Wow, this day has been exhausting.
We were up bright and early as they were taking Chris to surgery around 6:30 this a.m. He and I both did well until they wheeled him out of the room, but then my heart melted as they "oohed and awwed" over him as he wheeled through the surgery department.
Dr. Goebel came in and visited us. Said it would take about an hour and that should would take care of him like he was her own. Have I mentioned that I love this woman?
As any mom would do...I watched the clock and when the hour mark passed...my chest pain sat in. My anxiety level started to raise and I was 30 seconds away from pacing when Dr. Goebel came out for report and stated that he was doing good. Said that he was a little stridorous and that she gave him steroids for and he had received a shot of morphine, but otherwise was doing good.
She had pic of his scope and let me say...WOW!!!! In the picture of his adenoids she said there was supposed to be an open black circle and his was closed shut with adenoids. When you looked at this airway/throat, his tonsils were about closing that off as well. We were very lucky to not have other major issues. She stated that she has never seen tonsils that huge in someone his age ever!!! And this is one experienced cookie!!
It was a huge sigh of relief, but a huge sigh of somewhat frustration as to...how did we miss this? Could this be our problem all along. Dr. Goebel said that although all tonsil tissue grows, he could have gotten some type of infection that made his worse. It would sure explain the last 2.5 months we've been having. She also said that there was no way he could have effectively swallowed with these tonsils.
We got to see him in the hallway and he jumped in my arms. We got back up to the room and I laid him in bed. One nurse was like...they prefer to be held. Although I'm sure she's probably right...he flails so bad. So I crawled in the crib and snuggled up next to him.
Dr. Thomas showed up shortly after and goes...when does he go to surgery...been there done that...she's like...WOW! She came back in. Said they changed his feeds and that she wants to repeat a swallow study in 4-6 weeks, after we go to Denver.
Stated that we have a 50/50 chance of things getting back to normal in the swallowing category...remember our normal is honey thick liquids, which i will be happy with.
The afternoon was rough. He was having pain, he was fussing and he wasn't tolerating his bolus feeds, not to mention not wanting anything oral and refused to swallow his own spit. It was a long afternoon. He rested off and on, but not good rest. When he was awake however, he breaths a lot quieter than he ever has.
We finally got on top of his pain tonight and although he still whimpers when he coughs, it's better. Jason and I took over all NG cares. I want to be sure we know what we are doing before we hit the highway tomorrow.
Not gonna lie. I was having anxiety about going home. He's bolus feeds weren't going good, his pain wasn't under control and we live 200 miles away. Then Jess came and explained things to me and I began to feel better. Working 2 nights in a row when I get home isn't helping the anxiety though, but we'll get through it.
He got more playful as the night when on, and as jason and I were eating our sandwiches that we had made in the room...since we were about ready to go broke eating in the cafeteria...Chris tried to crawl through the crib to get to our bread. He couldn't eat it fast enough. Then cottage cheese. Then pudding. Then ice cream. THEN part of my ham sandwich!!! MY BABY WAS COMING BACK!! :)
We are good on the NG work, our babe is eating, part of our belongings are in the care and this momma is ready to go home to her big boys and her house that she has missed for a week.
Tuesday, May 17, 2011
Monday, May 16, 2011
Surgery Eve
The rest of the day went well. He's slept a lot today and I'm attributing it to the new seizure medicine. We haven't seen any seizures, so we will see if it helps, but we are just kind of hindering everything on Denver on June 6 in that category.
Dr. Goebel was by and said that the sleep study didn't necessarily show any obstruction periods, but he had some type of event 7 times a minute that would wake him up. She said it wasn't alarming, but enough to convince her that the tonsils and adenoids is still the way to go.
She said that instead of removing the tonsil from the wall of the throat, she is going to shave 80-90% off. This will reduce his risk of bleeding, less pain and hopefully not effect his swallow as much as the other would. She will do the same with the adenoids.
While she is in there she is going to scope him to look for a laryngeal cleft which could be causing the aspiration and would mean more surgery. She will also look for fistulas that could also be leading to the aspiration.
I'm not sure how long the procedure will last. She said that there is a chance he might need oxygen afterwards, but stated that she did not book an ICU bed because she is pretty sure he won't need it. Let's hope not.
The feeding issue persists, but the good thing is that Dr. Goebel, Dr. Thomas, Dr. Prestridge and I are all on the same page about the feeding tube. We are going to go with the NG until we know for sure that the tonsils and adenoids didn't help. That will be a repeat swallow and sleep study I'm sure. I know the repeat sleep study is for sure. Dr. Prestridge made sure to stop by tonight to right a note in his chart to tell them to not get in to a big toot about putting in a g-button. I checked, the note is there...it's a sticky on the front of the chart! JK!! :)
The sad part is the NG came out tonight as we were getting ready for his bath. I'm not sure what happened, but the tears I shed, didn't put it back in that's for sure. I bit the bullet though and put it back in. It went okay. Of COURSE he was tied down and crying, but he did well. My biggest concern was him not wanting me after it went in, but he snuggled up, until he saw Sarah (his favorite nurse) and he jumped in to her arms and let her carry him off!
He's resting now and we just wait until morning. Dr. Goebel said that we should be able to go home on Wednesday, but we will have to see. I know the tonsils come out tomorrow, but now we have to deal with the feeding issues.
He hasn't been taking oral foods very much since the NG went down...no surprise. They upped his rate to 50 ml/hr and it runs continuously...I'm sorry, but duh...the kids not going to eat if he keeps getting fed through the tube. So I hope when he goes home, we can run continuous during the night and then bolus during the day. We shall see.
Hopefully more of that will be figured out tomorrow or Wednesday.
The big boys had their last soccer game tonight. I guess Matt scored his first goal of the season and I was upset that I couldn't be there to see it! I didn't even get to talk to him because we were putting the tube back in at that time. I can't wait to have us all under one roof.
Dr. Goebel was by and said that the sleep study didn't necessarily show any obstruction periods, but he had some type of event 7 times a minute that would wake him up. She said it wasn't alarming, but enough to convince her that the tonsils and adenoids is still the way to go.
