Sunday, February 28, 2010
And back to giggles
Last night Ellie was so loud that we (and when I say "we" I mean Thom who is on night shift and Ellie) were moved at 2:30 am to our own private room!! So much space I hardly know what to do with myself and normal talking voices. It was an exciting night, Ellie's sodium jumped up to 170 (not her all time high which stands at 172, again normal is between 135-145).
This morning when I came in everything I said and everything Ben did caused Ellie to have the giggles. Made me feel like I was a comedian. Now Ellie is sitting on the sofa tit tatting with Brittany and peeling crayons.
Saturday, February 27, 2010
another sleepy day
The floor is once again full, so we have a roommate. Apparently their daughter was injured severly in a skiing accident, so they are all going through the shock and drama of such a sudden, unexepected event occuring in their lives. She has lots of visitors but no room in her small section to accomodate them. I am working to get us separate rooms for everyone's comfort. Just overheard that there are no rooms available tonight on the floor. I totally feel petty in the grand scheme of things, but really for crying out loud!
How low can you go?
Ellie's salt suddenly dropped down to 125 last night (135-145 normal range). Thom said they were playing a game called, "How low can the salt go?" Now she is back up to 147. Calcium and potassium have started going up for her, but we don't want it to go up too high because that can cause a whole other set of problems (muscle twitching, heart problems, constipation). She is still extremely tired, barely able to keep her eyes open and complaining of headaches. I suppose her body is working pretty hard right now to regulate things. Dr. Iskandar (neurosurgeon) wanted to try to get her up and around and in her pjs as soon as possible. Sort of reminded me of that scene in Dirty Rotten Scoundrels where one of the guys is yelling at Steve Martin in a wheel chair, to just get up and walk! Come on, you can do it, just walk!! Particularly when Ellie can't even keep her eyes open right now.
[caption id="attachment_2410" align="alignright" width="300" caption="Adorable Juna and her mom at our dinosaur party."][/caption]
A great big thanks to Lindsey and Gerald and Juna for watching Ben a couple of nights this week so he didn't have to traverse back and forth to the hospital. Ben loves Juna, their daughter so much that he is hoping our baby will look just like her. While I agree that would be highly enjoyable because that little Juna is just adorable, I tell Ben that it is more likely that our baby will look like Ellie and/or himself. A big thanks to Jana for the hot dish, we are super excited to try it, our very first official upper midwest dish! We've heard rumors of hot dishes but never experienced one ourselves. Oh and I forgot to thank Cynthia for the visit this week with Ellie and the yummy bagels. You still rock (I wrote a blog about how she rocks previously.) And thanks to Brittany for letting me talk about fluffy pancakes (my favorites) vs. crepe like pancakes (Thom's favorites) for about 5 minutes and authentically being interested in the topic. How many friends will do that for you?
Friday, February 26, 2010
Oh Those Crazy Hospital Moments vs a Moment of Peace
This afternoon, physical therapy and occupational therapy stopped by to help Ellie move around a bit and gain some of her strength back. They asked what we would like them to work on while Ellie is in the hospital. We had Ellie sitting on the sofa for about 3 hours this afternoon because apparently if you stay laying down too long you can develop pnemonia (who knew?) Before that, a wound care specialist stopped by to check and see how Ellie's wounds from surgery were healing (from the clamp that holds her head steady during surgery.)
Ben spent the morning at Tyler's Place (sibling care at the hospital). When I picked Ben up, Jennifer the child life worker, told me how impressed she was with Ben, his creativity, his attention span, and his ability to help clean up. Again, I have to reiterate that anyone who praises my children I am pretty much in love with. Then today was the day for his playdate with Izzy. The day he has been anticipating all week long. He had so much fun going to Bounce U (a play place with all those big blow up thingys) and then for ice cream. When he got home Thom thought maybe Izzy & Leslie had given Ben coffee because he was so so super excited about his day that he could not sit still. Thom was going to try the magic of videos to restore calm to his (I think more Thom than Ben) world.
So this afternoon, I just had this moment, where it felt totally peaceful as if everything were taken care of. No worries. Knowing that anything that needed to be addressed will be addressed even with Ellie. It was wonderful and expansive and I wanted to live there for awhile.
Not quite so sleepy or perky
Have I mentioned what a superb endocrine team we have? I think I mentioned how one of the endocrinologists (Dr. Reim) said they would be discussing Ellie at their holiday party. The whole team is just so informed and invested in her, it's impressive. Whichever endocrinologist walks into our room, I know that they will already be up to speed. Very greatful to have them on our team.
