Kasey Layne 9-26-12

Ok, so if you are following on Facebook you will already know most of this but I am doing this for those that don't have a facebook account and so I have  the record of it.

We checked in at Presbyterian/St. Luke's Rocky Mountain Hospital for Children yesterday at 7am. Kasey was calm as a cucumber the whole time, he even let them put his I.V. in without so much as a wince. He is usually never calm when it comes to this kind of stuff which is how I know all the prayers worked and the Holy Spirit was right there in my boy giving him supernatural peace beyond understanding. He agreed with me that I was being a crybaby and he gave us his new "Darth Vader" impression before we left him. There were 2 Orthopedic surgeons, one PA, one neuromonitoring specialist who had direct access to a neurologist, and an anesthesiologist in on his case. The docs said we would have an 8-12 hour surgery from prepping to finish so we settled in for the long haul.

At 11am the nurse came out to let us know the surgery had just started. They had a hard time getting a central line put in below his clavicle because as the anesthesiologist put it "his anatomy is weird". So they ended up putting it in his neck. His vitals were stable through the entire procedure.

At 1pm Kasey was still doing well, they had just gotten him all opened up and were then putting the screws in. The screws go on each side of almost all the vertebrae. Afterwards we learned they put in approx 30 screws.

At 3pm They had installed about 1/3 of the screws.

At 5pm The docs had the screws in place and were going to move on to placing the rods -- afterwards they told us they fully expected this to be their final hour of surgery. But Kasey's body had other plans...he was hooked up to neuromonitoring to monitor all nerves in the body and when they were trying to place stuff, Kasey's brain would have a fit, so they would have to back up a few steps and try again, tweak some more. They tweaked a total of 6 times before the doc came out at the 13 hour mark to let us know that Kasey was holding up well, but that his spinal cord was being extra sensitive to the changes they were trying to make so they were having to move extremely slow.

At 10 pm things were the same and nothing much had changed, they were still just trying to get him as straight as his spinal cord would allow. And obviously, now already past the 12 hour mark,it would be even longer.

At 11:45 pm they were finally closing him up and told us they would be done by about 12:30.

Surgery, all said and done, start to finish, was 16 hours.

At 12:45 am on Sept. 27 the surgeons finally came out, told us everything looked good and that Kasey was well on his way to losing quality of life had no intervention happened. His curvature had progressed to 85 degrees just since last x-ray. They also noted that his blood sugar was 250 in surgery and ended up having to give him insulin so we should have him checked out once all of this settles out. Nothing pressing at the moment, just something to keep on the radar and monitor.

We finally made it to the Pediatric ICU floor and got to see Kasey at about 1:30 or 2. I was quickly losing track of time by then.

So he had a decent night, they were having a hard time keeping the optimal blood pressure, which is higher than normal because they want good pressures in his spine for optimal healing. And they said it's normal to run a fever after surgery especially a major surgery like this but the concern is obviously for infection so they are monitoring him closely.

This morning it is looking like he will have at least the rest of today on the ventilator. They have discovered something in his heart/lung area that they want to have checked out so in the next hour or so we will be heading to CT to get a scan. Please continue praying with us that it is nothing, that the blood sugar thing is nothing, and that his stats and labs will stabilize so he can get off the ventilator. He is dying to talk and have a drink of water.

I told him I was going to leave him with Uncle Josh this morning so I could go down the hall and shower and he gave me a little wave as I went. He isn't talking because of the vent but he will use small hand gestures and nod his head. He is extremely swollen in the face due to being face down for 16 hours and he looks a little beat up, but I still see his huge spirit shining through.

So, I am thanking God for his provisions thus far and believing that CT, blood sugar, and all else is already taken care of and a non-issue and would love for you to join in prayer and thanksgiving with me. I will post again when I know more.

Thank you for standing in agreement with us,

Cynthia

Here are the updates since I last posted: CT scan showed a partially collapsed lower right lung, so he will have to stay on the vent until tomorrow. They will give him breathing treatments to try and open the lung up and if that doesn't work, then he will need a bronchoscopy to get it opened up. They think maybe the main tube going into his right lung got a little kinked while laying on his tummy for so long. He will get another chest xray in the morning to check progress. His fever and other stats are holding steady, it's just that his surgery was so long it just wreaked havoc on his little body. Because of his scoliosis, his right lung is only about 2/3 the size it should be so he will be seeing a pulmonologist to be followed up for restrictive lung disease. He has been out of it most of the day, they are keeping him very sedated. They are also infusing plasma, clotting factors, and minerals because he lost half his blood volume during surgery. They transfused blood last night, but his plamsa and clotting factors aren't at sufficient levels yet. The doc is confident, though, that he will get off the vent tomorrow.

Pray with us that no bronchoscopy will be needed and that the breathing treatments will penetrate those closed off airways.

The humor of today is 1) My brother decided that with all of his facial swelling he now looks like Jonah Hill from the movie 21 Jump Street.

And 2) He has 3 small reddish marks that are caused from insufficient grounding of the cauterizing tool. There are pads that go on the patient to "ground" the welding/cauterizing thingy they use in surgery. Well...the ironic/funny part is that hubby, Kasey's daddy, designed the transformer in the cauterizing tool! So the very power that caused the marks was created by his own dad! Of course, Eric says that the power wasn't the problem but instead it was the grounding pads being insufficient ;) We know that but it is fun to razz him a bit. Anyway, that's it for tonight. I will post again tomorrow. Goodnight and thank you for your prayers.