Well things seemed relatively the same for Luke health wise for a long time. I think more has happened to Luke in the past 10 days that in the past 10 months. But what a tropper.
So after Luke's surgery he had some bad poos and a leaky trach. He got a half size larger trach, now he has a 4.5, on Friday and things have been going much better and his leak is minimal and his volumes are great. I had been noticing his heart rate wasn't going below 100 at night and it is usually 80 and 90s when sleeping. The trach didn't solve that but realizing and fixing the poo issue did. I wondered before surgery when he had all the bad poos if he had c-diff (a highly contagious, sometimes serous intestinal issue. It usually appears after taking antibiotics that have wiped your gut flora and these are the bad ones that recolonize). But none of the nurses said anything and I was sure they would if they though the had it. After surgery he was on Augmentum, big hitter of antibiotics, and his poos were icky just because of the antibiotic killing the gut flora. His poos got better for 24-48 hours and it was probably because we got off Augmentum and had him on probiotics. However, he took a turn for the worse this weekend and on Monday morning my nurse said she thought he had c-diff. She said that the color, consistency and smell had changed to a c-diff poo. Thankfully we were off to see the surgeon and got a sample and a prescription for an antibiotic to get rid of the c-diff which we started right away. C-diff hurts as your intestines cramp and sound like a construction site. We stared Luke on Pedialite as well on Monday evening and after two meals of Pedilite, 2 doses of antibiotics and a few increased doses of ibuprofen Luke was doing better. His heart rate Monday night got down into the 90s and was back to normal by Wednesday night. The lower heart rate could be that he was in less pain or maybe he was no longer dehydrated. Whatever the case we were on the mend.
Well almost...on Monday I had noticed his right pin site was red and ozzing and when at the doctors we got a culture. The doctor said if they didn't get better to call. Well by Thursday both sites were ozzing and I called the docs. I got put through to a resident who didn't know Luke's case and couldn't do anything but talk to other people for me and we weren't communicating well. It was VERY frustrating. On call three a resident who did know our case and who I recognized was standing next to the first one and I got more accomplished in 5 minutes with the resident I knew that I had in 30 minutes with the other guy. During the day I had also e-mailed the doctor and head resident about some other things and that evening I got a call back from the head resident, who we had seen in the office and got the whole story on everything. Yeah! So now we are on an antibiotic, not Agmentum (which was what much of the fight was about with the first resident, bad poos and dehydration were not worth the Agmentmum I knew there were other options, the resident did not) to treat the infection at his pin sites. We saw our pediatrician who took another culture today and so he is up to date and I can deal with him about these infections now which is good.
Oh and the c-diff culture came back negative. Yes negative. The head resident who had smelled the c-diff poo said there are sometimes false negatives. So we are continuing to take Flagel for the c-diff, but not really c-diff, and it is working. Two of my nurses (the third was not here during the c-diff time) also thought it was c-diff.
Oh and to add to all the frustrating doctors, I have been a little stressed with all of this lately and have a huge sore on my tongue making it painful to talk (it is much better today, thanks nurse Robin for the tip on a remedy).
And then there are the really sad things that have happened. A little girl with Moebius passed away this week. She was about Luke's age, we met her mother at the 2010 Moebius Conference, she had a trach and used to have a vent. I am not sure what happened but she is gone. It is really sad and my heart breaks for her family. I also am feeling all the more protective of Luke.
I have read a few other special needs moms blogs and noticed their frank talking about the stress, anxiety, worry and emotional tiredness. I don't know if I mention it here but it is hard, I am tired ALL the time. If not physically tired, emotionally tired. Sometimes I don't always see it until something happens and I just break or melt at some little thing. It is hard to have a child that has an airway that he pulls out or gets pulled out and know that he has a under a minute when it is half out and maybe a few minutes if his trach is all the way out until he is blue and unresponsive. Sometimes I want to tell people, no I am not a crazy, overprotective mom (although I may be if you took away Luke's medical issues) who does weird things just because. Other Moebius babies have died who have trachs and vents. And not awhile ago and the technology is new but in the past few years, in the past few days. Things with Luke are not guaranteed (and I know something could happen to any child at any time but the odds of something happening medically to someone like Luke are much higher) and as much put the thoughts aside most of the time, Luke's life is precariously tied to a little plastic tube that comes out more frequently that I would like and it is not a matter of if the trach will come out unexpectedly again but when. I am having trouble again with him going to school and putting him in someone else's care. If his trach comes out there is not time to call for me to come, no time wait for 911. He needs help in under a minute if it comes out. And above Luke's stress Hannah has been SUPER clingy and whiny needing to be with me, held by me, all the time. Today she had her moments but overall was better.
Hannah in general is a great player and has some great motor skills. She is very cute and says a very clear "hi" and "bye" and babbles other things and says "daddy" and "ba ba" when I ask her to say "mama" although I heard her say "ma ma" before. She loves to carry and pull things around and spends most of her time walking around with something in her hand moving from one area to another being Miss Destruction.
Luke is doing very well being cooped up in his high chair most of the day. He mainly reads and plays with blocks, which are his normal daily activities even not in the chair. Since the watching horse jumping on the Olympics he has gotten his fences out and jumped horses over them. He also enjoyed the diving competition as it reminds him of his favorite book "Where's Walrus" where a walrus escapes the boring zoo and learns that he is a great diver and gets his own diving pool at the zoo. Luke liked watching the swimming and bicycling too.
Well there is where we are right now. We do have recent pics and when they migrate to my computer I will post some.
Friday, August 31, 2012
Tuesday, August 21, 2012
Surgery, what surgery... oh wait yeah I have these posts sticking out of my chin
So to update on Luke's jaw distraction surgery...
(it is another long one)
Saturday afternoon Luke fell asleep asleep, no tossing, no turning, he was out. We were thrilled. He slept for around 4 hours and woke up to a couple of hours of washing his body, stoma sites, post sites and then eating. He actually went back to sleep! He slept pretty good for quite a few hours before having some restless sleep. Sunday morning he woke up his normal self. It was awesome! He woke up and pointed to all the things I needed to remove, his elbow immobilizers, his pulse ox, his Ponsetti shoes. He knows what goes on the in morning and he was making sure I knew, very cute. I was so excited that I scared my mom when I cried happy tears on the phone. She thought something bad had happened and I tried quickly to control my tears and let her know all was very well.
Sunday was busy. I slept in the morning a little bummed to be leaving sitting up fun, playing with his toys and books Luke. But I did need sleep. I got back to Luke and found out that all the doctors had come to see him and he was hopefully headed to the stable vent unit that afternoon. Yeah! So we packed up and waited for the go ahead. We moved up 2 floors and thankfully still had our wonderful arboretum view and then some. When we got settled I went and got a massage from Nancy's (grandma) friend Dawn. Thank you Dawn! I am very tight and I should work on this. Wow have I come a long way from my hockey playing, dance company days in college. However, my mom found out that Luke loves to exercise so when he has his pins out we will see if he likes "New York City Ballet Workout". It is low impact and hopefully I can get loosened up. I am sure my knees would appreciate some more muscle support as well (my knees have been giving me lots of trouble).
Sunday night my parents and Hannah arrived. I was so happy to see her and she was so confused to see me at the end of a long car ride in a weird place that she didn't even smile at me. She had also just woken up from a nap. However, she was very vocal about leaving me and it was good to cuddle her. She did give Kevin (and maybe Luke sitting next to him) a big smile when we walked into Luke's room. It was really hard to have her in the room as she wanted to get down and go all over but then still be in my arms as she missed me. She was also getting over tired and so my parents took her to my Uncle's to spend the night with them. It was very hard to leave her again but I knew it was best as there was no way Kevin and I could take care of Luke and have Hannah with us in the hospital/hotel room. On Monday when I saw here she gave me a huge smile and came right to me. She was dressed in a cute strawberry outfit and oh so cute!
Luke was feeling good all day on Sunday, sitting up most of the day, reading and playing with toys. Very nice to see. Sunday night/Monday morning was also full of poo! Two blowouts that night. The poo has been bad. Antibiotics are not nice to digestive systems. Luke is taking the antibiotics to prevent infection at the pin sites and due to the internal device. We are done in two days but the poo is awful. However, he slept some that night and woke up a happy little guy, once his poo was removed and he had a fresh bed, on Monday.
The residents from oral surgery came down on Monday morning and turned the posts and thus started the actual jaw distraction and movement. It seemed too easy. We have a quite large, purple (my favorite color) screwdriver looking thing that fits over his posts and there are instructions on which way to turn and that 1 turn = 0.5 mm. We were instructed to turn 2x per day and they estimate around 20 days. We will follow up next Monday to check the progress. They also said that he could go home. What? Really? We can go home! We were ecstatic! We had planned to send Hannah home with Nancy to watch her at my parents house until we came home but now we could all be home. It was too good to be true but it was real! We got our discharge papers and prescription and after lots of packing and a few trips to the car were ready to go.
Luke got really excited to be out and was a good car rider, even sleeping some. However, he became really junky, needing lots of trach suctioning, as soon as we left the hospital. This is a lot of work and we are still working on figuring it out but are hoping he is just adjusting back to the non-hospital humid air. We had one poop blow out on the way home but fortunately the car seat was saved by the extra chuks (pads to absorb liquids that have plastic on the underside so they don't leak on things) from the hospital that we put down.
We got home and Luke all situated. My parents brought Hannah back all ready for bed and we got to rock and nurse. We don't have night nursing for Luke until Thursday night so Kevin and I are still switching back and forth. Nancy came back up with us and is helping wrangle Luke and Hannah and keeping Luke from falling on or banging his posts and keeping the posts away from Hannah's exploring hands.
We are still running on little sleep at awkward times and will be very happy to see nurse Keri on Thursday. We are still trying to figure out how to keep Luke's posts safe, give everyone enough sleep, keep Hannah happy, keep the house running and figure out how much of Nancy's help I will need.
Luke seems like his normal self, he is even letting me wash his pin sites and turn his pins sometimes without someone holding his hands to prevent him from pulling out his trach. He has learned to sign "mama" and other sights at his chin up around his nose to avoid the pins. I was a little concerned he would bother the pins with his very exuberant signing but that smart little guy figured it out. I am going to keep him contained in his high chair or with someone right next to him till the pins come out because I am so worried he will fall on them hard and do some real damage. The risk of damage is much higher than the displeasure I have at confining him. He didn't seem to mind today but it was only day1. Luke had really low muscle tone and will often fall over, lean on things and rub his face on things and I do not want him to do that with the pins sticking out. If he wasn't such low tone maybe it wouldn't be an issue but then there is Hannah. She loves to pull his hair, his trach, anything he has out of his hands and I fear that she would think the pins are cool and pull them as well. We were told pulling does not harm them (lots of force pushing would) but I don't want to test it out on Luke.
Also, Luke has been leaking around his trach at night (some of the air his vent is pushing into his lungs is moving around his trach and up through his mouth and nose instead of into his lung) and he has been breathing faster and shallower breaths. I don't like this as shallow night time breathing with low volumes recorded by the vent leads over time to Luke building up CO2 and not doing as well. The ENT is ordering a larger trach (which nurse Mike has been thinking Luke may need for awhile). I am a little bummed because Luke has been making noises over his vent again (for the first time since maybe a year old) and I was thinking that he may vocalize with his passy muir, or similar, valve now that he has more room around his trach and realized that he can do it. The ENT said the bigger trach may still allow him the room to do it but it may not as well.
Oh and I had this waking nightmare thought that I may have turned Luke's distraction pins the wrong way this evening but his awesome doctors (which allow me to e-mail them, thus a lot of their awesomeness) got back to me right away and said nothing bad will happen if I accidentally did move them backwards. Yeah for not worrying but I will be really sure I am turning with the arrow from now on.
Thanks for...
Luke's surgery going really well
Luke bouncing back from surgery
getting to leave the hospital days earlier than we expected
having Nancy able to come stay with us
my parents watching Hannah and Hannah have a really good time
good doctors
So prayers for...
a good full recovery for Luke
that the distraction goes well and works
for Hannah to readjust and get through her fear of us leaving her
for us to get sleep
for our nurses not to get sick and be able to show up for their days starting Thursday
resolving the vent leaking issue
that we keep Luke's pins safe from bumping and harm and Luke happy in the process
Thanks for all your continued prayers and support!
(it is another long one)
Saturday afternoon Luke fell asleep asleep, no tossing, no turning, he was out. We were thrilled. He slept for around 4 hours and woke up to a couple of hours of washing his body, stoma sites, post sites and then eating. He actually went back to sleep! He slept pretty good for quite a few hours before having some restless sleep. Sunday morning he woke up his normal self. It was awesome! He woke up and pointed to all the things I needed to remove, his elbow immobilizers, his pulse ox, his Ponsetti shoes. He knows what goes on the in morning and he was making sure I knew, very cute. I was so excited that I scared my mom when I cried happy tears on the phone. She thought something bad had happened and I tried quickly to control my tears and let her know all was very well.
Sunday was busy. I slept in the morning a little bummed to be leaving sitting up fun, playing with his toys and books Luke. But I did need sleep. I got back to Luke and found out that all the doctors had come to see him and he was hopefully headed to the stable vent unit that afternoon. Yeah! So we packed up and waited for the go ahead. We moved up 2 floors and thankfully still had our wonderful arboretum view and then some. When we got settled I went and got a massage from Nancy's (grandma) friend Dawn. Thank you Dawn! I am very tight and I should work on this. Wow have I come a long way from my hockey playing, dance company days in college. However, my mom found out that Luke loves to exercise so when he has his pins out we will see if he likes "New York City Ballet Workout". It is low impact and hopefully I can get loosened up. I am sure my knees would appreciate some more muscle support as well (my knees have been giving me lots of trouble).
Sunday night my parents and Hannah arrived. I was so happy to see her and she was so confused to see me at the end of a long car ride in a weird place that she didn't even smile at me. She had also just woken up from a nap. However, she was very vocal about leaving me and it was good to cuddle her. She did give Kevin (and maybe Luke sitting next to him) a big smile when we walked into Luke's room. It was really hard to have her in the room as she wanted to get down and go all over but then still be in my arms as she missed me. She was also getting over tired and so my parents took her to my Uncle's to spend the night with them. It was very hard to leave her again but I knew it was best as there was no way Kevin and I could take care of Luke and have Hannah with us in the hospital/hotel room. On Monday when I saw here she gave me a huge smile and came right to me. She was dressed in a cute strawberry outfit and oh so cute!
Luke was feeling good all day on Sunday, sitting up most of the day, reading and playing with toys. Very nice to see. Sunday night/Monday morning was also full of poo! Two blowouts that night. The poo has been bad. Antibiotics are not nice to digestive systems. Luke is taking the antibiotics to prevent infection at the pin sites and due to the internal device. We are done in two days but the poo is awful. However, he slept some that night and woke up a happy little guy, once his poo was removed and he had a fresh bed, on Monday.
The residents from oral surgery came down on Monday morning and turned the posts and thus started the actual jaw distraction and movement. It seemed too easy. We have a quite large, purple (my favorite color) screwdriver looking thing that fits over his posts and there are instructions on which way to turn and that 1 turn = 0.5 mm. We were instructed to turn 2x per day and they estimate around 20 days. We will follow up next Monday to check the progress. They also said that he could go home. What? Really? We can go home! We were ecstatic! We had planned to send Hannah home with Nancy to watch her at my parents house until we came home but now we could all be home. It was too good to be true but it was real! We got our discharge papers and prescription and after lots of packing and a few trips to the car were ready to go.
Luke got really excited to be out and was a good car rider, even sleeping some. However, he became really junky, needing lots of trach suctioning, as soon as we left the hospital. This is a lot of work and we are still working on figuring it out but are hoping he is just adjusting back to the non-hospital humid air. We had one poop blow out on the way home but fortunately the car seat was saved by the extra chuks (pads to absorb liquids that have plastic on the underside so they don't leak on things) from the hospital that we put down.
We got home and Luke all situated. My parents brought Hannah back all ready for bed and we got to rock and nurse. We don't have night nursing for Luke until Thursday night so Kevin and I are still switching back and forth. Nancy came back up with us and is helping wrangle Luke and Hannah and keeping Luke from falling on or banging his posts and keeping the posts away from Hannah's exploring hands.
We are still running on little sleep at awkward times and will be very happy to see nurse Keri on Thursday. We are still trying to figure out how to keep Luke's posts safe, give everyone enough sleep, keep Hannah happy, keep the house running and figure out how much of Nancy's help I will need.
Luke seems like his normal self, he is even letting me wash his pin sites and turn his pins sometimes without someone holding his hands to prevent him from pulling out his trach. He has learned to sign "mama" and other sights at his chin up around his nose to avoid the pins. I was a little concerned he would bother the pins with his very exuberant signing but that smart little guy figured it out. I am going to keep him contained in his high chair or with someone right next to him till the pins come out because I am so worried he will fall on them hard and do some real damage. The risk of damage is much higher than the displeasure I have at confining him. He didn't seem to mind today but it was only day1. Luke had really low muscle tone and will often fall over, lean on things and rub his face on things and I do not want him to do that with the pins sticking out. If he wasn't such low tone maybe it wouldn't be an issue but then there is Hannah. She loves to pull his hair, his trach, anything he has out of his hands and I fear that she would think the pins are cool and pull them as well. We were told pulling does not harm them (lots of force pushing would) but I don't want to test it out on Luke.
Also, Luke has been leaking around his trach at night (some of the air his vent is pushing into his lungs is moving around his trach and up through his mouth and nose instead of into his lung) and he has been breathing faster and shallower breaths. I don't like this as shallow night time breathing with low volumes recorded by the vent leads over time to Luke building up CO2 and not doing as well. The ENT is ordering a larger trach (which nurse Mike has been thinking Luke may need for awhile). I am a little bummed because Luke has been making noises over his vent again (for the first time since maybe a year old) and I was thinking that he may vocalize with his passy muir, or similar, valve now that he has more room around his trach and realized that he can do it. The ENT said the bigger trach may still allow him the room to do it but it may not as well.
Oh and I had this waking nightmare thought that I may have turned Luke's distraction pins the wrong way this evening but his awesome doctors (which allow me to e-mail them, thus a lot of their awesomeness) got back to me right away and said nothing bad will happen if I accidentally did move them backwards. Yeah for not worrying but I will be really sure I am turning with the arrow from now on.
Thanks for...
Luke's surgery going really well
Luke bouncing back from surgery
getting to leave the hospital days earlier than we expected
having Nancy able to come stay with us
my parents watching Hannah and Hannah have a really good time
good doctors
So prayers for...
a good full recovery for Luke
that the distraction goes well and works
for Hannah to readjust and get through her fear of us leaving her
for us to get sleep
for our nurses not to get sick and be able to show up for their days starting Thursday
resolving the vent leaking issue
that we keep Luke's pins safe from bumping and harm and Luke happy in the process
Thanks for all your continued prayers and support!
Luke in PICU right after surgery, before his cheeks started swelling like a chipmunk.
Luke sleeping on the car ride home with his swollen cheeks.
Kevin said that Luke looked like a Saber-toothed Chipmunk :) I love his sense of humor.
Saturday, August 18, 2012
I want to go...
Is what Luke has been signing since he woke up in post op.
Luke woke up and did really well during and right after surgery. However, after the anesthesia wore off he didn't have enough pain meds in his system and he was hurting bad for a bit. He is so hard to read about pain. First because he has no facial expression. Second because we don't have experience with pain. He is usually so crazy and flailing when you do blood pressures, weigh him, and do simple things that it would mask any pain. However with this surgery I can see him zone out and become unresponsive to me talking to him and getting super ornery as well as increased heart rate when he is in a lot of pain. I can tell that he is uncomfortable as well more now too.
He is doing a good job signing with elbow emobilizers on and using the iPad to tell us things. He can't tell us about his pain l level on the iPad thoug and I wish he could. He just pushes the button that I said last.
He did really well
Until last evening and didn't sleep even though tired until after 2 am. He has been resting today and sitting up to get a real shirt on took a lot out of him. Right now he is trying to sleep but tossing a lot. He has a number of does of pain meds now so I don't think he is in pain but I can only imagine he has to be uncomfortable.
We have a lap desk all washed and so when he is up to it he can play with his toys.
Back to the surgery itself. The doctor said that Luke has healthy bones which is good. The difference between his upper and lower jaws increased since he saw him last year. They plan to move his jaw out 20 mm and that will give him a little bit of an underbite and room for his upper jaw as it grows faster than the lower jaw. We will start turning on Monday and turn .5 to 1 mm a day. After the turning is done the posts sticking out of his chin that we used to turn the internal device will be removed. Then the internal device will be removed when the jaw bone heals in 3 or more months. They said if things are going well developmentally we can leave the device in for up to a year.
Since I started writing Luke is now sitting up and reading books. We have had baby signing time music on almost continuously since we got to the PICU so maybe I can convince him to listen to something else for awhile.
I am writing this over the whole morning and Luke tired out fast and is back to resting laying down on the vent. Grandma is by his side giving him some food. Which thankfully hasn't been a problem since surgery.
So we continue recovery and may be moved to the stable vent unit later today. Which means he can go for stroller rides:)
Thanks for all the prayers and support.
Luke woke up and did really well during and right after surgery. However, after the anesthesia wore off he didn't have enough pain meds in his system and he was hurting bad for a bit. He is so hard to read about pain. First because he has no facial expression. Second because we don't have experience with pain. He is usually so crazy and flailing when you do blood pressures, weigh him, and do simple things that it would mask any pain. However with this surgery I can see him zone out and become unresponsive to me talking to him and getting super ornery as well as increased heart rate when he is in a lot of pain. I can tell that he is uncomfortable as well more now too.
He is doing a good job signing with elbow emobilizers on and using the iPad to tell us things. He can't tell us about his pain l level on the iPad thoug and I wish he could. He just pushes the button that I said last.
He did really well
Until last evening and didn't sleep even though tired until after 2 am. He has been resting today and sitting up to get a real shirt on took a lot out of him. Right now he is trying to sleep but tossing a lot. He has a number of does of pain meds now so I don't think he is in pain but I can only imagine he has to be uncomfortable.
We have a lap desk all washed and so when he is up to it he can play with his toys.
Back to the surgery itself. The doctor said that Luke has healthy bones which is good. The difference between his upper and lower jaws increased since he saw him last year. They plan to move his jaw out 20 mm and that will give him a little bit of an underbite and room for his upper jaw as it grows faster than the lower jaw. We will start turning on Monday and turn .5 to 1 mm a day. After the turning is done the posts sticking out of his chin that we used to turn the internal device will be removed. Then the internal device will be removed when the jaw bone heals in 3 or more months. They said if things are going well developmentally we can leave the device in for up to a year.
Since I started writing Luke is now sitting up and reading books. We have had baby signing time music on almost continuously since we got to the PICU so maybe I can convince him to listen to something else for awhile.
I am writing this over the whole morning and Luke tired out fast and is back to resting laying down on the vent. Grandma is by his side giving him some food. Which thankfully hasn't been a problem since surgery.
So we continue recovery and may be moved to the stable vent unit later today. Which means he can go for stroller rides:)
Thanks for all the prayers and support.
Wednesday, August 15, 2012
Approaching Surgery...don't freak out
So Luke will be having jaw distraction surgery on Friday morning at 10:30 a.m. This past week I have gotten a little nervous, gotten really worried about him not making it through (and Kevin gone on errands then they tell me, nightmare!) and now I am feeling okay. Still a little anxious but at maybe a 1 on a scale of 1 to 10 with 10 being I can't function I am so anxious. This is really good for me as I tend to worry and I like to plan things and the plan is that we don't have a plan. Yes, I Emily, am doing okay without a plan. See we have never been in the hospital with Luke, since the NICU, but for one short visit for tracheits and it wasn't that bad of an illness it was just his first time so we didn't know how to deal with it. I don't know what to expect from a major surgery on my sweet little one, a week stay, and what I am really going to do with a very mobile 1 year old in a germfilled hospital environment. I have ideas and some options but nothing solid. We are just going to see how it goes.
What is jaw distraction surgery you may ask. Luke will have his jaw broken and then a device installed with little pins sticking out. No big outside bars and wires (at least if everything goes well). We will turn the pins a little bit (like millimeters) each day to move his lower jaw out so he will have a normal bite and be able to eat and speak and maybe even help his breathing (its a long shot but the doctors said it happens sometimes when the jaw seems to not be any part of the breathing problems and I believe God can work miracles). Not that he will eat and speak immediately but we are working slowly on it and you can only go so far when your lips don't close and your teeth do not meet right at all. Very painful for him and the risks are infection and nerve damage.
We are going to be driving the 4 hours down to the hospital starting around 4am on Friday morning because it is just too hard to have Luke in a hotel room overnight. We will be checking in for preop around 8:30 a.m. and hopefully be in surgery by 10:30 a.m. and out around noon.
I am hoping they will again allow Kevin to be with him till he is asleep and us to be there before he awakes. Even if he wasn't a decanulation risk I don't want my poor sweet Luke to wake up with no mommy or daddy and in a new place in pain. They were good about it for the CT scan but if surgery is different "mamma bear" is coming out in full force. I get pretty stressed and uptight when Luke is involved and thankfully Kevin's anxiety level is permanently on 0. ;)
I am also getting sad about being away from Hannah baby for 3 days. My parents will have her Thursday night through Sunday afternoon when they bring her down to us. I am glad she isn't going to be there then as I will not be able to give her my attention and she will be left to the side. This way she has days of being spoiled and being the center of attention. Kevin's mom will be there with us as long as we need her (Thank you Nancy!) and will be on Hannah duty during the week most likely. I have some possible things planned for her but hopefully she will do well.
I got a little sick this week from lack of sleep but am feeling better. However, I have lots of laundry and packing to do, plus leaving the house ready for a showing as we are still trying to sell it. It would be awesome if it sold while we were away. We have already been making Luke food and freezing it so we have enough for the week. I checked with the hospital and they are okay with us bringing his food as long as we sign something to say we won't hold them responsible if he gets food poisoning or what not. I overheated the blender last night because I put too much food in at once. Oops! For all you blenderized diet mamas out there, Fresh Baby So Easy Portion Storage Bags are great to store and freeze liquids in, they would work for breatmilk too.
Oh you may wonder how Luke and Hannah are doing...
Luke is doing great and doing some imaganitive play and doing more playing and less obsession about book reading! He is also a lot cuddlier but I think it is mainly jealousy of Hannah. Luke is just doing good and improving with his play and communication skills all the time. He also knows maybe 40 words by sight. This kid is smart. I feel bad that his communication is so limited. I still haven't gotten to revamping his iPad communication program but maybe that will be a good task for when he is in surgery.
Hannah is everywhere!!!!! and into everything and just crazy Hannah. She is eating table foods now but I am having a hard time as she won't eat everything I put in front of her. She wants to feed herself but hasn't mastered eating with a spoon and will only let me feed her sometimes. But she doens't have enought teeth to eat that much stuff and so veggies are hard to get into her. And she cries, no whines, if you don't share your food with her. Luke is so easy, he eats what you give him and it doesn't create a mess. I am having trouble with trying to giver her the good complete diet that Luke has but I know in my mind she will not eat that well. And the mess, oh my the mess. She eats naked most of the time, I am not sure what I am going to do come winter. She will only wear a bib once in a while so my options are limited if I want to keep the same outfit on her most of the day. She loves to play instruments and her and Luke will play the xylophone and drum together, very cute.
So please pray for us as you feel led but here are some specifics if you would like:
1. Luke would go through surgery well.
2. Luke would not have any nerve damage and not get an infection or
other complications.
3. That we could deal with having to be with Luke 24/7. At home we
have night nurses I trust but in the hospital I stay with him as I
don't know the nurses and they are in charge of more than just Luke.
4. That Hannah and I would do okay without each other for many days
and not seeing each other much when she is with us.
5. That I would continue to do well with the unknown that this all
is. Luke has never been in the hospital for more than a minor
sickness and it was once for a few days.
6. That Kevin, Hannah and I would stay healthy.
Here we go...into the surgery unknown...
