I try pretty hard to keep these updates as informational as I can, but today could be a very hard day.
Lyra had been recovering fairly well up through about mid-day last Sunday. They had weaned some medications off and were working on her ventillator. It felt like they may have been getting close to taking that off too. At some point Sunday afternoon, Lyra had a small emergency that required a lot of doctors to get her stabilized. The details are immaterial at this point, but the result was that her doctors had to reasess what was going on with her heart and lungs.
After some testing and time in the cath lab, they discovered that Lyra's collateral arteries are disrupting blood flow to her right lung and that with things configured as they are now, with the Glenn, she won't recover this way. Even if she managed to, her body would be driven by the collateral arteries, which would make her unlikely to get to the third stage surgery.
What may happen today, but possibly not until tomorrow morning is for her to undergo surgery number four, which will drop her back down to a shunt physiology. Essentially taking her back to what she was after stage I. There are many challenges with doing this, the biggest being her problems with clotting and bleeding. I think everyone can read between the lines here, the outlook isn't very promising.
But, we're going to stay hopeful. Lyra has surprised many doctors with her resiliency. She's a tough little girl and we fully believe that if anyone can get through all this, she can.
Maren and I appreciate all the good will and positive thoughts we've gotten from so many people. I hope you all can send us some more of that today, because I think we're going to need it.