Posts in Sweet Caroline's Story
We're still in the hospital. Can you believe it?

Yep.  Today is day 19, and although we are out of the ICU, we are on the peds floor waiting for her fevers to stop and for her eating to improve.  That's been tricky; the antibiotics she's on are making her nauseated.  The taco she ate for dinner last night was a huge, big deal- the first thing she'd asked to eat-  but it didn't stay in her tummy :( Please pray that she'll just continue to improve.  Pray for my other kiddos, who have been sweet, kind, and understanding.  They're also missing their sister!  Pray for my husband and myself, who feel as if we're in an endurance marathon. Thanks!
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Tuesday's ICU Report
I know it seems like prayer requests for our daughter have not stopped, but this is our 11th day in the ICU for her ruptured appendix. Over the past week she has developed a few fluid-filled infected areas in her abdomen and her surgeon has made the decision to go in and drain them non-surgically.  Sounds easy enough, but one of the areas is precariously located near some arteries, so getting to it with a needle/drain is complicated and risky. The procedure will take place this morning at 10:30AM (CA time) under general anesthesia. *Please pray with us for a safe and effective procedure. *Pray for safe anesthesia... going to sleep and waking back up. *Pray that they find the target and can drain the infections. *Pray that her organs and arteries are protected from injury. *Pray for peace while we wait to hear the results. We have no estimates on how long this procedure will take, how effective it will be, or when we will be home.  We have been told that due to the nature of the infection, it will be weeks to months before she is back to 100%. Thanks for praying!  I'll update here to let you know what happened!
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Update From ICU
From my husband: Healing has been slow for our daughter following last Friday's emergency surgery for a ruptured appendix and a septic abdomen. (Note: it was 15mins to locate and remove her appendix and an additional hour of cleaning her abdominal cavity of infected fluid). So, throughout the week, she has battled infections, pain and hints of pneumonia. Last night she had a follow-up CT scan and they found two more large abdominal abscesses. This morning her on-call surgeon and radiologist analyzed her scans and they debated a less-invasive drain procedure versus more-invasive abdominal surgery. We waited all day and about an hour ago we heard the conclusion: The infection is too deep and dangerous to try the drain procedure. At the same time they don't want to rush to reopen her with more surgery. Since she is showing slow/general improvement, they've added two additional strong antibiotics. The decision was to monitor her today and tomorrow. On Monday, her regular surgeon returns and he will consult with the on-call surgeon and they will corporately decide whether or not to do more surgery. She gets around pretty well, but she will remain in the ICU through the weekend. Thanks for praying. It has been a long week and will continue. We are looking forward to a bounce-back without surgery!
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Yep, Still Here...

Sitting up after the big walk

Day 6 in the ICU, but we're hoping we get kicked out by this evening ;) She's walking in a big circle twice a day, but is still breathing too shallow for her good.  She's not eating solids (clear liquids only) but had her heart arterial line removed today (yay!).  We've been blessed with wonderful nurses who aren't accustomed to pediatric ICU patients at this hospital but have been just the perfect caregivers for our girl. Bit of excitement today.  Despite the fact that we are in a brand new wing of the hospital, our massive and lusty storm was too much for the ceiling in her room and this morning the water broke through in a huge gush!  You've never seen an ICU patient moved so quickly!  Nothing like a busted ceiling to break the monotony, eh? We're here a while longer.  And someone told me that bitten nails can end up irritating an appendix.  Anyone want to verify or debunk this bit of info?  Our daughter's nails are chewed to the quick, so it's an interesting theory. So far, here's what you can teach your children by way of the Fletcher family: 1. Wash your hands (Joe's enterovirus) 2. Remain seated until the car comes to a complete stop (little girly's fractured pelvis) 3. Don't bite your fingernails!
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Still in the ICU
Our sweet girl is still being fed through a tube, breathing shallowly (it hurts to breathe after major abdominal surgery!), but walking a few steps to the door and back, whisper talking, and sucking on blue popsicles that make the new nurses a little shocked until they realize the real reason for her blue lips :) My posts for this week are on auto pilot, so they'll continue to go up.  But if you think of us, please pray for our still-recovering daughter, our scattered hither-and-yon children, and my husband and I who will be like two ships passing in the night all week long. Love you all!
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Back in the ER
That's right.  Let's review: June 2008- Mighty Joe and the enterovirus January 2009- Five-year-old and a fractured pelvis (tell your kids this when they don't remain seated until the car comes to a complete stop) January 2010- Eight-year-old and a ruptured appendix which has gone septic

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So, a morning in the ER, a day in ICU, and hopefully to the pediatric wing tomorrow for the remainder of the week.  Or more. Mighty Joe's PICU doctor was one of ten kids himself and he told me, "Kendra, the more kids you have, the more illnesses and injuries".  I believe him.
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