Got the nephrostomy done this morning, she came through it fine and is in good spirits - mostly through chemistry
coming out of anesthesia was a bear, at first she was confused and was afraid she had woken up before they did the procedure. then she was freaked out by the tubes coming out of her side and felt that her life was ruined because she would have to have these tubes forever. then she related to us that she was brought down to the "basement" of the hospital where she was "tortured" without mercy and that everyone was trying to kill her and that if she had to tear the tubes out and run away from the hospital she would do it right now. (of course she was far from capable of honoring such a threat)
eventually she calmed down and came to her senses and within an hour or so we had a calm, collected girl who presented an occasional smile.
not out of the woods, but i think the hardest part is behind us. after a few more days of recovery she may be sent home.
fingers crossed