Thursday, July 21, 2011

And.....We're back.

Bruce is an amazing little creature. Today marks two months he's been in this world and every day I'm proud to be his momma. With that said, it's been a long two months. Parenthood is life changing, no doubt, but he's brought with him a whole new meaning to late night feedings and diaper changes. A typical day for me as a parent includes a talk with some sort of extremely highly intelligent doctor with more degrees hanging on their wall than I have wallpaper in my house. It's become the norm for us as parents to discuss the insides of our little boy with health care professionals like we're talking about the newest calf crop this spring. It's just natural. Which is unnatural...

I'm on a very humbling path right now in life. As many days as we've spent in Children's Mercy, one has to be. My world, my life, my very existence has spent more days than not swaddled up in a generic hospital blanket hooked up to monitors keeping record of his every breath. He takes it all in stride because it's what he knows right now. It's mine and John's responsibility to make sure that he knows life outside the joint as what it is: full of family, love and cows...and one very confused basset hound who wants to play with the little creature in the car seat rather than just sniffing him!

Last Friday at home at the first sign of a fever, John and I loaded Bruce up and headed for Cameron to see our primary doc. After a quick look, she sent us southbound to Children's Mercy. He was fussy and irritable for him and I didn't get the quick fix I was looking for. I know it doesn't work that way...We got to the ER and they covered the basics: blood cultures and xrays. Bruce was a trooper even though for not feeling good and they sent us home that night with amoxicillin and a diagnosis of a little bit of pneumonia in his upper lungs. I thought we were done there. Progressively over the weekend, little man got fussier and if he could've talked, I think he would have told me he had a headache equivalent to the hangover to the time I swam in the Chariton River fully dressed and lost my cell phone in the bathroom closet...he was miserable. After two long nights of no sleep and one momma at the brink, we made our way back to the ER Sunday morning. More blood tests and xrays showed the pneumonia was clearing up but the spinal tap indicated he had meningitis. No wonder the kid hurt.

They sent us up to the sixth floor and we were settling into our corner suite with a view, twice the size of our NICU room, when Bruce had his first seizure. Within minutes, the rapid response team was sounded and we were swept away to our new room in the PICU. He's never had seizures and within 15 minutes, he had two. All day long, he had three total. More tests were ordered and John and I got our game faces on for another day of consults. They were fairly certain it was bacterial meningitis but the source of where it came from was and is still sketchy because of the amoxicillin doses he had at home that did its job and killed some of the bacteria. Because of the seizures, an EEG and MRI were done with abnormal results. EEG showed constant seizure activity in his brainwaves and his MRI showed a mysterious spot in his front right lobal of his brain that is more than likely result of a mild stroke which is more than likely from the meningitis. The neuro surgeon really couldn't commit to a diagnosis today so that's where we're at now: 'more than likely'. Another spinal tap will show us how he is responding to the antibiotics (Infectious Diseases had a conference today where Bruce was a main topic -- let's hope all those minds agree he's on the right antibiotics) and we also should have an idea from more scans how the drugs are affecting, if at all, the mysterious brain spot.

None of this is related to the Pompe Disease. He can still receive his infusions as scheduled as long as he is feeling good, which is why we were so concerned in the very first place when he spiked a fever. Fevers are no good-a. Our goal is to make sure he's as healthy as can be and we were lucky as well as on the ball to get him where he needed to be so the docs can do their job!

So now, we wait for antibiotics to run their course and get little man back up to eating and being his handsome, old soul self. Each day is an improvement. We'll have more doctor visits to add to our already busy schedule once we get out of here again, but we'll take it all day by day. Like the overgrown white sasquatch, Winter, from Santa Claus is Coming to Town -- it's one foot in front of the other. My little family, the three of us, are all inhabitants of the island of misfit toys...On a side note, John and my blood test results came back. Bruce has both a deletion and a mutation of the chromosome that determines his Pompe Disease. The deletion came from John and the mutation came from momma...see? We're a family of misfits!

I share all of this info for the whole world to read because if I didn't have a way to get this off my chest, I would explode. Every day folks here ask me how I am holding up and if I'm OK. I truly am OK. Of course, I'm tired. That's to be expected I would reckon. But, writing/blogging/updating the world on Bruce's conditions is my way of dealing with Bruce's conditions. And, of course, my amazing family and village of support keep me up and running too. John and I are as best as we ever have been and I find strength everyday. In God, in Bruce, in this big ol' crazy world.

We're back on the sixth floor where we were Sunday, briefly. We have a corner penthouse complete with a bed for momma, a recliner for daddy, a bathroom with a shower, a tv, mini fridge and a window view of the chopper pad 20 feet away that brought Bruce here when he was 3 days old...it's like we've come full circle!


