Thursday, September 10, 2009

We Love Dr. Doyle

Colby had his post op follow up visit with his new cardiologist, Dr. Doyle, on Tuesday, and it went better than expected! In addition to telling us that Colby looks great, Dr. Doyle gave us 3 pieces of very good news:

1. We do not need to worry about keeping Colby on a strict low sodium diet. Yay!! It is hard enough trying to put weight on Colby without taking away so many choices!

2. Dr. Doyle has ordered another ultrasound of Colby's leg to look at his blood clot on September 21st. If there has been no change, he is planning to take him off of the Lovenox...no more shots!!!!!! Apparently, this clot will never go away. The lovenox shots are just thinning his blood to prevent additional clotting. Dr. Doyle thinks he will be okay by just taking his daily aspirin. This makes me so happy, because I am a nervous wreck with him being on these blood thinners. Plus, Jason and I are not really too fond of traumatizing him with a shot every morning and every night!

3. Less medicines! Dr. Doyle took his Lasix (diuretic) down to twice a day instead of 3 times a day. He also lowered his Enalapril (blood pressure) dose to a normal amount, and now we can fit it all into one syringe. The less syringes the better, especially since he is getting older and wiser now. I have caught him a couple of times hold the medicine in his mouth and then spit it out when I go to pick up the next syringe. Nice! This is of course followed up with a huge grin and a laugh.

Colby's post surgery statistics:
  • weight: 14 lb 10 oz, which is down almost a pound. Hopefully, he will have an easier time gaining weight now!
  • sats: mid 80s, which is where they should stay until his next surgery.

Overall, Colby is doing amazingly well. I cannot believe how quickly he is bouncing back. I can't help but be extremely proud and thankful to God every time I look at him.

During the post op visit with Dr. Doyle on Tuesday, they took some blood for labs. We got a call yesterday afternoon from Mary Beth, Dr. Doyle's nurse, telling us that one of his levels was pretty low. They needed to do a urinalysis and start him on some additional medicine ASAP. So, I woke Brody up from his nap once Colby was up and headed to Vanderbilt. I thought this would be a quick in and out appointment, but Colby had other plans...as he usually does! We arrived at Vanderbilt about 4 pm, and they immediately put the bag on him. We went to the pharmacy and got his new medicine, played in the stage area for a little while, and then went back upstairs to the lobby. 4:30...still no pee, 5:00...still no pee, 5:30...still no pee, 6:00...we all gave up! We had to make the very tough decision to just put a catheter in. Once again, I am a bad guy traumatizing my baby, but they had to do this urinalysis.

Mary Beth called me this morning to let me know that the urinalysis looked good, which is great news! Dr. Doyle wants to stick with his original plan of giving Colby this new medicine (Citric Acid) three times a day, only giving him his Lasix once a day, and redraw his blood tomorrow morning. Hopefully the blood work will come back normal. If it does, then we will know that the level was off because of the large amount of diuretics.

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