11.08.2011

Biopsy Results and a Big Move

I fully intended to post our biopsy results on Friday, but as I tried to blog, the wifi kept kicking me off and I gave up.  But I have a few minutes and wanted to update you all.
The biopsy yielded us a score of 1R.  This is still a favorable score and usually means little to no adjustment to medications or regiment.  However, because of a few significant changes to portions of the biopsy, we were teetering between a 1R and a 2R.  Since we were still inpatient anyways, the transplant team decided to do a steroid pulse to nip this in case it was turning into a bout of rejection.  This meant starting Friday afternoon Ry received three heavy doses of steroids to knock her immune system out even more.  The doses wrapped up Sunday morning.  She had a few adverse reactions to the pulse, but overall handled it well.  All week we'll be on a very high dose orally, but we're weaning it back down each day.  We'll know on the 17th (during her next biopsy and cath) how her body is responding.
The steroids are making her eat like I've never seen before.  It's incredible to see her eating and enjoying it.  They are also making her a little restless at night.  She has been up for a couple of hours each night for the past couple of nights and just cries.  I can't wait to wean them down so that she can rest well again.

Ry's lung has opened up and is looking great!  We are on continued respiratory treatments, but we've been able to wean down to just three times each day.  We are both liking this change.  She's currently still on a nasal cannula at night, but we're in the process of weaning that each night as well.  Our hope is to go home without oxygen.

So the big move happened yesterday!  We are now on the 8th floor :)  After three and a half months in ICU, we're making our way closer to the door!!  It's so close I can barely stand it.  Tomorrow we'll go to the OR to have her PD catheter removed.  We have  had it capped for 9 days and she's done well.  So we're praying her kidneys continue to fully function and we have no regrets for getting it out.  It's an infection risk and with her weak immune system it's best to get it out.  I'm not sure what Ry will think about it being gone.  She cried the other day when I told her I was excited because her drain was coming out. 

Ry has made huge strides in her physical strength and rehabilitation.  Yesterday she stood for nearly 10 minutes!!  Today she took a lot of steps while I supported her.  She is such a determined little thing and I know she's just dying to really go.  I am so proud of her every accomplishment.  If she were any adult or older child she'd cry and give up, but I watch her trembling awkward legs and know she is using every ounce of strength.  She was actually sweating after today's PT session and even after a trip to the playroom.  Keep going Ry, I'm so proud of you!

8 comments:

Anonymous said...

Cheers from the LTX crowd!!!!! We are all so proud of her too! What an absolute miracle she is and an inspiration to us all. I love reading your blog and SMILING the whole way through! We'll continue the prayers for her strength and your rest and of course for the comfort of the wonderful selfless people who made this gift miracle heart possible. God is good! Your blog reminds me every day just HOW good! Thank you! xoDusty&Cindy

Anonymous said...

I read your blog this morning with a hard lump in my throat and tears in my eyes. And you are right, there are no words for either end of the spectrum ~ the joy of life or the pain of death. These situations leave the rest of us feeling totally helpless but desperate to do something, anything to help. I am so thankful that I can pray for God to be in control of all that happens and give His comfort and healing to everyone involved. I am so touched and impacted by Ry and you and Gilly and also the donor family. I will continue to remember all.
Praying continually,
Linda

Sara Bading said...

So glad things are going well and that you moved to the 8th floor. AMEN! and a bonus is your private shower!!!! So glad that you're making progress with her lung, hoping the next bioposy yeilds a perfect report. Hope to see you guys soon...

Kaci Danek said...

Congrats on the move!! We are excited to hear that Ry is doing well, and her lung is making great progress. Continued prayers for the biopsy results on the 17th.

Anonymous said...

Blessings....blessings...blessings!May God continue to guide and be with you guys as you continue on this journey:)

Lots of love and prayers....

Karen said...

Oh! Yay, yay and yay! Great progress Ry! I was oohing and ahhing over her new improved appetite, (despite the steroids) the improvement in her lungs, the removal of the PD cath AND moving to the 8th floor!!!!! yippeeeeeeee!

Yay God! Gooooooooo TEAM Rylynn! So excited for this great progress for you all!

Praying for a great rest of the week and that there is no more rejection of her new heart. Praying for her kidneys to continue fully functioning well so she doesn't have any more issues with them. Praying for some good restful sleep for you both and continued improvements in her physical therapy.

Ry is such a trooper! And Praise the Lord for His faithfulness. He really does love his flock of sheep, especially that little "lamb" name Rylynn Riojas. :))))))

Anonymous said...

So excited to get more good news. Yay for eating, healthy lungs and healthy kidneys. I am sure all the changes are hard on her, but she'll soon be as thrilled as the rest of us. I'm so glad yall are out of ICU!

Hugs!!

Zach, Lucy and Bryce

Anonymous said...

Whoa great days! Go ry