Abby comes home; struggle continues

Abby comes home; struggle continues
Abby Logue, 2-year-old daughter of Tom and Angie Logue, is home. On Dec. 5, Abby arrived at home after being away for another long medical stay once again.

Abby has been struggling since before her birth on Nov. 24, 2003. As most of the Wakonda community knows, Abby was diagnosed with a horse shoe kidney; and needed a transplant, which she received from her father. The operation seemed to go fine, however many medical complications resulted.

Just this year alone, since Jan. 4, 2005, this 2-year-old has weathered 20 surgical procedures. Some of the procedures were just tests of some sort but she had to be sedated every time. Imagine what an effect this has on the entire family and their lifestyle.

Soon after the transplant surgery, a benefit was held in Wakonda, the Logue's hometown. The April 2005 benefit raised approximately $35,000 to $40,000.

"It was a very overwhelming experience," said Angie Logue, Abby's mother. "I always helped with the benefits before; this time the shoe was on the other foot. It was something that until your family has gone through it you have no idea how it affects you emotionally."

Since the benefit, Abby had progressed in mid-April and most of May; however, Abby had several viral and bacterial infections. The Logues had to start giving her IV antibiotics through her port-a-cath. The month of June was great, no IV antibiotics were given.

"We thought we were over one hurdle," said the Logues. But on July 4 Abby was hospitalized at Sacred Heart in Yankton with yet more viral and bacterial infections. She was put on more IV antibiotics that day. By early evening, Abby had developed a temperature of 107 and her blood sugar level was 536, which is extremely high for even an adult.

At that time the on-call doctor felt she should be flown to McKennan in Sioux Falls. After conferring with the doctors at McKennan, they felt it would be in Abby's best interest if she went to St. Mary's Hospital in Rochester.

"It was one of the scariest things I have ever been through in my life," Angie said, "There are no words to describe it. We were playing phone tag with Tom, he made it to the hospital just before Abby and I left for Rochester."

Abby was in the hospital for one week. Doctors discovered she was suffering from serious viral and bacterial infections.

Since July 4, Abby has pretty much been in and out of the hospital or the Ronald McDonald House all but four weeks. She would be home four days and her creatinine and BUN levels would go up and then go down a little. The BUN creatinine tells the function of the kidney.

She had several biopsies in July, August and September. A few of the biopsies of her transplanted kidney showed borderline to mild rejection and was treated with a high dose of anti-rejection meds. This is how it has been since July.

The medical staff at Rochester said they really weren't sure what to do anymore. The Logues opted for a second opinion and moved Abby to a children's hospital on Halloween � the University of Minnesota Fairview Hospital in Minneapolis. They have been changing a few things around up there.

"We are very happy with them so far," said Angie.

This has been a very hard time for the Logues.

"One of us is always with Abby. I tried to spend as much time with Abby this summer as I could so Tom could work. I have summers off with my job which made it much easier."

Angie has missed the first eight days of work and since then Tom has spent most of the time with her since late August.

It is difficult being away from Tom and Abby but Angie needs to work to keep up the health insurance. The Logues also have two older daughters at home, Alison and Alexis, that need their attention too. All in all, it is a hectic, but necessary lifestyle.

There is a chance that Abby could reject her kidney. Abby's kidney is currently in ATN (Acute Tubular Necrosis) which means a "sleepy kidney." There is always a chance that a rejection could happen with any transplant.

The Logues were told that there is a 4 percent chance of losing the transplanted kidney in the first year. Only time will tell what will happen with Abby and the kidney.

"We are all hoping and praying that her kidney will wake up on its own and decide to work again," said Angie.

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