Overnight, about 40cc of formula was drawn out of Ava's stomach using the NG tube. The problem is that Ava had not had any formula for about 24 hours, so this is a clear indication that the next major obstacle in her recovery would be to figure out what was up with her digestive system and overcoming it.
At 08:00 Ava was prepped, sedated, and underwent a vacuum dressing change under the supervision of the surgeon and his staff. Per the surgeon, Ava's wound was looking and the hope is that following the next dressing change they can get away from the vacuum dressing and switch over to a hydro gel bandage.
During morning rounds, it was decided that the GI team should come in and evaluate Ava, trying to figure out why she is not tolerating her feeds. Also, all labs came back normal and the blood cultures remained negative for MRSA. Because of Ava's intolerance to digestion - all oral meds were switched over to intravenous.An echo was performed and the clot they are watching was still stable and unchanged at this point. The belief is that the heparin therapy is working and that Ava could possibly be switched over to coumadin or other med which ultimately they could send her home with.
The GI team performed the evaluation and decided that they would like to perform a barium GI x-ray study and a gastric emptying study. They would be looking for the stomach's ability to empty into the intestines while searching for any blockages or abnormal twists in the intestines. The first test (barium x-ray) is scheduled for tomorrow.
At this point the root cause of Ava's digestive problems are not really known. There is some suspicion that the misplaced NG tube is the culprit as well as nerve disruption from the second surgery (vagus nerve).
Frustration is starting to set in for Teresa and I at this point. It seems like anytime we get complacent with Ava's progress or start to really have a positive outlook on things some event happens and we find ourselves behind once more.
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