Posted (Tina) in All Posts on September-13-2007

If you did not have a chance to read last night’s post, you may want to read it, so all of this makes more sense.

Ella has taken small steps in the right direction last night and today.

We know that her body has to be feeling some relief from the fluid reduction in her chest. Her chest fluid output for 8pm – 7am (11 hour period) was 159. If you remember, she had plateaued over the weekend to about 100 -125 total for a 24 hour period. So, the replacement of both chest tubes is certainly making a difference.

Interestingly enough, there was a total of 119 from the right chest tube over that 11 hour period (and 40 from the left chest tube). That confirms that Dr. Kays was correct: there was likely a protein build up in the right chest tube which is why it stopped draining. Thankfully, Dr. Kays made the decision to replace both chest tubes last night rather than put Ella through 2 separate procedures.

Right now, they are replacing her fluid output with saline at 1/3 of the rate to avoid dehydration.

Last night, her blood gas was cO2=66, pO2=146. Her most recent blood gas at noon showed cO2=64, pO2=119. These are in the acceptable range considering her condition.

The chest x-ray this morning showed only a slight improvement on her right side, but not her left side.

The ventilator was returned to the levels where she started when she was first placed on the ventilator, fiO2 at 50% (oxygen) and 40 assisted breaths per minute.

Our anxiety level is a bit higher because the nurse on today is not one that normally takes care of Ella. Because of that, she placed Ella on her right side today. Ella has a tough time breathing when she is laying on her right side due to it placing pressure on her stronger lung, plus the fluid accumulation on her left side is still present.

When Ella did not calm down after several minutes and poor stats, the nurse gave her meds. The “Fab Four” of nurses can tell that when Ella is “touchy”, turning her on the right side is not a wise decision. And if Ella does not tolerate moving to her right side, it is a better decision to leave her on her back or left side until she becomes a bit stronger again.

So, we are a bit more anxious about her care today since we don’t have one of our favorite nurses taking care of her and she is in a delicate state.

We thank you for your continued prayers for our baby girl.

Psalm 33:22
22 May your unfailing love rest upon us, O LORD,
even as we put our hope in you.

The Brittain Family on September 13th, 2007 at 1:37 pm #

Still praying!

Heidi on September 13th, 2007 at 1:44 pm #

I remember when our daughter was in a NICU… having a nurse we really didn’t enjoy was a hard day for all of us. Even though they usually have great medical knowledge there is still much more to taking care of a child who needs care. I will especially be praying today for wisdom for the nurse and a quick return of your “Fab Four!” You are blessed to have that many nurses you love! Praying for your precious gift from God!

Auntie Shanon on September 13th, 2007 at 1:55 pm #

Praying for more baby steps today and that we get another nurse to understand our sweet Ella better so you guys can have the fantastic five.
Also praying you guys get some relief today as I can’t even imagine the stress you are feeling.

Hugs and a squeeze on the toe for Ella


Joan Odell on September 13th, 2007 at 2:09 pm #

Prayers for better stats, fluid reduction and stabilization for sweet Ella. Also that the nurse will be touched by the Lord and receive a better understanding of Ella’s needs. Naturally this makes the two of you uneasy – understandably so. He will hold you up and make you strong. Lord Bless and hugs – steve and joan

Tracy Mitchell on September 13th, 2007 at 3:09 pm #

Just wanted to say that we love and miss you guys. In our prayers constantly!
Be strong in the LORD and in his almighty power.
Ephesians 6:10

Joel Snyder on September 13th, 2007 at 3:21 pm #

Ella, My little “Gator Girl” bless you and keep taking those baby steps. Josh and Tina I am praying for relief for both of you. On my way to work a party. All my Love, Grandpa!!!!!!!!!!!

Char Snyder Jordan on September 13th, 2007 at 3:32 pm #

We are with your baby praying for relief. We know things will get better. Hang in there and know God is aware and with you. LOve, Aunt Char and Jim

Eve Sheridan on September 13th, 2007 at 4:02 pm #

Sending prayers and healing thoughts to all three of you. You are an incredibly strong family and the love you have in your hearts is so apparent. Thanks for keeping us all updated– I read your new posts every day and pray for Ella’s continued progress.

Ani on September 13th, 2007 at 4:30 pm #

Hi little Ms Ella…it was so nice to meet you the other day! You looked so great and you were awake for so long…your stats looked great…let’s get you back to good stats…we are all praying for you! I love you and your mommy and daddy!

Cliff, Diane and Sonic Blue on September 13th, 2007 at 5:05 pm #

Nice to see all the comments and good energy from everyone. E.R., J. and T. stay as strong as you can and hang on. It’s a long journey but we believe you all are up to the task at hand. We are also sending continued best wishes and good energy to you from H.B.,CA

Fran Jarrett on September 13th, 2007 at 6:26 pm #

Prayers Sweet Ella that you have a reduction in fluids and begin to feel stronger. Josh and Tina, prayers for you both to hang in there and know that He is with you and Ella.

Michelle Herman on September 14th, 2007 at 7:31 am #

Just take it day by day, that is all you can do. We are all thinking good thoughts for you out here in Santa Monica.

JoAnna King and Kids on September 14th, 2007 at 8:01 am #

We are continuing to pray that God will resolve this fluid problem quickly and without the need for anything more invasive. Love you all

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