Toliver trots alongside your gurney early this morning and impresses the transport team by pushing the remote door openers. The technician at interventional radiology is visibly disappointed that Toliver is not allowed into her operating suite. Surgically placing the central "Hickman" IV line will allow us to safely administer the intravenous antibiotics at home for the next six weeks. Although this is the third time we have tried this approach, now that most of the hardware is removed from your skull, the antibiotics should be able to clear your bone grafts of any lingering infection. Hickman Central IV Line in = First Hurdle cleared!
After the Hickman is placed Dr Kumar arrives to remove both of your surgical drains. A painful procedure for sure so a little extra pain medicine is ordered.
On the left is the top of your skull before last Monday's surgery showing your bone grafts from March and multiple titanium plates "knitting" all the pieces together. The gaps between the bone provided opportunities for the skin to break down. In today's image on the right, sections of your ribs have been used to fill-in most of the open spaces so that the vast majority of the hardware could be removed. While it does still look a little bit like a patchwork quilt, it is a nearly solid and complete cranium constructed almost entirely of your own bone! With your skull 90% complete and with the shunt totally clamped off, our hope and prayer is that your body and CSF will establish its own new equilibrium. Dr. Kumar knew this was going to take multiple surgeries and that it would be difficult, but he is clearly pleased today with the CT and with your appearance. CT and clinical progress approved = Second Hurdle cleared!
Soon Toliver Soon.