She said that instead of removing the tonsil from the wall of the throat, she is going to shave 80-90% off. This will reduce his risk of bleeding, less pain and hopefully not effect his swallow as much as the other would. She will do the same with the adenoids.
While she is in there she is going to scope him to look for a laryngeal cleft which could be causing the aspiration and would mean more surgery. She will also look for fistulas that could also be leading to the aspiration.
I'm not sure how long the procedure will last. She said that there is a chance he might need oxygen afterwards, but stated that she did not book an ICU bed because she is pretty sure he won't need it. Let's hope not.
The feeding issue persists, but the good thing is that Dr. Goebel, Dr. Thomas, Dr. Prestridge and I are all on the same page about the feeding tube. We are going to go with the NG until we know for sure that the tonsils and adenoids didn't help. That will be a repeat swallow and sleep study I'm sure. I know the repeat sleep study is for sure. Dr. Prestridge made sure to stop by tonight to right a note in his chart to tell them to not get in to a big toot about putting in a g-button. I checked, the note is there...it's a sticky on the front of the chart! JK!! :)
The sad part is the NG came out tonight as we were getting ready for his bath. I'm not sure what happened, but the tears I shed, didn't put it back in that's for sure. I bit the bullet though and put it back in. It went okay. Of COURSE he was tied down and crying, but he did well. My biggest concern was him not wanting me after it went in, but he snuggled up, until he saw Sarah (his favorite nurse) and he jumped in to her arms and let her carry him off!
He's resting now and we just wait until morning. Dr. Goebel said that we should be able to go home on Wednesday, but we will have to see. I know the tonsils come out tomorrow, but now we have to deal with the feeding issues.
He hasn't been taking oral foods very much since the NG went down...no surprise. They upped his rate to 50 ml/hr and it runs continuously...I'm sorry, but duh...the kids not going to eat if he keeps getting fed through the tube. So I hope when he goes home, we can run continuous during the night and then bolus during the day. We shall see.
Hopefully more of that will be figured out tomorrow or Wednesday.
The big boys had their last soccer game tonight. I guess Matt scored his first goal of the season and I was upset that I couldn't be there to see it! I didn't even get to talk to him because we were putting the tube back in at that time. I can't wait to have us all under one roof.
Monday - Day 6
Not much going on today. We are putting pieces of the puzzle together and making a game plan...hopefully for the future...aka DISCHARGE!! :) No dropping possible discharge dates yet.
We were up at 7 with residents coming in, and are ready for a nap by 9:30 this a.m. When he went to sleep, his breathing was bad and it continues. Lots of retractions and stomach muscles helping him breath. This has been the worst episode since last Tuesday. His sats miraculously were 100% which the nurse and I thought was a miracle due to the fact that he was struggling so hard to breath.
His feedings continue, but hasn't had much of an appetite, but who would when you get continuous feedings. Dr. Thomas said this morning that we have to figure out the feeding and that hopefully once we get the reflux test back we will know if we can change to bolus or not.
Possible PT visit today so we don't have to come back next week!
Waiting for Dr. Goebel, but surgery is at 7 in the morning tomorrow. Gonna nap now because not sure I will sleep much tonight. Will update more later.
We were up at 7 with residents coming in, and are ready for a nap by 9:30 this a.m. When he went to sleep, his breathing was bad and it continues. Lots of retractions and stomach muscles helping him breath. This has been the worst episode since last Tuesday. His sats miraculously were 100% which the nurse and I thought was a miracle due to the fact that he was struggling so hard to breath.
His feedings continue, but hasn't had much of an appetite, but who would when you get continuous feedings. Dr. Thomas said this morning that we have to figure out the feeding and that hopefully once we get the reflux test back we will know if we can change to bolus or not.
Possible PT visit today so we don't have to come back next week!
Waiting for Dr. Goebel, but surgery is at 7 in the morning tomorrow. Gonna nap now because not sure I will sleep much tonight. Will update more later.
Sunday, May 15, 2011
Quiet Day
We had a very rough night last night. He would no more get to sleep, and one of the wires for his sleep study wouldn't be right and they would have to put them back. It was frequent and then we'd have to get him to sleep again.
Lucky for us, one of our favorite nurses, Sarah, was on and he would snuggle up to her when mom couldn't take holding him down anymore. When she came on last night he lit up! It was cute. Our nurse tonight is Megan who was my preceptor in nursing school.
They unhooked him at 4:30 this a.m. and he just fussed so Mom crawled in bed with him and he rested awhile.
The boys were here early this a.m. and unfortunately had to go back with my mom and Dad for school tomorrow. It was very hard to say good bye, not only to the boys, but to Mom, Dad, Michelle and Luke. Jason is here, which helps.
The rest of the day was just play time and nap time, especially for Me! :) I got out for a little bit in the mean time and they decided to move us to the 6th floor and have a view. He pretty much sat in the window the whole time. We went on a stroller ride for like an hour and even went outside and he loved it.
Dr. Goebel was in and said that she couldn't get an OR time for Monday, so Surgery will be Tuesday a.m. at 7. She will scrape his tonsils and adenoids and then scope him to look for a laryngeal cleft which could be the cause of the aspirations.
His breathing is noisy right now again, and feels warm, so finding answers to tests tomorrow will be very beneficial.
Lucky for us, one of our favorite nurses, Sarah, was on and he would snuggle up to her when mom couldn't take holding him down anymore. When she came on last night he lit up! It was cute. Our nurse tonight is Megan who was my preceptor in nursing school.
They unhooked him at 4:30 this a.m. and he just fussed so Mom crawled in bed with him and he rested awhile.
The boys were here early this a.m. and unfortunately had to go back with my mom and Dad for school tomorrow. It was very hard to say good bye, not only to the boys, but to Mom, Dad, Michelle and Luke. Jason is here, which helps.
The rest of the day was just play time and nap time, especially for Me! :) I got out for a little bit in the mean time and they decided to move us to the 6th floor and have a view. He pretty much sat in the window the whole time. We went on a stroller ride for like an hour and even went outside and he loved it.
