Dakin bLog

12/15/2005

Support Dinner

Filed under: — ITAce @ 11:38 pm

Stem cell and oncology patients have a support dinner on the 4th floor on most Thursdays at 5:30pm. Met an interesting fellow there tonight named Todd. His son is relapsed ALL patient. Hope to get to know Todd better!

Churches provide the meals and it usually very good food. We had two newly diagnosed moms there tonight. Sometimes it depresses me meeting people that are just beginning the fight with childhood cancer. :(

I deliberately stayed quiet tonight. Did not want to burden the new moms with our experiences. The chaplain was not there tonight. I missed him.

Thursday Night Now

Filed under: — ITAce @ 9:01 pm

John’s situation has gotten worse. He had a very scary episode when the intubation tube got clogged with blood and mucus. It scared him and his mom. They got it suctioned out and went up on the ventilator settings.

Platelets are below 10K even with transfusions. He is getting a drug that they have not tried which is supposed to help the platelets clot better. They continued the steroid taper today. This is because of the culture showing strep infection and yeast infection. Fever remained around 100 today.

John continues to fight and writes notes to everyone that comes in the isolation room. He continues to want water, drinks, and food. He is getting water and peptomen in the GTube. He wrote NPO on his belly today with an ink pen. HaHa! He is such a character.

Docs continue to tell us our chances are very slim now. They said they want to get John to the place where he can better participate in end of life decisions. John is so strong, courageous, and such a fighter that I am not sure he will even seriously consider anything other than grinding it out till his last breath. I think he would suffer through anything if it gave him the best chance.

I will not write about my experience and/or what this is doing to me right now. Not sure it matters anyway.

12/14/2005

Wednesday-Sobering News

Filed under: — ITAce @ 10:27 am

The news this morning is not at all good. He has started to bleed again in his lungs. Which means the diffuse alveoli hemorrhage, DAH, is back. His ventilator settings had to be raised because breathing was more difficult. Another bad complication is one of his blood cultures is growing something that is resistant to all the antibiotics he is on, including Vancomycin. Yesterday he had a fever of 101.8.

He keeps writing to everyone over and over again that he wants to come back up to stem cell unit. We explain over and over that he can’t be on the vent and be here, they only do that down in ICU. I told him that he would die if we brought him up here. I asked him if that is what he wanted and he thought for a while and said “No”. However, the other night he said he did try to end it all by pulling out his tubes.

This is so difficult

12/13/2005

Monday

Filed under: — ITAce @ 4:06 pm

It is heartwretching to be with John right now. He is very agitated. They have taken him off the sedating drugs he was on and now he is somewhat alert, but his thought processes are murky. When visiting hours were over just now he didn’t want us to leave and got very upset. It just tears me up.

The broncoscopy showed that he has a yeast infection in his lungs. Which wasn’t “supposed” to happen because he was on meds to prevent it. Now he is on more drugs to treat it.
He has developed antibodies against his plateletts and red blood. His platelets get used up so fast. They are giving him drugs to encourage his body to make these things on their own.

They lowered his ventilator settings down a little bit today. Which is a good thing and one step closer to getting off of it. They say he will be on it for at least 5 more days. He doesn’t understand why he can’t come off it now. He says he can breath fine and doesn’t need it. He is not coherant enough to realize that it is because of the vent that he does feel that way and with out it he couldn’t breathe. The doctor told him he could not live without it right now and that he would die. I am not sure he really understood. He keeps saying over and over again that he wants to go back up to the 6th floor. He says he doesn’t need to be down there in ICU.

Last night through writing he fired his ICU doctor and said he wanted to go to UAB. He kept trying to pull out his line, catheder, and breathing tube. He got very agitated. He wasn’t able to think clearly.

It is very hard to write updates now unless things are going well. I hate seeing him hurting and upset. It is a victory today that the PEEP setting on the vent was turned down.

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12/10/2005

Saturday

Filed under: — ITAce @ 8:48 pm

John is still on the respirator and doing well. The day he was intubated was very bleak. A doctor said she thought he had less than a 10% chance to get off of it, but then again, she said, he has really surprised us before. He was given the choice to stay on the re-breather mask and be made as comfortable as they could get him and eventually die or go on the respirator and have very small odds of survival. He chose the ventilator. The next morning John’s doctor came into our room on the 6th floor before visiting hours started in the ICU and gave us an update on John. She said he was surprising everyone again and now she had no doubt he’ll get off of the vent!

Today John had a broncoscopy to see if we can learn anything about his lung difficulties. He was awake for it and tolerated it very well. Richard was in the room with him and held his hand. They went through the same tube that he is intubated with. His settings were low on the machine and after the procedure they had to go up on the settings, which is expected because of irritating the lung tissue. They expect to go down again on the settings tomorrow.

He is awake and fairly alert when we go down. He tries to communicate and will try to write. This morning his writing were really pretty clear. This afternoon because of meds they are harder to read. Mostly what he writes is “When can I eat?” I am so disturbed because when we left down there at 6pm they still haven’t started his feeds into his g-tube. He hasn’t had anything to eat since Thursday. I wish they would hurry up and get his feeds to him. They told him yesterday he would get the bronc that day, then they said this morning early, and it wasn’t given until this afternoon. He is on very high doses of steroids and they cause an insatiable appetite.

Richard’s parents have been staying with Deborah and Richard and I have been staying up here and sleeping in his 6th floor room. We are so grateful to the staff in letting us keep the room as a curtesy.

12/8/2005

Intubated

Filed under: — ITAce @ 3:27 pm

John was put on the respirator around 1:30pm.

Thursday-ICU

Filed under: — Diane @ 12:37 pm

John was moved to ICU this morning b/c of breathing difficulties. His stats kept getting low anytime he moved. He is on maximun oxygen on both the nose candula and mask. He may be intubated.

Back in ICU!

Filed under: — ITAce @ 10:59 am

We had a bit of a rough go last night and John was moved back down into the primary ICU. He has gotten weaker this week and does not sleep. They anticipate his stay will be much longer than it was before if they have to intubate him. If we are not down in ICU we will be in room 659. The phone number is 205 212 7659.

ICU visiting hours are as follows:

10AM to 2 PM

4PM to 6PM

8PM to 10 PM

12 AM to 2 AM only for parents and grandparents

5AM to 6AM only for parents and grandparents

12/5/2005

Moved to larger room!

Filed under: — ITAce @ 8:36 pm

Today John was moved to one of the larger rooms in the stem cell unit. The Doctor’s conservative estimate is that John will be inpatient until at least January 4th. We desperately needed to be in a larger room.

The new room number is 659. The new phone number is 205 212 7659!

11/30/2005

Tuesday–ICU

Filed under: — Diane @ 3:29 am

John was put on the C-Pap machine last night to help assist his breathing and give his lungs a rest. By this morning he was on 12 liters and his oxygen was labored and oxygen stats 88-90. The ICU doctors came and assessed him and desided to move him down there with them so he could be intubated easier and faster. He was then put on the re-breather mask and brought down. On the way down his stats came up. He was settled in his room down there and his stats were around 95 on the re-breather. After a number of hours the doctor came in and told him that they had intended on putting him on the ventilator within 1/2 hour of him arriving, but his stats started doing fine and they see no reason to put him on it.

The original plans for today were to bring him down there sometime today to prep him for his broncoscopy then bring him to surgery for it. They felt that after surgery he would need to be on the respirator for at least the next few days because his lungs are sick and they didn’t feel he could support breathing on his own. Since he was declining, they felt the most expediant thing to do was to try and identify the infection, be it bacterial or fungal. The plan was for ICU to intubate him (intubation is standard for a broncoscopy but is usually done in the o.r.), go to surgery, come back to the ICU room and hopefully get off the intubator as soon as possible.

Once he got there and was doing ok and didn’t need the vent emergently, then they also decided that to get on it electively to perform the bronc would be possibly quite detrimental because of difficulty of getting him off it and the irritation a bronc can do.

Today he was quite irritated all day. He felt that since they weren’t going to do anything to him they should send him back to his room. But they felt a 24 hour watch was prudent. He has not been allowed to eat or drink anything and being on the massive doses of steroids and with the sugar problem he is having, not eating has been torture. Several times today he felt he needed to throw-up. He is being watched very carefully in his glass isolation room, but really nothing is being done that couldn’t be done up here. He is on 9 different antibiotics and a couple antifungal meds. The plan is to get him back to the 6th floor in the morning as long as his stats stay up.

Deborah was diagnosed yesterday with walking pneumonia. Richard has had a touch of a sore throat and neither have been coming up here. Richard’s folks came yesterday and stayed with him for a couple visiting sessions so I could sleep. Thats been a big help.

I hope this has been written so it can be understood. It 2:30am and I need some sleep. I can’t tell you how emotionally and physically draining this has been. John really needs a break.

11/29/2005

ICU Again

Filed under: — ITAce @ 12:41 pm

John’s pulmonary function has significantly decreased. It is fear he has a fungal infection in his lungs that has had a favorable environment of high steroid levels assisting their growth. The plan is to intubate John and do a bronchoscopy today. Then leave him intubated on the respirator down in ICU.

He communicated to me that his ability to reason has been significantly diminished over the past few days. He said “reasoning out basic concepts was difficult.” He told the Doctor today that he wanted them to do all they could and use any invasive measure to save him, but don’t leave him hopelessly on a machine. He is leaving the final decision to his mom and I.

Things look very grave for John right now. Please pray for him as the list of complications and seriousness of his conditions worsen,

He is on IV drip Insulin

He is on SynThyroid

He is on massive amounts of steroids

He is being fed a liquid formula directly into his stomach

He is on an immuno suppressant called cyclosporine

He is on multiple blood pressure medicines

He is on several litres of oxygen

When he experiences sharp pains he is given morphine and muscle relaxer(daily now)

He continues to receive platelets and packed red blood as needed

He is on several antibiotics

He is on some antifungals

He takes a few other meds but I do not know them all.

Sunday night John’s sister developed a fever over 101. I took here into the Family Doctor and she had sore throat with puss pockets, fever over 101, and discomfort in the nasal area. Doctor took culture from throat, took blood, and called it walking pneumonia. Needless to say She and I are banned from the SCTU till this clears up. Doctor gave her KETEK and got me on Lexapro and Ativan. The stress on us has been overwhelming.

Children’s Hospital PICU visiting hours:

10AM to 2PM

4PM to 6PM

8PM to 10PM

12AM to 2AM Parents and Grandparents only

5AM to 6AM Parents and Grandparents only

11/27/2005

Sunday-Update

Filed under: — Diane @ 9:57 pm

Sometimes, it is so hard to give an update. Things are so complicated with John. His lung x-rays have looked really good. They show none of the bleeding of last week. However, yesterday the x-ray showed some shadow in the lower portion of one of the lungs. The doctor thinks he has an infection “somewhere". Maybe in his lung. She bases this one 4 things. First is he has 20% bands in his white blood, normal is 1-2%, second his blood sugar is hard to control. His has been on insulin for a couple weeks now because of the steroids. Sometimes his sugar goes up to over 300. The last couple days his sugar has been all over the place. Tomorrow he is starting on an insulin drip. Thirdly, he has been getting platelets daily and sometimes he doesn’t get a bump in the platelet count. She thinks an infection is eating up the platelets. Last of all he keeps requiring a lot of oxygen. She had hoped to have him weaned of the O2 by Friday, but today he is on the mask at 6 liters. He had a lung CT today, but we haven’t received the results yet.

He had a abdominal CT scan Friday because of some intense pain he was having. It showed some areas of fluid build up by his liver and other places. His albumin level is low again and his vessels appear to be leaking. I requested he would be put on liquid i.v. albumin because I don’t want to have the kidney problems he had back in July-August. After reviewing his history the doctor agreed. It is frustrating to me because the doctor hasn’t been here the last few months and John has had so much that has happened to him in that time. There is so much for her to review.

He still can’t stand up. He exercises daily and feels he is strengthening.

The medical team is working hard to keep him out of the ICU again. The doctor is very concerned about his O2 needs.

I don’t know what the team would do for John’s toilet needs if Richard and I weren’t here to put him on the bedside commode. It is very stressful. They are short staffed up here and sometimes it is hard to get someone in here in a timely manner, especially since they have to gown and glove before coming in. I was devastated when Richard lost his job, but frankly, I don’t know how we would have managed the last several months without him. I physically can’t stay here 24 hours a day. Because of steroids he generally doesn’t sleep more than an hour at a time. Once he is able to stand on his own and get around some then we’ll be able to get more relief.

Please remember John in your prayers. Things are very unstable.

11/21/2005

Monday

Filed under: — Diane @ 5:32 pm

John is back in his room on the 6th floor. He is doing well. He finally was able to eat today. Its been a week since he had anything to eat. The combo of all the narcotics and lack of food have made him weak. He couldn’t even stand today get weighed. But, the doctors are pleased and said his strength will come back. Physical therapy will start working with him. He’s on 2 liters of O2 and his stats are great.

If you would like to see a picture of John on the respiratory in ICU click this link!

11/20/2005

Sunday Night

Filed under: — Diane @ 9:32 pm

Great News! John’s off the respirator! He is doing very well! They told him he wouldn’t be able to speak normally for a few days, but they were wrong and he is speaking great! He is still somewhat drugged up, but for the most part he is very conherant and makes sense. He remembers a lot from his ICU time. Hopefully, not too many horrible memories. He is scheduled to go back to his room in the stem cell unit tomorrow. He still isn’t allowed to eat and he is soooo hungry. His counts are still way down. Fortunately, he isn’t needing red blood tranfusions. The gvhd seems to be under control, his skin looks great and the chills he used to have are gone. It’s been an emotional day, well, an emotional week. So very hard. Thank you, thank you for your prayers. I would write more, but I am just too tired tonight. Richard hasn’t left the hospital since last Tuesday. Hopefully, he will go home tomorrow and I’ll start staying again during the nights.

11/19/2005

Saturday

Filed under: — Diane @ 1:43 am

Its 12:30 Saturday morning and I just wanted to give a quick update. John’s stem cell doctors were optimistic today. They said his vent pressure was at 7-8, it was at 12. It needs to go down to 5 before he can be weaned. The O2 level was at 35, so not very high. We are hoping to get him off of it by early next week.

The ICU doctors are concerned about his kidney function and are adjusting meds, running tests, etc. The stem cell docs are less concerned because they know him and know his history enough to not be real concerned about it yet. Remember the kidney failure back in August?? So, I’m glad the renal guys were called in to give their advise and keep an eye out.

He has developed a cocci infection which appears to be in his lungs. Apparently it is a normal flora that can be harmful to immune suppressed patients. I don’t remember much more on it. They are giving him broad spectrum antibiotics to fight it.

We are concerned about his bone marrow function. He has been getting platelets daily and both GCSF and GCMSF to stimulate white cell production. Maybe the function is down because of the infection. Please pray it would start to pick up rapidly. The concern is he is losing his graft.

We interacted a lot with him today by his nods and shakes of his head. He wanted his head scratched a lot! He seemed to know who we were, but he would drift back to sleep soon.

11/18/2005

Friday

Filed under: — Diane @ 11:47 am

John is still on the ventilator. He is holding his own. His kidney functions raised by a little and they are changing meds around to keep it in check. We don’t need another body system to fail now. The doctor said his right lung looked a little better yesterday. The ventilator settings are not real high. So, maybe that will mean he can wean off it easier. They haven’t suctioned any blood for a couple days so he has stopped bleeding, thank God. Please pray he stays fever free. Last night it was 99.9

He has some moments when he is awake enough to nod or shake his head, but for the most part he is so drugged he is hopefully unaware. As long as we have been fighting Leukemia, 3 1/2 years and recovering from the bone marrow transplant, 14 months, we have never encountered something so life threatening and grave. I can’t explain the agony the family goes through seeing him like that. Each time he tries to communicate by speaking it feels like arrows are piercing my heart. It is immensely frustrating not to be able to understand him. Please pray for his restoration and that the family will have strength to go on. The other day he tried to sit up in bed. He was uncomfortable and was shifting his position by scooting around. The nurse was amazed by how much strength he has while on the levels of sedation he is on. We couldn’t understand what he was trying to tell us after that. He kept trying to raise his hands. He could shake and nod his head and finally we figured out that he wanted me to hug and hold him. He kept trying to say “I love you".

He has a satellite radio that he likes listening to. When he is awake enough he can agree or disagree to which station he wants to listen to. Mostly its classical, talk or a station that has mystery and other types of shows.

