Monday, December 01, 2008

Low Cardiac Output Syndrome

We're listening in on rounds. Elliot said earlier this AM that "Slow and steady wins the race." Sounds like that's the new direction here.

Our guy Doug is giving his recommendations to the rounds before the two attendings - Dr. Musa, who was here yesterday and all weekend, and Dr. Gudousky, who is in today.

Doug says Zoe showed "Low Cardiac Output Syndrome" yesterday, and presented his plan, it sounds approved. No extubate today. Dropping the amount of vent usage so that Zoe has a bigger control over her own breathing, while still vent assisted.

Cultures show no infection.

They will start to reduce the sedative significantly, and address Zoe's pain concerns with doses of pain management.

I'm in on this strategy. I'd like to see Zoe a little more responsive and lucid and in control, with two good lungs, before extubation.

Updates coming soon....Doug and Dr. Musa will return to go over my notes.


  1. Slow and Steady sounds good to me too. She has come this far and the worst is over, meaning surgery. Zoe is such a unique little girl, she just needs some fine tuning to get her running.:) My HOPES are high for her and I am so thankful to read that no infection is showing. Yep, slow and steady is the way to go here, even if it has you climbing the walls at times. Praying for you guys.

    Laurie in Ca.

  2. Anonymous10:32 AM

    Sounds like a productive time during Rounds today, guys. We are still praying, praying, PRAYING for Baby Z. I know how hard hearing all of the medical stuff is, but God is taking Zoe through the recovery process and they are still trying things and figuring stuff out for her. A week ago, you didn't even know if this would be happening. This would have been a positive thing for you to at least know that in a week's time, you'd be having options and conferences and stuff still on the table. God bless Zoe for showing us what she CAN and WILL do. You two are nothing short of amazing and astounding and you are a TRUE example of living your faith and parenting a special needs child. I, for one, am proud to have you in our club :-)

    Lots of love from Jen, Jeremy & Jacob

  3. Anonymous10:43 AM

    Please God, get her pain free. She doesnt deserve it.
    Pain free dear God!

    xo km

  4. Peter, Clare Peitsch and family10:50 AM

    Greg & Jen,

    It is a tribute to Jesus Christ to have such love and support from your family and friends across the miles.

    We never know what God has in store for us. We only know that He continually prepares and trains us for ministry. He continues to prepare the two of you, your children (especially Zoe) for ministry opportunities down the road.

    One of my two favorite verses is from 2 Corinthians 4:7 -- "But we have this treasure in jars of clay to show that this all-surpassing power is from God and not from us." He trains and uses in ways known and unknown to us as we walk step by step with our eyes on Him.

    Lord, we thank You for the gift of Your Son, our Savior Jesus. We know You love us all and laid Your life down for us so that we might have life now and in eternity.
    Continue to reassure Your children, Greg, Jen, Zoe and their family that You hold them in Your loving arms.
    We thank You for all the many people whom You have brought to them to help bring about Zoe's healing. Continue to bless them and use them in their ministry of healing.
    Grant to all Your patience and trust that You are watching and healing according to Your divine goodness.
    In the name of our loving Savior. Amen.

  5. Anonymous11:04 AM

    Please know that we are praying for you all. Praying that the Lord continues to hold Zoe and the Dr's hands. I am wishing I could not only be there with you and Jen, but be there for the other children.
    God's Blessings!

  6. huntsouth11:53 AM

    Top recommendation: The Great Physician
    Most highly rated PA's: Dad and Mom
    Best backup: Great doctors and nurses
    Today, the junior high choir at Emmanuel Christian Academy in Newington, CT was praying for you.
    Go, Zoe!
    Amy Hunt

  7. When you say the cultures show no signs of infection, you mean just in the heart, right?



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