Journal

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Journal entry by T DiGiorgio

I am playing “catch up” with the past couple of days details.   Sunday morning, Zac’s ICP (intracranial pressure) spiked.   Get used to seeing “ICP”; that is the most important issue concerning Zac’s condition at this time.  They think the pressure spiked because they hadn’t been able to get his fever down.  They put in a femoral artery line to administer meds that would internally bring his fever down.   This was a trying day as they tried to find the right balance of treatment to keep Zac’s ICP in a good range.    They decided the best thing to do was to put Zac in a “paralytic state” to keep him totally calm in order to let his brain rest and help the swelling and pressure go down.

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Journal entry by T DiGiorgio

Monday was a much calmer day, as they were able to get Zac’s ICP under control and staying in a good range.   He has been given many many medications and to keep him stable.   Zac did get another CT scan today and they also gave him a bath.   His ICP stayed in the “good” range even with all this activity.   That is a good thing and they remain keeping a close eye on him.   

T

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Journal entry by T DiGiorgio

This from Chris and Betsy:    Today has been a day of slow progress.   They had his core body temperature down to 91.7 but today warmed him to 94.9.   They have to get his body temperature back to normal and then can start backing off the drugs.  It all depends on how Zac responds.   They will hold here tonight and then try to get him to normal body temperature tomorrow.  Everything looks good for now, they are just being cautious.  

T

Journal entry by T DiGiorgio

There was not as good of a response as we would have wanted.   Zac’s ICP went up in the evening last night after raising his temperature.   They could not get it to come back down.    They decided to cool him back down.  The ICP lowered.   We are not sure of what the plan is today yet.  Please continue to pray!   

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Journal entry by T DiGiorgio

Zac had a little set back; last night the pressure in his skull climbed back up and so they had to cool his core tempature back down to where they started earlier on Tuesday. His pressure was erratic all day and now the doctors think he may be getting an infection which is causing the pressure to stay high. Zac has started an antibiotic tonight so now we wait to see how he reacts to that. There will be more good days and bad days ahead. Keep praying and he will keep healing.

-Chris-

Journal entry by T DiGiorgio

Today and last night was another period of ups and downs.  Zac's pressure spiked some through the night and day.  There is now a different critical care doctor who is changing up his medicine and treatment somewhat.   He has an infection that they think is pneumonia or the beginnings pneumonia, so they are also treating that.   This being the 5th day, he is nearing the end of the peak swelling time, so they are hopeful the swelling and pressure will begin to decrease.   He did have another CAT scan today also.  So he has had a lot of activity the past several hours.     The plan for tonight is to let him rest and keep maintaining his medicine.

Tomorrow is a new day and we will continue to pray for Zac.   Pray that the treatment the doctors are giving him will eradicate the infection and reduce the swelling and his ICP.  Chris and Betsy want everyone to know that they appreciate everyone’s prayers and offers of help.   Zac has a long road ahead of him to recovery and they will be welcoming lot’s of prayers and those offers of help and visits to continue for while.  

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Journal entry by T DiGiorgio

Last night was fairly peaceful.  Zac had a couple of spikes in pressure but one was when they did a chest x-ray so that would not be unexpected.  He just had a 20 minute period of low CCP (Cerebral Perfusion Pressure, measures blood flow to the brain) and a spike in his ICP.  They have him back to normal now, mainly with blood pressure meds.  The Doctor has been in but is not quite ready to give his plan for the day.  He said he will be back.  

Please pray for a peaceful day for Zac and for his pressures to remain in the good range.   

Journal entry by T DiGiorgio

     This is a hard journal to write tonight.   Things turned and Zac had a long hard day.    His ICP levels were such that the doctor decided he needed to have surgery to relieve the pressure.  About 2 pm today Zac had a decompressive craniotomy, where they removed a portion of his skull to allow the swelling brain room to expand without being squeezed.  He made it through the surgery and the ICP is no longer the main issue.  The acute issue is injury to the lungs called ARDS (Acute Respiratory Distress Syndrome) which just comes from critical illness.   Right now his oxygen level is stable.  The next 24-72 hours are very important.  

     We want to offer a prayer of thanks that Zac made it through this surgery and is now stable.   Please continue to pray for Zac’s healing and that the ARDS resolves.  

     Zac, your family is praying and pulling for you 24/7....and so are many friends and people you don’t even know.

Journal entry by T DiGiorgio

Update from Atlanta this morning:    Zac is stable this morning.  Essentially the same as last night.  They are supporting his lungs with ventilator.  There have been no negative events overnight which is positive!  Most likely won’t have much change today.  There is work to do and we are ready.   Please pray for a calm mind and strong lungs today.    

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Zac’s Story

Site created on July 17, 2018

We have created this Caringbridge site to keep the family and friends of Zac DiGiorgio updated  about his recent accident and his progress towards recovery.    Zac was being his always helpful self when he fell from the front porch roof of his family’s home in Smyrna, Georgia on Saturday, July 14.     Zac was taken to WellStar Kennestone hospital in Marietta, GA.   He suffered a brain injury and is being taken care of by wonderful doctors and nurses in the ICU.    Please visit here for the most current updates on Zac.      Chris, Betsy, and Noah  appreciate all the prayers, love and support they have received.     Please continue to pray for Zac and for his team of doctors and nurses.    Thank you!  

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