Dr. Goebel was in and said that she couldn't get an OR time for Monday, so Surgery will be Tuesday a.m. at 7. She will scrape his tonsils and adenoids and then scope him to look for a laryngeal cleft which could be the cause of the aspirations.
His breathing is noisy right now again, and feels warm, so finding answers to tests tomorrow will be very beneficial.
Saturday, May 14, 2011
Rough Go
It's been a rough night tonight and it's only 11 p.m.
Right before Chris woke up from his nap this afternoon I noticed his hands twitching and then when he woke up he was very fussy, which usually he wakes up and is a go getter. He had his pH probe removed and looked like an amazing baby! :)
They placed the NG around 5 and had a difficult time doing it because of swelling, they think, and had to put a bigger tube in than they wanted to. He finally got it placed and then had to put the restraints back on. He had about 20 min of freedom before where he took a bath and enjoyed being able to use his arms! :)
He is on 1/2 strength feeds 24 hours a day because they aren't sure of the refluxing yet. It hasn't bothered him and should the feeding tube have to continue, it sounds like it may change to bolus feeds if no reflux is present. My gut feels a g-button coming on.
Shortly after the NG placement we found out we were going to get our sleep study tonight and I could have jumped across the room and kissed the nurse. This is the test that Dr. Goebel has been wanting and she will be ecstatic when she gets back tomorrow and comes and talks to us.
The downside was hooking him up to the wires. For the most part he just sat there and whimpered, but when it came to laying down he just laid there and cried. He cried so hard that it moved the tegaderm that was holding some of his wires in place. I hate the way he looks right now. He has his NG, O2, some sensor in his nose, a probe on his cheek and he has bandages around his head again.
Tonight he also started running a temp. Not major, but we Tylenol'd him to prevent seizures. He just hasn't been himself all day. He will smile for pictures, but for the most part he's just not himself.
Tonight was hard and Jason and I cried at the side of his crib because he's hooked up to all this stuff and you can hold him and comfort him. The only parts I could touch were his nose, his hands and his feet. I completely understand when I hear about other moms of other children talk about not being able to hold their children. It sucks and mine is only over night...I can't imagine for days and weeks on end.
I shared with one of our favorite nurses, Sarah, tonight that I didn't feel like everything was kosher. She said she'd keep an eye on it and it could very well be my exhaustion. I've been back and forth with Jen as well and she is anxious to hear all the results.
My mom, dad, sister, brother in law and boys go home tomorrow adn I'm not looking forward to it. I haven't got much time with the boys since there has been so much going on with Chris. I can tell it is bothering Drew and when all is said and done, he and I will get to do something fun by ourselves.
Tomorrow should be a better laid out game plan and I am hanging on to the hope that we will be home Tuesday. I know we are where we need to be, but I still want to get home and I can guarentee you there will be a big slumber party when I can have all 3 boys under one roof.
Right before Chris woke up from his nap this afternoon I noticed his hands twitching and then when he woke up he was very fussy, which usually he wakes up and is a go getter. He had his pH probe removed and looked like an amazing baby! :)
They placed the NG around 5 and had a difficult time doing it because of swelling, they think, and had to put a bigger tube in than they wanted to. He finally got it placed and then had to put the restraints back on. He had about 20 min of freedom before where he took a bath and enjoyed being able to use his arms! :)
He is on 1/2 strength feeds 24 hours a day because they aren't sure of the refluxing yet. It hasn't bothered him and should the feeding tube have to continue, it sounds like it may change to bolus feeds if no reflux is present. My gut feels a g-button coming on.
Shortly after the NG placement we found out we were going to get our sleep study tonight and I could have jumped across the room and kissed the nurse. This is the test that Dr. Goebel has been wanting and she will be ecstatic when she gets back tomorrow and comes and talks to us.
The downside was hooking him up to the wires. For the most part he just sat there and whimpered, but when it came to laying down he just laid there and cried. He cried so hard that it moved the tegaderm that was holding some of his wires in place. I hate the way he looks right now. He has his NG, O2, some sensor in his nose, a probe on his cheek and he has bandages around his head again.
Tonight he also started running a temp. Not major, but we Tylenol'd him to prevent seizures. He just hasn't been himself all day. He will smile for pictures, but for the most part he's just not himself.
Tonight was hard and Jason and I cried at the side of his crib because he's hooked up to all this stuff and you can hold him and comfort him. The only parts I could touch were his nose, his hands and his feet. I completely understand when I hear about other moms of other children talk about not being able to hold their children. It sucks and mine is only over night...I can't imagine for days and weeks on end.
I shared with one of our favorite nurses, Sarah, tonight that I didn't feel like everything was kosher. She said she'd keep an eye on it and it could very well be my exhaustion. I've been back and forth with Jen as well and she is anxious to hear all the results.
My mom, dad, sister, brother in law and boys go home tomorrow adn I'm not looking forward to it. I haven't got much time with the boys since there has been so much going on with Chris. I can tell it is bothering Drew and when all is said and done, he and I will get to do something fun by ourselves.
Tomorrow should be a better laid out game plan and I am hanging on to the hope that we will be home Tuesday. I know we are where we need to be, but I still want to get home and I can guarentee you there will be a big slumber party when I can have all 3 boys under one roof.
NG Day
I'm sitting here watching the clock as Chris sleeps. His breathing sounds better than it has in a week, but still has an occasional apneic period. NOTHING like we were a week ago.
Around 4:45, the nurse will be in to pull out our pH probe and then we get to take a quick bath wire free. Shortly after, the NG will be placed for feedings. He has lost 2 pounds since we've been here
I'm very emotional and I feel like a moron...I'm looking at what some of these parents here are dealing with and I am crying over a tube to keep my child hydrated. But at the same time, it's not necessarily the tube I'm upset about, but it's confirmation that there is something wrong with my baby. And no mother wants there to be something wrong with their children. Before you could look at his cuteness and forget about his struggles.
