part 2
After the tracheostomy our roller coaster slowed down and he stayed fairly healthy. By this time I had found a support group on line that dealt with Craniosynostosis through the wonderful ladies I met here, I contacted Dr. Ben Carson in Baltimore MD, who agreed to see hunter, In May of 2005 Hunter had surgery to put tubes in his ears, then we flew with angel flights to Baltimore to meet Dr. Carson, It was such a relief, as soon as he walked in the office and listen to what I had to say he completely agreed with me and agreed to do his Craniosynostosis surgery but first he needed to have his Chiari malformation decompressed. We drove up to Baltimore in June 2005 just prior to Hunters second birthday and he had his chiari decompression surgery and also had his cleft lip finally repaired. We went home for hunter to heal before his Craniosynostosis surgery. In August 2005 we returned to Baltimore and Hunter finally had his craniosynostosis surgery at 25 months old. He flew through the surgery with flying colors, was up in his bed playing like nothing ever happened on the third day, he was discharged on the 5th day. On our way home the following day hunter started running a fever and becoming cranky. By the time we got home the next day his swelling was continuing and the incision was oozing. We took him to our ER in our town, they gave him an antibiotic and sent us home, but something wasn’t right so the next night I traveled to a nearby town with a children’s hospital and took him to their ER, He was admitted and diagnosed with Staph infection, and the worst kind of staph there is MRSA staph. He went into surgery the next day to insert a broviac central line because he would now be on IV antibiotics for at least 6 weeks. A few days later he went into surgery with a pediatric neurosurgeon, part of his dura (the lining of the brain) had a small hole in it due to a knick during surgery so he was oozing spinal fluid as well as the infection, the doctor fixed the hole and took out his reconstructed brow bone because it looked infected, then sent it off to pathology and it came back with the MRSA staph and salmonella, so he was then started on a second antibiotic for the salmonella, all the time praying that the staph and salmonella infections didn't go to his brain due to the knick in the dura. he continued to ooze fluid so he went back into surgery and they took out all the rest of the reconstructed bone, so he now had no bone in his forehead region. All was well for about a week then his wound began to leak again, this time it was due to his hydrocephalus it was popping open the stitched up area of his dura, so he went back into surgery and had a shunt placed for his hydrocephalus. (This is now his 12th surgery since he was born). He went home on IV antibiotics, after about 2-2 ½ months of antibiotics he was able to stop them, 5 days later he started having a fever again, he was admitted to the hospital with pneumonia. He had an echocardiogram to check his heart and his ejection fraction (the measurement of the squeezing) of his heart was in the 20’s (ideal measurement is 50-60) so he was now in congestive heart failure. They put him on a ventilator so his heart wouldn’t have to work as hard, and put him on the absolute maximum amount of medication they could give him and his heart function continued to decline it went down to 17, they prepared me for him not to make it because there was nothing left that they could do. (Just to add that this time in our life was when I met the wonderful ladies from Yada and they were tons of support) They started him on a morphine drip and kept him sedated so that he wouldn’t be in any pain. He slowly leveled out at around 22 (keep in mind that through all this he doesn’t look or act sick at all) So they discharged him home on November 22, 2005 on the maximum amount of heart drugs and on a ventilator. He continued to go for echocardiograms without much change it got up to 33 at one echo. Then he went for his next echo in May 2006 and his ejection fraction had dropped down into the 20’s again, It was then that they told me that his heart condition will be life limiting, meaning that they don’t know how long he will live but he will eventually die from this without a miracle. He was admitted to the hospital for 3 days to receive a drug that “tunes up” his heart. In July we went on a make a wish trip to Disney world, just prior to going his echo had his heart measurements at around 50, The last Echo he had in August his ejection fraction was 39-54 which is really good, he goes back for another one on November 8th. At the beginning of October he was allowed to come off of the ventilator during the day and he started prek at a special needs school. He seems to love it, October also brought another milestone for hunter it has been one year since Hunter has had surgery!
. Hunter learned how to sit up at 18 mths old, he learned how to get to a sitting position on his own shortly prior to his 3rd birthday, he is now pulling up, cruising furniture, and taking steps with assistance. As all of you with special needs kids know, he is a joy to our lives. 2006 was a great year for Hunter he was able to stay off of oxygen, he was only admitted to the hospital for 8 days of the year!!! he was surgery free which is monumental, he started prek and is loving it.


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