Unfortunately, the bad news is that the doctors don't really know why the very high respiratory rates are happening. They were able to rule out viruses and high CO2 levels, but they weren't able to pinpoint the cause. The pulmonologist we saw used the dreaded words, "Progression of Disease." I seriously almost hear "dun dun DUN!" music each time it is said because it's such an ominous phrase. It is certainly not something the parent of a medically fragile child ever wants to hear.
So, they sent her home with the caveat that Abby will most likely need increased bipap support, needs to have a swallow study to make sure she isn't aspirating (scheduled for next week), and will have a sleep study in October (previously scheduled) to tweak her settings because she probably isn't being ventilated enough.
It's hard to hear that your child is getting worse and there's not a whole lot they can do about it. We are clinging to Jesus and to the hope that getting the VEPTR put back in will improve her lung functioning. And every day, that wound is even closer to closing!!
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