Surgery Successful, Healing Process Begins

Remy has been having distention in her bowels since she was born, in the beginning of her life she was tested for everything, from NEC (ecrotizing Enterocolitis) to Hirsphrung’s disease.  Nothing was found and her bowels were assumed just premature.  A rectal biopsy was done and nothing surgical was found. Then she got septic.  As you all know Remy has been sick for some time, and has progressively been getting better.  She has still been having lung and gut issues, along with seizures.  She is 40 weeks now and if she would have been a healthy baby, would have been home by now.

Last week Remy had a CT scan on her lungs and intestines to look for something we have been missing.  After the scan Dr. Ginsburg, a very well-respected pediatric surgeon saw calcifications around her intestines.  These were most likely caused by a perforation in her intestine which eventually healed itself.  Ginsburg decided to do an exploratory surgery to check for a narrowing in the intestine where the perforation healed.  She was also throwing up and releasing a ton of dark green bile through a repogle tube that goes from her stomach up through her mouth, a clear sign of intestinal problems.  These issues could be what is causing Remy to be so backed up and swollen.  So of course we agreed yes, let’s do exploratory surgery to see what we can do.

Over the weekend Remy remained stable, awaiting Monday’s surgery.  We were worried she would get worse and either have to have emergency surgery or not be stable enough to have it on Monday.  I had to work and it was very difficult being away.  I was able to stop in for a very short time during the surgery,  but  my mom and sister came to the hospital to be with Mary.  The good news is Remy did great.  She is incredible and awesome and every great word you can imagine.  Remy did in fact have a lot of dead intestinal tissue.  Dr.  Ginsberg removed 40 cm out of 120 cm of her small intestine.  Which leaves her a considerable amount to live with.  He explained to Mary that it could either have been NEC or a Volvulous, both in which the end result is dead tissue.  We will never know the cause, or which one it was, but she definitely had one of them.

The healing process has begun.  She had a tough first night.  She struggled urinating, keeping her blood pressures up and is back on a high frequency ventilator at very high settings.  She is swollen again, they are pumping her full of fluids again to make sure she doesn’t dehydrate. The second night was a little better.  She is more swollen today and cannot open her eyes but this is expected.   This is going to be a long, slow process.  She will get better, she has to, but we have been warned she can get worse again in the process.  She is in the beginning of a long healing process.  She will be sick for a while, but when she does begin to get better we can hopefully get her lungs better, extubate and begin to feed her.  We still don’t know what the long-term effects of all of this will be, but we will stay strong and take it day by day.

In a few days she will have a bag colostomy bag attached to her.  This will catch her poop while her intestines heal.   She will have this bag for at least 6 weeks and maybe longer.    One of the major concerns is that her Illocecal Valve, which is the valve that connects her small and large intestines, is very fragile.  She needs this to heal or it could cause problems in both the short and long-term and would affect diet and bowel movements. Her lung is still a big concern as well.   She has a cyst,  rather a large pocket of air, that we hope will go away but instead has grown.   Another concern is that she has required steroids to help her through all of her challenges.  The steroids can interfere with her healing process.  Weaning them down is necessary, but also a test of how well she can do without the steroids.  She is back up on her Dopamine.  She is on antibiotics, Zosen and Vancomysin.  The seizures have been kept under control with heavy doses of Phenobarbitol and that will continue until she is in a stable enough state to be able to focus on that.  This will be a while from now.  She is very critical again, but stable.

In many ways Remy is back at square one.   She is worse off than she was from the day she was born.  In other ways she has progressed and we are astounded by her great resilience.  Her surgery was a success!!!  We hope that this discovery and correction in her intestines will help improve  her overall health rather than diminish it.  We still have a very long road ahead.  While its easier said than done we do our best to take it day by day.  We are so thankful and lucky to have the staff  that we do.  We thank you so much for loving Remy and for helping her get better. It truly means the world to us.

Advertisements

11 thoughts on “Surgery Successful, Healing Process Begins

  1. I wish the best for you three. Sounds like she is one tough little lady, which can only give you positive reinforcement she is gonna have a long, healthy life-only to be difficult again as a rebellious teenager!

    Thinking of you all everyday, if i can do anything – please let me know. Keep up your spirits, Remy can feel your love.

  2. I read your entries and cry, because I know the pain all to well. This blog is so beautiful and Remy is so lucky to have you guys as her parents. She knows how well she is supported and loved by the two of you. Keep digging deep Pete, Mary & Remy!!! XOXO. Courtney

  3. Oh how I hate to see Remy facing these challenges – the poor thing needs to catch a break! Thank goodness she is a little fighter and thank goodness you guys are staying strong and hanging in. I will continue to pray for her and for you both. Go Remy Go!!!

  4. Sounds like you guys had a tough week, not that the past 40 weeks havent been tough, but keep up the good work, and good spirits, and love that precious angel with all your might so she can suck it in for strength. Sending so much love and light and prayers your way, xoxo

  5. God bless you, Peter and Mary. We will continue praying for Little Remy. Stay strong. We can’t believe how much the baby and both of you have been through.

    Love,

    Tom and Libby

  6. Hi I stumbled across your blog today and just wanted you to know I will be praying for all of you. I am the founder of a Preemie Prints, an organization devoted to NICU families. We have a prayer wall with a national prayer team checking the page every day and praying with us. I would love to add Remy as she needs as many prayers as we can offer. Please email me if you would like her added. God bless. You have an amazing family your strength shines through your words. Hang in there. Please let us know if there is anything we can do. Our website is http://www.preemieprints.org. Blessings and Prayers sent your way.

    Sincerely,
    Amber Collier @ Preemie Prints

  7. Your blessed little angel has taken on more than any little one, new to this world, should have to.
    Her resilience is astounding as is yours.
    Yes it sounds like it will be a long hard road but you both seem prepared and willing to do whatever is required. I am in awe of your strength and your willingness to share your thoughts and struggles with all of us and very grateful that you do.
    Though we have never met I feel that Remy is part of me now and in my heart. As always, there isn’t a day that goes by that she isn’t on my mind and in my prayers as you both are.
    Its easy to say “stay strong” when its you three going thru the struggle
    but know in my own small way I am struggling with you. I want so badly for Remy to heal and go home with you two where she belongs
    and I will yearn and pray for that with all my might for as long as it takes.
    Stay the course and know that you remain in God’s light and in His
    hands.

    Jo Shewbridge
    easy to say stay strong

  8. Remy is such a fighter, such a champ. My dad, who is a football coach, always says if you are a fighter, you can conquer anything. Remy is such a fighter, has such strength already in her tiny body. I love you three to pieces, and am sending you so much love. I’ll be by today or Monday with blood for the baby girl! xox

  9. Hi.
    I found your blog whilst doing a literature search on sipap. I work as an advanced neonatal nurse and lecturer in england. In my experience prems like your beautiful daughter Remy have an immense spirit and courage to over come obstacles
    As hard as it seems now when you both walk through your front door with Remy your time on NICU will only be a small percentage of her life.
    Sending you my very best wishes
    Lesley

  10. Undeniably consider that which you said. Your favorite justification appeared
    to be at the internet the simplest factor to have in mind of.
    I say to you, I certainly get annoyed even as folks consider concerns that
    they just don’t realize about. You managed to hit the
    nail upon the highest and also outlined out
    the entire thing with no need side-effects , other people could take a signal.
    Will likely be back to get more. Thanks

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s