Monday Morning After MONDO Rounds

Holly Cow! That was amazing watching 30 people from every medical discipline you can imagine putting their heads together, observe, read the chart, ask questions all about Molly and everyone adding their opinion, advice, recommendations, questioning each other. Amazing to watch. Molly said it didn't bother her, but her heart rate did go up while they were all in the room, but she is ok now. The nurses are putting her dressings on right now, so I am updating the blog. Regarding her legs, no decision has been made yet, but three trauma surgeons, burn surgeon, orthopedic surgeon, plastic surgeon, physical therapy, occupational thereapy, all beleive another trip to the OR tomorrow is a good idea to debreed a little more of the dead tissue and use a device that causes the muscles to contract to determine muscle quality, how much is still viable and the function of what is left. After that the BIG decision will probably be made. The surgeons preliminarily told me after the rounds that the muscle and tissue does not look very good, but we will know for sure after tomorrow. A couple of things they said we have to keep in mind is that while there is no infection in the tissue right now, the longer it is open the more opportunity there is for infection to start, this will pretty make the decision as it could start jeopardizing Molly's overall health. Also, even without infection, if the tissue and muscle continues (even at a slow rate) to die, eventually it could effect where the amputation would occur, ie: above knee or below knee. So, while we are daling with trying to save her legs, we are alos dealing with in the long-term what will be best for Molly and provide her the most function and normal activity. Molly did overhear the comments of the surgeons today, so I talked with her about the possible outcomes. She understood and told me that whatever has to be, has to be. I told her again how all this happened and she understood and remembered most of it from me telling her yesterday. I know she is still somewhat medicated, and confused, but I beleive she understands and while a little anxious, is truly ok with everything right now. I told the doc's that from now on all conversations about her care, etc. will need to include her and I together. Outside of her legs, she is still doing AWESOME!!!! Vitals signs are great, breathing great, they will be discontinuing the CVVH (continuous dialysis) later today or tomorrow morning and going back to the regular hemo-dialysis every 2-3 days. This will hopefully get her kidneys to realize their vacation is over. Liver & lungs are still sick, but recovering well. Keep praying for her overall health, specifically her legs. Also, pray for her health care team that they look at every possible option before making a decision and/or forming an opinion. Lastly, pray for Molly & I as we together may have to make some very difficult decisions and the we make those decisions together, with all the information, options and wisdom to make the right decision, and then the peace to live with the decision. God Bless, more later today or tomorrow for sure!