Friday, February 29, 2008
See Rodger, I told you I can't cut hair!
So here's how it went...hey Jack, want Mommy to cut your hair? Poor guy was a willing victim...
First, I messed up the back....
I'd felt sure I could do better up top on the front but alas....
Ooops, I guess I was not paying attention when I did this part....
It's okay, Mommy, I love you anyway!
***I actually did not do all this damage. I just trimmed around his ears. His haircuts were thanks to Dr. Wellons and the neurosurgery team at Children's but I thought we could all use a little humor in our day. :)
Wednesday, February 27, 2008
Home Sweet Home
Busting Out!
tches whi
le he is wide awake. I'm not seeing that go down too easily but maybe he will surprise me. He has before.
In the meantime, we will watch Jack for any signs of infection. Dr. Wellons wants us to call if Jack has any redness, swelling, or any drainage from any of his wounds. He seems fairly concerned about the incision on top of Jack's head since Jack's skin is so thin from all the growth. He also wants us to call if his temperature goes above 101 degrees and stays there.
Hope to post nothing but good news from here on out!
Thanks again for all the prayers and support.
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Tuesday, February 26, 2008
VP Shunt Take 2 and Yikes!
it did n
ot drain the CSF fast enough.
Now the yikes.....in the surgery waiting room, we met a woman whose little boy has had 41 shunt related surgeries and he is about 5 months younger than Jack. She said that the nurses on the neurology floor told her that there has been a recent increase in shunt infections--so not what I wanted to hear.
Jack is back in his room and resting. We should get out of here tomorrow if all goes well.
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Monday, February 25, 2008
Surgery Tomorrow
h the nex
t 6 months without another infection, his chances of infection drop dramatically.
In possibly unrelated bizarre good news, Jack slept last night without his Bipap. He only dropped his saturation twice and only to about 81. He has obstructive sleep apnea which should be unrelated to any pressure or fluid in his head so it really makes no sense that he was able to breathe so easily last night without any pressure support. He did have "blow-by oxygen" on for part of the night but I don't think he needed it. I turned it on before he went to sleep just so we would have it until we turned on the Bipap.
Thanks again to everyone for all your thoughts and prayers and visits and calls and emails and diapers and food and trucks and batteries and planes and helicopters and books and cards and balloons and socks and Puffs Plus and I'm sure I've left someone or something out. We appreciate everything and are overwhelmed by the support.
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Sunday, February 24, 2008
Sunday Morning
We got some good news about the bacteria. It is NOT MRSA. Since the bacteria is sensitive to penicillins, the neurosurgery team switched Jack over to Nafcillin. He got his first dose last night. The resident, Dr. Harmon, has been in this morning. He says that the cultures from the OR Wednesday and from the drain on Friday are still negative. The OR culture will be final tomorrow afternoon. He will come back this afternoon and draw another sample from the drain. Dr. Harmon says that we will probably get out of here this week. He said that once Jack gets his VP shunt he will only need to stay in overnight to show that he is eating and drinking well and then we will get to go home!!!
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Saturday, February 23, 2008
We're Gettin Gettin Gettin Kind of Restless
Jack is <SURPRISE!!!!> sick of laying in the bed. Fortunately, this morning Dr. Wellons told us that, sometimes on the usual neurology floor, the nurses let the kids ride in a wagon with the drain leveled out on an IV pole. It all depends on the nurses' comfort level. Our drain is already on an IV pole so we would just have to re-level Jack sitting up in the wagon. I am hoping that they will let us give it a try.
Jack has developed some troublesome respiratory symptoms. He's got this little weak ineffective cough and his usual crystal clear chest sounds a bit raspy. I've talked to the nurse and respiratory therapist. We're going to give him breathing treatments every 8 hours today and hopefully that will help things. I think getting him up will really make a difference so I am really going to kind of push for that.
