Showing posts with label ENT. Show all posts
Showing posts with label ENT. Show all posts

Wednesday, May 2, 2012

A tiny glimpse...

First, you can tell it's been awhile since I blogged... I had no clue that Blogger made a bajillion changes to it's format... oh well, bare with me if I screw anything up.

So I owe a few dozen updates to those who actually still come here to read... but today I am exhausted. I did want to share this with you. I contacted the Beads of Courage program to see if the boys were eligible. CHNOLA only offers BOC to oncology patients but we are eligible for the Beads From A Distance program. I am really excited because I feel as though this will give the boys something more tangible to express all that they've been through... and it's quite a bit for their 2 and 3.5 years of existence. I had a tally form with various categories and sub-categories to complete. They will each receive a certain bead for each thing they've been through... here is what I was able to tally for each of them:

Pierce
  • 1 inpatient admit
  • 8 nights in the hospital
  • 1 NG tube
  • 21 x-rays
  • 4 times of being NPO
  • 2 IV antibiotics
  • 1 time on isolation
  • 8 IVs
  • 24 pokes for bloodwork
  • 2 echocardiograms
  • 2 EKGs
  • 5 swallow studies
  • 2 upper GI series
  • 4 ER visits
  • 1 ambulance ride
  • 1 muscle biopsy
  • 2 brain MRIs
  • 1 ABR
  • 2 brain CTs
  • 1 upper EGD
  • 1 lower EGD
  • 1 sleep study
  • 1 EEG
  • 1 upper airway fluoroscopy
  • 2 cardiology visits
  • 10 GI visits
  • 4 opthamology visits
  • 9 genetics visits
  • 7 ENT visits
  • 4 neurology visits
  • 6 orthopedic visits
  • 5 immunology visits
  • 4 pulmonology visits
  • 2 IVIG infusions (well 1 is this coming Wednesday)
  • 1 surgery
  • 1 trip to AL for ortho consult
  • 17 trips to Baton Rouge (1 hour away from NOLA)
  • approximately 94 therapy sessions (speech and physical)
Brice
  •  5 IVIG infusions (1 this coming Wednesday)
  • 12 IVs
  • 13 ENT visits
  • 6 immunology visits
  • 10 GI visits
  • 3 pediatric surgeon visits
  • 1 pulmonology visit
  • 1 genetics visit
  • 7 x-rays
  • 3 hearing tests
  • 15 pokes for bloodwork
  • 3 surgeries
  • 7 ER trips
  • 2 inpatient admits
  • 5 nights in the hospital
  • 2 upper EGD
  • 2 lower EGD
  • 1 bronchoscopy
  • 1 laryngoscopy
  • 1 nasal endoscopy
  • 1 NG tube
  • 1 brain MRI
  • 1 ophthalmology visit
  • 2 urology visits
  • 3 ultrasounds (1 abdominal, 2 renal)
  • 2 foley catheters
  • 2 upper GI series
  • 1 swallow study
  • 1 nuclear gastric study
  • 21 trips to BR
  • approximately 88 Speech Therapy sessions
After seeing all of this, it made me realize why the last 3.5 years have flown by... the sad thing is that this doesn't even encompass what seems like the hundreds of times we've been in the pediatrician's office for sick visits, well visits and childhood immunizations.

That's it for today --- if you have the ability, I really encourage (and would more than appreciate) you to make a donation the Beads of Courage program. You can do so here!

A post coming tomorrow about our scary day with Pierce yesterday... off to go release some stress while working out :)

Sunday, October 23, 2011

Inside of...

... less than two weeks...

Mr. Brice has endured the following:

four IV's
two OR visits
two intubations/extubations for anesthesia
two ER visits
two bouts with dehydration
several bags of fluid
one colonoscopy
one upper endoscopy
one tonsillectomy
one adenoidectomy
one nasal endoscopy
one bronchoscopy
one laryngoscopy
lots of Zofran, Motrin and pain meds
and even more love, hugs, kisses and snuggles