We are thankful the stem cell unit let us keep our room on that floor. That is where Richard and I go to sleep.

11/15/2005

Intubated

Filed under: — Diane @ 7:13 pm

John couldn’t keep going on. He just couldn’t breathe on his own anymore. He tried and tried and tried and fought and fought and fought. But they had to put him on the breathing machine around 6 tonight. God can still do a miracle. I can’t believe this even though they told us it could happen. I just can’t believe it.

Pray! tuesday

Filed under: — Diane @ 10:03 am

John was brought down to ICU about an hour ago, at 8am, with the same breathing difficulties as last Saturday. He was taken off BiPap and put on re breather mask. stats are good now. he’s coughing up a bunch of crud. could be the bi-pap was keeping it all down so it couldn’t come up and filling up his lungs.

11/14/2005

Monday- Holding Steady

Filed under: — Diane @ 10:45 am

Its been an ok weekend. John’s O2 stats were fine Saturday using just the nose candula, but his breathing was labored. He felt he couldn’t keep on laboring like that for much longer. So, Saturday afternoon he was put on the Bi-Pap machine. This helped right away and he stayed on it through Sat. night. Saturday he was also given another shot of the med Novo Factor-7 to help with the bleeding he was having when he coughed. Hopefully some miracle will happen and insurance or the hospital will pay for these shots. The doctor said they aren’t indicated for this use and they won’t be covered. He received 5-6 and they are $7000-$8000 a piece.

Yesterday he went without O2 for a couple of hours and his stats stayed close to 95-100. He fluctuated during the day needing from 1/2 to 3 liters of O2 on his nose candula. Around 10:00 last night he was put back on the Bi-Pap just to help him sleep well, which it did. It’s 9:30am and I expect to see someone from Respiratory come and take it off.

The doctor says his x-rays of his chest continue to improve.

John called his donor last night! He sounded like a great person. He actually has donated marrow once before. John was very excited to talk to him. John felt a little awkward knowing what to say. But he enjoyed talking to him. The man majored in Biology in school which is what John wants to major in!

Richard spent Friday night and Saturday night up here. I didn’t come up at all on Saturday. I didn’t realize how good it would feel to be out of this place for a while.

Richard is still looking for work. He is an IT professional with 20+ years experience. If you want a copy of his resume, email us and he can email it to you. correspondwithme@gmail.com

11/10/2005

Doing Good!

Filed under: — Diane @ 7:46 pm

John’s been doing so much better! It is amazing! He has been on just 1 1/2 -2 liters oxygen all day since 4am. He is feeling pretty good. He would be out in the hall exercising daily if he didn’t have a virus. He is confined to the room. We just need to get him off the oxygen and he can go home. He is spitting up very little blood now.

11/8/2005

An incredible turnaround

Filed under: — Diane @ 12:52 am

So much has happened since my last post. John’s condition got very grave Saturday. He kept bleeding into his lungs and his respiration stats kept dropping. He got to the point where they put him on a non-invasive respirator called a Bi-Pap machine. The machine forces air into the lungs and also pulls it out. Shortly thereafter he was given an experimental medicine to stop bleeding, I think its spelled Novo Factor 7. This medicine is only approved by insurance if used for hemophiliacs. I think they were reluctant to use it until it became necessary for this reason, it is $7000-8000 a shot. We didn’t care how much he got, just stop the bleeding!This medicine is being experimented with on battlefields. Shortly after the first shot the bleeding slowed and slowed even more by the second shot. The vacuum seal around his nose became broken and his oxygen stats dropped to the 70’s. It became apparent that John would probably have to go on the respirator with the breathing tube. The doctors spoke to John and gave him 4 choices. One choice was to go down to ICU and get on the machine if things got any worse and another choice they gave him was to do nothing and he wouldn’t make it. He wasn’t done fighting and wanted to go downstairs. He was asked about his wishes concerning how long to continue life support, etc. He said he was asked questions that no one should have to face. He said through it all he wasn’t scared he was just very, very stressed. He says he has no fear of death, but he’s not ready for it either! He has an assurance he will be in Glory when his time does come.

He was brought down to ICU and they took off the Bi-Pap and put on a rebreather mask. The oxygen was up to 16 liters, which is as high as it goes and if the need for oxygen is for more than that a respirator is indicated. Things were touch and go for a while. Friends came. Linda, a precious friend, felt very impressed to lay hands on him and pray. One of the pastors came into the room and also prayed. Prayer chains were started. John says now that there was devine intervention because suddenly he started feeling so much better! He said he can’t explain it. The doctors can’t explain it! The bleeding all but stopped and he started to stablize. He stayed at 16 liters all night. Incredibly by 5:00 the next morning they said he was stable enough to go back to his room. The doctors were amazed. His recovery has been the talk of the floor!

Some time during the night he was taken of the re-breather and put on a regular mask. Now he is down to 7 liters. He still needs assistance when going to the bathroom. The nurse comes in and hooks him up to the portable oxygen tank.

Because of the bleeding he is on a extremely high dose of steroids. 800mg a day. They make it hard to sleep. He hasn’t stopped talking since Sunday morning! He is so excited. He had visitors in and out Sunday. Everyone he comes in contact with he tells this incredible story.

I feel I’ve done such a poor job in telling this. I know my grammar and spelling must be terrible but there isn’t a spell check on this program and this computer doesn’t have Word for me to type, cut and paste it. I am so tired I can’t think very straight. Sorry.

Thank you all for your prayers. I can’t thank you enough.

