On March 12, 2013, our then-13-month-old daughter, who is called Rosebud on the blog, was injured in an accident in our home. This is Part 5 of the series in which I relate the story of the injury, our subsequent 4-week hospital stay, and the ongoing recovery process. This story is very difficult to write and relive. If you choose to comment, please be kind. I promise you that there is no judgment or condemnation or blame that you can place on me that I haven't already placed on myself. The index to the whole series can be found by clicking this link.
Due to the emotional difficulty, I never did get everything written down in journal format at the time. I carried a journal with me through our entire hospital stay, but somehow I just couldn't bring myself to open it. I do regret that, in some ways. Parts 1-4 of this series, which were (mostly) written shortly after the events, are presented in a present-tense format. The rest of the series will be composed of (1) my facebook status updates and comments from the time of the events (pink text), and (2) my current commentary for filling in details, emotions, etc.
--------
March 15, 2013
By Friday morning, I was approaching 72 hours of all-but-continuous wakefulness (I may have nodded off for 2 minutes once or twice, but that's it). I can't remember if they, meaning my family, convinced me to go try to sleep at the Family House on Thursday night, but I kind of doubt it. I think Husband might have gone, though.
Dr. MG (cardio) and Dr. B (neuro) both came by again on rounds. Dr. B said again that he saw nothing too concerning, and Dr. MG continued to see fantastic results to the medication. Rosebud's echocardiogram that day was very, very close to normal. I believe that she started weaning off the heart meds around this time.
In the afternoon, the intensivist-on-call (the doctor in charge of the PICU; four of them rotated shifts) decided that Rosebud's ventilator settings had been reduced enough to try to wean her off the ventilator and extubate her. I wasn't sure she was ready. I had been told we'd try toward the later part of the weekend, not on Friday afternoon before the weekend really began. The intensivist basically dismissed my fears. Everyone was so excited to try, and I tried to be. I mean, I was excited that they thought she was ready, but I couldn't get past the sick feeling in my stomach.
In the afternoon, the intensivist-on-call (the doctor in charge of the PICU; four of them rotated shifts) decided that Rosebud's ventilator settings had been reduced enough to try to wean her off the ventilator and extubate her. I wasn't sure she was ready. I had been told we'd try toward the later part of the weekend, not on Friday afternoon before the weekend really began. The intensivist basically dismissed my fears. Everyone was so excited to try, and I tried to be. I mean, I was excited that they thought she was ready, but I couldn't get past the sick feeling in my stomach.
The extubation took place around 5 in the afternoon.
We were able to hold her.
I'd wondered if I'd ever be able to hold her again, alive, and it happened. I can't describe to you just how that felt. The words don't exist.
We were able to hold her.
I'd wondered if I'd ever be able to hold her again, alive, and it happened. I can't describe to you just how that felt. The words don't exist.
She never really regained consciousness, though. She mostly just slept. But look how cute she was with her hand tucked up under her chin! (Notice her swollen eyelids, though.)
6:46pm:
6:46pm:
"Another good day! She is off almost everything, including the ventilator! She hasn't awoken fully yet but we are able to hold her now. I'm continuing to pump to keep up my milk supply, but will be able to nurse her when she acts like she wants to try. Pray that we'll be able to reestablish because she needs that goodness. She's on a high-flow nasal canula for breathing support, which she still needs at various levels depending on her mood at that moment. She is feisty! Once her breathing difficulties resolve, she'll be transferred to the regular pediatric unit for a while...but maybe we can go home in a few days. I know I hope that happens!"
As the day turned to night, the settings on Rosebud's high-flow oxygen machine needed to turned up, then up again, then up some more. In the early morning hours, she required re-intubation.