Monday, March 26, 2012

So, Mr. Colby is in Cincinnati Children's Hospital, AGAIN, and had to be intubated, AGAIN. Let me start by saying shit, shit, shit to that. How did we get to this point? Not sure if I should start with the current and work backward or start from Friday and work my way forward. Yeah, that's probably best.

Obviously Colby started doing worse by late afternoon Friday. I wanted to pitch him in the van and take him straight to Cincy. The ex and Colby's pulmonologist talked me into taking him to Kosair first to make sure he was stable, get IV access and get an ambulance ride to Cincy. While I wasn't thrilled with the idea, that's what we did, and it all worked out for the best I suppose. (You know I'm not saying they were right and I was wrong, oh heck no). The ex, his wife, and I got stuff together and took Colby to Kosair ER. Got an IV in Colby, then waited what seemed to be an eternity for Kosair's transport team. We finally got to Cincy at about 10:00 Friday night. Just in time to watch the IU/UK game (so sad for my Hoosiers).

By Saturday morning Colby was worse (dammit). We tried different bi-pap machines, different masks, started Colby on antibiotics, but he was getting worse, not better. We decided to go ahead and intubate him. I was so discouraged. However, he was abolutely heading in that direction, so we intubated him in a controlled environment instead of waiting for a life/death situation. Had enough of those thank you very much.

Colby had 2 IVs, one in each hand. Knowing Colby's history of blowing IVs, being a "hard stick", and needing stronger IV access, we decided to put in a PICC line. That was an epic fail! Again, I was so discouraged. They came bedside on Saturday, tried both arms and could NOT get the PICC in. Someone else tried again Sunday morning, didn't work. That's how uncooperative his little veins can be. So, yesterday afternoon they put in an IJ (central line through the jugular). After this procedure Colby decompensated a bit. They took an x-ray to look at the IJ placement and his lung looked like a freakin snow storm. For those not familiar with reading chest xrays, you want to see black on xrays, which is air, opposed to white, which is fluid, infection, gunk, etc.

He had a fairly rough night. High heart rate here and there. Fever up and down. Oxygen levels dipping to 87, even on the vent. Today in rounds we decided to change his antibiotics. Discontinued the original 2 and now he is on 3 different ones. Also started some Lasix. I'm not at all happy about this, but we have to do something to clear up the effusion in his lungs and this is the least invasive treatment course. Right now Colby is resting comfortably, sleeping actually. His numbers are a beautiful 96 oxygen and 107 heart rate. He has slept and slept this hospital stay, actually to the point it has me concerned. I know he's been through a lot, but he's just not much of a sleeper, even when sick. He seemed uncomfortable so I was having them give him a dose of Ativan here and there. He hasn't had any since last night before bed, though, and here he is still snoozing away.

That's about it for now. I'll update more later. Guess I should nap while Colby is sleeping, too. Thanks to everyone for the continued prayers and get well wishes. I know how much you love sweet Colby boy (and me too I suppose) :-)

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