Saturday, July 9, 2011

The Great CMH Escape...

For a while there, I didn't think they were going to let us out of the joint and keep our baby for ourselves....but they did! But they forgot to send home one of those nurses who kept watch on him 24/7. And fed him. And changed diapers. And gave meds.

When they first even mentioned the word 'discharge' I sent John a text about it and made him swear to keep it on the down low. I didn't want to jinx it. I had this horrible vision in my mind that we would jump through all the discharge hoops and get all excited and then they would find something else to do to the wee one....and you know what? THEY DID! They day we were all set to leave, they decided last minute to do another blood transfusion. Kind of like one for the road. The very nice and polite doctor smartly kept his distance from me when he told us they wanted Bruce to stay one. more. night. for observation. The man was small enough I could have taken him in one tackle...and he knew it. But, everything worked out just fine and the extra day was nice to have to get everything in order. I was a little overwhelmed, but in a good way. One week ago last Thursday, when the nurse FINALLY walked us to our car and made sure Bruce was strapped in tightly in his seat, we closed the doors and I hollered to John, "PUNCH IT, Margaret!!" Of course, he did not punch it and drove us home in a non-racecar/blue hair/road-rage driver manner while I sat in the backseat with my eyes forward in case a random nurse or doctor came running from the elevators looking to stop us. Bruce slept.

The first few days out of the joint we stayed in Liberty at my mom's house just in case we needed to be close. Within 10 minutes of being there, the doctors called. Twice. Luckily, just for some minor medication changes..whew! It was going to take a search team to track me and my baby down...I can pack a diaper bag well enough to hide out in the woods for as long as it takes to throw off the hounds. The first few days it was fun being at home with the kids to help out...wish I could have packed one of them in my diaper bag to bring to the ranch!

We've had a couple doctor appointments since and with exception of a few minor issues, Bruce has checked out just fine. The cardiologist was impressed with his tone and function given his heart condition and we return in one month. Our next infusion is Monday and we look forward to being outpatients then! Within 24 hours of being back in Hatfield, I purchased a giant dry erase calendar for the wall and it's filled up pretty quickly with upcoming appointments...which is just fine by me! As long at the end of the day he's in his crib in our home, I'll drive daily to Timbukto for doc visits! Which is pretty much the same distance from Hatfield to KC :) The wee one has a great team of doctors watching out for him and we're very lucky to have them on our side.

It's fantastic to be home and getting the house back in order...being gone 6 weeks, you knew there had to be a few issues but the ac is blowing cold air again, the Dish guy comes back next week to finish fixing the satellite and a new refrigerator has been ordered and will be delivered the end of the week...compared to what we've been through lately, un-thawed meat in the freezer dripping down into the wires of the fridge was nothing!

Most importantly, Bruce is doing as great as he can be. Fortunately, he loves really stinky formula and has been eating like a champ...which is beyond great! I can't complain about the middle of the night feedings because I love it when he eats like a horse and he's starting to get those cute little wrist fat rolls! Sadly though, his hairline is starting to fill in. I am really going to miss the old man receding hairdo he has...

John is getting caught up at the ranch and VERY happy to have us back in the neighborhood to cut down on his trips up and down 1-35. Out of the whole deal though, he's a much better city driver and I feel comfortable riding with him downtown KC. For the first time ever. All I need to work on now is getting him to quit talking to the other drivers in their cars...they cannot hear you.

It took John four and a half coolers to get all of my milk out of the fridge...he was a trooper hauling those through the hospital to the car because you know people weren't thinking he had beer in there. Or maybe they were. Glad no one stopped him to look inside!! ( I know, I know...again too much information...)

We'll miss our friends and staff at CMH but it's not like we'll never see them again! We will. Often. Before we were discharged, Bruce sent his buddy next door, Lucas - who has been in much longer than us, a giant cow balloon and one that said, "Milk it for all it's worth." If anyone knows how to milk hospitals, it would be Bruce and Lucas! They were the heart breakers of E-Pod.

We have a long road ahead of us and a lot to figure out on how to adjust to this really different lifestyle, but John and I have great support and through the whole ordeal, we didn't kill each other. Er, he didn't kill me...So we still have each other! John is amazing and I'm very blessed to have him! And, of course, a very handsome little man who is changing and growing daily!

No doubt life will be interesting in the coming months and years and I'll keep you all posted!!! Thanks again for thoughts and prayers and hope life is well with all of you!!

John, Sarah & Bruce