Sunday, December 6, 2009

Getting over the 'bump'

It appears that Briana is beginning to get over the 'bump in the road' from earlier today. There is a different team on staff now, and one of the nurses that has been with Briana over the past few days is on again now, and she gave us a much better explanation of what happened this morning. Not to discredit anyone, they are all great, but some nurses are much more patient and compassionate with their explanations. It is certainly a lot to take in and understand.
She explained that there is a duct, (medically termed "Patent Ductus Arteriosus") that will close after babies are born when the lungs begin to function on their own. Because of Briana's hernia, and the fact that her left lung is extremely underdeveloped, her lungs aren't doing what they normally would to promote blood flow. So the lungs weren't pumping the blood through, and the Patent Ductus Arteriosus was closing, and the blood had nowhere to go and was backing up into the right side of the heart, thus causing the increase in pressure, or 'pulmonary hypertension' in medical terms. This pulmonary hypertension is Briana's main nemesis at this point, because that is what needs to be under control in order for her to have her surgery.
The name of the medication they gave her this morning to open that duct escapes me at the moment, but I will put that in the next post. It is a long name, starts with a "P", ends with "glandin". When they listen to her heart with a stethoscope, they believe they are hearing an extra murmur now, so that is a good sign that that duct is opening, and the pressure will begin to come down now. They will verify that with tomorrow morning's echocardiagram. Fingers crossed.


  1. Pulmonary Hypertension was Kayla's big nemesis as well. She was put on nitric for that- and that took us a while and that was what kept us from surgery for 13 days. It was frustrating for sure but Briana will kick this! :)

    I love the pics from the previous post! I can just imagine how hard it is for a parent with another child to have a CDH baby. Spending time with both children must be tough! Hang in there! Stay positive!

  2. Glad to read that it sounds a bit more positive. I am so glad you guys got to see Mackenzie, it looks like you all enjoyed it!

  3. I am glad to see that things are going a little better. Please let us know if there is anything that we can do to help. You are all in our prayers!