Wednesday, September 5, 2012

At it again...

As you know last friday Liam pulled out his GJtube and our Grandpa Beames passed away. Well things have been hectic since then. I spent 3days and 3nights working on a memorial video, we went to the viewing, funeral, and memorial. Liam was fine until thursday night at midnight. He suddenly stopped tollerating feeds and meds. He vommited several times and at 3:30a on friday he asperated. I called and got him back on the rooster to have his GJtube replaced later that day. When Grandma and I got Liam there it was confirmed that Liam asperated and was already suffering the effects. Our GI saw no choice but to continue with the surgery even though he thought chances of Liam tollerating excibation was slim. I understood the risks and agreed fearing there was no other choice. The plan had been to keep Liam overnight for observation. After surgery, our GI came to talk to us in the waiting room. He said everything went great and the excibated him no problem so they decided just to watch him in recouvery for a few hours to watch for fever. The fear was that Liam asperating would turn to pneumonia. If he was fine then we could take him home. The nurse in recouvery didnt understand his orders and released Liam after barely 30min even though I protested. After our hour drive home I take him immediatley to his room and check for a fever. He had spikesld to 102.2 and was in respitory distress. I called our ped and explained the situation. He tokd me to give 4mls of tylanol and 4mls of motron and would call me right back. Half hour later when he called back Liams temp was 101.6, his breathes per minutes 63 and he had started desatting. Our ped told us our GI was furious that his orders werent followed. I was instructed to call 911 and take an ambulance to Kaweah Delta where they would stabalize him and the transfer to childrens. We reached Kaweah at 7:30ish añd then the transfering ambulance picked us up at 11p and we arrived at Children's shortly after midnight. This is where we have been since. Liam has pnuemonia due to asperation. Since weve beeb here he has vommited and asperated twice, making his condition worse. He's on his third IV which is on its last leg. Today they did an upper GI and learned Liams Nissen is above his diaphragm and very thin, not the way it should be. They also learned he now has a sliding Hiatal Hernia. This is why he is vommiting. The opening is bigger than it should be because of the hernia. Feeds have been put on hold as well as any meds he doesnt absolutely need. Other doctors ae being consulted as we speak. The outcome will be the same, liam needs surgery to fix this. The question is when? Do they wait until his lungs are better and keep him on IV fluids only until then? That could be days and no feeds is only going to cause more respitory issues because it takes Liam alot of callories to breathe. But in going ahead with the surgery they risk not being able to excubate him and having to send hin to ICU until his lungs can fly again on their own. Where does that leave me? Honestly I dont care about me. I have the yukon here now so I can make a bed in the back and camp out. Im outdoors kinda girl anyway. Im asking that you say a prayer for little Lamb, that he stay strong and that God guides the doctors hands. Liams doing his best to smile his way through this and to win the nurses hearts. If you would like to send him an ecard or message you can send it to cherubliam@yahoo.com As always Liam loves hearing from those who are praying for him.


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