I rescued a dog in November and we have been through Giardia and such in December but that wasn’t so bad but today he is throwing up and lethargic and I just wish I could take it away from him. :( poor thing.
#dogsoftwitter#rescuedog
my mom taught me to say “not my circus, not my monkeys” when some crazy shit someone was doing wasn’t my business. but when my friends are doing crazy shit it’s tough. bc I’m like that’s not my circus… but that’s MY monkey
Wow! Elmo is glad he asked! Elmo learned that it is important to ask a friend how they are doing. Elmo will check in again soon, friends! Elmo loves you.❤️ #EmotionalWellBeing
Hello, friends. Here is an update on our son, Gus:
Yesterday was a long, hard day. Before noon, Gus had his chest closed (the sternotomy from his heart transplant) and the cannulas for ECMO moved to his neck. This was followed by a productive bronchoscopy that removed several mucus plugs from his right lung.
However, shortly thereafter, we took a hard turn. Gus became increasing edematous, and as a result, we had to reopen his chest. This was followed by a period of chasing blood pressure and pushing fluids. Unable to resolve the issue, our surgeon identified a potential cause of his instability: the venous cannula was not circulating properly. This led to the third operation of the day. This cannula was put back in his chest, which helped resolve the imbalance and provide stability.
Everything felt very touch-and-go through the evening. Because of the short intervals between these procedures, we didn't see Gus for almost 12 hours. When we heard he had been stabilized, we crashed and slept. By the time we saw him this morning, he had stabilized and his swelling had come down.
We are thankful for this resolution, although it felt like we took several steps backwards and landed in the same place we were several days ago. However, we acknowledge that situations such as ours often follow these trajectories. Our team remains confident that Gus is still in a position from which he can recover. For that to happen, several things need to be achieved (or not continue):
First, his right lung needs to recover, at least to the point where he no longer needs ECMO. We are at the point where ECMO, while lifesaving, is adding complications. Another bronchoscopy this afternoon successfully removed another significant mucus plug. Please pray his lung will recover as our team continues to treat it. This will allow us to come off of ECMO support before further complications are added.
Second, we are praying for our team as they navigate his vasoplegia. This systemic lack of vascular resistance causes cascading episodes of hypotension. It doesn't appear to be directly tied to his heart function. It may be an inflammatory response tied to his lung condition or even the use of ECMO -- a vicious catch-22. Pray for wisdom and resolution ahead of coming off of ECMO successfully.
Third, we continue to pray that his heart function would maintain itself and improve.
Fourth, pray his dialysis treatment is successful so long as it is able to continue. He is currently on a circuit intended to aid his kidneys in shedding all the excess fluids. It may entail risks, but it can also help with swelling.
Finally, pray that God would protect Gus from additional ECMO complications. We've been on ECMO for a while now, and the risk of complications from it is ever present. We are thankful that his circuit looks good right now. Pray with us for this to continue.
As always, thank you to all those who are reading, following, and praying over these updates. Your support, prayers, and encouragements are fortifying. We are grateful for all the support as we ride this rollercoaster with Gus. Admittedly, we are tired -- especially in emotional terms. The ups and downs are beyond wearisome. Pray we are able to continue to support Gus and each other well.
Still, we remain thankful to God for his grace. We continue to plead boldly before his throne. We are thankful for our medical team, working so hard to help Gus recover. They are interactive, communicative, and supportive. We have receive many expressions of God's kindness through others even today. There is much to be thankful for amidst the hard blows of difficult providence.
God is good. Christ is precious.
"My help comes from the Lord, who made heaven and earth." Psalm 121:2
---
Picture from several days ago: