In some ways it feels like we've never left the PSHU, we just moved rooms...a lot of memories of the month long stay we had during the Noorwood. But we were so glad they had a room for Jonah on the PSHU instead of the PICU, and it was especially nice to see all of Jonah's nurses that took care of him before. These nurses are absolutely the best, and we love seeing each of them stop by to say hi and see how Jonah's doing.
He's extubated, on oxygen, pain meds, got the central and peripheral IVs, pulse ox, one chest tube, and a urinary catheter...I think that's it but Stacie would have to tell you about all the other medicines and things they are doing. His blood pressure has been really high. It was in the mid 130's for a while...the nurse said they would like to see it at 80...seems pretty darn high to me, so they are giving him some blood pressure meds and lasix to help him pee out the excess fluids. He's woken up a couple times pretty pissed off, thus they're using some sedatives to keep him relaxed. Much of his irritability is likely the result of all this new pressure and what they call "Glenn Head" or Glenn headaches. He's swollen, but not as swollen as post-Norwood. There's is a distinct 'line' around his torso where you can see the difference in blood flow (his upper half is a lot more pink than his lower half)...they tell us this will subside as his body recalibrates to the Glenn and the new blood flow.
So what exactly was done with the Glenn?
This surgery basically diverted all the blood coming back from Jonah's upper body through the Superior Vena Cava (the major vein coming from the upper body) connecting directly to blood vessels to the lungs (pulmonary arteries). Blood with more oxygen is pumped to the aorta to supply oxygen to the body's organs and tissues. This reduces the work of the lower-right heart chamber (right ventricle) since it doesn't have to pump all the upper body's blood to the lungs and can focus more on pumping oxygenated blood to the body.
We got a room at the Ronald McDonald house! It's only 2 years old and is surprisingly luxurious. They have volunteers make dinner each night and there's a large community kitchen for making meals. Other ammenities: TV rooms, library, game room, kids play room, wi-fi, laundry, and Sleep Number beds. It really has the feel of a top-notch resort...another heart parent reminded us "It's the best place you don't want to be". This will save us hours each day commuting back and forth from home, allowing us more time to help Jonah recover.
Before I log-off, I just want to thank everyone for all the kind posts, texts, emails, and phone calls. It means so much to us to have all your support and prayers. Thank you!