Tracy's father came up to visit and Lynn said that we all may as well go to lunch. She told us she would call if Radiology came up to get Lily. Otherwise, there's no use hanging around because who knows what time the test will be.
Papa bought us lunch. Thanks Papa!!!
Finally. Radiology called and Lily was on her way to test her Esophagus. Lynn said it could take about an hour when all is said and done (hooking up machines, reviewing the video, etc.) but the procedure itself is only fifteen minutes.
So guess what?
I saw Lynn get off the elevator with Lily in her bed. I called Tracy and we literally ran into the hallway to meet her. We could tell from Lynn's face that the news was not good.
"There's a small leak," she said. "It happens all the time. Lily just needs more time to heal."
It was explained to us before the test that there could very well be a leak at the surgical site if it has not completely healed. If this is the case, the doctors said, then Lily will just need a little more time to bulid up the scar tissue and the "leak" should heal itself.
We were devastated, but we tried to remind ourselves that this just makes the road a little longer, not necessarily bumpier.
We walked with Lily back to her room.
Surgeons Dr. Perre and Dr. Walker came in. They told us that right now it's hard to tell if there is a leak or if this is "the original fistula." When Lily was admitted, we were told there were two fistulas (bridge between the Esophagus and Trachea). When Dr. Caty came out of surgery, he told us he only had to fix one fistula. There was not a second. They won't know what the problem is until the Radiologist reviews the Fluoroscopy. Dr. Walker said she has a procedure to do, but she would be back a little later with a more complete evaluation. She did confirm that when the dye was pushed into Lily's Esophagus, there was definitely a small amount that ended up in her Trachea and was aspirated into her lungs. Ugh!!!!
Dr. Walker came back. She told us with a smile that they reviewed Lily's X-Rays and Fluoroscopy and they did not see a leak. Ok. That's good. That means the surgical site is in great shape!!
However . . .
. . . they did see another fistula (bridge) between the Esophagus and Trachea. This is how the dye was able to go from her Esophagus and into her Trachea. She immediately aspirated it and the dye went into her lungs. They said they were going to start Lily on Anti-biotics to prevent infection/pneumonia.
Dr. Walker said she can't say for sure what route Dr. Caty will take to fix this fistula. She said that Dr. Caty will definitely want to do more tests to find out why this fistula was not noticeable when the surgery was done. Dr. Walker said that it could be so small, that it could have been camouflaged by a flap of tissue or something.
But either way, it will have to be fixed. It is now just a question of how. Most likely another surgery.
Oh Lily!!!! You are such a wonderful trouble-maker!