On day 4 she began to experience complications from all the fluid retention because her kidneys weren't filtering out enough fluid through her urine. She began to experience fluid build up around her heart causing a heart "gallup", fluid around her lungs making it more difficult for her to breathe on her own, and she got a fever. Then, when they started giving her nutrition through tube feeds she developed pancreatitis (inflammation of the pancreas). The complications also meant that it would be a while before she could come off the breathing tube. All this bad news was very hard on me and I began to feel very frustrated and helpless again. I was angry at the doctors for giving her so much fluid when they could have prevented this by scaling back. We discussed this with them and they finally reduced some of her fluids, although she had to receive some because she was getting her meds through the IVs. The doctors increased her dosage of diuretics and we began to pray for her to pee more. She needed to release all the fluid inside her!
When that didn't work fast enough, they finally decided to give her dialysis on day 5 (Aug 9). Dialysis is basically where they use a huge catheter in her jugular vein to draw out blood from the body and filter it through a loud, whirring machine to remove toxins from the blood. The machine can also remove some of the excess water from the body in the process, if necessary. However, it became more complicated than that. For the process to work the catheter had to be stable and in just the right position. If it began to lose it's integrity it would have to be replaced. Also, any clots or blockages in the machine can cause the whole thing to shut down. In this case, any blood that is in the machine when it shuts down cannot be returned to her body, so she would have to have a transfusion to replace the lost blood. During her dialysis treatments we dealt with these obstacles often.
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| Paisley is attached to the dialysis machine, named "James Bond" because it's number is 007. |


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