The tapestry of the life of a medically complex family

Archive for March, 2011

Decline

Decline is a word I hate to use to describe any health behavior in my children. It is a terrifying word implying “active change for the worse”. It is the word I am now using to describe my son’s respiratory status- and I want a different word, a different experience. I am DONE with “decline”- I will settle for “plateau”… can anyone give me a “plateau”?

Since last summer, Tavi has gone from being mostly clear, rarely suctioned, rarely secretions thickening in the trach to a kid who needs suction almost daily and does worse with any level of activity- even when cool. He regularly needs saline nebs every 2 hours when off his trach mist color- and sometimes needs them in addition to the mist. He has declined throughout the winter to having more secretions outside the typical activities where I saw them previously. Outdoor temps have not even begun to rise and he fatigues regularly during low intensity Physical Therapy sessions in the cool playroom.

Since September, Tavi has required a saline neb during each PT session. Since early February he has required oxygen- typically 2L every night, but sometimes as much as 4L. For 4yrs 11mos of life with a trach, Tavish required no oxygen on sleeping unless he was actively ill. He has yet to develop an active illness since the oxygen requirement began. As we head to the sleep pulmonologist appointment next week, I fell like I need to get familiar with forming this word in my mouth as part of the description. HOPING it is just a temporary problem. Tav’s sleep study cannot come quickly enough for me.

Saving the world in your pajamas

Today’s social media allow us the ability to connect with people with similar likes/dislikes, lifestyles or, in the case of my family, parents who have children with similar medical challenges as mine. This network I have written about previously in my post about Community but it has never been more essential or active as it has become after the earthquake and tsunami hit Japan recently. Displaced families across Japan are struggling to find shelter, electricity, food and medical care for their everyday needs. Families with children with complex medical needs are more frantic in their need for these basic essentials.

After the quake & tsunami struck, families reached out to each other through social networks and online media. Once family member status had been determined, families of children with complex  medical needs reached out to their online community of support to help them in their advocacy for the health and safety of their child. When even the basic needs of food, water and electricity are hard to secure, their only choice would be to relocate their family to another region of the world- no small task with a child who often requires direct medical intervention throughout the day and mechanical medical intervention overnight.

Two of these families have reached out to our community and we, family members logging into Facebook at home, on the road, or from the hospital, took up the charge to advocate for these families from our position of safe homes the world over. We answered the call by writing to or contacting local hospitals, media outlets, senators, top government officials and government agencies in charge of allocating resources in areas of crisis the world over. We families, armed with coffee mugs and keyboards, have made a difference in the lives of one Canadian family from Japan who has since relocated to their former home in Toronto. We continue our efforts for another US family still stranded in Japan, concerned for the future of their 14 month old child. Families of children with special medical needs are uniting together to save the world in our pajamas!

My future husband

As most of you know, I am not now, nor have I ever been married. The topic of one day meeting my future husband comes up on occasion from family or friends and I regularly respond with “If he drops out of the sky…”  given my schedule and availability!

One evening at dinner my older daughter asked me: “What does your future husband do in the sky? Why does he fall down?”

Smiling, I replied: “He’s a pilot.”

To which my younger daughter chimed: “Like the kind with one eye?  …  Arrgggh!”    *covering her right eye with her hand*

Laughing. And still awaiting my pirate pilot’s arrival…

 

Twin Time, 3-2-2011

5 years ago March 2nd my twins entered the world of the living- one at delivery, the other post-resuscitation. Their early life was marked with intubations, shift changes, blood draws, substance withdrawal assessments. They struggled and fought through pain, breathing difficulty and a lack of a single parental resource. The first year was spent healing and sickening, healing and sickening. Operations for trach placements and a gastrostomy tube placement after multiple replacements of their nGs. Their strength was tested at every turn, one step forward, three steps back. 6 weeks in the hospital is how my son spent his first Thanksgiving and Christmas. Thank goodness for a wonderful foster family and caring nursing staff.

5 years later, some of the struggle remains, but life has improved to more living, less medicine. My children continue to require tracheostomy tubes, but celebrated their first birthday ever without one of them having any type of G-tube. They both enjoyed grain-free pizza & cake with their younger sister and Nana I & a couple cousins.

A family has been made for them; 4 full birthdays of family. I am reminded how much I love them and how far we have come, each and every day. The last year, ages 4 through 5, has included regular doctor visits but no in-patient hospital stays. It is their record-year for health status that has been possible to maintain at home. Weight has been gained, height has been gained, vomiting has been reduced to “rare” status.

Bikes & helmets & games & singing & dancing & running & playing – EVERY day. I have no word but ‘miracle’ to describe their status in life today- a miracle of the universe. Even as struggles remain and challenges are left to face- life is good nay, great.

I am hoping the wonder of 5 will add to the celebration! Happy birthday, Adrien & Tavish!

5 Happy Birthdays

Micro-twinsAt 6 months old, my twins just topped out the “glove box”
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