Yesterday, Jack actually tried to draw on the little magnetic board Annie from CCA gave him after his last surgery in Dallas. That's a big deal because Jack is really not into drawing, coloring, sorting, or really any fine motor activities. Maybe he has started to realize you can have fun sitting still without watching a Baby Einstein or Signing Time DVD. He also really enjoyed looking at some books. There was, of course, "The Book" made by Jessica but he also has a new book that Michi (Michelle) bought him with Mommy and Baby Animals. It has these really easy to turn pages which is great but Jack really did look at the pictures and signed some of the animals. It's funny. If Jack can't remember the sign, it's a cat. :) Ms. Donna brought Jack a cool puzzle and a little airplane and wind up tractor and dog. We have not tried the wind up dog yet but the plane and tractor are definitely a hit. Of course, Jack's little snowman (a Christmas present from Uncle Noah) has remained hi!
s bed bud
dy and is handy for biting on and loving on and generally being pummelled but the snowman does not seem to mind. The snowman has been joined by a new friend, a soft cuddly Panda that our friends Cat, Don, and Teeter sent from South Carolina. This little panda is super soft and Jack had a ball alternating kisses on Panda and Snowman. Of course, we brought Jack's gears-you push a button, it lights up, plays music, and the gears spin. David brought a few more things from home that we are going to try today to shake things up. I'm kind of hoping that Jack might really learn to enjoy quiet activities more. David even brought the playdough and floam so maybe Jack will actually enjoy and not just tolerate playing with them. Oh yeah, we've also got a few of Jack's "roll a round" balls [the clear plastic balls with toys inside them]. He loves spinning those around and clacking them tohether. If you've got any other suggestions of things that can be played while lying in a level plane!
in bed,
I'd love to hear them especially from those of you (HELLO THERAPISTS!!!) who know Jack's abilities and the kinds of things he needs to work on. Just drop me a line at empwrn@bellsouth.net.
***Here's the latest news on our shunt status. The cultures from the shunt tap in the ER and the spinal fluid from the OR on Tuesday are growing staphylococcus aureus (the most common bacteria found in shunt infections). We are awaiting sensitivity studies to determine whether we are dealing with Methicillin Resistant (MRSA) strains. If the bacteria is sensitive to Penicillan (Methicillin) then Dr. Wellons will switch Jack's antibiotics to Penicillan. In the meantime , Jack continues to receive Vancomycin which is what he will stay on if the bacteria is MRSA. So far the culture taken from the OR on Wednesday and the culture taken from the drain in the room yesterday are negative. One of the residents will get a culture from the drain again tomorrow. Once two consecutive cultures are negative, Dr. Wellons will take Jack back to the OR and put in a new VP shunt. A final culture result takes 5 days so the Wednesday sample will be final Monday afternoon. Dr. Wellons said that he!
won't ha
ve to wait until the second culture result is final. Once he gets one culture that is negative at its final 5 day point, he'll take the second culture remaining negative for a couple of days as an indication that the infection has cleared and it's time to replace the shunt. If the infection does not appear to be clearing up (so far that does not seem to be the case), Dr. Wellons will do some more extensive surgery to open up Jack's head and get the rest of that old subdural shunt out.
A few folks have asked whether the VP shunt has to be put back in. Unfortunately the answer to that question is an unequivocal absolutley! With the external drain currently in place, we know just how much extra cerebrospinal fluid Jack is making on a daily basis--it's a lot! If we don't put in a VP shunt, all this fluid will accumulate in his ventricles and they cannot drain or absorb the fluid fast enough, there will be pressure on his head causing who knows what damage and his head will continue to grow. As bad as this has been, it has definitely confirmed that we made the right decision regarding putting the VP shunt in in the first place.
We can feel your prayers and we still need them.
Also, thank you again to Edie, Dad (Opa), Steve (Pop), Michelle (Michi), Rob, Mandy and Andrew (The Mandy-Andy show), Donna, Nana, and Aunt Ninfa for coming to visit Jack here at the hospital (and bringing us food and stuff). It's so strange for us to be here at home where we have so much help and it's been awesome!
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Friday, February 22, 2008
Sleepy Irony
I'm refreshed and renewed and once again enjoying the fact that my sweet baby likes to cuddle up next to me in his sleep. I'm Jack's Mommy and I'm back! :)
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Thursday, February 21, 2008
Steady as She Goes
Jack is still a bit restless and we are trying to keep him settled. I am going to take a nap so that I can be the Mommy I want to be.
There is a great benefit to being in the hospital here at home. We have had so many wonderful friends and family show up to love us in person. It's been wonderful and we don't quite know how to act! Thank you everyone!
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Aaaaaccccckkkkk!!!!
I have finally resorted to putting on one of his Baby Einstein DVDs in the hope that he would get his mind focused on the movie and lie still. I am so tired and unfortunately, I'm having a hard time being the sympathetic mother Jack deserves. I just want to rest for a few minutes. I just want to not be kicked or poked for a few minutes. Jack's nurse just gave him some Tylenol in case discomfort is causing his restlessness. I feel bad because I did not even think to ask Jack if he was hurting. Please pray for us. Jack needs his Mommy to be loving and sympathetic not tired and crabby.
