Thursday, September 17, 2015

3 surgeries, a plate, and a new dx

So, I've been MIA for awhile and I am sorry. I have come on the computer to write this and the tears start flowing and I have to leave. Why is it so hard to write about your day/week? There have been some major happenings with Amelia in the past 7 weeks. 

July 30th Amelia had a big surgery. She FINALLY got a plate put in. The surgery went better than expected because her PS and NS were able to shift her brain over and she doesn't have a bulge anymore. This is big because now she won't need as many reconstructive surgeries as anticipated and we can wait a few years before needing to address anything. Her head is actually indented, when it's not filled with fluid. Yes, you read that right. 

Amelia had a rough time after her surgery. Normally she is in the PCCU for 24-36 hours and then we are in a regular room. Her head wouldn't quit drain blood for almost 5 days. They finally removed the tube because it was a bigger risk keeping it in. For over 5 days we were not allowed to hold our child. That was rough. I wasn't sure how I felt about them removing the drain, but needed to hold my sweet baby girl. The fluid pooled on the top of the plate, but her NS assured us that it was fine and normal and in a few days it would go away via the shunt. 

We were discharged on Wednesday, Friday we were in the ED.  She kept running a fever and it wouldn't break. They were pretty certain it wasn't a blood infection or CSF infection but because she had something going on she was admitted. We saw her NS Monday morning and she had surgery that evening. He did a shunt revision, replacing the catheter that goes into her head. He also drained her head. Things seemed to finally be looking up for us. 

We went home Tuesday and that evening Amelia got sick for the first time ever. She was lethargic and not herself. We watched her and by morning she was doing better so we just kept watching her. A week passed and her head finally started draining on it's own. It was pretty much completely drained for a few days and then all of a sudden it just plumped back up. Her NS was in Europe and unless it was an emergent matter they wanted us to wait for him. Amelia is such a rare and unique case it is better, even for just a shunt revision which is a common thing for NS, to have the person who has been with her since the day she was born. 

So we waited, and waited. She had a CT scan on the 1st of Sept and we were scheduled to see her NS on the 10th. When we saw him he already had her being scheduled for surgery for the 16th. He changed the setting on her shunt since her ventricles are so small in hopes of increasing the fluid that goes to her shunt rather than coming out and sneaking on top of her plate. He we hoping that would do the trick. If not, surgery. First goal was that the shunt wasn't working. Then it would be an easy fix and he would know the problem. If the shunt was working then he would put a tube on top of the plate and tie under the shunt so the fluid can drain straight down. Worse case is that none of these things work. Then he will have to go in, with her PS, and remove the plate, figure out where she's leaking from, try to fix that, replace the plate, and pray that works. I am glad there are plans just in case, but praying we don't need them. 

Surgery was yesterday. She did great. Her catheter wasn't flowing as it should have been, not completely blocked, but on its way. So he replaced that. He also doesn't want to be back in the same situation in a few weeks, so he put the tube on top of her plate and tied that in. We are now praying that there will be no more fluid collecting. The longer there is fluid there, the longer it will take her skin to stick to the plate and do its job. This morning there was fluid starting to build, so we have to wrap her head all day and hope that it pushes the fluid out. 

This little 21 month old precious girl went through 3 brain surgeries in 7 weeks. That's more than anyone should have in a life time. The surgeries are starting to get to her. It's taking longer to recover. I am hoping that she is going to be back to herself soon, because these past 7 weeks have not been fun. We do try to do things with her, like go to the zoo (where she was kissing a goat lol), but it's hard when she doesn't want to do much. 

On top of all the surgeries she was also dxed with chiari malformation. Now this is a condition that a lot of people have, but would never know unless they got a MRI. For Amelia, she has chiari I, which is what is common with people. Hers has just developed, as she has plenty of MRIs to look back at. Right now we don't need to do anything with it. Basically, her brain is starting to grow down her spinal column. Since hers is just starting no surgery is necessary. We will continue to monitor it. Hopefully with shifting her entire brain during her plate surgery will do enough to help maintain this and it will not progress to a higher level. 

So that has been our past 7 weeks. Lots of time in the hospital, lots of cuddles (or cuggles as my bug calls them), and lots of Oh Maria from Sister Act. Yes, my child loves that song. She refuses to really watch tv or movies, but put that on and she sings and claps with them. She sings along, hits long notes with them, double claps with them. It is so cute!! She also will pray now on her own. "Dear God, thank you food, mama, daddy, help walk, amen" Sometimes when she is really hungry it is "Dear God, walk, amen" I so love this little girl. 










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