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Psalm 97

The Lord reigns, let the earth rejoice;
let the many coastlands be glad!
Clouds and thick darkness are all around him;
righteousness and justice are the foundation of his throne.
Fire goes before him
and burns up his adversaries all around.
His lightnings light up the world;
the earth sees and trembles.
The mountains melt like wax before the Lord,
before the Lord of all the earth.

The heavens proclaim his righteousness,
and all the peoples see his glory.
All worshipers of images are put to shame,
who make their boast in worthless idols;
worship him, all you gods!

Zion hears and is glad,
and the daughters of Judah rejoice,
because of your judgments, O Lord.
For you, O Lord, are most high over all the earth;
you are exalted far above all gods.

O you who love the Lord, hate evil!
He preserves the lives of his saints;
he delivers them from the hand of the wicked.
Light is sown for the righteous,
and joy for the upright in heart.
Rejoice in the Lord, O you righteous,
and give thanks to his holy name!

Day Four: Making Progress

Today’s post is very late because it’s been a busy day. Since he’s in his own room, we can stay with him overnight. So Rashell camped out at the hospital last night. Robert slept off and on, and I relieved Rashell around 7:30 this morning. Robert had a newfound energy and we played catch with a wadded-up paper towel.

After a while, I decided to see if Robert wanted to get out and about, so I got him hooked up to some wireless monitors and we ventured out into the hallway. They have several toy vehicles that the children can ride around the hallways. Three of them are Flintstones-style cars, one is a smaller pink car with a handle for parents to push, and the fifth is a plastic Radio Flyer wagon. Robert went straight for one of the Flintstone cars and climbed right in. He pedaled his little feet as I guided the car around the floor, making a large circle. After we got back to the beginning, he hopped out of the car and made a bee line for another one. This process repeated until we had made five laps around the hospital, each in a different vehicle. Once we had been through all the cars, we went through them again, Robert choosing each in the exact same order as the first time.

After the tenth circuit, Robert decided he wanted to push. So he went to the pink car, grabbed the handle, and started pushing. I let him push the thing all the way around the circle. Once, we got back to the beginning, he wanted to try the same thing with the wagon. This turned out to be a bad idea, as he soon ran over his own foot and started crying.

Fortunately, Woody and Buzz Lightyear were close by to comfort him, which they did until Robert succumbed to the sleepies. He took a good three-hour nap, which afforded Rashell and me the opportunity to get lunch and wander about the hospital. Overall, Robert is feeling much, much better. We’ve switch to oxycodone on demand (rather than on a schedule) and so far, he hasn’t had any since early this morning. This is important because they can’t send him home until he’s off the good stuff. Provided he’s off the oxy, the only other thing keeping him in the hospital is the chest tube. It is starting to drain more slowly, which is a good thing, and the cardiologist says that walking around will help it finish draining faster. We’re optimistically hoping for a release tomorrow or Tuesday, but that’s really up to Robert. Right now, we continue to be encouraged. Robert is such a strong little kid and he’s in such good Hands.

Today I leave with you with a picture of Robert watching a movie and eating Doritos.

Day Three: On the Mend

Christopher posting again. Rashell and I got to sleep through the night last night. When we got up, Rashell called the hospital and they told her that Robert was up most of the night, but in a good mood. They said he watched all six Pixar movies we brought for him and that the nurses took turns rocking him on their laps. He’s still in the PICU but we’re hoping for a move to “the floor” some time today.

We got to the hospital a little after 8 this morning and Robert was writhing in pain. It was heartbreaking. Rashell held him and he just moaned and cried, reaching up and gingerly touching his chest. It was so difficult to watch, knowing there wasn’t anything we could do except comfort him. Eventually, the nurse gave him some morphine to help with the pain and it was like someone flipped a switch. He stopped crying and turned into our little Robert boy. He started smiling, talking, eating, and interacting with the movie (Toy Story). When I started filming him, he asked for the video camera, which I gave him.

He’s recovering very quickly and his doctor said he might be able to go home earlier than we expected. Of course, that all depends on how effective the pain management is and how quickly he can be weaned off the stronger main meds. The plan now is to stop using morphine and instead alternate ibuprofen and oxycodone every four hours. Once he’s down to only needing ibuprofen, Dr. Salazar said there would be no reason to keep him in the hospital.

He still has his chest tube in and it will probably stay there until Monday. Aside from that, all Robert has is a heart monitor, O2 sat monitor, and two peripheral IVs. Dr. Salazar said once he gets his own room, we can allow him to do anything he wants, including walking around and playing. We’re looking forward to that.

Thank you all for praying and please keep it coming. It’s obviously effective and we are so thankful for all of you. I’ll update this post when Robert gets a room and we have more information. Until then, here’s the video Robert shot of himself:

1:45 PM: Robert is now in his own room and he’s been doing really, really well. He’s been awake and pleasant since this morning, though he does look awfully sleepy. He’s been sitting on Rashell’s lap almost the whole time.