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Wednesday, February 20, 2008
In the Room Again
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News from Dr. Wellons Again
Jack is being closed up by the residents and then he'll be in recovery for awhile as usual.
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Back in Surgery
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As Quiet As A Child
Jack has been lying here asleep nestled in the crook of my arm as if he has no care in the world. I have been quietly praying over him reminding myself and God how I have seen his hand upon my life and Jack's and how I can trace back over time how he slowly but surely and purposely prepared me to be Jack's mother. I know that God has a plan and a purpose that I cannot yet see. I was asking him to help me be still and wait on him and then I checked my email and found this encouragement.
So I thought I'd share it with you.
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-----Original Message-----
From: Purpose Driven Life<dailydevotionals@purposedrivenlife.com>
Subj: February 20, 2008 - As Quiet As A Child - Daily Devotional
Date: Wed Feb 20, 2008 2:19 am
As Quiet As A Child
By Jon Walker
I don't concern myself with matters too great or awesome for me. But I have stilled and quieted myself, just as a small child is quiet with its mother. Yes, like a small child is my soul within me. O Israel, put your hope in the LORD — now and always. (Psalms 131:1b-3 NLT)
Today's devotional actually comes from my sister, a godly woman and serious prayer warrior. She e-mailed this morning, saying she'd been thinking the peace of God that passes all understanding.
She said she'd spent some time meditating on Psalm 131 –
• Verse 1b – "… I don't concern myself with matters too great or awesome for me …." We are free to live out our purpose when we relinquish control of the things that don't belong to us in the first place, such as worry about things over which we have no control, or trying to control something we have no business trying to control.
• Verse 2 – "But I have stilled and quieted myself, just as a small child is quiet with its mother …." I trust, even when the outcome seems a long way away. A nursing child wants attention now, but weaned child trusts and is content to wait.
• Verse 3 – "… Put your hope in the LORD — now and always." We hope in the Lord with confident expectation. In other words, we truly believe he will answer our prayers, that he will respond, that he will get us through. You can declare confidently that the Lord will pave your way and walk with you and keep your feet from stumbling. He's done it before, and he'll do it again!
Praise God for his peace! It is through his peace that we can do all things – and endure so much. It is a peace that passes all understanding.
What now?
• Overly concerned – Is your peace undermined because you're concerned about matters that are not even your responsibility? Or a matter over which you have absolutely no control? Ask God what should be on your "responsibility" list; ask him what items you should remove from your list. Psalm 131:1b – "I don't concern myself with matters too great or awesome for me."
• Prayer, but delayed gratification – Are you at peace because you have learned to trust God and wait? If not, ask God to reveal what makes you demand an immediate answer from him, and talk to him about what he reveals. Ask God to help you learn to trust him – and to wait. Psalm 131:2 – "But I have stilled and quieted myself, just as a small child is quiet with its mother. Yes, like a small child is my soul within me."
• Confident expectation – When you say you hope in the Lord, then really hope in the Lord. Expect him to come through for you – at just the right time in just the right way. Psalm 131:3 – "O Israel, put your hope in the LORD — now and always."
Back in a room
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Tuesday, February 19, 2008
News from Dr. Wellons
Jack is scheduled to return to our room on the floor unless anesthesia feels that he needs to be monitored more closely.
Now that Blogger is allowing me to update from my phone again. I will do my best to keep the blog updated. Of course, Jack comes first.
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In Surgery
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The Plan
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Jack in the hospital
r in appe
arence. They are waiting for the cultures to grow. It takes about 48 hours-you just have to give it time. The neurosurgery resident said this morning that it looks clear so far and that the gram stain was negative which is confusing. You can have a negative gram stain and still have bacteria. All bacteria is either gram negative or gram positive.
Jack has continued to have a fever throughout the night (102.6-102.8) and slept VERY restlessly. He babbled and signed for hours as he tossed and turned. He did not even sleep deeply enough to be put on the Bipap until after about 330. He has had two doses of IV Vancomycin (antibiotic) now. His abdomen looks a lot less angry.
