Saturday, February 7, 2009

Okay, I think think a bit straighter now

Staying awake for almost 24 hours in a row sucks.

Dad is peacfully sleeping. It is nice to see him finally get the rest he needs. We popped in to check on him briefly and then went to grab some food and get our hotel arragements made. Now Jordan and I are sitting with him watching him sleep.

I will try and explain better what I remember from my lack of sleep and delirium. The surgery took longer than expected due to the fact dad has been on aspirin and Plavix for so long. That of course causes a bit more bleeding than what they wanted so they had to slow the surgery down. It was a clear shot to the aneurysm, they were able to get right to it. The weird thing is, his brain is sitting on top of the aneurym, kind of cupping it. So, I guess it is under his brain? At any rate they got right to it. Dad has a huge head, so it actually has a use other than a ton if useless knowledge.

Dr. Lopes described what was in the aneurysm as an organized fibrous material that looked like stalagtite that was on the meteor in Armageddon. (For real) It wasn't very dense and it had that clear fluid in it. He said that the tool he used didn't give him the ability to dig around to make sure that he got it all out, like a larger tumor tool would have so he wasn't sure how much he was able to aspirate out. He likened it to scuba diving and putting your hand in a cave and pulling out fish and not being able to see what else was in there. I asked and made sure that he didn't pull any fish out of his aneurysm and he assured me he didn't.

His theory is that whatever it is that is in there is causing all of the problems and edema. Leaving the aneurysm open will now enable all that icky stuff to vacate and be absorbed by the body. He didn't want to clip it and then create the same problem again. He was then scared that by leaving it open, it may cause bleeding so he waited an hour or so to make sure it didn't. There was absolutely no blood flow getting into the anuerysm, the coiling and the stenting was successful at the neck.

Dr. Lopes is just completely enamored by all this as he has never seen anything like this before. Dad's motor skills were monitored throughout the whole process and he didn't lose anything. Dr. Lopez goal was to keep him as he is with the hopes of making him better. He thinks that if he regains his strength and use of his left side, it could be around a month before we really start seeing any improvement.

The infectious disease doc came up and said there is something definately growing in the petri dish, but it is too soon to tell what it is. They are double checking to make sure there was no contamination of the specimen. He was telling Debbie that it appeared that it some type of bacteria that is usually seen when someone has a heart intervention that causes an infection which travels to the brain and then creates an aneurysm, but that has never happened. He also theorizes that maybe there was an infection that could have been in there the whole time introduced by the first coiling or the 2nd stent, but he thinks that is unlikely.

Really, as of now we are still playing the sit and wait game. At lunch we trolled the Little Italy and crazy Mexico. I walked into Walgreens and a puppy dashed in from the street ahead of me into the store and some guy was selling cotton candy outside the door. He was cute. At least I think it was cotton candy. Who knows, maybe it was colored insulation. I will have Scott try it to make sure.

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