Thursday, June 25, 2009

Big Ups




Much positive progress today for little Ella.

Mommy got to hold her for the first time, which was a big treat - both mommy and Ella will sleep better tonight...

This was possible because Ella's blood pressure has stabilized, and she has been taken off of all of her drug drips except for antibiotics and the electrolyte solution that feeds her.
Also a major accomplishment - she had her first bably poop today.
Tomorrow morning she gets a belly scan, and if things go well we may be able to take out the breathing tube and start feeding her!

More detail follows below if you dare...(warning, getting dangerous with medical jargon...)

Since birth, she has had problems maintaining a good blood pressure (causing mommy much heartache over all of the monitor beeping when the pressure swings low). She has been getting lots of drugs (dopamine, dobutamine, and hydrocortisol) to bring it up. Over the last few days her bp has been getting better, and the doctors "ween" her off of the drugs by reducing the amount gradually. Today, all of the drugs are DC'd (discontinued), and her blood pressure has stabilized!

As of yesterday, she had two IVs - one going into her arm and one into her leg, and also an arterial line which fed a tube from her other arm into a main artery. And, an O2 sensor on her foot, a skin temp sensor taped to her underarm, heartrate and breathing sensors taped to her chest. Into her throat goes a suction tube down into her tummy, and a breathing tube into her lungs. By this morning, they removed the arterial line and one of the IVs, so there was much less stuff trailing off of her. We are reminded of yesterday - she had up to seven drug pumps running on her all at once, now down to two!

Her belly is also getting some attention today. Doctors came by several times to check out her ostomy (her small intestine now pokes out the side of her belly and drains into a plastic bag - eventually they will do further surgery to connect her back up with her proper poop hole). They flushed it out with a small tube and pulled some sticky green goo out. Also, she had her first poop! This is a good sign that at least her meconium (baby poop) is starting to loosen up. She will get a scan of her upper GI (gasto-intestinal?) in the morning, and possibly inject a solvent which will help to dissolve the goo in her intestine. Once this stuff is cleared up, we should hopefully be able to remove the breathing tube and start feeding her.

We miss home, but the doctors and nurses here have been great. We are staying at the Ronald McDonald suite in the hospital, which is really amazing - tonight was pizza night (donated by Papa John's).
Thanks for all of the thoughts and prayers.
Love, Bill Denise Ella

5 comments:

  1. OH MY GOSH!!! Denise and Bill...Ella is truly a miracle baby. I am so happy for the two of you and denise it made me tear up to see you with your precious angel... i love you so much and I cant wait to see you guys.

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  2. Denise, Bill, and Ella! What a wonderful update. I am so happy to hear that Ella is doing so well. I know that you both must feel very relieved and able to relax a little now that she is doing so much better. I am so happy for you Denise to be able to hold your little baby! The pics are great! You look so very happy! We will continue to pray for you all! Hugs to all of you!

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  3. Dear Denise & Bill, We wish you the best in continuing improvement of baby Ella's health. It must have been so good to actually hold your little girl finally. Thank you for sharing with us - it makes me again realize what's important in life. Lots of love and thoughts coming your way, Sincerely, Jean & Read.

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  4. Denise & Bill,
    James and I are so happy to hear that baby Ella is doing continuing to improve. She is a little fighter and seems so alert in the pictures. We are also happy to see that the both of you were able to hold her. We will continue keep all of you in our thoughts and prayers.

    Dee Ann & James

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  5. Dear Ella, Denise, and Bill,

    We're thinking of you and sending you lots of love, all the time.

    Kathryn and the Food Science team

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