At the same time...we have a team that is INTENT on finding answers. All the doctors we have encountered have been fabulous, minus the resident that I schooled on CP this a.m. and I don't know much about CP. :) But in my experience, you do not use the word "ALL" in the medical world because there is ALWAYS an exception. Basically, he told me that "all" CP kids have low muscle tone but are very rigid...hmmm...I just stated that the CP spectrum is so WIDE and that some CP kids can function normally. His comeback...not many...I was half asleep and didn't argue. :)
Monday is our day of answers...okay maybe not answers, but plan compilation day. It sounds like the EARLIEST we will be home is Tuesday. But no one has dropped the "d" word yet...discharge. I assume because there are still too many unknowns.
Chris is just not quiet himself today. Tired, fussy and not smily much at all. As he lays in bed, he just looks like a little rag doll...okay a big rag doll. He has the elbow restraints on and believe it or not, hasn't been fussy about them much at all. He just has trouble itching his nose and doing his sign language.
My parents, sister and her husband are in town and it was so refreshing to see them this a.m. They are people I'm used to seeing every day. When my Mom and Dad were walking in the room, Chris lit up for the first time today (1130 a.m.) and lept in to Grandma's arms.
He's not eating much today and it has me concerned that the tonsils are swelling more, but we shall see. Dr. Colombo confirmed this a.m. what we already knew...they're huge!
Wish us luck...the next time I update, we will have endured the NG placement.
Around 4:45, the nurse will be in to pull out our pH probe and then we get to take a quick bath wire free. Shortly after, the NG will be placed for feedings. He has lost 2 pounds since we've been here
I'm very emotional and I feel like a moron...I'm looking at what some of these parents here are dealing with and I am crying over a tube to keep my child hydrated. But at the same time, it's not necessarily the tube I'm upset about, but it's confirmation that there is something wrong with my baby. And no mother wants there to be something wrong with their children. Before you could look at his cuteness and forget about his struggles.
At the same time...we have a team that is INTENT on finding answers. All the doctors we have encountered have been fabulous, minus the resident that I schooled on CP this a.m. and I don't know much about CP. :) But in my experience, you do not use the word "ALL" in the medical world because there is ALWAYS an exception. Basically, he told me that "all" CP kids have low muscle tone but are very rigid...hmmm...I just stated that the CP spectrum is so WIDE and that some CP kids can function normally. His comeback...not many...I was half asleep and didn't argue. :)
Monday is our day of answers...okay maybe not answers, but plan compilation day. It sounds like the EARLIEST we will be home is Tuesday. But no one has dropped the "d" word yet...discharge. I assume because there are still too many unknowns.
Chris is just not quiet himself today. Tired, fussy and not smily much at all. As he lays in bed, he just looks like a little rag doll...okay a big rag doll. He has the elbow restraints on and believe it or not, hasn't been fussy about them much at all. He just has trouble itching his nose and doing his sign language.
My parents, sister and her husband are in town and it was so refreshing to see them this a.m. They are people I'm used to seeing every day. When my Mom and Dad were walking in the room, Chris lit up for the first time today (1130 a.m.) and lept in to Grandma's arms.
He's not eating much today and it has me concerned that the tonsils are swelling more, but we shall see. Dr. Colombo confirmed this a.m. what we already knew...they're huge!
Wish us luck...the next time I update, we will have endured the NG placement.
Friday, May 13, 2011
Frustration, Frustration, Frustration.
Christopher did so awesome today with the overnight EEG, all the doctors rounding and visiting Gage to say good-bye. I felt bad for the kid though because he would no more get to nap and someone would wake him up. First to remove the EEG wires and second to put in the pH wire.
Our AWESOME ENT stopped by this a.m. before she boarded a plane to somewhere. Her plan continues to complain until she gets a sleep study. He's on a wait list. She said she will stop in Sunday to see us when she gets back.
They removed his EEG wires around 11 and so he was hooked up to it for about 20 hours. Dr. Nelson came in later and informed us that his EEG was normal. I freaked - in my head- WHAT!!! I mean I wanted to jump and celebrate, but at the same time, I was frustrated that it was saying that it was negative. He said since we had seen activity however, that he wasn't going to take him off the med, but switched him to a once a day one that doesnt have to have lab draws to regulate it. BONUS!
Jairren, my sister-in-law was with me and reassured me after Dr. Nelson left that it is not uncommon for EEGs to be normal in epileptics. I emailed a couple ladies through the Epilepsy Foundation I have met and asked them too. They both reiterated what Jairren said. The good part of it is that this gives us more hope for him growing out of them and that the apnea is not linked to a seizure. We will keep our appointment in Denver on June 6 with the epileptologist.
Then the pulmonologist that is on for the weekend came around and introduced himself. Was concerned again with the aspiration. Looked at my videos and then questioned what we were going to do about feeding him until we can get the possible cause figured out. It's refreshing that we are looking for a cause.
They are still talking g-button and whether he is refluxing too, so they are doing a test, that watches the pH in his esophagus to see if he's refluxing. We have to push a button for every little thing he does, so much so that i feel like I'm playing a video game. If you looked at pictures, it's the one that looks like a feeding tube, but it is indeed a test. He struggled with it at supper and eating and sounds kind of cruddy tonight.
The bad part about the pH test is that to keep him from pulling out the wires, he has to have elbow restraints. The funny part is watching him try to feed himself...i know horrible mom. He finally grabbed my hand so he could itch his nose and head. The pH wire stays in for 24 hours. :(
Jason and the big boys showed up around 6:30 and it was SO SO good to see them. Today was a frustrating day on all ends. It was Andrew's track and field day and I was mad I couldn't be there, but knew I was where I needed to be. Jason took videos and sent them to me and I cried with everyone.
When they arrived, Matthew went straight for me. Chris and I had hopped in the stroller and went for a walk and sat by the fountain/stream and watched the water. He eventually maneuvered himself to get his toes in it. Not sure we were supposed to, but like I told Jason...at least he didn't pee in it.
The big boys and I went out for supper at our favorite establishment...Jack and Mary's. Andrew ate and talked...surprise surprise...and Matt ate and snuggled...pretty much his norm. Matt wanted to come back to the hospital and sleep with me. I then took them to Cindy's for the night, which I'm worried will be hard on Matt because he just got here...but Jason is out there.