11/7/2005

Pancake Benefit

Filed under: — ITAce @ 11:46 am

Pancake Benefit

11/5/2005

Saturday-Worsening

Filed under: — Diane @ 11:57 am

John situation is worsening. We covet your prayers. In the past 15 hours he has spit up 2 liters of blood and fluid, mostly blood. They are talking about putting him on the respirator soon if things worsen. They feel the positive pressure of the air will put pressure on the blood vessels to stop the bleeding. The are talking about trying a version of the C Pat first, it is similiar to the ones people with sleep apenea use expect it will have a mask to fit over mouth and some other differences. As his lungs fill with blood the oxgen requirements go up.

11/4/2005

Lungs Still Bleeding

Filed under: — Diane @ 4:45 pm

CAT scan is worse today compared to the one taken last Saturday. X-rays are worse as well. There are several possibilities of what could be happening. Most of them deal with latent effects of chemo and TBI, total body radiation. In one senerio his tiny vessels in his lungs could be bursting from radiation damage. A lot of these possibilities are very serious. Maybe the pulmonary doctors will shed some light on the situation when they come by today. One came by today for a consult, but that wasn’t the main visit.

He had a terrible night. It was just awful. He had so much pain, especially by both of his kidneys. They suspect this is from what the CAT scan shows as plueural effusions, areas of fluid build up between the chest wall and lungs. He has this on both sides and , of course, they don’t know why. They wouldn’t give him anything stronger than Tylenol for pain because, they said, the naurcotic pain meds could affect respiratory stats, which he was already having problems with. He is still on oxygen.

11/3/2005

Filed under: — Diane @ 4:44 pm

The x-ray shows patchy infiltrates. The lungs have worsened. A CAT Scan is scheduled for today. Pulmonary doctor came and did an initial exam. The pulmonary doctors will be back today to talk about their findings. All I have heard so far are guesses of what it could be. I wish God would heal him already. This has gone on almost 3 1/2 years too long. Why is he going through all of this?

Clinic Visit

Filed under: — Diane @ 3:15 pm

Richard and John are up at the clinic now. John is getting IVIG, which is a medication to help boost his immune system. I’m anxious because Richard called and said they hooked John up to oxygen because his level was at 84-87. A x-ray was ordered because he seemed to be spitting up more blood. The results are not in yet. I am hoping he will improve rapidly and not have to be admitted. The last several days he has been spitting up less. I am really not comfortable with them not having an answer to his lung problems. This is very frustrating. A stem cell doctor from the affilated adult hospital is coming on Monday to consult. We have been talking to John about switching his care to the other facility. We’ll see how this consultation goes.

10/29/2005

Readmitted

Filed under: — Diane @ 1:31 pm

John did get to come home the 27th. He was spitting up a bunch of blood while he was hospitalized and then it slowed closer to discharge. Yesterday and today it picked back up again. It worsen overnight. The plan is for him to get a CT Scan today of the chest and a pulmonary procedure Monday. He will be asleep during the procedure and they go into the lungs with a camera to look around and get a sample of the bacteria or virus that is causing the problem. They just don’t know what is causing him to cough up blood. He is being readmitted today. One reason is it’ll be easier to bring him down on Monday for the procedure if he is already there. Plus, they can keep a closer eye on him in case anything developes.

I’m really struggling with keeping a positive attitude today. Frankly, it doesn’t seem to matter what our attitude is.
Bad stuff keeps happening irregardless.

10/26/2005

Going Home Tomorrow

Filed under: — Diane @ 3:44 pm

As long as John doesn’t need oxygen today or tonight he can come home tomorrow! I don’t anticipate this will be a problem because he hasn’t needed the oxygen for over 18 hours. He will be getting 2 different types of i.v. antibiotics at home at 2am, 10am and 6pm. Plus he gets his regular feeds over 8 hours. His med schedule is not as demanding as they first thought. He is doing good today. A little tired but ready to come home.

Going Home Tomorrow

Filed under: — Diane @ 3:44 pm

As long as John doesn’t need oxygen today or tonight he can come home tomorrow! I don’t anticipate this will be a problem because he hasn’t needed the oxygen for over 18 hours. He will be getting 2 different types of i.v. antibiotics at home at 2am, 10am and 6pm. Plus he gets his regular feeds over 8 hours. His med schedule is not as demanding as they first thought. He is doing good today. A little tired but ready to come home.

10/25/2005

Things are Looking Up!

Filed under: — Diane @ 11:39 pm

Things have improved so rapidly! John’s chest is clear. At first they went back and forth with pneumonia, pulmonary edema, but the final diagnosis is that his lungs are clear and were clear since he was hospitalized. He has needed to be on quite a bit of oxygen, up to 6 liters this weekend. He has a strep infection in his esophagus track. This is a different class strep than what you think of with “strep throat". This infection has caused quite a bit of tightness in his mid chest area, sternum. He takes breathing treatments of Arbitral 2 x’s a day to help with this.

He also has the infection in his urinary track and the staph infection at his g-tube site.

He has improved so much in the last 2 days! Yesterday he got off the oxygen and walked down to Children’s Harbor and played basketball! When he got tired he sat down in his chair, rested and got back up and played again! Today he did the same thing. Today he hasn’t needed oxygen at all! The doctor said she would like to release him, but he was so sick and on so much oxygen just so recently that she’s not comfortable doing so quite yet. She is talking about releasing him soon if I think I can tend to his demanding healthcare schedule. He is on i.v. antibiotics 4 times a day, for an hour each. He also is still getting the feeds at night. I told her we would do fine that being home is much preferable to being inpatient.

I can’t believe the difference in his skin since he started the steroids! It looks better than it has in months. The terrible abdominal cramping he was having that he was getting Morphine for has subsided as well. Both of these improvements seem to confirm that he had graft vs. host disease of the skin as well as gut.

