Saturday, February 23, 2013

Big week ahead

Jerry and I are walking around the house holding our breath hoping nothing goes wrong as we wait for Zachary to be decannulated, medical-speak for getting the trach out. We think it may be very soon. We hope it is soon. It is like waiting for Christmas, but better, only with a fear that someone may decide to cancel Christmas at any moment.

I am trying not to get excited about the possibility of decannulation. I fear that if I get excited I will be faced with a huge disappointment if it does not happen. I am trying to breathe, trying to focus on the day in front of me, trying to not sit around and wait for Christmas, whenever that my be. It is hard not to think about it though.

From the moment Zachary received his trach we've been working toward getting rid of it, weaning the vent, first during the day, then at night.  Then weaning the oxygen, wearing speaking valves and now capping. The trach was supposed to help Zachary breathe and give him a chance to grow and develop. I believe the trach achieved those goals. Zachary is growing and he is learning. Zachary has come a long way and I am so proud of him.

I imagine a trach-free future for Zachary, full of swimming lessons, trips to the beach, splashing in the pool, and all the other things kids with trachs can't do.  I look forward getting out of the house without lugging emergency bags, suction machines, pulse oximeters, and oxygen tanks. I imagine a life that is a tad bit simpler and with a lot more closet space once the trach supplies are gone.

Getting the trach out will be a major accomplishment. We will keep you posted on Zachary's progress. I hope to have big news to report soon, very soon.  It's going to be a big week, maybe.

Sunday, February 17, 2013

Too many appointments!

It is me again, Erin, Jerry's wife. Today I am feeling a bit sad about how lonely our lives are. It is hard to explain what it is like to have a child so fragile he can only be cared for by one of us or a nurse AND is difficult to get out of the house. Because of that we hardly ever go anywhere together. 

Our favorite nurse had volunteered to work Saturday night this past week and we were looking forward to a night out. It was disappointing that something came up and she had to leave early. I think this would be a disappointment to anyone with children, but the thing is - we can't reschedule. We cant just get a baby sitter for next weekend. Under normal circumstances we may have grabbed our kid and gone out for a family dinner. But it is flu season. We do not want to risk the flu. So we stayed home and consoled ourselves by letting the dishes sit in the sink while we watched TV - which we hardly ever have time do. It is 3:00pm the next day and the dishes are still there.

Zachary had five appointments last week. He had physical therapy, speech therapy, a meeting with respiratory therapy, nutrition appointment, and we had an appointment with one more gastroenterologist.

Zachary works hard in PT. Lucky for my the PT does not let me participate in the sessions any more. I am too much of a distraction for Zachary. I spend five minutes with her at the beginning of the appointment and five minutes at the end getting my homework assignments. The PT and nurse handle the session. Don't worry, I do not mind having an extra 50 minutes to myself! 

I have to be involved in ST. This week Zachary bit an apple. Like I said last time, progress is slow. We gave Zachary lots of praise for using his teeth. I feel ridiculous sometimes, but progress is progress no matter how slow.  The nutritionist was amazed with Zachary's weight gain. He is catching up! Despite a great weight gain, I did get more homework. Puree meat. Sigh.

The GI appointment was the most interesting. I've been to a lot of GI's. Zachary's other specialists wanted us to see a GI. So I've been searching for one that was willing to work with us to help Zachary become an eater, better manage the reflux, and get rid of the g-tube. I ran through Zachary's medical history up to present day and she was wondering why I was there (since he is eating and not vomiting). I did not let her know that I was there because I felt forced to be but simply that he's had GI issues and that I thought we needed someone to monitor him.  

I was very honest though and let her know that I've met with MANY GIs and could not find one who wanted to help Zachary learn to eat and was interested in controlling the vomiting. It must be a very small field because she knew everyone we met with. It was strange for me to discuss my disappointment of her colleagues with her. I liked her a lot though. 

She examined Zachary and told me he looked great! What did I need a GI for? She said I must be doing a great job. She apologized on behalf of her colleagues simply stating that GI is such an art form and sometimes doctors get stuck with their way of doing things. She also noted that she will appear to be the hero because all that is left to do is take out the G-tube. I wasn't ready to do that just yet, but when the time is right and our nutritionist and pediatrician are supportive we will go back to her and she will take it out. I do find comfort in knowing we have a GI who I can call with any questions, in a particular one who thinks we are doing something right. I was pleased to get some positive feedback.