we are finished with visits from the social worker. No too sure how this method for securing Millie into her favorite "big girl" chair would go over.
Tuesday, April 28, 2009
It's a good thing....
Monday, April 27, 2009
Spicaville~Day 13
So here we are, 13 days in Spicaville and this is what I know:
1) Millie is losing weight. She weighs 30 pounds WITH the cast and she weighed 28 pounds at her 3 year appointment on 3/25/08. You can't tell this mother that cast only weighs 2 pounds~no sirree!
2) Can't get her outside in hot weather, which we have had in the 'Nati over the weekend. She gets way too hot and sweats way too much! I'm praying the weather cools off and we aren't struggling with the "I wanna go outside" tantrums.
3) Bathing and hair washing isn't so bad. We seem to have it down to a nice routine. Her cast is staying clean and dry~YOORAH!
4) Millies appetite is way off (see #1). We were warned that she would need to eat frequent, small meals. I could understand that if the cast was tight, but I can fit hand hands all the way through the cast now. So, I know it is not too tight. Looks like I'm going to have to start finding some high calorie things for her to ear~Lucky Girl!
5) She's sitting up straighter in the wheelchair which makes it easier to put her at the regular kitchen table. I have her strapped in with bright green luggage straps (thanks Joan!). She looks very colorful!
6) We are off the meds except for a little bit of Tylenol when she goes to bed at night. She's sleeping very well too~for that I am very thankful!
7) Millie's frustration level gets really bad when other kids are running around. This makes for difficult socializing with Elise and her friends. Still trying to sort that issue out.
8) Finally, I'd like to say we have a nice rhythm going here but the second I do that, it will all fall apart. So for now I will say we are doing pretty well.
Thanks to all my friends that are feeding us! It really does help~you just can't imagine how much I appreciate it.
Monday, April 20, 2009
Spicaville~Day 6
Saturday, April 18, 2009
The real test....
As I enjoy a most beautiful glass of "Four Sisters" in the kitchen of my home, I gaze upon my two beautiful daughters as they compete for attention and realize the real test is now beginning. Gone is the safety and security of the hospital womb~where our only requirement was to be available for the doctors, therapists and nurses whenever they would call. Life has kicked back in and all that entails.
The ride home was uneventful except for the pit stop at the local Walgreen's to be sure we had pain meds for the 6 hour drive home. Pain management is the key right now and Amelia is scheduled for pain meds every 4 hours. She got a dose right before we left so I knew that I needed to give her another dose sometime during the drive home. The nurses told me that I could move it out to six hours, but I respectfully declined that offer and said I preferred the four hour interval. After standing around for about 45 minutes in St. Louis Walgreen's, we hit the road.
Millie was a champ and even slept for over two hours, a first for her in the car at anytime during any trip. I finally reached back to make sure she was still breathing. Upon our arrival, Elise glanced up from her bowl of ice cream and just glanced in my direction. She then proceeded to devour her before dinner treat. No hi, no nothing! Can you feel what I'm thinking!?!?
Then the competition began....grabbing of the toys and no sharing of new toys...blah blah blah. I bring in the wheelchair and Elise thinks she is going to push it around the house like she does Mamaw's wheelchair. Chaos reigns my friends. I was thankful the bottle had a screw on top and I didn't have to mess with a cork!
I finally got Millie settled in her new, red bean bag and she sat there for a bit. She eventually asked for the wheelchair and I think she prefers the height it puts her at. Giggsey was licking her toes and I don't think she cared for that. Again, chaos!
Let the test begin.....I'm off to the wine cave!
Bustin' Out
Friday, April 17, 2009
Last night in St. Louie?????
It was positively GORGEOUS in St. Louis today. I was chompin' at the bit to get outside. So as soon as Millie had her breakfast and breathing treatment, we loaded up and moved 'em out.
Transferring her to the wheelchair is a bit of a challenge but not too terribly difficult. She's still rather light~relatively speaking, so moving her isn't too bad. She's just very bulky! The biggest thing is the element of fear that crosses her face whenever I pick her up. I know this will pass as she heals more, but it still is something we have to be sensitive about.
As you can see the pictures, it was sunny on the 8th floor rooftop garden. But was it glorious, you betcha! The spring flowers were in full bloom and the air was so warm. I could have sat for hours in the swing, letting the sun warm my soul. I did pick Millie up and hold her for a bit in the swing. She was rather apprehensive, but she soon feel fast asleep as we gently swayed to and fro. It was so lovely.
After our little stroll, I headed over to Panera for a much craved sandwich and then we had ourselves a nice little nap. It's the first real nap either one of us have taken. I crawled into bed with her and we slept for almost two hours. It was bliss. I must have been tired because I don't normally sleep that close to anyone, let alone sleeping in a twin bed with a three year old in a spica cast. Millie clung to my arm the entire time.
As you can see from the photo, she's got her arms behind her head in total relaxation mode. She's back to her old self, chit chatting with everyone and singing her little songs. She even said she wanted to go home today.
Evening in the Garden~Self-Portrait
Oh where is my toothbrush????
Do you know the Veggie Tales song, "Where is my hairbrush?"? Well, Amelia has modified it to sing "toothbrush" instead of hairbrush. Yesterday was a day of searching for comfort and safety for Amelia. She clung to my finger almost constantly all afternoon. If someone walked into the room, she said, "hold my hand!!!". After awhile, I couldn't stand or stretch any longer for her to cling to my finger. She received a book yesterday afternoon and clung to that with one hand. After I brushed her teeth, she decided to cling to the toothbrush with the other. So she slept, all night I might add, holding a Diego book in one hand and a toothbrush in the other. Bizarro~that's all I can say.
As you can see, she's much perkier this morning. She had a great night, no fevers~Praise God! She's resting comfortably and for that I am thankful. The night nurses were amazing~didn't even hear them in the room. Maybe they read my blog~they knew my plans and decided to steer clear? Who knows! I don't care, it was bliss.
Thursday, April 16, 2009
Thursday evening
Another eventful and interesting day her in St. Louie! Fortunately, we don't have Nurse Cratchet tonight~good thing~I think I would have had words with her tonight. Or maybe I could take her down with a one-legged shot for (2)~put her in a cradle for some back points and then "pretend" I can't hold it and let her go, then I could throw her in a head & arm for another take down and pin her for the win! YEA! Or maybe not~maybe I could just ream her out, like I'm really good at!
Anyhoo, I'm back from my dream world now. We put Millie in a wheel chair today and she did great. But when we moved her back to the bed, all the swelling started up again~UGH! Poor little butterball! First the right side started to swell and then the left side followed. Then the fever started spiking again. But the good thing was that we had a visitor today, Nel the Dalmatian! Millie was thrilled. She kept yelling, "I like Giggsey!" Well, Giggsey is our dog at home and Millie does love him to pieces. It was so lovely to see a dog. Nel was so docile, not like our Giggs! But nice just the same.
The parade of doctors, nurses, therapists, etc started and didn't seem to stop until around 5:30 p.m. The epidural was removed around noon and she's been on oral pain meds since then. We're staying on top of the pain and keeping the meds in her. She's a little shaky, but all in all, she's doing pretty well. There was a pressure sore on her back and we have to make sure she stays off of that now~so she's always laying to one side.
The temp keeps spiking, but we don't know why. They took another chest x-ray and it looks the same as yesterday. It's too early for there to be an infection. So they are running some cultures and we will know more tomorrow. Breathing treatments have been moved to every six hours~thank goodness. At least I won't have to square off with a nurse tonight about getting a treatment at 2 in the morning :-).
We have a nice, new wheelchair that was delivered to our room today. These folks don't waste anytime. I did fold and request a handicap sticker for my car. I hate doing that, but I think I'm going to need it. So we are getting that too. The only piece of equipment we are waiting on is the car seat. I'm hoping to see that tomorrow.
She's resting nicely this evening. One more breathing treatment before lights out. She wants to be holding my hand constantly and it's a bit uncomfortable. So I've passed off a toothbrush to her to give my arm a bit of a break. Her eyes are almost closed and she is totally fighting going to sleep.Praying that her night is restful since she will be off the epidural and praying we can keep the temperature down!
