Tuesday, December 04, 2007

Home

Trystan is home. He was discharged yesterday afternoon, which is about the earliest that we had expected that he could be sent home. His surgery Friday was (so far as we know) without complications, and even immediately afterwards, the nurses reported hearing good bowel sounds.

Anytime the intestines are operated on, or even moved around while other body parts are operated on, there is a chance that peristalsis, the coordinated action of the intestines, can get out of synch. So, instead of moving contents steadily downwards, parts can get messed up and try to force the contents back upwards. Trystan had blessedly little or no trouble with that this time. After his colostomy at 2 days old, it was over a week before the doctors deemed he was safe to try eating, and it took an extra day or two beyond that before he would eat without puking everything back up.

This time, he started passing gas and pooping at about 30 hours post-op. I was holding him Saturday night, with my hand lightly patting his bottom when I felt(and heard) the first toot. My husband and I were both giddy--you have never seen two parents so excited about an 8-month old soiling his diaper. I was even disappointed that we didn't have a camera, and joked that my husband could take a photo of the dirty diaper with his phone. We didn't, actually. But he continued to pass gas and stool all night (where he got some of that I have no idea, digestive juices mainly I guess since he'd been completely cleaned out before hand). Sunday was rough, as he was hungry, and the doctors still wanted his bowels to rest. So he was allowed 1/2 ounce of breastmilk every 4 hours until first thing Monday morning. The poor little guy did not want to let me (the food supply) out of his sight. Yesterday morning, he was given the green light to eat as much as he wants, and by about noon, we were told we could pack up to go home.

We're all exhausted around here, except for Charlotte who's stressed and dealing with it as any 3-year old does: by throwing tantrums every couple of minutes. Trystan slept in our bed last night--on top of me most of the night. Saturday and Sunday he did the same thing at the hospital and would not let me put him down to sleep. My back is still recovering from that. My husband had duty Thursday night and Friday night, which weren't any better.

So, now we get to deal with the aftermath. We're going to need more diapers, as he has a raging case of diarrhea (completely anticipated), and we must keep on top of the dirty diapers lest he develop diaper rash. Many kids really struggle with the rash between the new experience of having poop on their skin, consistency issues because the colon is not really doing its job well yet, frequency, and all the antibiotics around the surgery. Our laundry is about hip-deep in all bedrooms--much of it clean and needing to be sorted and folded and put away. Our pantry is mostly empty.

Did I mention Trystan's newest trick? Somehow during his hospital stay while he was physically attached to me or my husband the entire time (and basically resting), the kid learned how to crawl, and can suddenly pull up to kneeling. Maybe it just took a sore belly to convince him to try holding his weight on his knees instead of squirming on his tummy. Amazing.

2 comments:

Noreen said...

Congrats on him crawling!

I just wanted to lend some support. My boyfriend was born with VACTERL syndrome as well and spent the first two years of life in the hospital.

He's now 29 years old and every day is struggle, but he's an amazing man.

Best wishes!

flatflo said...

Congratulations!

I've been thinking about you guys over the past week. (Should I admit it was when I myself was using the facilities?) Glad to hear it has gone well.

-Laura