Logan did great throughout the night! He is holding steady in the 90s for his oxygen levels. The medication that helps keep the hole in his heart open gives him the jitters and makes him warm and irritable, but even when he is fussy he is really easy to soothe. We were told that they are planning on transferring him to Rochester on Wednesday the 29th for his procedure, but it isn't set in stone yet. Hoping to hear more from the doctors and cardiologists today. We are so thankful that he is doing as good as he is, he looks as healthy as a horse, and I'm pretty sure hes the biggest guy in the NICU. We still cant hold him, but the nurse said hopefully within a few days they will take his arterial line out and then we can. I'm looking forward to it! He still has a long road, and I'm sure it will get harder, but as of right now we couldnt be happier with his progress and outcome.
We spoke with the cardiologist, and it is official, they are sending him to Rochester on Wednesday the 29th for surgery on Thursday the 30th. He will be having a shunt procedure, that I thought was "non invasive". It is in fact open heart surgery. He will need to have follow up surgeries in order to replace the shunt as he grows. The most common procedure is called the BT Shunt procedure.
"Blalock-Taussig shunts, or BT shunts, are used for defects that affect the flow of blood from the right ventricle, through the pulmonary artery, and to the lungs. These include pulmonary atresia, pulmonary stenosis, and tricuspid atresia.
The BT shunt is a palliative procedure. It does not correct the defect, but it helps to resolve symptoms until the child is older and/or the defect itself can be repaired. It is also called the blue baby operation.
A shunt is a small tube made out of synthetic material called Gore-Tex. The BT shunt is about 3 to 3.5 cm in diameter. It attaches a section of the aorta to the pulmonary artery, creating a sort of detour. This allows enough blood to pass through the lungs and pick up more oxygen. The shunt relieves any cyanosis or blueness the child might have been experiencing. This is a closed-heart procedure. (This is where I read that it wasn't open heart, but our doctor said otherwise)
The BT shunt mimics the role of the ductus arteriosus. It is often put in place after the ductus closes naturally. Shunts are usually used for four to five months, until the child outgrows them and a second operation or definitive repair is needed."
We asked about other corrective measures for his other defects and what we could expect, and as of right now they are only concerned about getting oxygen to his lungs, rightfully so. He said that once this procedure is done and he is stabalizing on his own they may not have to fix his other issues. Logan will have to rely on his right ventricle to pump blood to his entire body. I was concerned about this because the right ventricle is not made to pump to the entire body, the left is, but the doctor said that the risks may outweight the benefits to do surgery to repair everything else. He said eventually the right ventricle could fail, but it could be 20-60 years. We will revisit our options once we get over this most important first hurdle. They halved his prostiglandin medication and lowered his oxygen flow rate. They were hoping that halving the medication would help with the side effects. We were flying hight on all of this news. We had such a different expectation of the prognosis, outlook and future that the news we were getting was just music to our ears. We expected the worse and hoped for the best and it worked in our favor.
I went up later this afternoon to see Logan and how he was doing, his tremors had gotten worse. It was so hard to see. He was shaking and shivering and there was nothing I could do to help him. It hit me... hard. I cannot hold him to make him comfortable, I cannot soothe him, I cannot do anything to make him feel better. It killed me. We were so happy about how great he had been doing that I forgot how sick he actually is. It really sunk in, and emotions took over. I had to leave. I got back to the room and we were visted by the nurse we had last night during labor, who we ABSOLUTELY loved!! She found us to give us a folded paper with a print out of Elton Johns lyrics to the song The Greatest Discovery. I read the first line and completely lost it. She left us with the paper and her best wishes for Logan. It took us quite a while to be able to read it as it was all just too much at that moment.
Peering out of tiny eyes
The grubby hands that gripped the rail
Wiped the window clean of frost
As the morning air laid on the latch
A whistle awakened someone there
Next door to the nursery, just down the hall
A strange new sound you never heard before
A strange new sound that makes boys explore
Tread neat so small those little feet
Amid the morning his small heart beats
So much excitement yesterday
That must be rewarded, must be displayed
Large hands lift him through the air
Excited eyes contain him there
The eyes of those he loves and knows
But what's this extra bed just here
His puzzled head tipped to one side
Amazement swims in those bright green eyes
Glancing down upon this thing
That make strange sounds, strange sounds that sing
In those silent happy seconds
That surround the sound of this event
A parent smile is made in moments
They have made for you a friend
And all you ever learned from them
Until you grew much older
Did not compare with when they said
This is your brand new brother
This is your brand new brother
This is your brand new brother
Inside of the paper was a note from her that said "I wanted to find a copy of this before I left but it was so crazy! This is for your little boy getting his new baby brother! Congrats!" It was so thoughtful, and perfect, and sad all at the same time.
I think we needed to have a small breakdown, it brought us closer together. After we gathered ourselves we went up to see our little champion. He looked so great. He wasn't shivering, he wasn't shaking he was snuggled up in a small wrap and a little blanket sound asleep. He was beautiful, amazing, and simply incredible.
It has been a long day, with ups and downs. We are looking foward to the day that we can hold him in our arms and get a small dose of normal.
I am getting discharged tomorrow and we plan on going home and spending some time with Corbin and then coming back up in the evening and staying at the Ronald McDonald house overnight. Not being in the hospital is going to make this a lot harder, but we will figure it out and try to spend our time as wisely as possible until we head to Rochester. It'll be a long week.