Another blood transfusion

My day started with a call from the Cardiologist at 8:30 am after another very UNrestful night sleep- Severin can not maintain his O2 sats if I paid him to. Dr. Su said Severin need to go to Primaries for another blood transfusion. Let me back up to his cardio appointment yesterday. According to their scale Severin weights 12.3 and is 24 inches long YEAH! He has went to 1 liter of oxygen as of Saturday, and even with that his sats were only 77%. Dr. Su wanted to know why. So Severin had an echo, this made Thom really upset because he wants to see his heart and this is the second one he has missed. He has some narrowing in his Pulmonary Artery where his BT Shunt connects so it is probably scar tissue- totally norrmal and not a big deal because after his next surgery it won't even matter, the BT Shunt will be removed and the PA will be replumbed. Which by the way his tentive surgery date is the end of November. We go back to the "thinking chair" maybe it is his red blood cells. Maybe they have not completely recovered from the circumcision blood loss. It has been six weeks since then. The red blood cells are the trucks that carry the oxygenated blood around the body, so an increased oxygen need can mean the trucks are down in numbers. We decided to do a CBC blood draw. That brings me back to today. Severins hematocrit (red blood cells) was 35 it was 40 six weeks ago when we left after his 2 transfusions. Thankfully he only needed one unit, and we were able to go to the R.T.U (Rapid Treatment Unit) and now we are back home. Now his count is 51 which is plenty high enough. Now he just has post traumatic stress to deal with. It is still a wonder where the red blood cells ran off to. Hopefully he will start making his own now. The CBC did prove he is working it is just not fast enough. The goal is to get him off oxygen before his next surgery date. Well I must go and pretend to sleep before my night job starts in an hour. Remind me later why I love being a Mom....