The thyroid medication is being increased weekly and I can’t believe it, but, he hardly complained about being cold today! He was trembling in his sleep so bad last night that the nurse gave him some medication for it. However, in the last 2 days it has improved so much. It is strange to see him now lying in bed without covers.

Today is the first day I have seen him do anything athletic in over 3 years! I could have cried. I was just flooded with joy. He did well too! I forgot how naturally athletic he is. One of the nurses commented that he is stronger than she has ever seen him.

I am filled with hope. Its been a good day.

correspondwithme@gmail.com

10/22/2005

A Long Hard Night

Filed under: — Diane @ 1:51 pm

The x-rays today show a worsening of pulmonary edema. They are treating it by tripling his normal dose of Lasix. He had a lot of chest pain last night. His throat also hurts. He spits up a lot of blood and they think it is from his throat. The culture of it is growning something. He has another urinary track infection. It is a different bacteria than the last one. Richard brought up his comforter from home to add on top his other blankets. He still shakes. He’s been getting Demeral prn, and that helps with the shaking and chest pain and he can breathe a lot easier too on it.

His oxygen rate went below 90 today and he is now on oxygen at 2.5 litres.

So discouraging. Richard is up there now and I came home to sleep and shower. I haven’t brushed my teeth or taken my meds since Friday a.m. It was a bad night.

Another Disappointing Setback

Filed under: — Diane @ 12:30 am

Yesterday John complained some about having difficulty breathing because of “stuff” in his throat. We went ahead with the pulmonary tests. The results were disappointing to me. They were impressive before transplant and now he is below adverage on almost all tests. However, they are much improved from the limited pulmonary testing he had done in August when he was in for pneumonia. The doctor was pretty pleased with yesterday’s results considering all he’s been through with total body radiation, pulmonary edema, pneumonia 2 x’s, severe deconditioning, etc. She feels the lungs will continue to improve. She actually felt the results were better than what she had expected. I have to admit, I was wanting to see evidence of Lance Armstrong’s quality lung capacity!

THE BAD NEWS:
This morning he was still complaining about difficulty breathing and by noon his chest was constricted and he felt like he couldn’t get enough air. He was having chest pain as well. I called ahead to clinic and they were prepared for us when we got here. Immediately he was hooked up the the oxygen monitor, blood pressure monitor and all vital signs were monitored. His oxygen level showed 100 and I was so relieved! The thing that was going through my mind was pneumonia again. Within about 1 hours of being here he had a EKG and chest x-ray. The EKG was good and the x-ray clear. Things were looking up. He was showing signs of his airways constricting and he was given a breathing treatment of Albuteral to open them up. I’m not sure if I spelled that right or not. He didn’t feel it helped much. His feeling of being cold was real bad today. He was shaking a lot and was given Demeral to help. Because of the severity of his symptoms he was admitted for observation. The tightness in his chest was bad tonight and the doctor was consulted a couple of times. The day doctor today suspects pulmonary edema -again- but she’s not certain, nothing showed on x-ray. The doctor tonight suspects something muscular is going on. Could it be that he hurt himself doing all the breathing tests yesterday? I don’t know. They were rather strenuous.

His muscles are aching because he had been shaking all day long from being cold. He is lying in bed now with a fleece hat on, fleece coat, long sleeve shirt, long pants, fleece blanket and several hospital blankets. His temp is 97 something. He’s sweating, but still is cold. They brought up this old machine from the 50’s the color of industrial green and hooked up a blanket to it. A thermometer was adjusted to 95 degrees on the machine and water is heated to that temperature and circulated throughout the blanket. The machine was loud! Which would of been tolerable if the thing worked. The nurse swore the blanket was warm but to me it felt barely tepid. It was like the temperature of spit. We asked to turn it up, but the doctor wouldn’t let it go above 95. Now our electric blanket gets warm! Last night he was shaking so bad it was awful. I cranked it up to high and put a sheet on him and it on top and let it go for 20 minutes. His shaking stopped and I turned it down to medium. Soon after I took it off and he slept with he regular comforter. Of course, it is against “hospital rules” to bring it up here. I’m mad at myself for asking about it. I wish I would have brought it up here and just plugged it in and used it. I’ve noticed that certain things are allowed here and nothing said to you if you don’t ask first. He’s been waiting for over an hour for an i.v. dose of Demeral for the shaking. The nurse has come in here a couple times and explained they are having a problem getting it up here for him.

He has been having increasing intestinal cramping as the weeks go by. It was very bad when he was in here for the infected toes, then it got better and now it is getting much worse. He sometimes has to take Morphine. Today his primary doctor said she suspected graft verses host disease of the gut and possibly gvhd on his skin. She put him back on a short dose of steroids. I hate that. She did not want to put him back on them again but it seemed to be the thing to do.

Tonight he has also been nauseated and has thrown-up. She stopped the feeds tonight to see if that would help his cramping.

This is awful. How much more does he have to go through before he gets better?? His stamina is amazing. He just keeps going on and fighting and fighting.

How much more Lord? How much more?

10/17/2005

All is Well

Filed under: — Diane @ 10:54 pm

Nothing much to report, thankfully nothing bad! John’s last appointment was last Friday. His next was scheduled for Wednesday. They called and rescheduled for Thursday because he is scheduled for a lot of tests on that day. In particular, a heart ECHO and pulmonary test. These are just routine for his one year post transplant check-up. Can you believe we are going 6 days without an appointment?? I can scarcely believe it! We can get used to this! Just last week he went twice, the week before, I don’t know, 3 or 4 times. His spirits are ok for what he is still going through. He is still on 2 scheduled anti-nausea meds and one different on for break thru nausea. The nausea has been pretty bad. He’s on so many meds a day. Gradually the number decreases as we go on, but he still takes over 35 a day. Maybe he’ll feel better when he gets off the antibiotic, Flagyl, for the C-Diff. His major complaint is still being cold. I think this is improving. Maybe its just my wishful thinking. The electric blanket has helped. He is dressing in more layers.

