DAY 32 – CPMC/CHONY PICU

We are still here. Faith had a roller coaster ride of a day.

Summary

  • All over the place today high blood pressure / low blood pressure good saturations
  • CT Scan of the brain to rule out bleeds and or trauma from the cardiac arrest was as negative as can be told at this point. We don’t know the extent if any of any brain injury that might have occurred. So far we are positive.
  • Faith was moved from a conventional ventilator to an oscillating ventilator. Sometimes seen as a final desperate move by some or in some cases can provide an opportunity for very sick lungs to heal.
  • They will be starting a continuous EEG monitor to keep track of brain activity. Two reasons, ensure we still have preserved function and secondly it is not uncommon to have seizures after cardiac arrest. Some are so small you can only see them with an EEG.

The staff here is preparing us for the worse. There are no DNR (Do Not Resuscitate) orders on Faith but we have all agreed that if she should have another cardiac arrest that they cannot resuscitate her in 20 minutes they will have already lost our little girl and no other extreme measures would be taken.

Some might ask how can we even think of this as parents. It’s the role and responsibility we took on when we accepted this child from God to care for them and do what is best for THEM, not US.

We have not lost hope, where there is life there is a chance. It has just been a very difficult 36 hours. We have urgently summoned our children and family here twice during that time because we thought her journey was near its end. We know Faith is still in charge in there because she has been fighting stronger than she ever has.

Every hour that goes by is one more hour towards a successful recovery. Sue and I will stay within feet of her until she is past this latest stumble backwards.

We have super children and they have all been very strong throughout this, I know the pain and worry they feel for their sister and am so proud of how they continue to push through and fight every day for her.

DAY 31 – DAY – CPMC/CHONY PICU

Nightmare

Faith was having a good morning. They changed her position from prone (on her belly) to on her back. That went very well. Shortly after as they were suctioning her, her O2 saturation monitor stopped recording, she turned blue and went into cardiac arrest at 11:55AM today. ICU teams are prepared for it and we were back in time to watch them doing compressions. They were able to resuscitate her quickly 2-3 minutes so we hope the damage done was minimal we will not know for some time how it affected her neurologically (brain damage).

They brought her for an emergency CT scan. No new clots have formed and the old one is showing signs of reducing. The theory is that a large piece broke off causing the cardiac arrest. The best analogy is that clots don’t melt like ice rather they breakup like river ice in chunks. Causing problems as they go downstream.

We will not know the full extent of the damage from the cardiac arrest for a while.

There is a very likely chance this could happen again, including the cardiac arrest, we just don’t know. One cardiac arrest increases your chances for another, Jonathan only did once when he was in his time so we pray she follows suit.

Family that could make it did today, we pulled the kids from school because we felt it was maybe the last chance they would have to say goodbye to their baby sister.

Only Faith and God knows what is to happen next, keep praying for what is the best for Faith.

DAY 31 – OVERNIGHT – CPMC/CHONY PICU

Stable Night

Thank you to everyone who has cross posted and promoted this site, we had the highest number of visits ever yesterday. It helps knowing we are not in this alone and that there are so many praying for our little girl.

  • O2 levels remained very good overnight. They have begun to wean the FiO2 (O2 supplied by ventilator) currently at 45%
  • Still in prone position and seems to be loving it, most natural position for her.
  • Blood pressures have been on the lower end and need some assistance from dopamine and epinephrine to bring them up.
  • Fever still a problem. Why? Not infection.

Sorry for the picture but this is our reality.

More later.

DAY 30 – CPMC/CHONY PICU

Very Bad Day

About 8:00AM this morning Faith started to have a period of low O2 that would not rebound.

The next step they took was to “prone her”, basically take her from the position of laying on her back and put her on her stomach, it’s a much more complicated and potentially dangerous procedure than it sounds. It has helped somewhat but may only improve her condition marginally. They were considering using an oscillating ventilator which is only used in very critical situations and as a last-ditch effort to ventilate, that option is not off the table and it sits right outside her room ready for use.

Here is her current status

  • Ventilator induced pneumonia
  • Prone position to help with ventilation
  • Spiral CT with contrast would help so much but she is in no condition to get one right now. It would at least answer “Is this fixable?”.
  • Nitric Oxide levels increased
  • Acute renal failure from ICU, antibiotics, sepsis, diaeresis. Still functioning enough and should fully recover. Worst case would be temporary dialysis.

It’s many many steps back from where we were and need to be. We try to remain positive and are more scared now than at anytime during this adventure. The kids are coming today to visit their sister before any more drastic needs are required. Sue and I will both stay here tonight and her sister Pat will be at home with the kids.

Many prayers are needed, we really don’t know where this is going to lead us our odds are 50/50 at this point but things are currently not getting better.

 

Every day, I need you Lord, but today especially I need some extra strength to face whatever is to come. This day, more than any other day, I need to feel you near me to strengthen my courage and to overcome my fear. By myself I cannot meet the challenge of the hour. We are frail human creatures and we need a Higher Power to sustain us in all that life may bring. And so dear Lord, hold my trembling hand. Be with me Lord, this day and stretch out your powerful arm to help me. May your love be upon me as I place all my hope in you. Amen

— Pope John XXIII