God fights for us ,
God of angel armies protects us.

attention, all!! see the marvels of God! He plants flowers and trees all over the earth, bans war from pole to pole, breaks all the weapons across His knee.

be still! cease striving! take a long, loving look at me, your High God, above politics, (above hospitals), above everything.

jacob-wrestling God fights for Kate,
God of angel armies protects Kate.

--psalm 46 (the message/NIV/NASB)

Anonymous said...

"Serenity is not freedom from the storm, but Peace amid the storm." (Author Unknown)

Wishing you the Blessings of Peace and Serenity this day.

Love and Hugs for All, --Susan

Anonymous said...

Whew, your life is like a roller coaster...sometimes you enjoy the ride and other times you just want to jump off and stop! The last bit of news sounds so encouraging and I'm so thankful for talented doctors who can figure all this out! Your strength, courage and love of family give all of us smiles and much hope!!:)