The tentative plan for now is to remove both the old subdural and the new VP shunts, place a ventriculostomy (an external CSF drain), and do IV antibiotics. Jack will have to stay in the hospital until he finishes the antibiotics and they place a new VP shunt. He has to remain at one level position as much as possible. Every time he changes his position, the staff will have to clamp off the ventriculostomy and recalibrate. For those of you who have met Jack, you know that happy active Jack is not really one to lay around. We are hoping to keep him happy with his videos and books and quiet activities. The problem is that he really is not much into sitting down/laying down activities like coloring or playing with say blocks or other fine motor type stuff. Suggestions would be greatly appreciated. I'd rather that he not just be stuck with nothing to do..
Thanks for the hugs, thoughts, and prayers.
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Sunday, February 17, 2008
Spirit of Fear?
Jack has had a low grade temperature all weekend. So, of course, we are worried about his shunt. He is a little congested, his stools (which are still the usual once daily) are a little looser than his normal solid stuff, and he is not as active and happy as he usually is. Are those symptoms vague enough for you? How bad is it that I find myself wishing that he was having some obvious diarrhea? I bounce back and forth from being sure that this is just a virus and his energy level and appetite are picking up to worrying because even though his other symptoms appear to be getting better, his steady low grade temperature is edging upward. Say some prayers for Jack that he'll feel better and that his parents and doctors will have wisdom in treating him.
Wednesday, February 13, 2008
Enough About Everyone Else, How's Jack?!!?
He misses school terribly because he has been out all week. Hopefully, he can go back soon.
Since I've been sick, I have not been taking pictures so I dug these up from last year.
Here's Jack enjoying himself post-surgery last January in the PICU.
When we got back home, Louisa and Charlie (not in the picture--he was a tiny baby back then) came by and brought dinner. Well, ok, their Mommy and Daddy came too. Carla actually cooked up a wonderful dairy free dinner and bagged up some cheese just for David.
Here's Jack at last year's children's race at his school. He was not an independent walker yet so he was using the grocery cart to get around. Look how much he's grown!!!
Mommy Down, On Her Way Up, and Knocked Down Again
Lucky for us Steve and Michelle are feeling much better and they brought over dinner for at least 2 nights(will probably be even more than that because it's a lot of food and because of my reduced appetite) and still offered to go to the grocery store.
If you get knocked down, it sure is great to have friends there to help pull you back up.
Hopefully, just a couple more days of this and I'm done. I don't really remember how long Dr. A said to expect this to last but it can't be that long, right?
Fox 6 Loves Our Family
Enjoy!
http://www.myfoxal.com/myfox/pages/InsideFox/Detail?contentId=5769070&version=1&locale=EN-US&layoutCode=VSTY&pageId=5.7.1
PS. I know! I've got great genes!!!
PPS. Blogger won't let me post the address as a clickable link for some reason tonight but if you cut and paste the above address into your browser, you should be able to get to the video. If that does not work, go to www.myfoxal.com. Scroll down and you will see a box labeled "Seen on TV" on the right hand side of the screen. Click on FOX6 Family Health: Dirty Dancing. That should load the page with the video clip. [Nana, call me and I'll tell you just what all of that means :)]
Sunday, February 10, 2008
Supporting The Marathoners
The weather was awesome. The sun was shining in a bright blue sky and it was cozy warm in the sunshine if you were bundled up in sweatshirts or long sleeve shirts with jackets like we we were. We were in a great spot. Jack's school set up their water tables to be right before the last mile of the whole thing for both the 1/2 and full marathon so when people made it to us they knew they were almost to the end. Many people did not realize how close they were until we shouted it out to them and quite a few put a new spring in their step as they realized the end was so near! It was really great to see all those people running, walking, huffing, puffing, and sweating away for such good causes as Jack's school, our local children's hospital, and a medical transportation service for low income children. Joy, Lisa, and I took turns handing out water, cheering everybody on, and walking with Jack.
Here's a shot of Lisa cheering on some runners as they went by. Jack let Joy stroll him around for a few minutes.
He spent most of the three hours pushing his stroller. I even put his bag in the stroller to weigh it down a bit but Jack was a bundle of energy.
We decided that next year Jack should do the 1/2 marathon. We will need Steve to get well to escort Jack through the 1/2 and keep him headed on the right path. Who wouldn't donate to that team?
Jack was such a great little race supporter and we were hungry and tired afterward so we headed to McDonald's for hamburgers. I seem to have come down with a bit of a cough so please keep me in your prayers. I truly don't have time to be sick!!!
Friday, February 8, 2008
Mercedes Marathon
Race weekend starts off with a children's race at Jack's school. This year, I had a photographer so I was able to get a lot more pictures of the racing event (Thank you, Aunt Ninfa!).
