The decision was made this morning to go back to MUSC. We are comfortable with this decision and it's what Milo and I felt was the right call last night before things got under way. We are grateful that we didn't have to push anyone into that this morning, but rather everyone agreed that today was the day. Thanks for your prayers in this situation.
We are still hanging out in the PICU at Greenville Memorial and will most likely be here for at least another week. Josiah had a pretty bad day yesterday. His lungs have gotten pretty wet in an attempt to rehydrate him from all the diarrhea he was having over the weekend. It's pretty complicated simply because Josiah is very complicated. Josiah was having respiratory distress yesterday and we have had to go up on his settings on the ventilator. His settings are too high for home (we don't have the ability to provide him with enough oxygen at home, it doesn't just come out of the wall like it does here!). So we will stay here until he can be weaned back down on the ventilator. Cultures were also drawn again last night because Josiah had another high fever. The offer was put on the table to go back to MUSC but for right now Milo and I want to stay here. It is easier on our entire family being here. As soon as we feel that Josiah will be better at MUSC we will go there. There is nothing, at this point, that the MD's here can't do that we would be doing at MUSC. The tricky part of that is, the MD's at MUSC know Josiah better, that is the only thing that keeps us wondering if we should go back. The MD's here are truly great they just don't have the 7 month experience of Josiah's ups and downs to start from. They are in constant contact with our MD's at MUSC though, which has helped tremendously.
Our sweet baby girl is 4 today! I can't believe that. Although this year has not been the easiest year for being a mom, the day Daylia was born and I entered into the world of motherhood was the best day of my life and I wouldn't trade being a mom for anything. She is amazing and I am so grateful for her today and always.
Josiah started having a fever on New Year's eve. I spoke with the MD's at MUSC and we all agreed to just wait and watch it. Unfortunately, on New Years day his temp spiked again to 103 and he was having major diarrhea so we had to bring him in to the hospital. We were able to be directly admitted to the PICU at Greenville Memorial so we didn't have to go through the emergency room. We were put on a 3 day sepsis watch. Basically that means cultures were taken and we wait the 3 days to see if anything grows back. So far nothing has grown back and so we are thinking that it is something viral. Josiah was also very dehydrated when we got here, so the MD's are trying to determine if that is because of the diarrhea or if he is on too many diuretics.
We are spending our first night at home with all three of our children under one roof on the last night of 2009! It is so nice to have everyone home. Milo's mom brought the girls home this morning and they were so excited to see Josiah. They were so good with him and have done so well listening to some new rules around the house, like wash your hands at least 1,000 times a day and ask before entering Josiah's room. They love their brother so much! Here are a couple pictures of us in Josiah's room. They are not the greatest pictures, it's hard to have taking pictures on the top of our priority list. Just like I need someone to come over and help clean my house and do laundry, I need someone to come be our photographer!
So on night one home from the hospital it was confirmed that we do in fact have to wear pajamas from now on! I joke but it's only to bring something lighter to an awful experience this morning. As I posted last night, Josiah had an amazing day! We put him to bed and he was sound asleep. We got up several times through the night because of alarms that were all related to the monitors not picking up right. At 4:45 am Milo got up to respond to Josiah's vent alarm. When he got to him he was "screaming" ( I put it in quotes because you can't hear Josiah cry or scream but you can see it all over his face) and the vent was alarming, which indicated that Josiah needed to be suctioned. When Milo passed the catheter through Josiah's trach to suction him. Josiah stopped breathing and became limp. At that point his heart rate dropped. By this time I had gotten up because the alarms had gotten worse. Milo was bagging Josiah with the ambu bag and he was still not responding. His heart rate dropped to the point where CPR needed to be started so we began CPR together while I called 911. We did several cycles of CPR with no response from Josiah. At that point we decided to change out his trach and put a new one in. I did that while Milo continued CPR. After several more cycles of CPR Josiah began to cry and fight again. Praise God. Just as he started breathing again EMS was coming into the room. His heart rate came right back up and we headed off in the ambulance. I held him in my arms, bagging him all the way to the hospital. Josiah has been perfectly fine, perfectly himself since. The blood gas that they drew when we got to the ER was good. Showing that his body did not take too hard of a hit from this episode.
We are home. We are home. We are home! And I actually have a moment to blog (probably because the girls aren't with us yet). It has been a wonderful day. Josiah has been amazing. I don't think I've ever seen him look so good. He has been just perfect. His O2 sats are higher than they have been in weeks. He's been sitting in the upper 80's all day!