Recovery- Day 8

Dr. Wells came out at 12:30. Everything went as expected. Only one scary, little surprise. 

Having his diaphragm fully expanded for so long caused his right lung to partially collapse. After plication, his lung returned to normal. 

We were able to go to Santi's new CTICU room around 1pm. I've been laying with him ever since.  

He has a 3 inch incision across his ribs. They removed his chest tube, but placed a new one lower on his belly. So many battle wounds for our little warrior. 

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Recovery- Day 7

We are one week post op, but it feels like we've been here for months. We spent the first four nights in CTICU (cardio thoracic ICU), the next two in a shared room (not fun) in CV Acute and last night we were moved to private room, yay! 

We had another restful night of sleep. They really respect our wishes of not disturbing him while he sleeps. We no longer have to wake up at 3am for meds. Hooray!

Santi started today off with a trip to "Mommys bed" by the window. He enjoyed the change of scenery and sunshine. 

My gorgeous boy

My gorgeous boy

sweet cards and posters from our stroller strides friends decorate his room

sweet cards and posters from our stroller strides friends decorate his room

Daddy recreated his favorite scene from Cars for him

Daddy recreated his favorite scene from Cars for him

But the fun stopped there. 

The surgery team came in late this morning to inform us that Dr. Starnes agrees with the cardiologists that plication of his diaphragm is necessary. He is scheduled for surgery tomorrow, mid-day.

They will access his diaphragm by making a new incision on his right side and separating his ribs. Then they will suture his diaphragm down so it no longer expands. I can't tell you how sad and angry Abe and I are over this.

Paresis of the diaphragm during open heart surgery is fairly common, but it's also avoidable if they are cautious of the phrenic nerve. At some point during his Fontan, his phrenic nerve was disturbed or damaged causing his diaphragm to expand in a state of shock or paresis. It might/maybe/possibly heal itself over time, but that isn't guaranteed. And until it does, it's crowding his lung. As you can imagine, that's a very dangerous scenario for a single ventricle kiddo. 

Our little guy has been through so much. The suffering feels endless. We know this is necessary. We know this is temporary. We know we will get to take him home soon. We know we will see him running and playing again. But man, enough is enough. Blessed are the families that never have to see their child experience this type of pain. 

Please continue to send love, prayers, positive energy and healing thoughts to Santiago.