Thursday, August 20, 2009

8/20 11:15am

Thanks to Nina and Shannon for helping post to gather prayers for Sam.

We have seen the doctors today and there is still no known reason for Sam going into VTAC last night. There are several theories though. Any one of the following could cause an arrhythmia in a child:
  • He just had surgery.
  • He did have a fever, which has proven to give him problems in the past.
  • He also had low magnesium, which means his electrolytes were imbalanced - this will always be a cause for concern as he can go into VTAC with an electrolyte imbalance.
  • Another possible reason is that his heart was put under duress at the time of the surgery.
  • He could have an infection.

The cardiologist was just in listening to Sam's heart and said he has now heard a "normal" murmur. He said it's nothing to worry about, but since his heart is outputting so much more, it's likely that it would come out now (even though we haven't heard anything about it before now).

His defibrillator was set to shock Sam if 24/32 beats were over 260 beats per minute. It was set to shock him a second time if 9/12 beats were that fast. Sam's heart only beat 10 times at over 260bpm last night before he was shocked.

So, we're in a quandary again as to why it shocked him so quickly. One theory is that his heart went into a very fast VTAC but came out of it on its own and then the second one the defibrillator thought it was time to check 9/12 beats. But, that seems unlikely to me.

A Medtronics rep will be in soon to interrogate the device and we will learn more then.

Keep praying for my boy. He's in a bad way.

They have stopped the epidural and started him on oral medication. If this works for pain management, they'll take the epidural and Foley (catheter) out this afternoon. Our hope is that he will be in the playroom playing during their 2-4pm hours. Who knows if he'll be able to tolerate moving or not, but we absolutely need him on his feet. He's been complaining about having to go to the potty, but can't go and is refusing a diaper.

As for us getting out of here? Who knows. I'm in no hurry, because there are no pediatric cardiologists in Boone and I don't want to put him in a bad situation.

1 comment:

Trish said...

Well I certainly hope that between the drs. and the rep they can figure out what happened. Sweet Sam, I just keep picturing him wrapped up in and protected by the love and concern that so many people have for him. He is in my thoughts constantly, and I try and picture him (and the entire Klear family!) enveloped in a warm bubble of safety and peace.

If you need me or Brian to take care of anything at the house, just let me know. We can do whatever you need or want.