Thursday, February 25, 2010
Sleepy
Ellie ran a slight fever yesterday and today and there was a bit of concern that maybe she had an infection. There was talk of tapping her shunt to make sure it was still functioning last night (that means trying to draw fluids from it from the outside of the head to see if it is still operating). Today she is super sleepy, unable to stay awake for crayon peeling or a conversation. We are getting ready to do an MRI, because what the hay, we're here. In other related news, calcium and potassium are still low, but sodium is back in the normal range (yeah!) Her heart rate continues to be in the 60s-70s range. She is not dropping as much fluids as she was yesterday. Well send another update when we are done w/ MRI and have any word of the results. Oh, also, just fyi, for those interested (amy) I put a less confusing definition of diabetes insipidus from another website on my previous blog.
Wednesday, February 24, 2010
A definition
*Diabetes Insipidus is not the same as diabetes mellitus ("sugar" diabetes). Diabetes Insipidus resembles diabetes mellitus because the symptoms of both diseases are increased urination and thirst. However, in every other respect, including the causes and treatment of the disorders, the diseases are completely unrelated. Sometimes diabetes insipidus is referred to as "water" diabetes to distinguish it from the more common diabetes mellitus or "sugar" diabetes.
*Diabetes Insipidus is divided into four types, each of which has a different cause and must be treated differently. The most common type of DI is caused by a lack of vasopressin, a hormone that normally acts upon the kidney to reduce urine output by increasing the concentration of the urine. This type of DI is usually due to the destruction of the back or "posterior" part of the pituitary gland where vasopressin is normally produced. Hence, it is commonly called pituitary DI. " As some of you may recall, after Ellie's resection in April 2008, her hypothalamus was no longer communicating with her pituitary glad, which is probably why her body is not producing vasopressin. Fortunately for us, Ellie has no thirst so we can completely control (like a mad scientist) her fluid intake which in turn can help us more easily control her water/salt balance (or imbalance for that matter). Hope this clear things up, it certainly enlightened me on the subject!
On a related note, Ellie's sodium suddenly shot up to 156 (normal is between 135-145). When the nurse turned off the sodium/water (saline) mixture we had been giving her, her heart rate suddenly shot up from 70 to 135. It was one exciting moment as her monitor started beeping that her heart rate was too high. The nurse explained that Ellie's potassium and calcium are both low right now so that may cause all of the heart rate craziness (not a technical term). And if you have theories of your own, feel free to share.
Drop drop drop drop
Oh for crying out loud!
We are doing an EKG right now because Ellie's heart rate continues to be low, although not as low as it was a few days ago (she is now in the 70s vs. being in the 50s a few days ago normal is between 80-120). I suspect they are checking it because her blood pressure was a bit high yesterday after surgery. After her MRI on Monday, the nurse told me that if Ellie were in the ER she would be considered to be in cardiac arrest by her heart rate alone. But because she was in the hospital and doing fine, it was not considered a problem. Might have been better for me to actually not know that and here I am telling you, how inconsiderate is that? Just trying to keep the drama alive here.
Also, word on the street is that we may be moved to another room, as soon as one becomes available, hopefully today. This little experiment has shown that perhaps 2 brain surgery patients in the same room is not the best plan. Because we need this room to be super quiet, Ben has been going to Tyler's place a couple of hours a day. It is a playroom for siblings of patients. Ben loves it there and when Thom went to pick him up yesterday, Ben asked him to come back in half an hour because he had just started a new project. Ellie's classmate, incredible Izzy, asked Ben over for a playdate and everyday Ben asks me if it is the day to see Izzy.
A huge thanks to Janna, Thom's friend/co-worker who set up meals for us. And the amazing thing is the meals that she has arranged have been perfectly coordinated on the nights when we do not have a meal served at the hospital (there are free family meals served approximately every other day) . On Monday night (was it Monday? I'm on hospital time so a bit discombobulated), someone dropped off veggie chili, homemade zucchini bread, ice cream and hot fudge. Total delicious feast and so nice to come home to, rather than trying to figure out dinner from the hospital. Then, my aunt Suzanne sent us some yummy English muffins made in Kansas City. And THEN Ellie's occupational therapist at school sent us a Panera Bread Company gift card because Panera is close to the hospital. I say all this not only to say, "Wow! Thanks!!" But to let everyone know that we are being well fed. The very first time Ellie was in the hospital that was one of my sister's greatest concerns, that I was not gettin enough to eat.
