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Tuesday, June 22, 2010

Another home run for this little slugger...

Let me say, it has been one long day! Surgery went well. Both surgeons were there together and got the procedures done fairly quickly. Joshua's tongue was clipped. His vocal cords, airway and lungs were examined. The adenoids were partially removed (the surgeon said they looked really nasty, aka infected). His sinus was cultured. The heart scan was completed. They did have to use the aggitated (bubble filled) saline contrast, but they were able to avoid going in through the esophagus with the ultrasound equipment and he didn't have any averse reactions. So that was positive!

All in all, the amount of time he was in the operating room was pretty short... just about an hour. The completely horrifying part was that he had trouble waking up from the anesthesia. We waited for him in the recovery waiting room for over an hour and a half! This is a kid who usually pops his head up from the stretcher bed as he's being wheeled out of the O.R. I don't have to say that Nick and I were sweating bullets when he wasn't awake after the 20 minutes they say is the standard "wake up" time.

But, he did wake up, thank God!! He is super tired... didn't stop him from trying to jump out of the bed and run to the car himself though, lol. He slept in the car and he is sleeping at home in bed now. He is s trooper!

The results were a little confusing. The heart stuff was great. Cardio was able to see what he needed and is confident that the clip sealing off the artery that connects the aorta and pulmonary artery is tight and there are no leaks or tears. He just wants to go back to the office and review Joshua's whole chart and results before discharging him for sure. He is really a wonderful man. He gave us his cell phone number to call in a couple days and he shook both our hands and hugged us, lol. You've gotta love doctors/surgeons/specialists that truly care about your child and yourself. So that is that.

The results of the ENT stuff is what boggles our minds. It was already determined that Joshua aspirates thin liquids when he swallows. His water, juice, ect has to be thickened with a special food thickener. He also has a very low and raspy voice. This was the main reason the surgeon had to do the study. It was highly suspected that Josh aspirates because of a paralyzed vocal cord from a previous surgery, or because of a nodule or build up of scar tissue from all of the forceful intubations he has had. This part of the procedure was to determine which of these were the reason and the severity of the condition. However, he has none of these things. His cords are not paralyzed, there is a smooth, clear passage... no scar tissue, no nodules, nothing! His voice box looks good and so do his lungs. So then why the heck can't this kid protect his airway when he drinks??? The surgeon has no idea! So, the window to the unknown is opened again and we don't know what this means.

The other ENT results were that he was born with an extra bronchus, which apparently is a benign condition and will not be of any concern. And, hopefully the removal of some of those infected adenoids will help his nasal congestion and compaction. We have to wait 72 hours for the results on the sinus culture. We will see if there is infection there too. He has a deviated septum that closes off his right nostril... another reason he breaths through his nose at night. But that we already knew.

Here are some pictures of Joshua throughout the day.
What a handsome kid, even when he is feeling under the weather.
Click on image to view larger.

In the car and in the parking garage this morning

In hospital and getting BP taken before surgery

In recovery after surgery, showing mom his IV board

Playing with his Buzz balloon that Mommy & Daddy bought him,
and sleeping in the car during the drive home!

Passed out in bed at home

The goods our little guy scored today!


  1. What a tough little guy! I am so glad to hear the surgeries went well and I am praying for a fast recovery for you guys!!

  2. Omg, it never does get any easier!! So glad your little guy is at home and doing well. Hope you are breathing a little easier tonight, too.

  3. Your blog hasn't been coming up in my reader! I'm sorry that I'm just reading about Joshua's surgery! I hope his recovery is fast!