March 4th 2017, 1700

Today is Calogero's 12 birthday so if you see him please wish him a Happy Birthday! We had plans to spend a portion of the day with him but unfortunately we had some things happen that made us stay back at the hospital today. Grandma is filling in for mom and dad and taking Calogero to dinner and a movie but we miss him very much today.

Today we managed to hit a few bumps in the road for Arlyn and for mommy. This morning during rounds the plan was to increased he feeds, do aggressive chest PT adding nebulizer treatments, take out her arterial line in her wrist and have an ultrasound done of her diaphragm. Her left lung was still collapsed this morning on X-ray and they wanted an ultrasound to determine if the phrenic nerve for the left side of her diaphragm was injured which can happen during the type of surgery that Arlyn had. After ultrasound it was determined that the right side of her diaphragm was moving vigorously and the left side wasn't moving at all. This changed the plan so Arlyn went on Bipap to open her left lung up and a chest X-ray will be done tomorrow if there isn't any large improvement they will re-intubate her. There are two things that can happen with this type of injury a baby can compensate and use the right and in tome instances regain some of the left function back and we will be able to see if this happens in the next two weeks. If that doesn't happen there is a chance that she may have to have another surgery to tack down her diaphragm on the left side. There was a lot of " if this happens then this may happen" today and it was difficult to process.

Carriann went to OBGYN triage and after some time there will just need to take a extra medication and let things run their course. We are hopeful that it will do what its suppose to do and we don't have to go back again while we are here. C-section is very different than a vaginal birth I realize and can believe people would opt for one!