Tuesday, February 23, 2010
SJF
Yesterday I was feeling a bit weepy and sad. OK a LOT weepy and sad about Ellie going back to surgery today. Just was not looking forward to another recovery period from all that. And the stress to her of going through it all again when she has barely recovered from the last one. One of the neurosurgery residents came to have me sign the consent form. I immediately began weeping to which he immediately became highly uncomfortable. He sort of looked at me and stammered, "It's the same procedure, same risks..." Not knowing exactly what to say or do in the midst of that much emotion. Plus, I was trying to not completely lose it in front of Ellie who was not aware of the events awaiting her. When I told Thom, he said the resident was probably thinking, "If that form gets wet, I'll have to re-do the whole thing!" Then the neurosurgeon came and talked to me and told me that he just really felt that he did not finish after viewing the MRI. Plus he felt it would be much easier to go back in NOW before scar tissue forms, before the bones reset, etc. (that is the part I had to tune out a bit because I did not want to hear all the details of surgery. Egads.)
There I was feeling sorta gloomy when Ellie's teachers from last year arrived, Ms. Mack & Ms. Zwart. Totally brightened my day. The way they talk to Ellie filled with such respect, an easy flow happens. We all stood around Ellie's bed and never once did Ellie say she felt excluded because the whole thing was about visiting with Ellie. Ms. Zwart brought Ellie a super soft bear which she named "Cuddly McCuddleson" plus a batch of chocolate chip cookies plus a box of crayons. Ellie just kept saying during their visit, "I am SJF, so joy filled right now." A great big thanks to both of them for their skill at not just including Ellie but really appreciating her. Then to top it off, Brittany came and spent several hours with us.
At 4am the PICU suddenly became full and we were moved into a double room, which means a much smaller room with another family. We didn't even realize they had such an arrangement in this hospital. Although when I feel a bit grumpy about the cramped quarters and awkwardness, I recall our stay in the PICU in Chicago and it was much much smaller. A wide open space with six curtains filled with children, no room at all for stuff. So I suppose, we've seen worse. Should be an interesting night. Ben has been scoping out different rooms on the floor where he would like Ellie to stay "next time", so maybe we'll get moved to one of those rooms.
Well, Dr. Iskandar (neurosurgeon extraordinaire) just came in to say he was done and Ellie is going for an MRI rather than having to re-sedate her tomorrow. He felt good that everything had gone well.
Monday, February 22, 2010
Gearing up for another big (or little) day
Tomorrow is the day (again). Sort of anti-climactic doing it once a week. Takes some of the drama out of brain surgery if you do it once a week. Anyway, heart rate is a bit better today, she is hanging at 65-70 today. We seem to have stabilized the salt wasting/water dropping giving her back whatever she is dropping. One of the endocrinologists, Dr. Reid, said that she was pretty confident that all of that is a side effect of surgery and will subside. We are getting ready for another MRI this afternoon to see how things look after some of the swelling has subsided.
A big thanks to Leslie and Izzy for visiting yesterday. It was like a party when they showed up right after Brittany arrived. We should be going down soon for a scan, so I'd best sign off for now...
Sunday, February 21, 2010
LMFT
We have been able to give Ellie back the sodium and water so here sodium level has started coming back up. Her heart rate has been hanging around in the mid-60's today, as I said yesterday we are shooting for the normal range of 80-120. Because of the new addition of the salt wasting/water dropping, there is no talk of us going off PICU status. But that can change pretty quickly, too. Gotta get back to reading, and have LMFT (lots more fun times).
Also, a great big thanks to Janna, a co-worker/friend of Thom's who brought over some deliciously scrumptious veggie ravioli casserole and bread sticks last night. We probably ate half of it last night it was so good. And it was just in time as I was getting to the point of starting to dig some mystery items out of the back of the freezer. It was wonderful and perfectly timed!!!
Saturday, February 20, 2010
Then there's Salty...
And then there's the not sleeping...
Friday, February 19, 2010
More thanks....
Yet another dedication page, because jeez louise we have a lot of fabulous friends!
Thank you to Esther for skipping out of a meeting to be with us and for getting us in good with the anesthesiologists (ha!) For the delumptious chocolates (helped me survive today when I started to lose that loving feeling.) And for the huge bag of crayons. Like I said before, because Esther knows almost my entire family, when she is around, I feel as if my family is that much closer to me in some strange way.
Thank you to Ms. Pettit, one of Ellie's teachers who stopped by yesterday to see Ellie. Not only did I have a fabulous time visiting with her (Ellie was still sleeping off 3 days worth of sedation). I sort of had one of those moments where I could not stop talking and she kept trying to leave the room. I think maybe at one point she thought I might actually follow her out and keep up the conversation. One of those, "AAGH I've been alone all day and now I cannot stop talking..." This is when I imagine other people thinking, "Oh so that's where Ellie gets her talkativeness..." She also brought 2 boxes of crayons, some of Ellie's favorite school story books, and a Sid the Science kid video (Ellie's favorite show).
Thank you to Brittany for 3 big boxes of crayons and for her calming, fun presence every day. Oh and a "chill mix" cd for hospital listening enjoyment. I feel as hip as the kids listening to it. That doesn't happen as often as I inch towards 40.