Since he has his own room, now he can receive visitors. If you’re in the area and want to drop by, get in touch with Rashell or me and we can give you the room number and info. Here’s another picture of our little patient:

Day Two: Recovery Begins

We’re back at the hospital, having arrived here shortly before 4 AM. Robert is now breathing on his own and dozing on and off. When he wakes up, he is very pitiful. He groans and grimaces and asks to be held in a croaking, gravelly whisper. And while it is heartbreaking to witness, we know it is a very good sign. He is progressing very well and we couldn’t be prouder of him.

He’s still feeling the lingering effects of the anesthesia, plus they’ve given him some medication to help him sleep. I’m not entirely sure what to expect from today, but I wouldn’t be surprised if we get to see some more of the Robert we’ve come to know and love.

I’ll try to update this thread throughout the day like we did yesterday. And please keep praying. Yesterday was difficult for us, but going forward will be difficult for Robert.

11:03 AM: Robert was getting some good sleep so Rashell and I went home around 6 to try to do the same. We’ve been back at the hospital for about an hour and since then, Robert has woken up and Rashell is currently holding him, giving him a cup of apple juice. He’s still a little disoriented and his eyes aren’t focusing, but that will go away soon. They’ve taken several monitors off him so right now, all he has is his chest tube, heart monitor, O2 sat, a central line, and a few peripheral IVs. He’s progressing very well and the doctors and nurses are pleased.

1:11 PM: Robert got some good snuggle time with his momma, eventually falling asleep in her arms. At about noon, they needed to do an echocardiogram so we took that opportunity to go get lunch. When we returned, he was sleeping peacefully again. He’s doing great and they told us that the only reason he’s still in the PICU is that they don’t have a bed open for him in the main hospital. Hopefully, one will free up son and we’ll be able to move there where the visitation rules aren’t as strict.

Since there isn’t much new news, I’ll just leave you with a new picture:

7:50 PM: The afternoon has been pretty uneventful. Mom and Dad squeezed in some short naps while Grandma stood guard by the bedside. She was able to comfort Robert a couple of times when he woke up in pain. He is progressing very well, but pain is a normal part of major surgery like this. Fortunately, they’re giving him the good stuff. After some morphine and oxy, he was soon resting comfortably in his mother’s arms.

We also had the opportunity to talk to the surgeon, Dr. Salazar, in more detail about the situation. He looked at the echo that was done earlier and said that the repair actually looks better than it did yesterday. He’s still very happy about the outcome and obviously, we are too.

Before we left the hospital to get some dinner, I got a chance to rock with Robert while we watched Toy Story 3. We had a nice conversation, provided I only asked yes-or-no questions. We confirmed that he does indeed love us and that he is feeling better and that he did not, in fact, poo poo. It’s too early to tell what tonight will bring, but we’re going to call the PICU momentarily to check on him. If he’s still doing all right, we’ll try to get some sleep at home.

9:18 PM: We’re still at home and Robert’s nurse said he’s doing great. We also learned that he’ll probably be moved out of the PICU some time tonight and we’re just waiting to hear when that will be. This is all very good news. Robert is recovering very well so far and we are really encouraged.

This is probably the last update for tonight since we’re about to try to get some sleep and wait for the hospital to call. For now, I’ll leave you with a video from this morning when Rashell got to hold Robert and feed him some juice. But be warned that this might be a little hard to watch. It was from earlier this morning when Robert was still a little delirious and wasn’t able to see very well. But it does show how strong he is being and how much he is loved.

Surgery Day

This is Christopher guest posting. Today Robert is having his surgery and we’ll be using this post to try to keep everyone updated. As we learn more, we’ll append updates here, so refresh every so often.

They took Robert back to anesthesia about 10 minutes ago, so he is now in the doctor’s hands. More importantly, he’s in God’s hands. So please keep praying for us and him.

More to come, news as it breaks…

10:04 AM: The nurse just came in to say that they are just now starting the surgery. Robert went to sleep without incident and everything is going well so far.

11:01 AM: Robert is on bypass now. They’re using a heart & lung machine for this surgery. He’s still doing really well.

12:08 PM: Just got an update. Nothing new to report. They’re still working on him and he’s still doing great.

1:01 PM: Same as before. Still working, still doing great. For the record, I am expecting the next few updates to be along the same lines. This is a 7-10 hour surgery and the surgeon told us he won’t give us details until he’s finished.

1:40 PM: Well, I was wrong. This update is not going to be the same as the last one. The nurse just came in and told us that the surgeon got inside and found that the diseased aortic valve is actually in better shape than anyone thought. So he repaired it instead of replacing it. Going into the surgery, the only question really was which procedure would he use to replace the valve. As it turns out, he didn’t have to replace it at all. This was an outcome no one ever told us to expect so obviously we’re happy.

The nurse said that the surgeon is closing right now and that he should be in to talk to us in about 45 minutes. I’m not sure now long after that it will be before we can see Robert, but I don’t think it will be long. Thank you all for your prayers. There’s no question that God has been gracious to His little one.

