Isabella got out of surgery and back in her spot at the NICU at 3:30pm est. It was a frenzy of different doctors for the first 15-20 minutes as everyone continued to stay up-to-date on her status. Several doctors briefed us on how everything went because Dr. McGahren got called out for another emergency. But not long after they let us in to see her, he popped up and gave us the run down. Overall he felt like the surgery went well and she handled it well. He was able to determine that it was a perforation that occurred 2/3 of the way down her small intestine. They think that it happened some time early last week and was the result of the endomethicine (the medicine given for the PDA). We had asked what the possible side effects were of this drug and they said that the drug can effect the intestines, but that is why they stop the feedings so that the gut is empty. They also mentioned that only 10% of patients taking this drug would have some type of reaction. Bella fell into that 10%. Over the weekend and through yesterday all the staff felt that she was healing this perf on her own. Dr. McGahren said that sometime last night she had another perf in the same spot. When he was doing the procedure he could see the scar tissue from the prior opening right around the existing one. So they cut the area where the perf was and she will have an ostemy bag as soon as she starts to have some type of bowel movement. This also means that she cannot have any of my milk for at least the next 7-10 days. Chris and I plan to stay up here tonight (I am sitting next to her while I type). Her heart rate has come down about 20 points, she is saturating well on lower oxygen than she was this morning, and her blood pressure is fairly stable. They are going to take their time weening her off of the medicines they have been using to keep her stable but will administer pain medication so that she remains comfortable. I am watching Jen work away at Baby Bella and do her great work...she just made the comment that she earned her monies worth today and should go right to sleep when she gets home.
Chris received a very nice phone call from Tanausha at Woodard Properties (who we are renting from) this evening. She was a 27 week preemie who is now 30, which we found out when we moved in. Come to find out, she actually had the same surgery Bella did back in 1978. She was very kind and it was so sweet for her to share this story with us. And then there is baby Abby (see Abby's Storry on the Preemie Blogs to the right). She is a glowing image of the great work the staff here does and also had the same surgery as Bella. (Lauren, thank you for getting in touch with us, I have told the staff you said hello, and would really enjoy getting to meet you and Abby.)
We will of course keep you posted on her status, but will leave you with this for now...
The Lord is my rock, and my fortress, and my deliverer; my God, my strength, in whom I will trust; my buckler, and the horn of my salvation, and my high tower.