Day 3 morning update....
Last night was a little rough as you read from the previous post. Fortunately, the Valium calmed her down and she was able to rest.
The swelling was making it difficult for the Pain Management Team to see the epidural site. The following photos are of poor little Millie on her tummy, if you will, while they are trying to check the epidural.
Nurse Becky trying to calm Millie
Breakfast was a little better and she had some milk too. The swelling is down dramatically today, but the cast is still tight. Dr. Dobbs nurse, Kristina and his office assistant, Mary stopped by. I love these two woman, they are amazing and awesome! Kristina concurred that the cast is tight and said she will talk to Dr. Dobbs and bring him back up today. Like I said, they are amazing.
Wednesday, April 15, 2009
Evening update...
So this afternoon and tonight has been quite a bit more eventful.
Amelia ended up getting a blood transfusion. We knew this could be a possibility, but was hoping it would not happen. But her counts were low, she was still running a temp and she's swollen and look like a Sumo wrestler. Her eyes are mere slits in her face :-). We watched a movie together and she liked that. I wish I could hold her but it's rather awkward right now with the cast, tubing etc. Hopefully, they'll remove some things tomorrow and we can get a little closer.
The epidural is hidden under her cast which is very tight from the swelling. The pain management team is having a time trying to determine if the site is o.k. since they can't see it because of the cast. Three doctors were in her room this evening around 6 p.m. trying to decide whether to cut the cast and relieve some of the pressure on her lungs so she could breath a bit easier. After much debate and determining the best places to cut the cast, one of the doctors left to get the cast saw. When he returned, he informed the other two doctors that he phoned Dr. Dobbs and Dobbs said NOT to cut the cast. The look on the other doctor's face was priceless, especially when he said, "You called Dobbs?" "I was just gonna cut the cast and take the heat." I could literally smell the testosterone flowing in the room. Hopefully the swelling will be down and we won't have to worry about cutting the cast. But watching that exchange was worth a thousand dollars~I was looking for the popcorn and considering following them down the hall and see what transpired between them~I'm thinking "Grey's Anatomy" type of sage. O.K., I watch too much TV~sorry!
Her behavior is rather erratic this evening. She is very jerky, probably from muscle spasms. Sleep is not coming easy for her either. I asked for something to relax her, but they have not brought her anything. She has also tried to pluck her IV out of her hand~that wasn't a pretty moment for either one of us.
Praying that tomorrow the swelling is down, the temp stays down and we can get off this floor. Leaving the floor means taking out the epidural~that means pain management will change. Lots to think about there. She wants me to sleep with her, but that's not possible right now. She breaks my heart when she says, "I get down now?"
Well, our good neighbor, Valium, is on the way. The nurse told me to get in bed with her until she settles down. This outta be cozy!!!! Wish I could send a pic, but it's just me and her!
Good night!
Good Morning~First Day Post Op
Tuesday, April 14, 2009
Post surgery update....
We're in our room and settling in. I have my slippers on and I'm all "connected". Here's what the doctor told me after the surgery:
Dr. Dobbs only performed the femoral osteotomies. He was so pleased with the position of the femur in the hip socket, that he didn't feel she needed the pelvic osteotomy at this point in time. There was not a great deal of blood loss so she did not need a transfusion. They will continue to monitor her blood counts in case that changes. So, the entire procedure went very well.
I have her all snuggled in with her favorite blankets and big ole Dora balloon. She's resting very comfortably with her epidural and really only wants the IVs out.
Last, but not least, Steve and Elise are headed back to the 'Nati. Elise decided she needed to relax and watch TV just like Amelia was doing...like I said, she doesn't share the throne very well. Steve just phoned me a bit ago and said Elise was "out like a light".
Waiting.....
12:30 p.m. UPDATE: Femoral and Pelvic Osteotomies complete! All went well. They are now putting her in the dreaded Spica Cast~that will take another 45 minutes. Now we wait for the doctor.