Child hospitalized at Santa Casa since birth discharged after one year

A victory for the public health system in Pará. This is how the multidisciplinary team from the pediatric area of the Santa Casa Foundation in Belém defined the hospital discharge of the boy Layon Miguel dos Santos Silva on this Monday (16). Bianca Priscila dos Santos, the patient's mother, who lives in the Canudos neighborhood in the capital of Pará, said that her pregnancy had complications, and her first child was born around 35 weeks.

“Spending all this time here was very difficult at first. I was in denial and didn't want to accept my son's situation. But then I got used to it. Today, I am very happy for my son's discharge. I jumped for joy at this news. His father, grandmother, and aunt are waiting for us to get home to celebrate. I am very grateful for the work of the professionals at Santa Casa,” said Bianca.

Follow-up - Pediatrician Caroline da Rocha informed that Layon was born at Santa Casa in June of last year, and in the first 24 hours had several episodes of hypoglycemia. “Unexpectedly, these episodes persisted, and over time, he began to be monitored for hypoglycemia by Dr. Darcilene (pediatric endocrinologist), who identified a condition called hyperinsulinemic hypoglycemia, which is difficult to control blood glucose levels,” explained the pediatrician.

Caroline da Rocha also said that the boy “arrived here in the ward at one month and three days old. And we stayed with him until now, when he turned one year old on June 12, and is being discharged today. For the first time, he will get to know his home. He is a patient who today shows good glycemic control. He still has episodes of hypoglycemia. But we managed to simulate an environment inside the hospital with the diet he would have at home to see how his body reacts. He is a patient who will continue to be monitored in the institution's outpatient clinic, with the pediatrician and the endocrinologist.”

Guidance - Darcilene Nunes reported that Layon experienced severe hypoglycemia with convulsions and loss of consciousness. “An increase in insulin production was identified. And with the support of the multidisciplinary team, all working assertively with this mother, we managed to manage this glycemia more stably. And the mother received all the guidance, including the identification of the issues, the more severe hypoglycemia episodes. She already knows how to treat it,” emphasized the doctor.

“We intensified the monitoring of capillary glycemia, provided more supported guidance to this mother, and we are managing to keep these levels stable so that he can be discharged under our supervision, under our care, and he should have brief returns to the Pediatric Outpatient Clinic. And this preparation, together with the mother, did not start now. I want to highlight the dedication, support, and commitment that this Santa Casa team has in promoting health, the proper care of these children, and their families as well. And this discharge really means success. We managed to keep this child stable and stimulated, so that there would be no damage to neurological development. Everything happened in a very appropriate way for this child to leave the hospital,” highlighted Darcilene Nunes.