When I got back to the hospital, I heard a baby screaming, when I went in to the room, Jason and Chris were missing. I listened a little bit closer and sure enough, those were my baby's screams! His IV went bad and they were trying to restart it. It was a horrible feeling knowing that he was going through this and I wasn't there. I promised not to leave for that long again. Jason did good though. Even though he denied it, I could tell it bothered him.
After 4 sticks they couldn't get it and Tina (one of my favorites - her son has epilepsy, hypotonia and dysphagia...sound familiar?) called the physician who said to leave it out, but stated the inevitable...NG.
So that's where we are at...It sounds like after the pH test is done, the NG will be placed for feedings. I guess we have to...Jen has always said it will be her job to get him off of it.
Tonight he was up until after 11 bouncing back and forth from Jason and I, loving each one of us. He even showed his love by biting me - now I have a huge bruise and welt. Obviously he is sick of helping hold him down.
Mom, Dad, Michelle, Luke and Lily are coming down tomorrow and I can't wait. Yesterday, I would have given anything for my Mom to be here so I am looking forward to them. Jason's family has been popping in and out and I am very greatful, but nothing is better than having your own family and I'm dying for sister time.
The circles and few answers continue. I just finished talking with our nurse and it sounds like we will have a sleep study this weekend and then surgery Monday, and possible home Tuesday. It will all depend on what they figure out...We'll get there.
Our AWESOME ENT stopped by this a.m. before she boarded a plane to somewhere. Her plan continues to complain until she gets a sleep study. He's on a wait list. She said she will stop in Sunday to see us when she gets back.
They removed his EEG wires around 11 and so he was hooked up to it for about 20 hours. Dr. Nelson came in later and informed us that his EEG was normal. I freaked - in my head- WHAT!!! I mean I wanted to jump and celebrate, but at the same time, I was frustrated that it was saying that it was negative. He said since we had seen activity however, that he wasn't going to take him off the med, but switched him to a once a day one that doesnt have to have lab draws to regulate it. BONUS!
Jairren, my sister-in-law was with me and reassured me after Dr. Nelson left that it is not uncommon for EEGs to be normal in epileptics. I emailed a couple ladies through the Epilepsy Foundation I have met and asked them too. They both reiterated what Jairren said. The good part of it is that this gives us more hope for him growing out of them and that the apnea is not linked to a seizure. We will keep our appointment in Denver on June 6 with the epileptologist.
Then the pulmonologist that is on for the weekend came around and introduced himself. Was concerned again with the aspiration. Looked at my videos and then questioned what we were going to do about feeding him until we can get the possible cause figured out. It's refreshing that we are looking for a cause.
They are still talking g-button and whether he is refluxing too, so they are doing a test, that watches the pH in his esophagus to see if he's refluxing. We have to push a button for every little thing he does, so much so that i feel like I'm playing a video game. If you looked at pictures, it's the one that looks like a feeding tube, but it is indeed a test. He struggled with it at supper and eating and sounds kind of cruddy tonight.
The bad part about the pH test is that to keep him from pulling out the wires, he has to have elbow restraints. The funny part is watching him try to feed himself...i know horrible mom. He finally grabbed my hand so he could itch his nose and head. The pH wire stays in for 24 hours. :(
Jason and the big boys showed up around 6:30 and it was SO SO good to see them. Today was a frustrating day on all ends. It was Andrew's track and field day and I was mad I couldn't be there, but knew I was where I needed to be. Jason took videos and sent them to me and I cried with everyone.
When they arrived, Matthew went straight for me. Chris and I had hopped in the stroller and went for a walk and sat by the fountain/stream and watched the water. He eventually maneuvered himself to get his toes in it. Not sure we were supposed to, but like I told Jason...at least he didn't pee in it.
The big boys and I went out for supper at our favorite establishment...Jack and Mary's. Andrew ate and talked...surprise surprise...and Matt ate and snuggled...pretty much his norm. Matt wanted to come back to the hospital and sleep with me. I then took them to Cindy's for the night, which I'm worried will be hard on Matt because he just got here...but Jason is out there.
When I got back to the hospital, I heard a baby screaming, when I went in to the room, Jason and Chris were missing. I listened a little bit closer and sure enough, those were my baby's screams! His IV went bad and they were trying to restart it. It was a horrible feeling knowing that he was going through this and I wasn't there. I promised not to leave for that long again. Jason did good though. Even though he denied it, I could tell it bothered him.
After 4 sticks they couldn't get it and Tina (one of my favorites - her son has epilepsy, hypotonia and dysphagia...sound familiar?) called the physician who said to leave it out, but stated the inevitable...NG.
So that's where we are at...It sounds like after the pH test is done, the NG will be placed for feedings. I guess we have to...Jen has always said it will be her job to get him off of it.
Tonight he was up until after 11 bouncing back and forth from Jason and I, loving each one of us. He even showed his love by biting me - now I have a huge bruise and welt. Obviously he is sick of helping hold him down.
Mom, Dad, Michelle, Luke and Lily are coming down tomorrow and I can't wait. Yesterday, I would have given anything for my Mom to be here so I am looking forward to them. Jason's family has been popping in and out and I am very greatful, but nothing is better than having your own family and I'm dying for sister time.
The circles and few answers continue. I just finished talking with our nurse and it sounds like we will have a sleep study this weekend and then surgery Monday, and possible home Tuesday. It will all depend on what they figure out...We'll get there.
Wednesday, May 11, 2011
Got a Lot Done Today
Our day started off at 8 a.m. with an appointment with Dr. Thomas, pulmonologist who does great work with aspiration. After that I remember thinking that it had to be about 4 p.m. and when I looked at the clock and it was 1:50. Ugh!
Dr. Thomas looked at his previous xrays and ordered new ones after getting a history on Chris. She came back with word that his tonsils and adenoids were HUGE! I have since looked at the xray and can not confirm or deny this...basically because I don't know what I'm looking at. His nurse Sara and I just made some guesses! :) Anyway, she also ordered a swallow study, which increased my anxiety and watched my videos that I have been recording of Chris breathing. (Once I get to the car to get my cord for my camcorder, I hope to download one.)