What is jaw distraction surgery you may ask. Luke will have his jaw broken and then a device installed with little pins sticking out. No big outside bars and wires (at least if everything goes well). We will turn the pins a little bit (like millimeters) each day to move his lower jaw out so he will have a normal bite and be able to eat and speak and maybe even help his breathing (its a long shot but the doctors said it happens sometimes when the jaw seems to not be any part of the breathing problems and I believe God can work miracles). Not that he will eat and speak immediately but we are working slowly on it and you can only go so far when your lips don't close and your teeth do not meet right at all. Very painful for him and the risks are infection and nerve damage.
We are going to be driving the 4 hours down to the hospital starting around 4am on Friday morning because it is just too hard to have Luke in a hotel room overnight. We will be checking in for preop around 8:30 a.m. and hopefully be in surgery by 10:30 a.m. and out around noon.
I am hoping they will again allow Kevin to be with him till he is asleep and us to be there before he awakes. Even if he wasn't a decanulation risk I don't want my poor sweet Luke to wake up with no mommy or daddy and in a new place in pain. They were good about it for the CT scan but if surgery is different "mamma bear" is coming out in full force. I get pretty stressed and uptight when Luke is involved and thankfully Kevin's anxiety level is permanently on 0. ;)
I am also getting sad about being away from Hannah baby for 3 days. My parents will have her Thursday night through Sunday afternoon when they bring her down to us. I am glad she isn't going to be there then as I will not be able to give her my attention and she will be left to the side. This way she has days of being spoiled and being the center of attention. Kevin's mom will be there with us as long as we need her (Thank you Nancy!) and will be on Hannah duty during the week most likely. I have some possible things planned for her but hopefully she will do well.
I got a little sick this week from lack of sleep but am feeling better. However, I have lots of laundry and packing to do, plus leaving the house ready for a showing as we are still trying to sell it. It would be awesome if it sold while we were away. We have already been making Luke food and freezing it so we have enough for the week. I checked with the hospital and they are okay with us bringing his food as long as we sign something to say we won't hold them responsible if he gets food poisoning or what not. I overheated the blender last night because I put too much food in at once. Oops! For all you blenderized diet mamas out there, Fresh Baby So Easy Portion Storage Bags are great to store and freeze liquids in, they would work for breatmilk too.
Oh you may wonder how Luke and Hannah are doing...
Luke is doing great and doing some imaganitive play and doing more playing and less obsession about book reading! He is also a lot cuddlier but I think it is mainly jealousy of Hannah. Luke is just doing good and improving with his play and communication skills all the time. He also knows maybe 40 words by sight. This kid is smart. I feel bad that his communication is so limited. I still haven't gotten to revamping his iPad communication program but maybe that will be a good task for when he is in surgery.
Hannah is everywhere!!!!! and into everything and just crazy Hannah. She is eating table foods now but I am having a hard time as she won't eat everything I put in front of her. She wants to feed herself but hasn't mastered eating with a spoon and will only let me feed her sometimes. But she doens't have enought teeth to eat that much stuff and so veggies are hard to get into her. And she cries, no whines, if you don't share your food with her. Luke is so easy, he eats what you give him and it doesn't create a mess. I am having trouble with trying to giver her the good complete diet that Luke has but I know in my mind she will not eat that well. And the mess, oh my the mess. She eats naked most of the time, I am not sure what I am going to do come winter. She will only wear a bib once in a while so my options are limited if I want to keep the same outfit on her most of the day. She loves to play instruments and her and Luke will play the xylophone and drum together, very cute.
So please pray for us as you feel led but here are some specifics if you would like:
1. Luke would go through surgery well.
2. Luke would not have any nerve damage and not get an infection or
other complications.
3. That we could deal with having to be with Luke 24/7. At home we
have night nurses I trust but in the hospital I stay with him as I
don't know the nurses and they are in charge of more than just Luke.
4. That Hannah and I would do okay without each other for many days
and not seeing each other much when she is with us.
5. That I would continue to do well with the unknown that this all
is. Luke has never been in the hospital for more than a minor
sickness and it was once for a few days.
6. That Kevin, Hannah and I would stay healthy.
Here we go...into the surgery unknown...
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