What a day! As I curl up on this stiff pleather couch for the night, I'm just thankful I get to feel more calm in my heart than in my body. My precious little boy is sleeping soundly next to me and one major surgery is over. The beeping machines have given way to his steady breathing and just maybe, mine will soon sync with his.
Gabriel had major brain surgery today. It ended up being more complex than we all thought. His right ventricle was taking up most of the space in his brain and the left was nearly non existent. His body just couldn't tolerate that kind of imbalance anymore, and it was letting us know.
In retrospect, I'm sure that God was preparing me and showing me that it was time for this surgery. Though Gabriel's CT scans were not showing excess fluid, his shunt and brain were not working well together. All last week, I told Amos to prepare for a shunt revision. Jack had his orthodontics appointment this morning and Amos headed to ER with Gabriel.
After Jack had his braces put on, I thought I'd have plenty of time to get him back to school and then back up to the hospital if anything was to be done at all.
When I initially spoke to Amos to get a status update on Gabriel, he told me that the CT looked "normal for him" and that they might just do a shunt test or shunt exploration surgery tomorrow. I got Jack a bowl of soup since his mouth was beginning to hurt and he couldn't chew anything. By the end of lunch, I called the hospital for one more update... just in case. Gabriel was already prepped for surgery. Jack and I arrived and were ushered in to pre op. Amos told me that Gabriel had been sleeping all morning and was lethargic. I wasn't prepared for what I saw when I walked in. He roused a little bit at the sound of my voice, complained that he was hungry, but could barely open his eyes long enough to look at me.
The anesthesiologist showed up and gave us a very calm and collected rendition of what to expect. We heard this same spiel just a couple of weeks ago. Suddenly, I realized that it was sounding a lot like a flight attendant before take off. I was expecting him to tell me where the masks were and how to use my seat as a flotation device. I robotically signed some papers that I assume are in my baby's best interest and wait for Dr. Hughes. A woman we had never met before was going to open our sons skull and brain, in that order.
Dr. Hughes is the picture of professionalism. She didn't paint any cheerful, unrealistic outcomes. She told us what she planned to do, that she wasn't really sure that his shunt was the problem and that she couldn't be certain that this would remedy his symptoms. At that point, I wanted to graciously thank her for her time and run out of the OR with my kid intact.
At one point, I think she asked if we had any questions because Gabriel interrupted her dissertation to ask the most important question of all "Is there a 'capeteria' with cheese pizza and a mikshake?" She assured him that there was, but first she had to fix his shunt and then we could fix his hunger.
Tearfully, we parted ways with me promising that while he went with the doctor, I'd be ordering his food for when he was all done. Jake, the NP brought me a box of Kleenex that I shamelessly told him I'd be keeping. He didn't mind a bit and was very kind to notice the mascara that I had foolishly worn looked like the Exxon Valdez spilling down my face.
Dr. Hughes told us the surgery should last approximately one and a half hours, but more like two and a half if it was more complex than she hoped.
We waited in the family lounge. My mind was very busily jumping to all sorts of terrible conclusions; especially after the two hour mark passed. I knew that something was not right. Finally, our names were called and we were seated in a consult room for another agonizing 15 minutes. I told myself that if the doctor comes in and shuts the door, that means Gabriel didn't make it though surgery. Well, she slowly closed the door which made me want to throw myself to the floor in despair. Dr. Hughes calmly explained a whole lot about the surgery. Amos was fascinated with all the plumbing of the brain/shunt stuff. She asked if I had any questions, and I really did: "So, is Gabriel alive? Right?" "Yes, he's alive and recovering well." she assured me. "Okay, good, because I don't really comprehend anything else right now and all I need to know is that he's alive." I think she was mildly amused. I was relieved to the point that even though I have never even remotely attempted a back flip, I was willing to try now.
I did have one other pressing concern... would Gabriel be the same boy that we sent into surgery? Would he have his same awesome personality? Dr. Hughes informed us that she's not an optimist, she 's a realist. She could not guarantee any of that. My heart sank to my toes. I begged God that he would just let Gabriel be upset that we weren't bringing his lunch order to post-op with us. I voiced my wishes to Amos and the doctor. Both told me not to get my hopes up.
Dr. Hughes had to drill a new hole in Gabriel's skull to place his new shunt. There was so much pressure that the pop was audible when she broke through the membrane. However, that was a good sign that pressure was the problem. His old shunt snapped and she couldn't retrieve all of it. There was too much risk of bleeding. She will only try to remove it if it becomes infected down the road.
Finally. It was all over!
We were ushered back out to the waiting area where we told my mom and Grandpa and Grandma Polly that all was successful and that we were headed up to his private room.
Then we were told to come right back to recovery because Gabriel was pretty upset; they thought his incision was really painful and he wanted us. Again, I told Amos that I just prayed that Gabriel would remember his lunch order, just so I could know he's still himself. Again, Amos told me not to be too hopeful as that would be unlikely after such a major surgery. Still, I asked God and he answered.
When we got to Gabriel's bedside, he impatiently asked "Hey! Where's my stuff?!?!"
"What stuff?" I asked in anticipation.
"My cheese pizza..." he said.
Still skeptical, I prodded "Cheese pizza and what else?"
"Cheese pizza and a milkshake." He muttered groggily.
Amos and I smiled and thanked God. We had our boy back.
The post op nurse left briefly and came back with a TY stuffed toy. It's a wolf with creepy red eyes. I got the willies just looking at it. She cheerfully offered it to Gabriel, "You want this little toy to take home with you?"
"No sanks (thanks)... I'm a big boy." he politely declined.
"Well, do you want to take it home and give it to someone else?" she asked, hoping for a positive response.
"Nope." he rejected.
I will post a picture of the scary little wolf tomorrow. I have him safely tucked away where I won't accidentally see him and freak myself out. Think I'll save him for a white elephant gift prank.
We finally made it back to our room where Gabriel gorged himself on hash browns, cheese pizza and milkshakes. I also ordered him some chocolate milk which I noticed was low-fat, but thought I could sneak to him anyway... nope. "This chocolate milk is terrible." he said.
Yes, our boy is back and we're so thankful!
Thank you for uplifting us in prayer. Please don't stop. We need him to not have any brain bleeds, or another shunt failure which is still a possibility. We're not out of the woods yet, but Jesus, our savior and healer, is in control even when life feels like it's falling apart.
Thank you all. Thank YOU GOD!