By just watching the video she looked at me and said...you came prepared to stay right? I said yes...so she said that the plan was to then admit him for further tests and observation, but in the meantime Dr. Goebel (ENT - the main reason we came down) was gonna sneak in and see him.
Now, I know the Lord works in mysterious ways and he did this morning by gracing Chris with his nap shortly before Dr. Goebel came in and quickly made him sound like his worst...Thank you Jesus! After introducing herself, she goes..."I don't have to ask why you're here." Then she said she had heard lots about Chris and I...I'm hoping it's all good. :)
We chatted, she looked him over, and then she stated again that the adenoids and tonsils are HUGE. The funny part about all the doctors saying his tonsils are HUGE...is that his eyes get really big when they say it too! :)
The plan was made to take them out, but because of his extensive history, she wanted a sleep study first, but wasn't sure if she could get the sleep study, since they are booked out until July, but stated she was going to whine and cry enough to get it. :) As I walked out of the clinic to have Chris admitted, I asked if it was just over night or what the plan was and the nurse goes...no hun, I think you're here until the tonsils and adenoids come out...which at this time...is Monday.
We had our swallow study this afternoon and much to my dismay, we failed. He again is aspirating the honey thick liquids and cheetos. I think that took more out of me than the whole being hospitalized until Monday. We have gone backwards. I still want to argue with the lady though that did the test, because what she was calling aspiration, I was calling penetration, but again, I am not a radiologist.
I spoke with Jen about it and will get her a copy so I can get her opinion. But for now they took away his liquids and put him on an IV for fluids.
The Resident (Dr. Singh) that admitted us was very nice. I liked him very much. He was very willing to listen to my concerns and what I wanted and how to do things. We just had trouble with 2 things...not being able to read a crystal ball and the feeding tube issue.
I kept asking questions about what was going to happen and when it was going to happen and how it was going to happen and most of the time he said...I'm not sure. I reassured him that I am just very impatient and appreciated all he had to offer!
The feeding tube issue...wasn't backing down on that one. I told him that I did not feel that an NG was the way to go and did not feel comfortable without talking to Dr. Prestridge. I said he can either have pudding thick liquids or and IV...no tube at this point because he wasn't going to keep it in. His response...Let me go talk to Dr. Wilson.
When he came back in...Bless his Soul...he said that he was cool with an IV and that he would address the swallowing issue with Dr. Prestridge tomorrow....GREAT ANSWER. Pretty sure he walked out of the room though thinking I was a major rip! :) My dad was proud of me! :) He has been very against a feeding tube since the get go.
Now, don't get me wrong, last week we thought that was the only thing we had left until we discovered these ginormous tonsils that have surfaced and it sounds like everyone is hoping that taking them out will help alleviate the issues. Lord, I hope so!!!
This evening was good. Had a bit of company, then rested and snuggled awhile. Grandma K brought him a Curious George stuffed animal and we are lovin that.
Around 9 they came in to put his monitor on that is monitoring his respirations, heart rate and oxygen saturations. This will also tell if he is having periods of apnea. He's had a couple priods of apnea and has had once incident where he bradied down in to the 80s. He's wrapped up in wires and my hope is they just don't get undone. THe one good thing is that his sats have remained good through all of this.
I stepped out of the room for a few minute tonight to visit with some friends form back home that are just down the hall from us. It was good visiting with them and then their nurse is an O'Neill-ite as well. I also ran in to the nurse that I precepted under when I was in nursing school and it was great to get caught up with her.
The big boys are doing well. They have soccer tomorrow night and then Drew has his track meet on Friday. Jason is home and staying with them although he would kill to be down here with us. We gave the big boys the option of coming down Friday after the track meet or coming down Saturday after soccer. Jason and I was sure they would say Friday, but much to our surprise...after soccer!! :) Which is fine...they need some normalcy. Jason saved our house from a fire tonight by cleaning out the lent trap and hose that was 50% full of lent! Good heavens! That's the last thing we need.
Best get some sleep. Tomorrow is looking to be another long day with our neuro consult and more tests.
Dr. Thomas looked at his previous xrays and ordered new ones after getting a history on Chris. She came back with word that his tonsils and adenoids were HUGE! I have since looked at the xray and can not confirm or deny this...basically because I don't know what I'm looking at. His nurse Sara and I just made some guesses! :) Anyway, she also ordered a swallow study, which increased my anxiety and watched my videos that I have been recording of Chris breathing. (Once I get to the car to get my cord for my camcorder, I hope to download one.)
By just watching the video she looked at me and said...you came prepared to stay right? I said yes...so she said that the plan was to then admit him for further tests and observation, but in the meantime Dr. Goebel (ENT - the main reason we came down) was gonna sneak in and see him.
Now, I know the Lord works in mysterious ways and he did this morning by gracing Chris with his nap shortly before Dr. Goebel came in and quickly made him sound like his worst...Thank you Jesus! After introducing herself, she goes..."I don't have to ask why you're here." Then she said she had heard lots about Chris and I...I'm hoping it's all good. :)
We chatted, she looked him over, and then she stated again that the adenoids and tonsils are HUGE. The funny part about all the doctors saying his tonsils are HUGE...is that his eyes get really big when they say it too! :)
The plan was made to take them out, but because of his extensive history, she wanted a sleep study first, but wasn't sure if she could get the sleep study, since they are booked out until July, but stated she was going to whine and cry enough to get it. :) As I walked out of the clinic to have Chris admitted, I asked if it was just over night or what the plan was and the nurse goes...no hun, I think you're here until the tonsils and adenoids come out...which at this time...is Monday.
We had our swallow study this afternoon and much to my dismay, we failed. He again is aspirating the honey thick liquids and cheetos. I think that took more out of me than the whole being hospitalized until Monday. We have gone backwards. I still want to argue with the lady though that did the test, because what she was calling aspiration, I was calling penetration, but again, I am not a radiologist.
I spoke with Jen about it and will get her a copy so I can get her opinion. But for now they took away his liquids and put him on an IV for fluids.