Deborah and Richard went and visited Troy University on Saturday. Deborah is accepted there, but hasn’t made up her mind where she wants to go. She liked it there, but was not impressed with what the town had to offer. Today she visited UAB. She was not very serious about it until she saw it. It has much to offer. It is not a gated college like some of the others she visited and is right in the city. Since it’s enrollment mostly commutes (over 70%) we felt it wouldn’t offer a sense of college community. But, after touring it and hearing about the huge array of activities, clubs, sororities, etc. we see that the college experience is what you make of it and what you want out of it. We think it would be best for her to stay in a dorm and get away from all she’s been going through here. She experiences so much heartache here that I think some distance would be good for her. Plus, she wants the experience of “going away” to college. I don’t know what she’ll decide. She’s visited colleges all over, in Florida, Missouri, Georgia and Alabama. Where ever she goes will be too far for me, even downtown Birmingham.

10/12/2005

Today’s Bone Marrow Biopsy

Filed under: — Diane @ 3:17 pm

Last week, on the 6th, was John’s one year anniversary of his bone marrow transplant. He had his one year bone marrow biopsy today and it went great. The doctor said it looked the healthiest she’s ever seen it. His platelets are actually in the normal range now! He got some IVIG last week to boost his immune system. Richard, Jewelia, Deborah and I all got our flu shots this week. We need to have them to protect John.

It’s hard to believe a year has passed. This has been the longest year I have ever experienced. John’s been in the hospital for 6 months total since last October. He’s doing better in a lot of ways. Diagnosing the thyroid problem has made a big difference. I always thought the thyroid just controlled all the things that made you feel comfortable. But, it does so much more. An inactive thyroid can actually become fatal. His skin continues to peel, but not as severely as before. We still use a tub of Eucerin moisturizing cream a week. The doctor contributes this to the thyroid. Also, he is so cold most of the time. It is unreal. Sometimes he’s under 3 comforters and still shakes. The only thing that really helps a lot is warming the comforters in the dryer and piling them on him and him wearing a stocking cap. One day I turned off the a/c and it got to 85 in the house and he was still under the comforters and was still shaking too much to take his shower. I bought an electric blanket yesterday for him. He said it helped yesterday. He doesn’t sleep at night with it, just uses it during the day. Today the doctor who is on service gave him a RX of Demerol to control the shaking when it becomes uncontrollable. The last doctor who was on didn’t want him using it. Hopefully, he’ll only need it a couple times a week. I do see improvement in the area. He really dislikes taking narcotics.

Speaking of narcotics, he is totally off the Oxycotin. He was weaned off of it and onto Methadone and as of today he is off the Methadone as well.

He has been fighting nausea a lot more than usual. He was doing so much better and was eating three good meals a day and then the infected ingrown toes episode began and he was put on Cipro. We think that is what has been responsible for the nausea. He got off the antibiotic today as well so hopefully it will improve soon.

Last night Richard and I went to the Bone Marrow Transplant Support Group in Homewood. It was a small group, everyone was so nice. The two facilitators were employees in the UAB transplant unit. It was so nice talking to people who have been there and have come through it and are living normal or semi-normal lives. I gained some perspective I didn’t have.

Talk to you later.

10/2/2005

John’s Home

Filed under: — Diane @ 6:16 pm

John came home today. His toes are much better. He was sent home on Cipro. Hopefully that will hold everything in check. His clinic schedule for the week is Monday, Wednesday and Friday, so we get somewhat of a break. The hospital stay was a small set back. John was saying the same thing today. He said his appetite isn’t what it should be now because of all the antibiotics he had there. His party last night was a success. Some of his friends stayed for 5 hours and others stayed up to 10 hours. His spirits are up today I think in part to seeing everyone. I’m grateful the staff turned a blind eye to the visiting hours policy.

10/1/2005

Update

Filed under: — Diane @ 4:30 pm

Sorry this is so long in coming. Life is so full and demanding and it’s hard to clear my mind and put down a post which makes sense. So much has happened, and I know I’ll leave a lot out. First of all, I want to thank everyone who sent John birthday cards. The outpouring of love meant a lot and thank you especially to the Weirton, WV and Burgettstown, PA area people. A lot of people heard of John through Aunt Karen and we thank you personally for spreading the word about John so people can keep him in their prayers. I know that this simple web log reaches 100’s of people a week because I can check the statistics online, and that statistic alone comforts me knowing that people care. When I hear from you, by way of emails or letters, that can encourage me so much to keep on fighting the fight. Some people have commented on the “comment forum” being closed. We had to close it because we had to delete up to 100 spam messages daily. The only way to do this was to open them and check the contents. Sorry for the inconvenience. Now, to update you on John.