Here's Jack at the starting line next to one of his schoolmates. Cute little Annaka was in Jack's class last year.
Here are the rest of the racers in Jack's heat. Annaka (classmate from last year), Rachel (classmate this year), Peyton (classmate this year), and another little schoolmate of Jack's.
Look at that game face! He's ready to ride!!! [Actually he was kind of mad because he had to wear the helmet. We are being more conscientious about bike safety and making him wear a helmet even when he rides his tricycle. Dr. Price would be soooo proud!]
Here is part of Jack's cheering squad. The third girl from the right is Veronica. She made the sign that says "Go Jack Go!" Veronica and her class came to cheer on all the racers. Veronica's mom, my great friend Edie, and her sister Nell also came to cheer Jack on.
This is a sweet young man named Russell who made a poster to cheer Jack on. It says "You can do it. I know you can. You Rock! Go Jack! Win Win Win!" He did a great job!
Wow, I just realized that I did not get a picture of Nana, Aunt Ninfa, and Mimi who also came out to cheer Jack on. Thanks for coming to the race, guys. It was nice to have all the support and help watching Jack while I got his trike and all.
Finally, here is Jack saying, "Let me go! I want to run wild!" I foolishly let go of his hand for a moment and few seconds later he bit the dust because he did not step up when he got to the sidewalk. It was a bad Mommy moment. Fortunately, he seems to be just fine. He caught himself by throwing his arms out in front of him (Miss Melissa, I know you are proud of that!). He just has a little scratch on his forehead where he laid his head down on the pebbly sidewalk.
The Children's Race got some local news coverage and they happened to go live while Jack was racing. Here's a link where you can see a few seconds of Jack in action. The little girl leading the pack is Annaka. I can remember when they were trying to get her to crawl to the snack table last year. You'll also see Rachel who is a new walker. It is so exciting just to see her go. Bringing up the rear is precious Peyton who gets better and better at walking. She is actually progressing to using canes in the classroom. Jack's school does amazing things for these kids!
Jack, my sister in law Lisa, our friend Michele (if she is any better and I'm not sure she will be), and our friend Joy and I will be volunteering at the school's water table on marathon day so hopefully I'll be able to get a few pictures of that. Oh, also, if Steve is feeling better, he will be running on Jack's behalf so maybe I can get a picture of him running and post that too.
Sunday, February 3, 2008
Home for Now
Jack spent a very restless night in the PICU. He did not breathe well with their Bipap machine. Each specific brand and model has its own algorithm that you get used to. Jack simply was not used to their machine. We are going to try to get our machine approved by Biomed in advance next time. The hospital staff actually lost the paperwork that we got our respiratory supplier to fax to us. I hope that we can get this stuff sorted out early next time and have approval in writing so we won't have this problem.
After reviewing a post-surgery CT scan, Dr. Price discharged Jack and said that she wants to see him again in three months. She wants to get a CT scan and physically examine him and then she and Dr. Fearon will discuss when to do his next surgery. In the meantime, she said no additional precautions are needed but she did deliver a short lecture on bicycle safety and wearing of helmets. After talking it over, David and I have decided that we are going to start having Jack wear his bike helmet even when riding his tricycle, even indoors at school. It's better to be in a good habit than to have to transition when he begins riding his bigger bike.
Oh, we also heard back from Dr. Stager. He said that we should resume patching Jack's right eye 1-2 hours a day to maintain the vision in the left eye.
Enjoy these few pictures....I gotta go get in bed!
We got to meet Annie from CCA. Jack was not feeling all that great when Annie first got there and Annie, also a mom of a toddler, just hung out until Jack felt up to at least a little hand shake.
We had a little time between checking out of our hotel and checking in at the airport so we stopped at a park in a very nice section of Dallas. Jack loves loves loves trees and they had some really big ones so he got to actually get in the trees. *
Look at this "face of determination" as he heads off across the park. Where was he going? Concrete, baby! Our baby is a concrete boy. I guess it comes from starting out in our apartment where his daily adventure outside meant sitting on our little concrete patio?
Mommy and Jack playing through the nets at the tennis courts.
After all the running around at the park, Jack was good and ready for a nap on the plane ride home. Look at the wings on the snowman!
One more thing before I finally head off to bed. Since surgery, Jack is making a couple of new sounds and he is definitely cutting some new teeth.
Thanks again for all the love and prayers.