The Resident (Dr. Singh) that admitted us was very nice. I liked him very much. He was very willing to listen to my concerns and what I wanted and how to do things. We just had trouble with 2 things...not being able to read a crystal ball and the feeding tube issue.
I kept asking questions about what was going to happen and when it was going to happen and how it was going to happen and most of the time he said...I'm not sure. I reassured him that I am just very impatient and appreciated all he had to offer!
The feeding tube issue...wasn't backing down on that one. I told him that I did not feel that an NG was the way to go and did not feel comfortable without talking to Dr. Prestridge. I said he can either have pudding thick liquids or and IV...no tube at this point because he wasn't going to keep it in. His response...Let me go talk to Dr. Wilson.
When he came back in...Bless his Soul...he said that he was cool with an IV and that he would address the swallowing issue with Dr. Prestridge tomorrow....GREAT ANSWER. Pretty sure he walked out of the room though thinking I was a major rip! :) My dad was proud of me! :) He has been very against a feeding tube since the get go.
Now, don't get me wrong, last week we thought that was the only thing we had left until we discovered these ginormous tonsils that have surfaced and it sounds like everyone is hoping that taking them out will help alleviate the issues. Lord, I hope so!!!
This evening was good. Had a bit of company, then rested and snuggled awhile. Grandma K brought him a Curious George stuffed animal and we are lovin that.
Around 9 they came in to put his monitor on that is monitoring his respirations, heart rate and oxygen saturations. This will also tell if he is having periods of apnea. He's had a couple priods of apnea and has had once incident where he bradied down in to the 80s. He's wrapped up in wires and my hope is they just don't get undone. THe one good thing is that his sats have remained good through all of this.
I stepped out of the room for a few minute tonight to visit with some friends form back home that are just down the hall from us. It was good visiting with them and then their nurse is an O'Neill-ite as well. I also ran in to the nurse that I precepted under when I was in nursing school and it was great to get caught up with her.
The big boys are doing well. They have soccer tomorrow night and then Drew has his track meet on Friday. Jason is home and staying with them although he would kill to be down here with us. We gave the big boys the option of coming down Friday after the track meet or coming down Saturday after soccer. Jason and I was sure they would say Friday, but much to our surprise...after soccer!! :) Which is fine...they need some normalcy. Jason saved our house from a fire tonight by cleaning out the lent trap and hose that was 50% full of lent! Good heavens! That's the last thing we need.
Best get some sleep. Tomorrow is looking to be another long day with our neuro consult and more tests.
Monday, May 09, 2011
If it's Not One Thing It's Another
We had a very eventful weekend. It started Friday when I had just gotten Chris to sleep and laid him down to change his pants because I noticed he had just filled them again. I also noticed that he was retracting significantly...which is a sign of difficulty breathing. His lungs sounded good for once and he wasn't running a fever so I was baffled. I recorded it on my phone and texted it to a couple different people and Dr. L and asked if this was of great concern...well duh. But I wanted to just get through the night and we did.
I expected though to be going to the doctor the next day and for him to sound like crud, but he didn't ironically enough. We had 3 seizures on Saturday, but other than that, a great day. One he went to bed though...you got it...bad breathing again. He did okay through the night though.
Sunday, we were very fussy. He slept most of the day, being awake only 7 hours throughout the day. He also had 4 seizures, including 3 last night in 2 hours to end up in a 45 post ictal state. I took a photo of him in that state and it didn't even look like him. It looked as if he was only a shell. The glimmer in his eyes was gone and his little smile that is always on his face was gone. He was just staring blankly. A couple friends agreed it looked like he wasn't "home" either.
Once the post ictal state was up, the breathing issue started again, but his time with periods of apnea. Again though...this morning, he was up and fine. I took him to see Dr. L though today to get on the top of this. His lungs still sounded clear, but he was still having issues. He looked at his tonsils and said they were touching his uvula and was surprised that he could swallow anything. So basically, when he's sleeping they are shutting off his airway.
We are on another antibiotic...5th one in 10 weeks. We are still waiting to hear form Omaha as to whether or not a feeding tube will be placed. Last night he was in the bath tub and was splashing and giggling so much that he swallowed the water and of course...aspirated. Jen had always said that parents had complained of them having issues in the tub and I was like...whatever...but we found out first hand.
He's fine today as far as lungs go....but the viscious cycle continues. We just needs answers...and hopefully soon.
I expected though to be going to the doctor the next day and for him to sound like crud, but he didn't ironically enough. We had 3 seizures on Saturday, but other than that, a great day. One he went to bed though...you got it...bad breathing again. He did okay through the night though.
Sunday, we were very fussy. He slept most of the day, being awake only 7 hours throughout the day. He also had 4 seizures, including 3 last night in 2 hours to end up in a 45 post ictal state. I took a photo of him in that state and it didn't even look like him. It looked as if he was only a shell. The glimmer in his eyes was gone and his little smile that is always on his face was gone. He was just staring blankly. A couple friends agreed it looked like he wasn't "home" either.
Once the post ictal state was up, the breathing issue started again, but his time with periods of apnea. Again though...this morning, he was up and fine. I took him to see Dr. L though today to get on the top of this. His lungs still sounded clear, but he was still having issues. He looked at his tonsils and said they were touching his uvula and was surprised that he could swallow anything. So basically, when he's sleeping they are shutting off his airway.
We are on another antibiotic...5th one in 10 weeks. We are still waiting to hear form Omaha as to whether or not a feeding tube will be placed. Last night he was in the bath tub and was splashing and giggling so much that he swallowed the water and of course...aspirated. Jen had always said that parents had complained of them having issues in the tub and I was like...whatever...but we found out first hand.
He's fine today as far as lungs go....but the viscious cycle continues. We just needs answers...and hopefully soon.
Thursday, May 05, 2011
What a week!
I blinked and we are on Thursday! Where did the week go. I counted tonight and Andrew has 11 days of school left and 4 of them he gets out early and one is his track day! I always loved the spring semester of high school...pretty sure the teachers didn't, but when you could count 30 days of school in an 8 week period...AWESOME!
