Update 1:
We got up promptly at 5:30 a.m. this morning, showered quick and made our way down to walk the half block to the hospital. Got checked in at pre-admitting and started to get moved through the 'deli' line. There are 25 surgeries this morning from knees to hearts to heads - and we are just a number in line. In the end we get called into our pre-surgery prep room at 6:45 - LONG wait - I was getting a bit ornery and testy - because we had no update and Sarah was very worried.
Once in our staging area, we were again 1 bed in the open among 10 others with kids all getting prepped. This scared Sarah even more. I mean come on, can we have a little privacy!! Jeez... So I get the nurse to pull those drape things to close us in. I explained, that unlike you other clients, mine is very worried, scared and not one for baring her all in front of all these other kids/parents. Judi and I were starting to lose our faith and really felt like retreating...
From there it got much better. The real nurses and anesthesiologists WITH bedside manner started to come in and do vitals and talk. These were good people and not cattle herders like our beginning of the morning experience. They are very kind to Sarah, understand she is scared and talk gently in a language she can understand. They explain everything to us and give Sarah some magic pink medicine that essentially makes her loopy/drunk. Within 10 minutes she is a new girl - laying back, chatting, smiling, relaxes, and not caring - which gives us a HUGE relief. From there, were give her a hug and kiss, and they wheel her down the long white corridor. She goes straight, we take a right to the very nice waiting room for 6 hours of, well, waiting...
Update 2:
They are in the midst the the real work - the valve repair procedure. This may take several hours. Judi and I keep busy by going to get our photo ID badges that we will need for the week. Then we run back to the Autumn House to get the rest of our bags/clothes from there. So now we have everything in the hotel right next to the hospital. Starting to get anxious as they have been repairing for a few hours now, and I just want word that the valve is fixed and they are closing up surgery... This is the hard part. Maybe we will run up to the parking garage and get the rest of Sarah's gifts to bring up to the ICU for when she gets out of surgery. Sitting with an idle mind is no good...
Update 3:
I am breathing, composed (well a bit more so), and Sarah is out of surgery and soundly sleeping in the ICU. The surgery was a success, but a challenging one at that. They did succeed in repairing her valve and did not have to resort to plan B (replacement). It did take two attempts to repair: first a bicuspid augmentation which was working nicely until the test drove it hard; second they created a tricuspid valve by cutting a flap and augmenting with some pericardium (the sack the heart lives in) - this worked well. Dr. Emani gave us a thorough debriefing (complete with white-board diagrams) of the procedure and assured us she was doing great.
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| The repair work diagram. |
After about an hour we finally got to see her in the ICU - which was a tough sight at first. Just a lot of tubes and wires as we were warned. But they are all doing a job. Her bleeding is minimal, and her heart is doing great. Schedule from here is to let her rest until about 10pm from there we will go for the extubation (remove breathing tube). This she needs to be awake for and will be a bit of a not so fun experience for all. But we'll get 'er done!
So, if all goes well, it will be midnight and she will be awake and we'll be partying!!