Gonzalez's Heart

Forgive me if I mumble through this but it is in the middle of the night and I had not been sleeping for more then 2 hours before they woke me up to update us.

Jaden's right foot and leg had not been getting good blood flow since after he was in the OR room. This could be from one or both (the heart cath. procedure and/or them getting in the artery instead of the vein yesterday). Our nurse Sally, had called the anesthesiologist who had been working on Jaden pre-op and he was not concerned. I however, had my motherly instincts kicking in strong. All evening I kept asking everyone, "are you sure this is ok?" I told them I was not comfortable with how it was not improving well enough. So a very thorough resident Dr. listened to me and decided to call for an altra-sound (which Sally thought unnecessary) just to make sure nothing was going on. Well there is something to be concerned about.

What we already knew was Jaden was occluded from the right femoral artery. Usually this is not a problem and it clears up on its own. The normal flow through the artery is about 60-80 cm and Jaden's is about 5 cm. At this point, 5 cm is enough so that his leg is not having big issues. However, it is to small that they want to clear it up before they do surgery. So the plan of action now is to wean him off his ventilator and extibate him as soon as they can. They will then give him a blood thinner at that point and wait for it to clear up which could be quick or take days. He will need to stay in PICU the entire time on this blood thinner. So the prayer we need is for Jaden's artery to get better flow so we can proceed.

So the nurse on tonight told me I did not look to surprised. I told him that Jaden was a little stinker and he does what HE wants to do. I also told him that God has planned for this and he is to wait for some reason or another.

Another tricky thing that Jaden did was he kicked one of his lines off of his foot. Now don't forget, he is being sedated with fentanlyl and versed. They had to increase the amounts even to even more because when it starts wearing off, Jaden is to strong. He also gets VERY mad and then his blood pressure rises very high. That just shows everyone who is truly in control and what a strong little boy Jaden is.

I will let you know if there is any new news and I will update after he is extabated.