Anywho...The Chris front moves on...well, not sure about moving on, status quo seems to be my normal report. We have had some good news. His first round of genetic testing, which included the microarray and fragile X, came back NEGATIVE!!! At first I was frustrated because that told us something, but yet I felt like it didn't. Then when talking to Doc P, he reminded me that eventhough, it doesn't tell us what is going on, it's still a positive, because it means he doesn't have a syndrome. So I am basking in those results right now as that has been our only positive news since January.
We also got the clear to have our second round of genetic testing that includes the test for Sotos Syndrome. Dr. Isburg and Dr. Prestridge have both questioned this syndrome and he hits a lot of the symptoms, minus the mental retardation and cognitive impairment. I'm okay with that! The test takes 4-6 weeks and hopefully we will have an answer then.
We visited with Dr. Prestridge again on Monday and the "t" word was dropped again. She said at this time it looks like he will need to have a g-button placed (feeding tube) to help with the symptoms we've been having. She stated that he would still be able to eat table food, but all liquids and liquid meds would be through his tube. She suggested an upper GI to look at the anatomy before tube placement. It was ok and showed no signs of reflux which is what Dr. Prestridge was wondering about.
Then we consulted with Dr. Murphy, our favorite allergy and asthma guy, but this time we saw him for pulmonology. He said that although the changes that he saw in Chris' chest x-rays were slight, they were enough to warrant a g-button for liquids. His thought was that we may be amazed at how healthy Chris would be if he wasn't aspirating at this time.
It made a difference too I think, when I talked to him and was telling him that we had been on antibiotics since the middle of March. The longest we had been without an antibiotic was 6 days and had just finished another one since see Dr. Prestridge 2 weeks ago. He was going to talk to Dr. Prestridge and we are going to go from there. Other good news I guess was that he doesn't think there is an allergy relation. About time I don't have an allergy kid! Although, I'd sure take it vs epilepsy.
I haven't talked to Dr. Prestridge to get the for sure, for sure, but that call will be made today. I've been struggling with it. I've talked to Jen at length and Jess and am just battling it back and forth. The mom in me doesn't want it and has anxiety about taking his milk and sippy cup away from him and just typing it brings tears to my eyes. But the nurse in me, knows that it is best for him.
Today I need to call on Dr. Presetridge's office and find the plan.
We also have our date set for Denver which is June 6. I have lots questions. I talked with a nurse today and although she couldn't answer some of my questions she put me at ease with others. He still continues with the absence seizures a couple of times of day and will have a big seizure (aka grand mal) if he spikes a temp.
That is yet another reason that has us addressing the feeding tube. We are aspirating enough that is making us get recurrent infections, which then causes us to run a temp, which then leads us to a seizure. I can't confirm it, and especially after talking to Jess, I think the seizures are causing or are linking to the lung issues we've been having. Jess questioned if his seizure meds are making him just sleepy enough to make his swallow ineffective. We may never know.
I just feel like we are in this viscious cycle that doesn't have an end in sight. We'll get through it though. It's not slowing him down and he takes his lab draws like a champ.
Anywho...The Chris front moves on...well, not sure about moving on, status quo seems to be my normal report. We have had some good news. His first round of genetic testing, which included the microarray and fragile X, came back NEGATIVE!!! At first I was frustrated because that told us something, but yet I felt like it didn't. Then when talking to Doc P, he reminded me that eventhough, it doesn't tell us what is going on, it's still a positive, because it means he doesn't have a syndrome. So I am basking in those results right now as that has been our only positive news since January.
We also got the clear to have our second round of genetic testing that includes the test for Sotos Syndrome. Dr. Isburg and Dr. Prestridge have both questioned this syndrome and he hits a lot of the symptoms, minus the mental retardation and cognitive impairment. I'm okay with that! The test takes 4-6 weeks and hopefully we will have an answer then.
We visited with Dr. Prestridge again on Monday and the "t" word was dropped again. She said at this time it looks like he will need to have a g-button placed (feeding tube) to help with the symptoms we've been having. She stated that he would still be able to eat table food, but all liquids and liquid meds would be through his tube. She suggested an upper GI to look at the anatomy before tube placement. It was ok and showed no signs of reflux which is what Dr. Prestridge was wondering about.
Then we consulted with Dr. Murphy, our favorite allergy and asthma guy, but this time we saw him for pulmonology. He said that although the changes that he saw in Chris' chest x-rays were slight, they were enough to warrant a g-button for liquids. His thought was that we may be amazed at how healthy Chris would be if he wasn't aspirating at this time.
It made a difference too I think, when I talked to him and was telling him that we had been on antibiotics since the middle of March. The longest we had been without an antibiotic was 6 days and had just finished another one since see Dr. Prestridge 2 weeks ago. He was going to talk to Dr. Prestridge and we are going to go from there. Other good news I guess was that he doesn't think there is an allergy relation. About time I don't have an allergy kid! Although, I'd sure take it vs epilepsy.
I haven't talked to Dr. Prestridge to get the for sure, for sure, but that call will be made today. I've been struggling with it. I've talked to Jen at length and Jess and am just battling it back and forth. The mom in me doesn't want it and has anxiety about taking his milk and sippy cup away from him and just typing it brings tears to my eyes. But the nurse in me, knows that it is best for him.
Today I need to call on Dr. Presetridge's office and find the plan.
We also have our date set for Denver which is June 6. I have lots questions. I talked with a nurse today and although she couldn't answer some of my questions she put me at ease with others. He still continues with the absence seizures a couple of times of day and will have a big seizure (aka grand mal) if he spikes a temp.
That is yet another reason that has us addressing the feeding tube. We are aspirating enough that is making us get recurrent infections, which then causes us to run a temp, which then leads us to a seizure. I can't confirm it, and especially after talking to Jess, I think the seizures are causing or are linking to the lung issues we've been having. Jess questioned if his seizure meds are making him just sleepy enough to make his swallow ineffective. We may never know.
I just feel like we are in this viscious cycle that doesn't have an end in sight. We'll get through it though. It's not slowing him down and he takes his lab draws like a champ.
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