Wednesday, November 19, 2008

Wednesday 7:30 PM

It's been a busy afternoon for Sally.  Just when her lunch arrived, two die-hard Alabama fans showed up to transport her down to Echo to get an echo of her carotid arteries and to map out the veins in her legs.  As some of you may know, bypass surgery usually means some vein is removed from a leg and used to bypass the blocked artery.

Dr. Jimenez, the urologist came by to confirm what we had already heard, that he could not address the stones until the heart is optimally repaired.  He also said that his big goal is to save the right kidney (the one that has the stones and kicked up a lot of this fuss).  He said when he was in training 14 years ago, they routinely just removed kidneys that are in the shape this one is.  He says it is damaged, but it's producing urine and he wants to save it if at all possible.  He'll be keeping in touch and will be ready to intervene with the stones as soon as practical.

Dr. McCrory, the lung doctor came and said he's seen the latest x-rays and that her lungs are really improving.  he said now that we see how blocked the heart was, we can see in retrospect that the heart's failure to adequately pump likely caused the lungs to deteriorate and fill with fluid.  I think I remember that he said it like that, but this is at least close.

The technician then came and administered the pulmonary lung/breathing tests that Dr. Newton had ordered.  This wrapped these tests up for the day.

Dr. Newton, the heart surgeon was our last doctor of the day (so far).  He explained that when he sees the results of these tests (carotid, pulmonary and vein-mapping) tomorrow, he can begin to assess the risks and begin to develop a timeline for her bypass surgery.

So, it appears to me that our job as family members is to help Sally get as strong as she can and get her stabilized in every way possible to improve her chances of a successful outcome!  I know this sounds serious, and it is.  But, when I think of where she was ten days ago on that Sunday evening, she's come a long way and we can be proud of her!  She has a great team of doctors and nurses working hard together to get the best possible outcome for her!

That's a lot to be grateful for!

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