Yesterday Lindsey was in "sinus rhythm" and did well with the Isopro IV medicine off until about 3:00 pm. Right as Jason and the kids were leaving to head back home to Oregon. Originally they kept her having nothing to eat because they were going to take her to the cath lab and screw the pacer wire into her heart and correctly place the wire. This would require her to go under anesthesia, so they didn't feel it was necessary to do that. She went back into a 2nd degree heart block (only 50% heart beats are going through the communication) at 3 and they took her back to fix the pacer cable at 3:45 pm. The process took about 2 hours. All went well and they never did have to start her back on the Isopro medication. This is the medication that is like a constant adrenaline rush, that made her nauseous, shaky and feel pretty cruddy. She came back riding the pace maker on and off. It took her a few hours to wake up, but she was already feeling better. At about 10 pm she flipped back into sinus rhythm and stopped riding the pacemaker. She has been in sinus rhythm ever since and is feeling a lot better. We went for a walk around the unit (2 laps) and it went well. We also sat out on a patio on the CVICU unit which she enjoyed. Mostly because she could sit in the sun and make sure her hard earned tan didn't completely go away.
So, now what is the plan? Have her up and moving a lot today and make sure her heart doesn't flip back into a heart block. They will keep the pacer wires in until tomorrow and if she stays in sinus rhythm they will remove the pacer wire tomorrow. This will again require anesthesia. Just as we are getting her to eat a little bit again, she will go NPO (nothing by mouth) at 2 AM. Then we could possibly go to the step down unit and be monitored for another 24 or so hours. This is IF everything goes well. Then hopefully home. Poor Megan has yet another birthday that we will not be celebrating ON her birthday. Hopefully she can wait just one more day and celebrate on the 2nd instead of the 1st.
Wednesday, July 31, 2019
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