On Thursday, October 13, Brice had the colonscopy & upper endoscopy (with a duodenal aspirate). His GI scheduled these procedures because of some belly/poop issues involving blood. Thankfully, upon visual (endoscopic) evaluation, everything looks as it should. We will have the biopsy and aspirate results back on Monday. Everything seemed okay. We took him to Chick Fil A for lunch and Target for a new toy. He played with Pierce and even went to his cousin's 7th birthday party. And then 8:30pm hit and HOLY PUKEFEST FOLKS... always a joy having lots of vomit, the consistency of pudding, on your shoulder, down your shirt, into your bra... lovely, just lovely (and yes, you can thank me later for that stomach-turning visual... and thank me even more for not giving you a far worse visual). And he continued to vomit until the poor kid was vomiting bile... 8 times inside of 2 hours. I took him into the ER. They ran bloodwork, started an IV, took an abdominal x-ray and administered Zofran (I swear, this drug is like a miracle worker - maybe I should write their manufacturer a letter - it's saved my life more times than I can think of... well maybe not my life, because that seems a tad extreme, but my sanity). His bloodwork showed dehydration and the x-ray was consistent with a person having a colonoscopy (not sure what that means). The doctors concurred (ER and GI on call) that the vomiting was likely due to the procedures.... or so we thought...

On Saturday, we took the boys to the pumpkin patch at Brice's school. Instead of carving their pumpkins, we decided they could paint them. So imagine this... we're en route to Target... to purchase said paint... Pierce starts coughing... I ask if my little buddy is okay... he looks confused... and then it happens... PROJECTILE VOMIT... undigested hotdog chunks and all (oh yes, people, you're getting another visual because I had the pleasure of cleaning it up... you're welcome). We went to a Halloween party at our neighbor's home... and Pierce puked again... the next morning, he puked again... all over the couch. Seriously, I don't know if I've ever experienced that much vomit in my life - and I've experienced a lot from other people (hey, it was our younger 20s - no kids, lots of time to experience all that NOLA has to offer). But I digress... obviously, a virus thought out home was a lovely place to visit.






And then Monday happened... that evening the virus decided to slam both George & I straight into the floor. I thought there was some unwritten rule somewhere that both parents could never, should never, ever be sick simultaneously... our ship was slowly sinking... it was a rough 24 hours. [total side note: George puked in the kitchen sink - no worries it's stainless and I scrubbed it - but the noise that it made scared the bejeezum out of Pierce - there I sat, on the couch, with one screaming kid, the other one crying, trying my hardest not to puke myself... oh the memories]
Fast forward a couple days... Wednesday, October 19, Brice had the T&A and other scopes. The doctor took a nasal biopsy to look at the cilia (for a few reasons - will discuss once we get results). His adenoids were VERY bumpy/rocky looking - consistent with being chronically infected/inflammed. He has bilateral nodules on his larynx and a broken blood vessel. The nodules are a tad confusing because those usually are a result of chronic vocal abuse. ENT told us to mention it to ST but even she was confused by it - especially since he doesn't have a raspy/hoarse voice (common with nodules).



Of course, in true Brice fashion, he wouldn't take his pain medicine by mouth. The (less than brilliant) recovery nurse suggested that he take a 30-45 minute nap and then maybe he would be willing... ummm no. I should have asked where I could send her a thank you note. Because of that and us having to wait 45ish minutes for an IV dose of morphine, the poor kid's pain was out of control. The morphine dose had NO effect on him. We had to hold him down and try to force his other pain med down orally. He slept on and off for hours... refused to eat or drink. At 3:30pm, our nurse said that if he didn't turn the corner within the hour, he would be moved to the floor because the short stay unit closed at 6pm. George and I took Brice on a walk and made a game out of drinking (you have to take a sip when we reach the window/door/hallway)... and it worked! He consumed 4oz of apple juice and 2 oz of ice cream - we were discharged exactly one hour later!! Brice did very well Wednesday evening - he tried to eat a mini powdered donut and a piece of pizza. Thursday was a decent day until 3pm. Friday morning, we thought we were going to have to head back to the hospital. My older sister saved the day with a smoothie - I was able to sneak his meds into the smoothie and life seemed okay. Saturday was MISERABLE - we reluctantly landed in the ER around 2:30pm.

When the nurse was doing his IV, she mentioned that with the way he presented and the fact that he was post-op, he was going to be admitted. The doctor was FABULOUS and it didn't hurt that she was the momma of a redhead - she could totally commiserate with the strong will they have! He was given a bolus, steroids, morphine and then they started a dextrose drip. He had a small bout with vomiting (well it came up and he forced it back down) so they give him some Zofran. Around 6pm, she and I discussed our options... 1) she could admit him or 2) we could stay another hour for a little more in fluids and another morphine dose. We decided to go with option 2 because it's always much nicer to sleep in your own bed on your own couch.