2:50 PM: We just got finished speaking with Robert’s surgeon, Dr. Salazar. He told us about Robert’s bicuspid valve and the repair that he did. He also said that he discovered an aneurysm forming in the aorta above the valve, so he removed it and it is no longer a threat. Robert’s prognosis is very good. He now has a trivial leak, though the tradeoff was slightly more stenosis. But this is in an acceptable range and, in Dr. Salazar’s words, “I think you’re going to be very happy with this valve.”

As far as long-term outlook, Dr. Salazar literally guaranteed us that we will be here again, needing another surgery. He told us that Robert’s valve will last him at least until is is five, which is good because older children have a lot more options when it comes to valve-replacement surgery. To put this in context, we were already expecting another surgery again in the future, and this way, there are fewer possible short-term complications, plus the pulmonary valve was left alone.

Robert has been transferred to the PICU and we’ll get to go back and see him in about 20 minutes. More updates later.

5:40 PM: Robert is now resting comfortably in the PICU. He’s under sedation so he’s still asleep, but they’ve taken him off the paralytic so he is moving a bit. We’ve gotten to hold his hand and talk to him. He’s doing great. We expect that they’ll wean him off the sedative some time tomorrow. For tonight, the plan is for everyone to get a good night’s sleep, so this is probably the last update for this post.

Thank you, everyone, for praying. There’s no question that it works. God hears His people and He has been kind to our little boy.

Here’s a picture of our sweet child.
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8:03 PM: Well, I was wrong again. Shortly after my 5:40 update, Robert started to fight against the sedative. And since he was off the paralytic, he started to roll around and reach for things. So they called us back in to help calm him down and decided to go ahead and let him wake up and take out his breathing tube. But that has to happen on Robert’s time, and by 7 PM (when visitors are no longer allowed in the PICU), he still had not woken all the way up. So Rashell and I went home to get some dinner and try to sleep. They will call us once Robert wakes up and has the breathing tube out. He’s doing so well. It’s borderline corny to say “he’s a fighter,” but he really is. I put his stuffed owl (which he can’t sleep without) in his hand and told him he was holding his owl. Robert started to lift up and tried to throw it, his typical “I’m-not-going-to-bed!” reaction. So Robert is really doing great and we’re confident he’ll be up stressing the nurses out very soon.

Robert Likes Daddy’s Jokes

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Another Day Passes

Wednesday has come and gone and Robert continues to improve. We’re reservedly optimistic, but it look like we might be able to have Robert discharged tomorrow. He got hungry at all the right times and he ate voraciously each time. That was the main concern and hopefully, his blood test tomorrow will show that Robert’s hemoglobin levels are back up and they will let us take him home.

Since we don’t know for sure, we’ll have to wait to book return flights until we hear definite word of discharging Robert, and since Friday is one of the businest travel days of the week, we may wait until Saturday regardless of whether Robert is released tomorrow or Friday. The extra day will give us more time to get to know him and will also allow us time to visit with my grandparents who live nearby.

Thank you all for continuing to pray for little Robert. God has certainly been kind to him.

Wednesday Evening

Robert’s had a great day. He got transferred out of intensive care, he got some wireless monitors so he no longer looks like a marionette, and he’s off all his meds. The doctor says if he’s eating and still pink, he might be able to leave tomorrow! As great as this hospital is, and as amazing as his nurses and doctors have been, we’d like nothing better than to leave as soon as possible and never come back.

Robert is currently sleeping soundly after a big meal and Mommy, Daddy, and Grandpa are hoping to get one very soon. Please continue to pray for our little man. He’s been doing great and our God has been gracious to all of us.

Some More Pictures

In honor of Robert’s first week of life, here are some pictures fom the past couple days:

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Tuesday Wrap-up

Well I forgot to post another update yesterday, but this is truly one of those no-news-is-good-news situations. Robert had his echo and while it indicated roughly the same amount of valve leakage as the original one performed after the procedure, Dr. Gillespie said that the heart still doesn’t sound leaky and the way it sounds is more important than the way it looks. In other words, Robert may quite possibly be in much better shape than we had even initially thought. So please keep praying!

There was no further talk of blood transfusions and his nurse just told me they’re going to give him some iron to help his blood. They’re not to worried about it, though, because he is pink and warm as a baby should be.

Last night after dinner, Robert was wide awake and looking all around. It was adorable and a really special moment for us. Rashell and I would both get down near him and talk to him and his eyes would follow whoever was talking. He was really looking at us and acknowledging us and it was really amazing. I got to change his diaper after he soiled it while I was holding him. I’m sure it won’t be long before that sort of thing becomes annoying, but last night, it was really fun.

Today is starting out well. Robert’s nurse said he ate well this morning and that they’ve taken him off the Heparin and the IV fluids, so he no longer has anything in his lines, which is great. She said they are going to give him oral iron for his blood, and that he will probably be moved to a “step down” unit today, which is also exciting. That gets us several giant steps closer to taking him out of the hospital for the first time since ne was born last week!

Can you believe Robert is already a week old? It’s been a long, hard week, but God has sustained us and He has been gracious both to us and to Robert. Thank you all for your continued prayers and check back for more info.

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