So Emmett’s pneumothorax is still there (that would be on the left side of his chest) and he has developed a little pleural effusion on the right side. The doctors also feel as though his liver is little more enlarged than it was.
When I asked them if the pleural effusion and liver enlargement meant that he was in right-sided heart failure, they said umm, yes, we think maybe he is. But before you freak out, they also said that this is not normal, but also not totally unusual following a tetrology of fallot repair.
The doctors this morning increased his diurectics to try to remove some of the excess fluid, increased the suction from his chest tube, cut down on some of his morphine, and were about to start him on digoxin, a heart drug.
Not a great start to the day. And then Mike left.
BUT…when I got back from Mike leaving, Dr. Yates (his cardiologist here) was giving him an echo (ultrasound of his heart) and he thinks the right side of his heart actually might look a little better than before surgery. He said no to the digoxin, and is hoping the chest tube might come out tomorrow. He said that Emmett is still moving in the right direction, which made me feel a lot better – a heck of a lot better than hearing that he’s in heart failure.
As for Emmett, he apparently had a rough night, which involved lots of morphine boluses, on top of other painkillers and sedatives, but today he has been sleeping ALL. DAY. LONG. Just like yesterday. The peacefulness is nice, but starting to freak me out a little. But I’d still rather him be sleeping than in pain without us really being able to make him feel better.
Sarah, if you’re reading this, I finished the Guernsey (sp?) Literary and Potato Peel Pie Society Book – you were right, it was really good. Unfortunately, it was my very last thing to read. What am I going to do for the rest of the night?