Today was another rough day... no medicine and nothing by mouth. We told him that we would go to Chuck E Cheese if he would drink something (you know we were desperate!). We bought him a special cup while there and he took a few sips. When we got home, he drank a small bit more - maybe a total of 2 ounces. Around 5pm, we were preparing to head back into the ER and this time, knowingly, to be admitted. But somehow, I was FINALLY able to convince him to drink something... and he took in 6 ounces!! He still isn't eating and as I type this, he no longer wants to drink, but hey, we're seeing minor progress. Hopefully it continues!

Wednesday, April 13, 2011

finding words

It amazes me to have a child that has almost 40 words at {almost} 16 months old. Pierce is spontaneously acquiring more and more words! He says Bice (Brice), no (and he knows how to shake his head no), up, down, mommy, daddy, potty, poo-poo, Daisy, Duke, stop (top), Neo, kitty, duck, quack, moo, dog, uh-oh, night-night, go, out, bye, hop, PaPa, Elmo, woof-woof, ahh-ahh (monkey sound), boat, choo-choo, cat, bubbles, roar, yum-yum, ball, two, cat, blue, hello and hi. Pierce is able to communicate with us, with his brother, with his world. We don't have meltdowns, tantrums, confused looks because his parents have no idea what he is trying to communicate... once upon a time, with Brice, that's exactly what we had...

I remember it all clearly... I googled Early Intervention in hopes of finding out whether or not my babe was truly delayed with his speech. I was tired of people telling me "he's fine, don't worry," "boys talk later than girls," and "give him until he is 2 years old." My heart was telling me differently. I knew that he wasn't fine. And my brain fought my heart... hard. How could my baby not have words? We never used baby talk. We read books, we used descriptive adjectives, etc... why wasn't he talking? His peers were - some in two to three word sentences. I've prided myself on my intelligence. I maintained a 3.914 GPA while in college. I married a smart man. It hurt my brain in ways that I cannot even begin to describe. I felt like I failed him.

We had our initial meeting with Early Steps. He was approved to have an evaluation. Can he do this, that and the other... no, no and maybe. I remember feeling even worse after our evaluation. My irrational brain was in full overdrive... How have I failed my baby like this... when in reality, if I were to have listened to my rational brain, I would have known that they were attempting to establish a base and a ceiling. But I couldn't think straight... I really felt as though I failed him.

Brice had his third ear infection and we were referred to our ENT. Brice had a hearing test and he failed. After our ENT appointment I felt as though we had an answer for my baby not having any words. That certainly didn't make it sting any less when Early Steps called and confirmed that Brice was significantly delayed in communication and cognition. We had an answer and a plan of action. Brice received a PE tube in his left ear and had his maxillary and sub-lingual frenulums cut on April 13... one year ago today... my baby's body was given the physical opportunity to find his words. I can't thank Dr. Peltier enough.

In the early days of speech therapy, we were learning to use sign language to communicate. He learned signs rather quickly and we were grateful for having an opportunity to communicate his basic needs (milk, more, eat, etc). And then by his second birthday, he had a handful or words... not many, but enough to make me beam with pride. And slowly but surely, he really started to find his words. As days turned into months, he was able to piece two and three words together for sentences. He began to spontaneously acquire words. And then it hit us one day... Brice NEVER stopped talking! Some days, I find myself lost in thought while listening to Brice talk. I sit there and smile and think about how far he has come in one short year.

Brice had his one year reevaluation with Early Steps a little over a month ago... he no longer qualifies! She was beyond impressed with "his intelligence." I knew he wouldn't re-qualify and I was so happy because I know where he was one year ago... wordless. He still has a small articulation problem. We have three sessions left with our speech therapist. She believes that he will work through those in our last few sessions and will no longer need her help (note: we had considered continuing in private therapy with her). Our speech therapist is truly an amazing woman. She helped my baby find his words (in addition to helping my other baby as well) and for that, thank you doesn't seem to be enough.

My children have taught me so much and not just through this, but through every hurdle we've overcome with them. They've taught me that nothing is insurmountable. They've taught me how to hope when I thought hope was gone. They've taught me how to be more compassionate and less concerned about what others think. And most importantly, they've taught me how to love deeper than I ever thought was possible. And for that, I thank them.