John’s 19th birthday was Wednesday, September 28th. He had an appointment with the Endocrinologist then an appointment in the Stem Cell Clinic. He was having problems as soon as he woke up. The nurses in Stem Cell had planned a party for him and he had commented Tuesday that if he had a suit, he would wear it to the party. The next day he didn’t even feel up to changing. At the Endocrinology Clinic we discovered he had a fever of almost 101. After the appointment there his temp went up to 102.6 in Stem Cell. So, of course, he had to be admitted on his birthday. The nursing staff was very sweet and compassionate. They were so sad; one looked to be almost crying. Nevertheless they had pizza and brownies and came in his room singing “Happy Birthday!” He had planned on doing the Chicken Dance with everyone, but he had to give a rain check.
Monday night he started having problems with his big toes, believe it or not. By Wednesday they both were infected and appear to have grown in toenails. Chemo can wreak havoc on your nail beds and I think they have grown some horizontally. He recently found a couple of hairs growing between his cuticle and nail on his finger. Anyhow, the theory at this point is that the infection has caused his fever. He was put on antibiotics, Fortax and something else, and within 2 days he developed C-Diff again from the antibiotics, which causes bad diarrhea and cramping. They were going to let him go back home yesterday, but his temp went up to 101.1 as we were waiting to discharge him.

The diagnosis of hypothyroidism was made on the 20th and he started on the Synthroid then. Within a couple days he started feeling better and so many changes began to occur. His skin started to heal, finally! He began eating and soon was eating 3 meals a day in addition to the g-tube nutrition. Before he was getting his nutrition through the tube and eating maybe one very tiny meal a day, if that. He started daily walks outside. He got strong enough to walk up to the clinic and down to the parking deck when through at clinic. He didn’t need the wheelchair anymore. All this within a week of being on Synthyroid.

On his b-day he was too sick to walk much and his toes hurt so bad! He continues to have bad shakes and chills, with or without fever. This has been happening for months now. The doctors don’t have any answers for it. My personal theory is that the chills are connected to his skin healing.

He has had the same doctor for over a month and now a new one has come on rotation. The main doctor had been out of the country and another is one maternity leave. So this particular doctor had an unusually long rotation. I felt he did a good job. But, maybe a fresh pair of eyes will be advantageous.

I have been sleeping at home. When John is home nights are disruptive because of the feeds and various reasons. John and I are usually up 3-6 times a night. Each of the past 3 nights I slept 11 hours. I feel somewhat restored.

Some of John’s friends are coming up soon for a party for his birthday. I get some pizza and they’ll have cake and I’ll make myself scarce. I’m so happy he’ll get to be around his peers.

I’ll try to post soon! Keep praying!

correspondwithme@gmail.com

9/22/2005

A Very Quick Update

Filed under: — Diane @ 7:01 pm

This is going to be a quick update. I don’t have the time for a detailed one and I’ll write one later. I just wanted to give you some “good news” that can potentially turn things totally around for John in a big way. John has been doing real bad. His skin continues to be a problem, he has a hard time tolerating feeds, his mood has been depressed, lethargy, constant chills that only stop by Demeral and piling on hot comforters from the dryer, and on and on. Everyone has been very concerned. Tuesday I requested they run another thyroid test. This has been done before since transplant and has been just ok. THIS time however, the results were staggering and show his thyroid not functioning at all. Severe hypothyroidism. The staff was estatic. The doctor said this can explain everything and can be managed by Synthroid, synthetic thyroid replacement. He said the t.b.i., total body radiation, probably destoyed his gland and he’ll have to take replacement for life, but he was positive about it being manageable. The nutritionalist, nurses, doctors, everyone was so relieved and optimistic that an answer was found. I am cautiously optimistic. Can this really be IT? I hardly dare to believe. They said we should see results within days. Today he did walk outside down the block. Yesterday he did do some shopping at Radio Shack and Books a Million. These things would have been impossible earlier in the week. For instance, last Saturday he slept 20 hours.

Thank you to those of you who have send birthday cards to John. His 19th birthday in September 28th, next Wednesday. This is an incredibly lonely journey, and the cause for much despair and your cards have helped lighten his mood.

9/9/2005

Surgery

Filed under: — ITAce @ 10:10 am

John elected to have a gastro tube inserted into his stomach. This will enable food and medicine to be inserted directly into the stomach and facilitate removal of the TP tube that has been in his nose for a couple weeks. He continues to fight nausea and chills. The doctors are treating his skin like he is a burn patient now. He continues to peel and lose skin. His internal temp last night was 95. He stays cold and shakes constantly. They give him Demoral to stop and control the shakes.

Surgery was planned for around noon yesterday and he did not go down to OR until 7:30 PM. He got back to the room after 10 PM. He had a blanket they use for burn patients on him that they heated and he liked that. The nurse took it off though. She said he had too much on and it would make his skin sweat. He stays cold and covers up with blankets and this makes him sweat. It must be strange to sweat and shiver at the same time.

The schedule delays have caused a logistics problem for us today. I was up at hospital from 9 AM till midnight. Diane stayed home a took a nap and got to hospital around 5 PM. The plan was for her to stay with John last night. Neither one of them slept and I can not get back up there until afternoon because of two other things we have scheduled this morning. I called my mom and she is heading up there to relieve Diane. John is so weak now and is really suffering today!

The reason for the skin issue John has is a matter of difference. The perspective and opinions vary depending upon the physician. He developed a severe case of red man syndrome due to a very strong antibiotic named vincomyacin and contrast he was given before an CT scan. This rash covered him from head to toe. It has been extremely slow to heal. He has been peeling constantly. His bed is covered in dead skin. He picks skin and hair off his body and presents them as gifts to his mom. He is suffering so much. He has suffered for more than three and a half years.

He has been able to walk for 10 to 20 minutes each day now on the treadmill in his room. I expect that will not happen for a few days now as his stomach heals. Then he will have to withdraw from morphine again. How much longer? How much longer Lord?

9/3/2005

Six Weeks Inpatient Now

Filed under: — ITAce @ 5:38 pm

John Still Fighting