Thank you to Cynthia for a humoungous box of crayons plus a T-Rex with a jaunty bow for Ben plus walking across a frozen lake to get here. (What dinosaur could not use a jaunty bow?)
To our wonderful neighbor, linZ for hanging out with Ben this afternoon so Thom could get some rest (it was a long night of not much sleep for him after all that sedation sleep yesterday.)
Thank you all for your love and support throughout, we can truly feel the love whether you are close by or on another continent.
Did not talk with Dr. Iskandar the neurosurgeon today so no news on that front.)
Just can't leave her alone...
Dr. Iskandar would like to go back in for more resection on Tuesday, February 23. He was not satisfied with the way the MRI looked and is confident he could remove more without any complications. He felt that last Tuesday allowed him to sort of push the limits to see how far he could go without damage. He still needs to talk with us to discuss all the details. Hard to wrap our brains around doing this all again and so soon.
Thursday, February 18, 2010
Surgery mergery whatever
Ellie is back from her procedure (seriously I can hardly call it "surgery" after Tuesday). I requested that instead of talking loudly to wake her from sedation that we let her sleep because girlfriend has had one hard week and why not let her rest if she is comfortable?
If someone loves my children I just immediately have to love them back or at the veryleast think highly of them for having extremely good taste. Our friend Lainie, who has 2 children under the age of 5 herself, offered to take Ben for a few hours today. She coached her children into helping Ben feel comfortable in their house as he was a bit nervous about going on a playdate by himself. So I just have to say a great big huge thank you to Lainie for not only taking Ben (that's a brave woman right there) but for also bringing donuts and cookies and lemon bars (this baby LOVES lemon!) I mean seriously, that is way above and beyond. Not only that, but she picked him up so he could ride in a mini-van.
And thank you again to Esther for bringing crayons and a ball and chocolates today for us. And to Ms. Pettit for staying and tit tatting (talk + chit chatting) with me even though Ellie continued to snooze.
She's back, well not literally
Wednesday, February 17, 2010
And here is what Ben said...
Earlier today our great friend, Esther came by for a visit. Ben was here and super excited to see Esther who was in a much better mood than Thom or myself or Ellie. So Ben just showered Esther with his attention. At one point Esther laughed at something Ben said or did, and Ben responded by saying, "Oh, Esther, you have an amazing laugh!" It was as if Ben was either A) trying to pick Esther up or B) trying to convince Esther to take him home and away from this crazy hospital family he has been with this week.
And here's what the MRI said...
Ellie is feeling a bit better. Not her normal, talkative self, but not complaining of pain as much as she was. She even suddenly sat up in bed at the prospect of breaking and peeling crayons after her MRI. Astounded we were at this sudden movement.
Thank you to brilliant Brittany for the yummy delicious falafel sandwich (my favorite pregnancy sandwich) and for giving me a reading break this evening. Yes, Brittany, who came every day last time Ellie was in the hospital to visit even though she was working 2 jobs. She just rocks.
Oh yeah and here is what the neurosurgeon said...
Right now she is having an MRI for more information on how the surgery went. Tomorrow she will have another surgical procedure to have her port put in for chemotherapy. Her calendar is full.
A couple more big thank yous. Thank you to Cynthia for being the best blog commenter ever. And for bringing us a lovely, yummy dinner yesterday and hanging out with us. Thank you to Chris & Kathy our fabulous neighbors for coming over on Monday night to check in before surgery and for shoveling our sidewalk yesterday (we have the cleanest one on our side of the street now, we may actually win some award.) To Ellie's teacher, nurse, and principal, thanks for all the support on so many levels you have given us. To Betsy C. & Amy for their love-filled e-mails over the last couple of days. I suddenly feel like this is a dedication page or whatever that is called where you thank people who helped you write a back. I'll keep updating as I get more information. Love to all of you!
Quite a headache
Tuesday, February 16, 2010
Closing up
Just hanging out here with the cleaning people...
No end time yet
Can I just use this as an opportunity to THANK Brittany for hauling herself here at early o'clock to be with Ellie before surgery. A great big thanks to Jennifer for bringing us lunch and helping us think of funny boy's names. And another great big thanks to Karly for the entertainment, conversation & yummy treats from Lazy Jane's. To my mom for her international phone call, my sister for her marvelous text, and to all of you who have sent e-mails throughout the day with your best wishes & prayers & even fairy dust! (Oh and of course the homemade jokes too!) You made this somewhat challenging day that much easier for all of us.
Hardly even a big deal
Was just informed that surgery actually just officially began (9:45 am). As you can imagine (although don't if it makes you feel funny), it takes a while to prep for surgery.